Monday, July 21, 2008

Diversity in 1995 and today...

I was cleaning up my garage this weekend and found an article I had written in 1995, one year after I graduated from University of Pennsylvania. The subject was an incident that had happened to me just a few weeks prior at my job at Information Resources, Inc. that gave me a glimpse of what the business world was like for people of color. I chose to share that story with students still at Penn by submitting an article to The Vision, the African/Caribbean American newspaper published out of the W.E.B. DuBois College House where I had lived for two years during school. I wanted the students to learn from my experience.

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When You Get Out
By David S. Williams III
The Vision
University of Pennsylvania
September, 1995

When you leave Penn, there are a few things that you can expect: 1) you wont be paid what you’re worth, 2) you wont be evaluated fairly and 3) there won’t be many African Americans around you. The third constant above reveals the discrimination inherent in hiring practices throughout the business world. Executives are often afraid of hiring minorities because they’re worried about being labeled “reverse” discriminators.
During a recent group meeting the Executive Vice President of my company asked if there was a perception of a “glass ceiling” in the company for women and minorities. In a room willed with 80 people, over half of whom were women, silence ruled. The EVP sounded genuinely surprised by the lack of responses, but it seemed no one would dare raise a voice on such a controversial topic. Up went my hand. “Well I can’t speak on a glass ceiling since I’ve only been here a short time, but I think the larger issue is recruiting.” Then slowly rising to my feet, “…because I can look all around this room, and I don’t see one person who looks like me.” A tense silence prevailed as my fellow employees kept their eyes fixed forward.
Since the EVP refrained from addressing the issue, one woman did try to lend some support. Her voice trembled. Although it was a valiant effort on her part, she might have been more helpful by remaining silent. “Interesting…” pondered the EVP, just before, “Let’s discuss our third quarter goals.”
After the meeting, I received all kinds of support from co-workers! I heard, “Hey, I agreed with everything you said!” or “Dave, you’re absolutely right about that. It’s great that you stood up for what’s right!” The feeling of camaraderie with my colleagues swelled inside me like…lava in an active volcano. Where was that support when my head was on the chopping block?
A few days later, the EVP left me a voice mail message inviting me to lunch to discuss the issue “brought up in the meeting.” We set it up for a week later (after one cancellation) to eat at Bennigan’s. After exchanging pleasantries and funny stories, we began discussing the issue. He asked me if it was difficult for me to work in an environment without any other Blacks, and I answered (after taking a very deep breath), that it was very difficult because I had no way of expressing concerns if I’m treated unfairly because of my race either by a colleague or by a client. I told him that the isolation alone makes it a hostile environment. The EVP explained that he had never thought about it that way. Surprise. Being the action oriented executive he is, he asked me for a solution. I suggested that the company begin recruiting at some predominantly African American schools naming three that have excellent reputations. To his credit, the EVP responded favorably, but his following response cut through me like a knife. He explained that his main concern in changing recruiting policies was upsetting the current employees because he would be locking out good potential white candidates because of race. For a moment, I thought I needed the Heimlich Maneuver! I wanted to say “Don’t you realize that we’ve been locked out of positions for 400 years!?,” but somehow, calm took over. The diplomatic answer given was that the caliber of candidates would not be compromised by recruiting from these schools. Lunch tasted awful, even after dessert.
There won’t be many African Americans around you because the EVPs of America perceive two risks in hiring us: 1) That they will upset white people, and 2) that we’re all lazy and won’t work hard to make them more money. Isolation and contempt sprout into a weed within, but just remember that the bills must be paid. As a result of going under the guillotine, I will be heading the recruiting efforts at these three African American Universities for our office.

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So what did I learn from this and how has it played out today? I've had successful stops at every point in my career and have overcome more than my fair share of narrow-minded people. I created a similar position for recruiting at Deloitte Consulting during my time there because the same situation occurred.

Today, I still get funny looks when I walk in a room. There aren't that many African or Caribbean Americans with executive positions at startup internet companies (like PatientsLikeMe). I am still proving myself everyday. We still have to be 10 times better to get the same opportunities.

Progress, however, is right in front of us. Barack Obama's candidacy for President has marked a major shift in perceptions of people of color in the United States. Where Colin Powell, Clarence Thomas, and Condoleeza Rice failed to connect with people who look like them, Obama has done so in a principled manner while still appealing to the majority. Good for him, good for us.

