Embracing Uncertainty

Picture a bamboo grove in a storm. While mighty oaks crack and fall, bamboo stems bow to the ground yet spring back unbroken. This simple truth about flexibility defeating rigidity lies at the heart of handling uncertainty. Today’s world spins faster than ever – markets transform overnight, technologies reshape entire industries, and a single event can send ripples across the global economy.

Ancient Wisdom

“The mind is very restless, turbulent, strong and obstinate, O Krishna. It appears to me that it is more difficult to control than the wind.” – Arjuna 

When facing uncertainty, ancient texts offer surprising clarity. The Bhagavad Gita speaks of focusing on actions rather than outcomes – karma (choices, actions, causation) over karmaphala (fruit, outcomes). This isn’t just philosophy; it’s practical advice for today’s leaders. When you focus solely on results, fear can paralyze you. When you focus on taking the right actions, clarity emerges.

The Dance of Adaptation

Leadership is a dance with uncertainty. Sometimes you lead, sometimes you follow, but always you must stay in motion. The ancient concept of dharma teaches us to act with integrity without clinging to specific outcomes.

“In a gentle way, you can shake the world.” – Mahatma Gandhi

Like bamboo, successful organizations build resilience through flexibility. They maintain strong roots – their core values and principles – while adapting their strategies to changing winds. This balance between steadfastness and adaptability creates lasting success.

Seeing through Maya’s Veil

In Sanskrit philosophy, Maya doesn’t simply mean illusion (a reality distortion field). Think of it like watching shadows on a cave wall – what we see is real, but it’s not the complete truth. In leadership, this concept is surprisingly practical.

The Upanishads teach about “neti neti” – Sanskrit for “neither this, nor that” – a powerful method for finding truth by eliminating what isn’t true. Instead of immediately grasping at solutions when facing uncertainty, we can systematically eliminate what we know isn’t working or true.

“When you have eliminated the impossible, whatever remains, however improbable, must be the truth.” – Sherlock Holmes

Today’s leaders can practice this by asking deeper questions (why, when, what, which, where, who): What assumptions are we making? What aspects of this situation am I misleading? Which assumptions need challenging? What alternatives haven’t we considered? What possibilities lie beyond our current view? etc.

When we stop clinging to our first interpretations and systematically examine our assumptions, new opportunities often emerge from unexpected directions.

“The important thing is not to stop questioning. Curiosity has its own reason for existence” – Albert Einstein

The Empty Cup

An old Zen story tells of a master pouring tea into a student’s already full cup until it overflows. The lesson? We cannot receive new insights when our minds are already full of preconceptions. In times of uncertainty, we must first empty our cups – let go of what we think we know to discover what might be.

Final Thoughts

Uncertainty isn’t the leader’s enemy – it’s the space where innovation happens. Like bamboo in the storm, true strength lies not in standing rigid against change, but in dancing with it. By embracing uncertainty while staying true to our principles, we transform challenges into opportunities for growth.

Leaders who thrive in uncertainty don’t try to control the uncontrollable. Instead, they build resilient organizations that bend but don’t break, adapt but don’t compromise their values, and turn change into opportunity. This way of leading isn’t just about survival – it’s about finding grace in chaos and strength in flexibility.

“In the middle of difficulty lies opportunity.” – Albert Einstein

WHY THIS BLOG?

I was talking to leaders taking their year-end breaks, and I sensed the weight of uncertainty (organization changes, inability to make lasting changes, frequent pivots, and idea conflicts) wearing them down. Hence, this blog.

While I don’t have a perfect solution, some things have helped me in my journey: Taking action instead of freezing. Staying true to your values. Being flexible in your plans but firm in your integrity. Trusting your team. Listening and Respecting Ideas. Keeping your mind healthy – not letting it trap you in victim thinking and impossible scenarios. This last one (keeping the mind healthy) is/was difficult for me to practice sometimes, but being in these cycles multiple times is helping me/has helped me.

Leadership isn’t about having answers to everything. It’s about staying grounded while keeping flexible.

