Christmas & New Year Best Wishes

Ajay Tewari New Year Wishes

We all look forward to this part of the year when things finally wind up for the year …specially In December there is lot to celebrate, Christmas, new year and so on and there is a great opportunity to celebrate these holidays to allow ourselves to be festive, to indulge a little bit more with the loved ones, and celebrate whatever there is to celebrate. But, there is one important aspect if we can bring in “mindfulness to our celebration” – eating mindfully and slowly, experiencing how much better food tastes, when we saviour it. We can bring “compassion and gentleness to the table if there is any overwhelm with a challenging family member- we can “practice patience and deep listening“. We can also practice forgiveness and gratitude for our loved ones and there generosity, there are lots of opportunities to be mindful BUT we can also let go a little…

2019 wish from CEO Ajay

Through the calendar year, many of our days are devoted to work in accomplishing things and we are incredibly focus on our responsibilities- so these opportunities we have… to let go and enjoy and celebrate life, these are important aspects of maintaining Work Life Balance…we can celebrate and let go in a mindful way…so be rejoice…allow yourself to relax, get more sleep if you need to, or stay up a little later…indulge in a few extra sweets..whatever gives you pleasure…The holidays will soon get over so while they are here enjoy this special osho said Life should not only be lived it should be celebrated….celebrate the next few days with your loved ones.
I appreciate all of your great work this year; it is because of you, and because we know we can do so much more for customers and clients than anyone else, that I have such great confidence in our future. Please enjoy some well deserved rest with family and friends during this holiday season, and let’s get right back to it in 2019.
Merry Christmas  and wishing you a very happy new year to you, your family and your loved ones.

2019 Future AI Healthcare Apps…?

AI in Healthcare

There is lot of buzz going around on “AI and as a healthcare provider” it does need a closer look at the opportunities in this area. 121 health AI and machine learning companies raised $2.7 billion in 206 deals between 2011 and 2017. Market is abuzz with news of how artificial intelligence (AI) is going to change health care & as a result several AI technologies are cropping up to help people streamline administrative and clinical health care processes. The field of health AI is seemingly wide—covering wellness to diagnostics to operational technologies—but it is still narrow in that health AI applications typically perform just a single task.

Some of the interesting work which companies are doing including clinical decisions support system for stroke prevention, tracking patient vitals on the move & managing home-care. If we start using AI for all the data we are generating today it can make a huge difference in diagnosis as well as preventive and corrective treatment.

AI Healthcare Forward

AI today is more prevalent in assisting frontline clinicians to be more productive and in making back-end processes more efficient—but we are still some time away from AI apps making clinical decisions or improving specific clinical outcomes- which is the need of the current healthcare space. Clinical applications are still rare. Some of the potential areas where we can expect the market to grow based on what we have seen in 2018 are :-

1. Robotic assisted surgery replacing humans
2. Virtual nursing assistance due to labour shortages
3. Administrative work flow improving the existing infrastructure
4.Fraud detection
5. Preliminary diagnosis
6. Automated Image diagnosis
7. more and more…

For a software development house above are opportunities to be tapped provided one does understand it as a whole and not sum of all parts – which mean commands over writing software code will not be sufficient, one has to understand the entire paradigm of understanding what and why apart from how of the software being developed. More later….

Blockchain vs Database

How is the “Blockchain different from a database?” is a question that often pops up and it’s an important question.

In a typical Excel database one person enters data. That person may even share that database with someone else who can then add additional data, edit the data, or delete the data.And that is one of the biggest differences between the Blockchain and a database: Different parties can create, read, update, and delete data in a database.
In the Blockchain, on the other hand, data can only be written to a block, it cannot be updated or deleted. The Blockchain is, as they say, immutable. And, depending on whether the Blockchain you’re working with is public (permissionless), private, or permissioned, not everyone can always even read the block.

Let’s walk through an example:
Let’s say smartData contracts ABC Delivery to pick up a package in Sydney . While negotiating the contract smartData and ABCD agree on what data to track. They agree on the following data points; the date the package is picked up, the time it’s picked up, a scan of the package to confirm receipt, and a price for picking it up. ABCD delivery service scans the package when they pick it up. The scan serves to verify that the first part of the job has been performed on a certain date and time. This data is recorded and funds from smartData account are withdrawn to pay ABCD for the service.

Some of this could be done on a database. A database could keep track of the four agreed upon parameters. A database can even pull data from an API. A database might even be able to withdraw funds from a dedicated account.
Here’s what a database cannot do: A database cannot make sure that its data is not changed in any way. A database cannot exist in a distributed network adding to the security and verity of the data. A database cannot exist along a larger chain of transactions with an encrypted hash number to further heighten its security. And if a database cannot be trusted or remain immutable, would you want to use it to withdraw or deposit funds?
Lastly, if a database can be shared it can be read by anyone who gets their hands on it. On the other hand, if smartData and ABCD use a private Blockchain, only smartData and ABCD can read what they put on their Blockchain. Databases do have a certain level of security, but nowhere near the cryptography that the Blockchain does.