In that vain, I'm proud of the successful peers of color I have leading many industries, starting great companies, and contributing to academia. Let's keep it up, and pave the road for those who come after us.

Sunday, June 29, 2008

From First Class to Last Class: Delta Airlines

I know it has been a while, but with good reason. In the last two months I've been criss-crossing the country. Boston, New York, Philadelphia, New Jersey (north, south, and central), San Francisco, Seattle, San Diego, and then back to Los Angeles.

Those of you who find me on Facebook have noticed recent multiple status updates on my first class upgrades (or lack thereof). I have a ton of miles on Delta Airlines, so I frequently get free upgrades. However, recently they have lowered capacity, and thus, I'm competing on high travel routes with other Platinum Elite flyers.

The way the free upgrade works is that if first class doesn't sell out, then the highest level frequently flyers (Platinum Elite in this case) get the open seats. The issue is, however, that there are often more PEs than there are seats. What's the next tie-breaker? Total miles flown. My measly 300,000 doesn't often cut it.

So after about a year of non-stop first class flights, I've had to fly coach for the last two months. This happens to coincide with my heaviest travel schedule, hence the frustration. In fact, on a flight from Boston to Seattle last week, I was in what I unaffectionately call "last class"--the last row of the plane where there's no recline.

So perhaps I'm a bit spoiled. I'll give you that. But flying first class without paying anymore will do that to a person. Just got the email confirming my latest itinerary, too. Got first class, both directions. Aaahh...return to normalcy.

Update: But now I'll have to pay to redeem my miles for any free tickets. This is getting ridiculous....

Tuesday, April 29, 2008

23andMe and my wife
















My wife got her 23andMe personal genetics profile information yesterday. Wow, you never really know a person until you see her genome, huh? Just kidding, Rosemary. The results raised her eyebrows and mine after we dug a little into the information.

First, the good: The amount of information that is elegantly packaged into one service module is amazing. Learning not only about geographic origins and eye color, 23andMe makes it easy to find out who your genome resembles most. No matter how simple some of the charts look, building software to produce that output is extremely difficult.

Now, the challenges: With so much data, it was hard to find the same information twice. Once Rosemary viewed her profile and a few pages, she found it hard to locate the same information again when trying to share it with me. Navigation could be improved. Lastly, a couple of the charts weren't so easy to understand (and I have a pretty good feel for data visualizations). There were instructions on how to read these charts, however, which shows insight among the 23andMe team that their visualizations may be new ways for people to view data.

Although this isn't supposed to be a review, 23andMe is quite a service. The information is thorough and relatively easy to digest. Rosemary and I now have a few private jokes based on the results of her data that will last quite a long time. She now wants me to send in my kit. I think I'll milk this just a little longer. Like I said, you never know someone.....

Wednesday, April 9, 2008

AIDS.gov Interview

Today I was quoted as part of a series on health social networks by AIDS.gov. The post has views from myself of PatientsLikeMe, as well as one of our community members. It's certainly worth the read, especially if you're considering joining a social network centered on a health issue.

As preparation for that piece, I was asked to answer a few questions--the answers to which I think add to the consideration for anyone looking to join a health social network. The focus is on people with HIV, but applies to people with any condition.

As always, comments or feedback welcome.

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1. What do you see as the value of niche social network sites as opposed to larger social networking sites, like MySpace and Facebook?

"Niche" social networks, like PatientsLikeMe, focus on people's particular health needs. We are not concerned with "links", "friends", or "feeds" as much as we're focused on gathering, structuring, and reflecting information that will improve the quality of life of people with life-changing conditions.

2. Do you prefer the word "niche" social networks or "communities of interest"?

Well, neither of those terms best describes what we do. Perhaps “collaborative network” would be most accurate for us. Yes we are a “social network” and we do create “communities of interest”, but we’re different. Patients share information (such as CD4 counts and viral loads) in order to learn from each other in a spirit of collaboration—to help themselves while helping others.

