On steroids and quarterly reports: short-term fixes can screw up the system
First published in the Guardian, February 17th, 2014
Something – maybe a bat, although nobody was certain – recently bit my good friend Arnie. What happened next is an allegory for how short-term fixes can really screw up a system, whether it’s an ecosystem or an immune system or, while we’re at it, a financial system.
Erring on the side of caution, Arnie (not his real name) got the rabies vaccine, which consists of five shots. Shot number one went fine. But after shot number two, he immediately started feeling sick – his symptoms resembled the flu, but with some weird neurological symptoms – and he ended up in the emergency room.
A Benadryl drip seemed to relieve him somewhat, and he went home, still feeling pretty bad and non-functional, but not feeling like he would crumple into a ball on the floor. Then Arnie got the third shot, and got even sicker. I wanted to know why Arnie was so sick … scary sick. So I took to the internet and learned about adverse responses to rabies shots, how rare they are and, also, how serious they can be – kind of like a black swan event for business.
Twelve days after the initial shot, Arnie asked me to meet him at the emergency room because he thought he would pass out. He could barely move or keep his eyes open. At the hospital ER, the doctors seemed perplexed and checked for the “emergent” problems. Did he need to be intubated, coded, operated on? None of the above.
The doctors hydrated him and offered more Benadryl. Then they brought him steroids, which they explained would make him feel much better. I intervened directly – in fact, I stepped