This is not an argument that the Blockchain is superior to a database. That’s like arguing that a hammer is superior to a screwdriver. They are different tools. Sometimes you need a hammer, sometimes a screwdriver. Sometimes all you need is a database, sometimes you need the Blockchain.


No Left Turn

Life travels it’s own path and the story below depicts this wonderfully with lot of graceful lessons to be learnt – it’s up to us to learn from this wonderful story and follow – enjoy the story.

This is a wonderful piece by Michael Gartner, editor of newspapers large and small and president of NBC News. In 1997, he won the Pulitzer Prize for editorial writing. It is well worth reading, and a few good chuckles are guaranteed. Here goes…

My father never drove a car. Well, that’s not quite right. I should say I never saw him drive a car. He quit driving in 1927, when he was 25 years old, and the last car he drove was a 1926 Whippet.

“In those days,” he told me when he was in his 90s, “to drive a car you had to do things with your hands, and do things with your feet, and look every which way, and I decided you could walk through life and enjoy it or drive through life and miss it.”

At which point my mother, a sometimes salty Irishwoman, chimed in:
“Oh, bull shit!” she said. “He hit a horse.”

“Well,” my father said, “there was that, too.”

So my brother and I grew up in a household without a car. The neighbors all had cars – the Kollingses next door had a green 1941 Dodge, the VanLaninghams across the street a gray 1936 Plymouth, the Hopsons two doors down a black 1941 Ford — but we had none.

My father, a newspaperman in Des Moines , would take the streetcar to work and, often as not, walk the 3 miles home. If he took the streetcar home, my mother and brother and I would walk the three blocks to the streetcar stop, meet him and walk home together.

My brother, David, was born in 1935, and I was born in 1938, and sometimes, at dinner, we’d ask how come all the neighbors had cars but we had none. “No one in the family drives,” my mother would explain, and that was that. But, sometimes, my father would say, “But as soon as one of you boys turns 16, we’ll get one.” It was as if he wasn’t sure which one of us would turn 16 first.

But, sure enough, my brother turned 16 before I did, so in 1951 my parents bought a used 1950 Chevrolet from a friend who ran the parts department at a Chevy dealership downtown.

It was a four-door, white model, stick shift, fender skirts, loaded with everything, and, since my parents didn’t drive, it more or less became my brother’s car.

Having a car but not being able to drive didn’t bother my father, but it didn’t make sense to my mother. So in 1952, when she was 43 years old, she asked a friend to teach her to drive. She learned in a nearby cemetery, the place where I learned to drive the following year and where, a generation later, I took my two sons to practice driving. The cemetery probably was my father’s idea. “Who can your mother hurt in the cemetery?” I remember him saying more than once.

For the next 45 years or so, until she was 90, my mother was the driver in the family. Neither she nor my father had any sense of direction, but he loaded up on maps — though they seldom left the city limits — and appointed himself navigator. It seemed to work.

Still, they both continued to walk a lot. My mother was a devout Catholic, and my father an equally devout agnostic, an arrangement that didn’t seem to bother either of them through their 75 years of marriage.

(Yes, 75 years, and they were deeply in love the entire time.)

He retired when he was 70, and nearly every morning for the next 20 years or so, he would walk with her the mile to St. Augustin’s Church. She would walk down and sit in the front pew, and he would wait in the back until he saw which of the parish’s two priests was on duty that morning. If it was the pastor, my father then would go out and take a 2-mile walk, meeting my mother at the end of the service and walking her home.

If it was the assistant pastor, he’d take just a 1-mile walk and then head back to the church. He called the priests “Father Fast” and “Father Slow.”

After he retired, my father almost always accompanied my mother whenever she drove anywhere, even if he had no reason to go along. If she were going to the beauty parlor, he’d sit in the car and read, or go take a stroll or, if it was summer, have her keep the engine running so he could listen to the Cubs game on the radio. In the evening, then, when I’d stop by, he’d explain: “The Cubs lost again. The millionaire on second base made a bad throw to the millionaire on first base, so the multimillionaire on third base scored.”

If she were going to the grocery store, he would go along to carry the bags out — and to make sure she loaded up on ice cream. As I said, he was always the navigator, and once, when he was 95 and she was 88 and still driving, he said to me, “Do you want to know the secret of a long life?”

“I guess so,” I said, knowing it probably would be something bizarre.

“No left turns,” he said.

