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    <title>Career Insights on Paras Katyal</title>
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      <title>Decade in Healthcare: What I Wish I Had Known on Day One</title>
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      <pubDate>Wed, 17 Dec 2025 00:00:00 +0000</pubDate>
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      <description>&lt;p&gt;Ten years goes fast. But looking back, there are a few things I wish someone had told me on day one — things I had to learn the hard way.&lt;/p&gt;&#xA;&lt;hr&gt;&#xA;&lt;h2 id=&#34;the-hierarchy-on-paper-isnt-how-things-actually-work&#34;&gt;The hierarchy on paper isn&amp;rsquo;t how things actually work&lt;/h2&gt;&#xA;&lt;p&gt;When I started out, I thought getting leadership buy-in was the finish line. Get the executives aligned, and the rest follows.&lt;/p&gt;&#xA;&lt;p&gt;It doesn&amp;rsquo;t work that way.&lt;/p&gt;&#xA;&lt;p&gt;The people who actually make or break any change in a healthcare organization are the ones in the middle — the coordinators, the nurses, the front desk staff. They&amp;rsquo;re the ones who know where the real bottlenecks are, and they&amp;rsquo;re the ones who will either make your new process work or quietly route around it.&lt;/p&gt;</description>
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