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A Tester driven by curiosity and relentless question "what if"

"My vote for the World’s Most Inquisitive Tester is Shrini Kulkarni" - James Bach

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Shrini Kulkarni
Updated: 2 hours 53 min ago

Managed diseases and Failure of science

Sat, 04/01/2017 - 10:46
[off topic]

In my opinion, about 70-80% of ailments or diseases treated by doctors using so called evidence based medicines are in the category of “managed diseases” requiring the patient to take medicines life long in additions regular tests and medical consultancy. A very small portions of diseases today are actually curable. This is in spite of spectacular progress of science and technology. From knowing super fine structures inside atom’s nucleus to genetic code, from nano medicine particles to mechanical  heart, from feeling robot to cloned animals - we are the peak of our knowledge than any other generation or human race in the past. Yet more than 3/4 our diseases are incurable and we have darkness at the heart of intense light.  Why science and technology is failing to lift the sufferings of people from these “managed diseases” ? Why science has come to a poor second to nature and life?

I acknowledge role of science and technology in dealing with threats on the life from outside - like accident, fire, suicide etc. Tools and Methods of science have been life saving. Probability of saving life of an accident victim are significantly increased over last 100 years. That is really commendable job of science and medical world.

Coming back to managed diseases - why should we go to a doctor if he cannot cure a disease that has come from inside human body - likes of diabetes, blood pressure, asthama, thyroid and deadly cancer and AIDS? The experience of those who meticulously follow doctors prescriptions is not better barring few edge cases. People lose money, mental peace and suffer through pain while blindly believing modern science and evidence based medicines. Doctors on the other hand blame poor patients that she could not keep up with diet or exercise schedule. When a diabetic patient is about lose a toe due to high sugar levels - doctors would say, patient did not keep the sugar levels under control. Poor patient all that he can do - walk 1 hour day, forget sweets in the life, no fried, non veg or alcohol - probably lived only on salads or veg stuff. Still suffered from all consequences of this glorious managed disease.

Commercial angle of making money through these diseases - pharma, big hospitals, medical equipment manufacturers,  Doctors and institutions that produce doctors and all connected eco systems - is  difficult to miss.

Making money is fine - but cure the disease.

When any alternative medicine or mystic claims some cure - entire world of so called intellectuals, rationalists and supports of science/evidence based medicine pounce on that method and finish it off. Media plays hand in hand to portray anything other than “science” is essentially bad and unreliable.

How can we flip this ratio of managed diseases to curable(time bound) diseases ?  Can science accept its defeat humbly and make way for unconventional methods or new thinking about life ?

There is no such thing called "Agile Testing" - Part II

Sun, 03/05/2017 - 18:38
My slides of ATDAsia keynote on this topic are here

Here are few key points that I have developed since part 1 of this topic.

1. The problem with current "Agile" is it is stuck and dying its death - in rituals and ceremonies. So called consultants and experts of "Agile" - appear to be pushing rituals and ceremonies without explaining the context and meanings behind them. I find it is very surprising to see people feel proud about following rituals in this rationalist, objective Engineering discipline.  Do not you find this term "rituals" as unacceptable in our field of software that stands as epitome of human knowledge ?

What happens when you do not know the reason and purpose behind a ritual and simply follow it? One - you will apply it wrongly or apply it (the ritual) correctly to wrong situations. When you do something as best practice - you forget the context in which the practice worked and how same or different is your context. The aura of best practice and cult of expert - just blurs your thinking and you get hypnotized. That's where problems start in Agile implementation.

2. There are many good practices in Agile - sorry -  practices that have emerged from the kitchen (not factory) of Agile. These are excellent examples of how smart people have solved the problems in their context. If you understand the context and how problem/solution aligned to the context - you have fair chance of learning, customizing and using the practice to your context. I find practices like lean documentation, dev/test pairing, continuous integration, focus on delivering working software, emphasis on right distribution of automation across technology layers - as good and worth studying. If you start asking - best practice, best tool, best framework, you will miss the background and end up in applying a practice wrongly.

3. Most agree on one thing about Agile - "culture". If you want to make Agile work in your context, you need a cultural change regardless of what is your current culture. This may sound counter intuitive - but it is true. For Agile to work you need culture change.

Here is my prophecy about Agile and Culture - "The culture change you are seeking for Agile to work IS NOT GOING HAPPEN". What is the basis for prophecy? I think culture is made up of people working in groups following rituals while setting aside mostly -  rationality. Humans are lazy, unpredictable, fearful, greedy. Humans want to make profits continuously through software. While not fully understanding "intelligence" - humans have set their eyes on "artificial" intelligence as future. Human for problems in culture - seek solutions in processes, frameworks and tools.

If you want Agile to succeed - take these problematic humans out of equation - with them goes need for this trouble of changing culture. Can you ?

What do you think let me know