Vivek Nanda retweeted
Best advice I ever received- Your job is to find something you are good at. Then spend thousands of hours on it and apply grit, perseverance, and sacrifices into willingness to breakthrough hard things to become great at it. #LifeLessons #growthmindset
Vivek Nanda retweeted
“The new playbook for marketing:
- Stand out, embrace being "weird"
- Have an aesthetic. Own it
- Co-build with creators
- Co-build with community
- Video is your friend
- IRL is your friend
- Post often, but not too often
- Make it fun”
– @gregisenberg
Vivek Nanda retweeted
I am not gonna lie, I am over the getting first customer hype. Unlocking channels that produce repeat customers is what excites me more. #growthmindset #customeracquisition #growthhacking #MarketingStrategy #MarketingTwitter #startups
Vivek Nanda retweeted
“When you stop focusing on what you don't have you'll start seeing abundance all around you”
– @turtlebreezee
Vivek Nanda retweeted
“You need to be a good talker AND a good doer.
If you’re only a talker, you will be found out eventually.
If you’re only a doer, you will never get recognized for your contributions.”
– @wes_kao
Vivek Nanda retweeted
“Consistency makes growth look easy.”
– @growthhub_
Vivek Nanda retweeted
There a joy that is very satisfactory when you help someone elevate and they totally rise to the occasion
Vivek Nanda retweeted
You'll never find a rainbow if you're looking down. #quoteoftheday #quote
If this is accurate, then very fascinating. Could save lives.
As a neurosurgeon I care a lot about road safety.
By now you’ve probably seen @Waymo’s stunning safety results (like 91% fewer serious crashes). But they didn’t just publish data headlines. They released the raw CSV files and data dictionaries.
I did a much deeper analysis. A fascinating story emerges when you analyze how they’re achieving this.
This isn’t incremental improvement - it’s categorical. We’re looking at the potential elimination of traffic deaths as a leading cause of mortality.
The intersection breakthrough: Waymo has essentially solved intersection crashes, with 95% fewer injury incidents than human drivers in the same locations. That’s transforming the deadliest driving scenario.
The national math: If every US vehicle performed like Waymo, we’d prevent 33,000-39,000 deaths annually and save $0.9-1.25 trillion in societal costs. Even partial adoption at 27% would save ~10,000 lives per year. In terms of magnitude, this would be the equivalent of eliminating every pedestrian death nationally in a year.
The physics signature: Here’s what fascinates me: 47% of Waymo’s contacts involve less than 1 mph delta-V. They’re not just avoiding crashes; they’re converting unavoidable incidents into gentle bumps. It’s like having physics itself on your side.
We’re not talking about marginal safety gains. The data represents a fundamental shift from harm reduction to harm prevention.
The methodology matters: I used their dynamic geographic benchmarks (comparing like-for-like road conditions) and verified the findings hold across San Francisco, Phoenix, LA, and Austin. The safety advantage actually increases in more complex urban environments.
Link to raw data below….
Notes on my approach:
Analysis based on 96 million miles of Waymo Rider-Only (RO) data through June 2025, utilizing Waymo's dynamic geographic benchmarks to compare Waymo Driver performance against human drivers under similar road conditions and operational design domains.
The projections for national impact (deaths prevented, societal costs) involve several assumptions. Given Waymo's zero reported fatalities, the direct serious injury reductions were mapped to national fatality statistics using established NHTSA-derived ratios that correlate serious injury crash rates with fatality rates. This extrapolation assumes that Waymo's observed serious injury prevention capability would translate proportionally to fatality prevention. Societal cost savings are estimated by applying average per-fatality and per-injury economic costs (e.g., medical, lost productivity, quality of life) as published by NHTSA, scaling these national averages to the projected number of avoided fatalities and injuries based on Waymo's safety performance. These figures represent the potential annual impact if the Waymo Driver's safety profile were widely integrated into the national fleet.
@ethanteicher
Harsh truth: Life will test you with the same challenge until you learn the lesson. The same fight in every relationship. The same burnout in every job. The same regret in every missed chance. Until you do the inner work, the outer world won’t change.
– @sahilbloom
Every fortune starts with a small deposit. Every book begins as one sentence.
The real question is not "What is my current position?" but rather, "What is my current trajectory?" Doing nothing builds nothing. Put yourself on the path to something better. Start small, but make sure you start.
Cognitive dissonance is a sneaky beast. If something feels too right, pause. Ask:
"Is this true? Or is this just comfortable?"
Expose yourself to unfamiliar ideas. Read things that make you slightly annoyed. Watch debates that test your worldviews.
Let friction be your teacher.
The more hands healthcare money passes through, the more expensive it gets.
And that’s the core of the financial problem in U.S. healthcare.
Many will say, “But value-based care is the answer.”
Sure, the intention is good.
But the execution?
Still too many hands.
By the time the insurance company and the health system take their cut, what’s left for the actual provider is minimal.
That doesn’t solve the problem.
It just moves the money around differently.
This is why models like Direct Primary Care (DPC) and membership-based practices are gaining traction.
+ The patient pays the provider directly.
+ The fees don’t pass through multiple middlemen.
+ The relationship is direct.
+ The model is sustainable, even with modest fees.
It’s not about bypassing quality or accountability.
It’s about removing the layers that add cost without adding value.
And that’s what’s fueling this wave.
If there’s one thing I’ve learned from recording hundreds of podcast conversations over the past 10 months for TopHealth.Care, it’s this:
𝗧𝗵𝗲𝗿𝗲’𝘀 𝘀𝗼𝗺𝗲𝘁𝗵𝗶𝗻𝗴 𝗰𝗮𝗹𝗹𝗲𝗱 “𝗣𝗼𝘀𝗶𝘁𝗶𝘃𝗲 𝗧𝗿𝗮𝗻𝘀𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝘃𝗲 𝗧𝗿𝗮𝘂𝗺𝗮.”
( ~ yes, I coined it, but please keep reading...)
Almost every provider, founder, clinician, or innovator I’ve spoken to in healthcare has had a moment.
A story. An experience that changed them.
Sometimes it happened to them.
Sometimes it happened to someone they love.
But in every case, that trauma didn’t break them ->
𝗜𝘁 𝘁𝗿𝗮𝗻𝘀𝗳𝗼𝗿𝗺𝗲𝗱 𝘁𝗵𝗲𝗺.
It became fuel.
Fuel to heal others.
Fuel to build companies.
Fuel to solve problems they now refuse to let others go through.
It’s powerful.
It’s real.
And it’s everywhere in healthcare once you start listening closely.
To everyone doing this work - from the clinic floor to the founder seat -
You’re not just building.
You’re transforming pain into progress.
And I’m grateful to witness it up close.
Really very grateful to everyone in healthcare - clinicians to builders and founders.
Especially grateful to our clients, my team, and our supporters who keep showing up.