Generative AI in Healthcare

Today’s popular ChatBots have evolved to the point where they can ‘search’ the internet to build a profile of a person. While the idea of profiling might seem unsettling, what’s even more fascinating is their ability to dynamically integrate with external tools. This means these bots don’t just acquire context—they actively use it to take meaningful actions. And that’s a game-changer. In industries like healthcare, where inaction and delays can have serious consequences, this capability to bridge information and execution is nothing short of revolutionary.

Insights Are Necessary But Not Sufficient

We can design a world-class computer vision algorithm to detect potholes on roads—no doubt about that. The real value of such technology lies in its ability to prevent small potholes from escalating into traffic nightmares. But here’s the catch: insight without action is as good as scrap metal. Knowing there’s a pothole on Road A is useful, but if it’s not fixed, that insight is wasted. This is where Generative AI steps in, not just to detect problems but to close the loop by orchestrating solutions. Imagine a team of AI agents—a detector, a work approver, a fixer, and even a finance approver—all collaborating to decide which potholes get priority. Given limited budgets and resources, the challenge becomes an optimization problem: which roads to repair to maximize safety, improve traffic flow, and minimize frustration. With high volumes of insights, this kind of collaborative decision-making can cut through the ‘insights fatigue’ and turn knowledge into action.

Healthcare faces a similar dilemma. There’s a heavy emphasis on monitoring—producing insights that are supposed to drive action—but the gap between knowing and doing often remains wide. Take the case of a diabetic patient struggling to lower their HbA1c from 8.5. The problem might not be awareness but action: lifestyle changes like regular walks, strength training, better diet choices, or even adhering to medication schedules. The truth is, most people know what to do; the challenge lies in execution.

This is where a hyper-personalized approach becomes critical—like having a health coach who not only reminds you to do your sit-ups but makes sure you squeeze in 10 while you’re still on the call. Habits, once formed, become second nature (think brushing your teeth). But doctors don’t have the bandwidth to coach every patient. Enter Generative AI, which can act as a virtual co-pilot for healthcare professionals. Imagine a digital assistant that mirrors a doctor’s conversational style while incorporating a coach’s motivational touch. This AI can identify when a patient is straying off course, focus discussions on actionable lifestyle changes, and tackle one problem at a time. If medication compliance isn’t the issue, it can hone in on diet or exercise—whatever the patient needs most. Generative AI brings the promise to move insights to actions.

Generative AI Use Case Sampler

Generative AI has the potential to revolutionize healthcare by enabling smarter, more personalized, and action-oriented solutions. By leveraging diverse modalities like text, images, audio, and video, this technology can bridge gaps in patient care, education, and operational efficiency. Here are some potential use cases:

Text-to-Text: Personalized Discharge Summaries
Generative AI can generate hyper-personalized discharge summaries tailored to individual patients. By pulling data from EMRs and provider-recommended templates, these summaries can be presented in clear, actionable language, preferably in the patient’s preferred language. From follow-up instructions to medication schedules, this empowers patients to take control of their recovery with confidence.

Image-to-Text: Radiology Reports Made Smarter
Deep learning has already enabled precise interpretation of radiology images. Generative AI can take this further by generating highly personalized reports for different audiences, such as PCPs, patients, or specialists. By reducing radiologists’ workload and improving turnaround times, it can ensure quicker and more efficient delivery of critical insights. Moreover, Generative AI can allow radiologists to query images for specific details or compare similar images by vectorizing (creating embeddings) the image and reports.

Text-to-Image: Visualizing Patient Education
Generative AI can help patients better understand their diagnoses and treatment options by creating personalized visualizations. A picture truly is worth a thousand words, especially in healthcare, where complex concepts can be challenging to convey through text or speech alone.

Image-to-Image: AI-Powered Image Reconstruction
Generative AI can enhance the quality of medical images through advanced reconstruction techniques, improving both speed and resolution. This capability can boost diagnostic accuracy and provide healthcare professionals with the clarity needed for more informed decisions.

Text-to-Speech: Accessibility for All
For patients with disabilities or language barriers, text-to-speech technology can make medical information more accessible. Whether through audio outputs or Braille conversion, Generative AI ensures inclusivity in patient communication and care delivery.