What separates us from typical social networks is that status or prestige is not measured by how many “friends” one has, or how many “hugs” one gives. Status on PatientsLikeMe is conferred to each patient by how much data one shares with the rest of the community. For example, a three-star patient shares a diagnosis date, is current with outcome, treatment and symptom information, and has provided a certain amount of historical outcomes data. This deep data sharing provides credibility to the patient for all interactions on the site. In essence, sharing data gives patients our version of “street cred”.

3. What was the impetus for starting the HIV community at PatientsLikeMe? How were patients involved?

Clearly there is a need for people with HIV to learn what works for patients like them. With virus mutations, numerous medication choices and combinations, and different stages of the disease, people need a place to learn from the collective experience of others. We target those types of disease communities in order to advance knowledge when conventional methods are either too slow or unavailable.

We opened the HIV community to charter members last fall in order to learn from patients how we could improve. We now have more than 600 charter members, many of whom have influenced new functionality and streamlined data visualizations to be more user-friendly.

4. What advice would you give to AIDS service organizations wanting to get involved with niche social networking sites? How can they get involved with PatientsLikeMe?

Our communities are free to join and open to all patients, researchers, doctors and nurses, and other industry professionals and organizations. For organizational partnerships, we can set up a page for you in our Partners section that list your website, contact information and more. The organizational page will also include profiles for any members of your organization participating in the community. We encourage any AIDS service organizations interested in this type of partnership to reach out to our marketing team.

5. What do you see as some of the benefits/challenges of social networking sites? PatientsLikeMe?

The challenge for people joining many health-related social networking sites is being open about their own health. On PatientsLikeMe, that issue can be confounded since patients share their in-depth health information that would traditionally be kept private. Some people don’t feel comfortable sharing that level of information in an open community, and we respect that.

The benefits, however, are astounding. Imagine knowing what everyone is taking for HIV and their outcomes over time. Each patient can then have a more productive dialog with his or her health care team in order to craft a customized treatment program based not only on clinical trial evidence, but also on the real-world experience of thousands. Doctors would have access to the range of dosages for every medication in real time, thus keeping on the cutting edge of prescribing practices. For many, the benefits clearly outweigh the risks.


PatientsLikeMe member dwilliams

Saturday, March 29, 2008

"My Teammates" - The Sign of Selfishness

I happen to watch a lot of NBA basketball. Teamwork on the court is just like teamwork in the board room. My hometown Detroit Pistons prove their mettle year in and year out. Built on a mantra of unselfishness, the Pistons have appeared in the last five Eastern Conference Finals, winning the NBA Finals in 2004. When any of the Pistons are interviewed, they talk about the team concept, they praise others, and they thank the team collectively. Same with the San Antonio Spurs (4 rings). Have you ever noticed how the new crop of NBA players refers to others on their teams as "my teammates"? Using that term rather than words like "our team" or "the team" or "other players" condescends to the true team players on each squad and exposes their unquestionable selfishness.

Now it's very true that others on their team ARE their teammates. It's the context of the quote that raises eyebrows. Case in point: Dwight Howard. Did anyone see the NBA Dunk Contest during All-Star weekend? Cheryl Miller (aka the best female basketball player who has lived or will ever live), asked "the new Superman" how he got the idea for his red-caped flight to the rack. Dwight said "my teammates came up with the ideas" for his dunks. Can we get names, please? Everyone says that was one of the most creative and dramatic dunks ever, and you can't give the guy who thought of it some credit? Was it Jameer Nelson--the guy who threw you the pass on the Superman dunk and went to chest bump you after you made it and you went the other direction? Now you know why Stan Van Gundy's been calling him out all season.

Dwight Howard - Selfish NBA Player

Who's next on the list? None other than LeBron James. If I had a dime for every time LeBron uses the term, "my teammates" to describe the Cavaliers, I wouldn't have to work. One quote, however, sums up LeBron's selfishness:

"I love sharing the ball with my teammates. I see a lot of things before my teammates see them."

What? So what you're saying is that you love to share the ball with guys who can't see? Yes, LeBron. We are all witnesses.

LeBron James - Selfish NBA Player

Here are the most frequent "my teammates" guys who will never be winners because they condescend to other players rather than honor the team itself (not in any order).

1. Dwight Howard
2. LeBron James
3. Tracy McGrady
4. Amare Stoudemire
5. Kobe Bryant (although much less so in 2007-2008)
6. Allen Iverson (the poster child)
7. Carmelo Anthony (doesn't bode well for Denver's playoff hopes, huh?)

