The answer is that we are not helpless in the face of our first impressions. They may bubble up from the unconscious - from behind a locked door inside of our brain - but just because something is outside of awareness doesn't mean it's outside of control.

We spend a lot of time and effort trying to figure out who's going to be a good NFL quarterback, and we do a very bad job of it. We don't really know. And we also spend a lot of time trying to figure out who will be a good teacher, and we're really bad at that too. We don't know if someone is going to be a good teacher when they start teaching. So what should we do in those situations in which predictions are useless?

What a gifted child is, in many ways, is a gifted learner. And what a gifted adult is, is a gifted doer. And those are quite separate domains of achievement.

If there is one thing I learned by reading Epstein's "The Sports Gene" it is that world-class athletes are, by definition, abnormal: that is, the kind of person capable of competing at that level is necessarily very different from the rest of us physiologically. They are outliers.

The difference isn't resources, it's attitude.

Part of me thinks that innovation, real innovation in health care delivery, needs to happen from the bottom to the top.

Arousal leaves us mind-blind.