“What?” I asked

“No left turns,” he repeated. “Several years ago, your mother and I read an article that said most accidents that old people are in happen when they turn left in front of oncoming traffic..

As you get older, your eyesight worsens, and you can lose your depth perception, it said. So your mother and I decided never again to make a left turn.”

“What?” I said again.

“No left turns,” he said. “Think about it.. Three rights are the same as a left, and that’s a lot safer. So we always make three rights.”

“You’re kidding!” I said, and I turned to my mother for support.

“No,” she said, “your father is right. We make three rights. It works.” But then she added: “Except when your father loses count.”

I was driving at the time, and I almost drove off the road as I started laughing.

“Loses count?” I asked.

“Yes,” my father admitted, “that sometimes happens. But it’s not a problem. You just make seven rights, and you’re okay again.”

I couldn’t resist. “Do you ever go for 11?” I asked.

“No,” he said ” If we miss it at seven, we just come home and call it a bad day. Besides, nothing in life is so important it can’t be put off another day or another week.”

My mother was never in an accident, but one evening she handed me her car keys and said she had decided to quit driving. That was in 1999, when she was 90. She lived four more years, until 2003.. My father died the next year, at 102.

They both died in the bungalow they had moved into in 1937 and bought a few years later for $3,000. (Sixty years later, my brother and I paid $8,000 to have a shower put in the tiny bathroom — the house had never had one. My father would have died then and there if he knew the shower cost nearly three times what he paid for the house.)

He continued to walk daily — he had me get him a treadmill when he was 101 because he was afraid he’d fall on the icy sidewalks but wanted to keep exercising — and he was of sound mind and sound body until the moment he died.

One September afternoon in 2004, he and my son went with me when I had to give a talk in a neighboring town, and it was clear to all three of us that he was wearing out, though we had the usual wide-ranging conversation about politics and newspapers and things in the news.

A few weeks earlier, he had told my son, “You know, Mike, the first hundred years are a lot easier than the second hundred.”

At one point in our drive that Saturday, he said, “You know, I’m probably not going to live much longer.”

“You’re probably right,” I said.

“Why would you say that?” He countered, somewhat irritated.

“Because you’re 102 years old,” I said.

“Yes,” he said, “you’re right.” He stayed in bed all the next day.

That night, I suggested to my son and daughter that we sit up with him through the night. He appreciated it, he said, though at one point, apparently seeing us look gloomy, he said: “I would like to make an announcement. No one in this room is dead yet.”

An hour or so later, he spoke his last words: “I want you to know,” he said, clearly and lucidly, “that I am in no pain. I am very comfortable. And I have had as happy a life as anyone on this earth could ever have.”

A short time later, he died.

I miss him a lot, and I think about him a lot. I’ve wondered now and then how it was that my family and I were so lucky that he lived so long. I can’t figure out if it was because he walked through life, or because he quit taking left turns.

“Life is too short to wake up with regrets. So love the people who treat you right. Forget about the ones who don’t. Believe everything happens for a reason. If you get a chance, take it & if it changes your life, let it. Nobody said life would be easy, they just promised it would most likely be worth it.”


A story to reflect upon – I loved the closing
“Nobody said life is easy, they just promised it would most likely be worth it”.

Challenges Ahead

meeting-challenge-icd-10The debate over the generation gap was the favorite topic when I was growing and still is active when my young ones are stepping into their teens – the obvious difference is the speed at which we all are operating – they are ephemerally connected with todays world while we were hard wired – we hold history more dearly while they believe in freshly baked “now” – we believed in settle & build while they believe in moving on – we wanted to be or still want to be architect of our dreams while they believe in temporary residency ☺ – whatever the difference they are the future !

So what is the future – more and more jobs getting reduced due to use of technology, automation and robotics are no doubt making a world an easier and better place to live in but will it create better quality jobs or will it put more people out of job! Virtually every industry is already seeing the impact of technology on the reduced number of humans – transportation is one good example where driverless cars are a reality very soon – million if not more are on their way out – be it drivers of cars, trucks or taxi. The el Niño of automation is going to spread its wings to other sectors like manufacturing, medicines and even service intensive industries – putting not only blue collars jobs in danger but the white collar jobs too – you and me included. Aging demographics, automation and technology is going to put millions of millennial job chances under severe strain.

Sending a youngster for a 4 year degree is liking sending them to banvas of information know how – and they come out as half baked incomplete professionals requiring lots and lots of effort to bring them at pace – does that mean formal degrees are on their way out – to me Yes ! Learning from rote will only rot the existing system further – millennial that can think differently & not who can pile up grades will survive & thrive – the former in minority while later in majority – working for the former. We all can see stars on a clear sky – many of them – teaching about all the stars is what universities will thrive on – after all they have to make their money – “knowing the right stars and not all” will what make the future star.