Audio-to-Text: Seamless Medical Transcription
Generative AI can convert conversations—between doctors and patients or among clinicians—into structured medical records. This technology streamlines documentation, allowing healthcare professionals to focus on patient care while simultaneously generating structured, actionable records.

Text-to-Video: Transforming Medical Education
Generative AI can transform training and education by generating personalized, easy-to-follow video content. From simplifying complex medical topics to creating interactive learning experiences, it offers a more engaging way to educate both patients and healthcare professionals.

Text-2-Text: Generative AI

A Text-2-Text generator can be used to build a story to recite to a child to help her develop better study habits. With a simple prompt, Generative AI (courtesy: ChatGPT) can craft a compelling story—like one inspired by Harry Potter—that captures the child’s imagination while embedding useful lessons. For example, a magical artifact like a “Focus Fuser” might serve as the centerpiece of the story, teaching readers how small, consistent actions can lead to meaningful progress.

Now shift to a healthcare setting. Medical jargon, while essential for precision, often confuses patients. Generative AI can take complex radiology reports and translate them into clear, patient-friendly language. For example, instead of saying, “Impression: The findings are consistent with a moderate right-sided pleural effusion,” the AI might explain: “The results of your imaging test show a moderate amount of fluid in the space around your right lung, known as a pleural effusion. There’s no sign of pneumonia or a collapsed lung. Your doctor may recommend further tests to get more clarity if needed.”

This translation doesn’t just simplify language—it empowers patients to understand their health better, enabling them to make informed decisions.

Text-2-Image: Generative AI

A Text-2-Image Generator can recreate familiar concepts with stunning precision and creativity. Take the classic representation of the “Three Wise Monkeys”—each embodying the principles of “see no evil, hear no evil, speak no evil.” With a simple prompt, AI can generate a vivid image of three monkeys, each covering their eyes, ears, or mouth, perfectly capturing the symbolic meaning behind the concept.

This same technology demonstrates its utility in healthcare through advanced imaging capabilities. For instance, it can generate a synthetic frontal chest X-ray (CXR) image of a patient with specific features, such as simple pleural effusion and focal airspace opacity. This isn’t just an exercise in realism—it supports medical education, research, and even diagnostic validation. The ability to generate medically accurate images empowers healthcare professionals and researchers to innovate and enhance patient care. It also supports the cause of patient privacy.

Image-2-Text: Generative AI

The image-to-text generator capability is a game-changer for accessibility, enriching experiences for visually impaired individuals and enabling deeper engagement with visual content through natural language. Auto-generation of key features from an image can enable search (E.g., get me pictures with a blue lake and snow-capped mountains).

On the other hand, in a healthcare radiology context, Generative AI can generate detailed radiology reports (E.g. CXR 2 views – AP/LAT) such as: “The heart size and mediastinal contours are normal. There is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax. No acute bony abnormalities are observed, although degenerative changes are present in the thoracic spine.”. This not only reduces the workload on radiologists but also enhances accuracy and efficiency in delivering diagnostic insights. By automating the creation of such reports, AI enables healthcare professionals to focus more on patient care while ensuring timely and precise interpretations.

Reasoning is Complex

(*) The above reasoning is not to show any tool or technology in a Bad light.

Reasoning can be a tricky beast, as you’ve probably noticed by now. While a human might have gone for answers like, ‘Maybe the male prisoner was released!’ or ‘Plot twist—he escaped!’, AI takes a different approach. It sticks to the context you give it, like a dog chasing a stick. But here’s the catch: if you want AI to keep doing its mind-blowing, jaw-dropping, ‘WOW’ job, you’ve got to toss it the right stick—clear context and solid rules. Otherwise, you might end up with answers as wild as a soap opera plot!

Closing Quote

‘The machine does not think, but it reveals our thinking.’

Generative AI quality is proportional to the quality of the information and context we give it—whether it’s clear or confusing. This means the responsibility isn’t just on the AI (or its builders) but also on us (the users) to ensure it is used in a way that reflects important values. When used wisely, it can help us improve care, build stronger connections, and create a fairer world for everyone.