When starting any kind of change effort we tend to focus our attention on the destination or outcome that we (hope) to achieve when we are done. Change itself is situational; it is the external event that is taking place, a new strategy, a change in leadership, a merger or a new product. This is often in response to external events. It can happen very quickly.

In 2001, I was diagnosed with an unusual type of bone cancer in my left femur. I was very fortunate to have excellent health care that discovered this very early. In the years since the first diagnosis, I have had a considerable number of treatments, all designed to save my leg and my life.