So why did I bring all this up? Because in business--especially entrepreneurship--everything is teamwork. If you want your business to succeed each player on the team MUST set aside his or her ego and work toward the common goal. That old cliche about the "weakest link" still holds. If you have some people like the seven listed here on your team, it might time to ask what team they play for.

Enough said.

Saturday, March 22, 2008

PatientsLikeMe Featured in the New York Times

PatientsLikeMe, the leading treatment and outcomes sharing online health community, is featured in the March 23, 2008 edition of the New York Times Magazine. The article, entitled Practicing Patients, appropriately discusses the pros and cons associated with sharing data-rch personal health information in an open community.

PatientsLikeMe seeks to go a mile deeper than health-information sites like WebMD or online support groups like Daily Strength. The members of PatientsLikeMe don’t just share their experiences anecdotally; they quantify them, breaking down their symptoms and treatments into hard data. They note what hurts, where and for how long. They list their drugs and dosages and score how well they alleviate their symptoms. All this gets compiled over time, aggregated and crunched into tidy bar graphs and progress curves by the software behind the site. And it’s all open for comparison and analysis. By telling so much, the members of PatientsLikeMe are creating a rich database of disease treatment and patient experience.


With amazing patient successes balanced by medical leaders' skepticism, author Thomas Goetz strikes a critical chord within the current healthcare debate. Is the American health system broken? Can patients fix it through aggregation of collective experience? Are patients to be trusted to report their own health conditions? What does PatientsLikeMe mean for the medical establishment?

PatientsLikeMe is a tool that allows patients to manage their disease with a sophistication and precision that would have been unimaginable just a decade ago. The 7,000 members of PatientsLikeMe, in other words, are beta testers — they may be the vanguard of how we all will care and treat our résumé of chronic diseases.


The PatientsLikeMe Openness Philosophy (penned by yours truly) draws our company line in the sand. Openness can lead to better outcomes and accelerate research like never before. This is our goal for PatientsLikeMe. This isn't health science fiction. It's happening today.

Read the article--and join PatientsLikeMe--to see where you stand.

PatientsLikeMe member dwilliams

Thursday, February 14, 2008

An Open Letter to Senator Clinton

Senator Clinton,

As your team endures the challenges of a grueling campaign, I offer these observations. As I am but one man, I understand my voice is not loud. My blog is not prominent. My stature, still emerging. In watching this election cycle unfold, I have seen why Senator Obama continues to impress voters while you watch your lead slip away.

This election is about us--the people

Whether intentional or not, the media has portrayed your campaign as something that is about you. About your entitlement to the presidency. The problem? The beat of America now drums for empowerment of the people. For 7 years we have felt powerless to change the course of the country. We have felt powerless to create our own destiny. We want to feel in control of our democracy again.

Senator Obama has portrayed himself as the embodiment of "the people". That the "change" he will deliver will be the people's will. This is why he continues to win. This is why he continues to gain support from the most staunch of Clintonites.

Your win in New Hampshire wasn't because "you cried". It wasn't just because you showed emotion--and that as a woman, emotion is expected. The media has it wrong. The reason you prevailed was because of WHAT moved you to choke up. It was because you showed how much you care about America. You showed how much it means to you that the country move in the right direction. In other words, the election wasn't about you, it was about us.

When your campaign leaves that message, you lose. It's that simple. You can follow the "stark differences" strategy that you're beginning as of today, and you will lose. You will feed Senator Obama's momentum and you will become the symbol of ol' school politics.

In order to connect with the people, you must return to where you win. By showing why you are the candidate that best embodies the will of the people. It's not about your ideas, it's about our ideas. Your platform needs to be our platform.

Senator Obama is getting by without having to explain how he embodies the will of the people--he just is. It's now your job to show that his interpretation of what people want is out of touch. You must electrify your supporters by reminding them who can not only understand the will of the people, but can execute our demands. That is where you win.

I am a supporter of change. My vote is not yet cast. I want you and Senator Obama to listen to the people and bring our ideas to the debate. Once this happens, you will find yourself standing on much firmer ground instead of flailing in quicksand. Then, regardless of who wins, the United States will be just that.