Intuitively, we think that this change first has to be come from the inside. Return to Book Page. Given that any honest dialogue is rare, it takes an exceptional workplace context for people to openly talk through change. Workers and managers battled incessantly. The new relationship helps you learn new ways of thinking about your situation and your life.

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Alan Deutschman asks that question in his book Change or Die Regan, Unbelievable as it seems, he says the odds are nine-to-one that you would not change. He gives facts and figures to back up his assertion—and then lays out a three-part formula for beating the odds. His distressing odds ring true in both cases.

It is well known that over 90 percent of people who lose weight gain it all back, and usually more. Weight loss, of course, is rarely a near-term life-or-death situation.

Heart disease, however, is another story. Deutschman says patients will not change their lifestyle after coronary bypass or angioplasty surgery—even if their life depends on it. Nevertheless, few change. The Ornish Team Approach Unfortunately, doctors know from their own clinical experience and research literature that the history on patient compliance is not good--dismal really. In many cases, these patients were suffering from crippling disease and needed immediate relief.

The Ornish group persuaded of the to forego surgery which would practically guaranty immediate relief and try lifestyle change instead. Actually, conventional wisdom would expect most of them to drop out of the rigorous program before the end of the first year.

They had halted—or, in many cases, reversed—the progress of their disease. Briefly, Dr. Next, they helped them learn and practice new habits and skills. Finally, they encouraged the patients to think about their disease in a new way, to help themselves. Deutschman contrasts the Ornish approach with the conventional strategy which relies almost entirely on the doctor, who tells the patient the facts of their case and that he or she must change.

Both the doctor and the patient believe that surgery and drugs are the only viable option. In all of the Ornish trials Deutschman describes four , the frequency of chest pains fell by 90 percent or more within the first month. Motivated by dramatic early success and a full year of practice exercise, yoga or meditation, support group, and meal preparation under the watchful eyes of the team of professionals, the patients are instilled with the understanding and belief necessary to continue on their own.

You are probably thinking that the team approach sounds expensive. Apparently, the cost efficiency is finally getting through to the powers that be: In , Deutschman reports, Medicare decided to cover the costs of the Ornish program. Two years later, however, he found himself weighing , and it got worse from there. At 30, he had to fudge on his weight to get health insurance.

The personal trainer was a former Mr. America, which turned out to be problem. It was becoming my identity. She was like me in so many ways that it made me believe that I could be like her in the other ways—that maybe I could become fit and vibrantly healthy. Within months, his weight dropped to , and has stayed there for five years and counting.

I was younger and lean, but not young enough to appeal to guys in their 20s. They identify with me now—and relate to my message. They can see themselves benefiting from my example and perhaps following in my footsteps. I urge you to read it. Ripped Enterprises, P. All rights reserved.



You want odds? Here are the odds, the scientifically studied odds: nine to one. How do you like those odds? A dream team of experts took the stage, and you might have expected them to proclaim that breathtaking advances in science and technology — mapping the human genome and all that — held the long-awaited answers. Then the knockout blow was delivered by Dr. About , people have bypasses every year in the United States, and 1. The procedures temporarily relieve chest pains but rarely prevent heart attacks or prolong lives.


Alan Deutschman: The benefits of change

Innovation , Management , Change Alan Deutschman: The benefits of change What really inspires positive change is hope, not fear, according to a leading writer on change and innovation. He uses compelling case studies to show how heart patients, criminals, drug addicts and multibillion-dollar corporations can improve their future prospects by embracing change that at first may seem impossible. Deutschman also spent 19 years as a business journalist in Silicon Valley. He has profiled innovators around the world and discovered some of what makes up effective leadership, especially during times of change. The following is an edited transcript.

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