October 25, 2000

"The Mighty Oak Was Once A Little Nut That Stood Its Ground"

“The mighty oak was once a little nut that stood it’s ground”. A powerful message is contained in that simple quotation. Since I first came across it several years ago, the phrase stuck with me and I have had opportunity to repeat it to myself many, many times.

There are instances in everyone’s life when you are forced to stand up for your principles and fight for what you believe in. Often you find that you are the only one in the crowd with the vision to see into the future and you find yourself in a struggle to open the eyes of those around you. It is then that you realize that it doesn’t take guts to follow the crowd, that courage and intelligence lay in being willing to be different.

This brings to mind a story that dates back to the 1960's when drug companies were presenting nearly 700 applications a year to the Federal Drug Administration (FDA) in the United States for new medicine. The New Drug Section had only 60 days to review each application before giving approval or asking for more information.

A few months after one young doctor joined the FDA, an established pharmaceutical firm in Ohio applied for a license to market a new drug, Kevadon. In liquid form, the drug appeared to relieve nausea in early pregnancy. It was given to millions of expectant women, mostly in Europe, Asia and Africa. Although scientific studies revealed harmful side effects, the company printed tens of thousands of leaflets declaring its safety. The company also exerted tremendous pressure on the young doctor to give permission for labels to be printed in anticipation of the drug’s approval.

The doctor reviewed the data and refused approval for the drug. After several rounds of applications, she continued to find the data unsatisfactory and refused to grant permission to market the drug. She faced great pressure from colleagues and from the industry for her actions and realized that it would have made her life so much easier if she just gave in and allowed the drug to be put on the market.

After a struggle which lasted more than a year and a half, the company humbly withdrew its application. You see, Kevadon was thalidomide, and by that time the horror of thalidomide deformities was becoming well publicized. Because this young doctor had stood her ground, the United States was spared untold agony.

The lesson was clear then as it is today. Sometimes standing your ground on an issue does not seem that important, but in time you may see the big picture. The more frustrating  times occur when you see the big picture but those around you do not. Those are the times when your courage is tested. Especially when you realize that your arguments and presentations are constantly being opposed by others who are more interested in immediate personal gratification rather than in long-term benefits.

Regardless of the opposition, you must always remember that it is your responsibility to speak out for those things in which your believe to be true. Do not allow others to make you give in if you are certain you are right. It doesn’t take any guts to follow the crowd, but it takes tremendous strength and courage to lead the crowd. And above all, do not remain silent. If you do, others may take your silence as agreement with their position. Let your opinion be known and remain firm.

So next time you are faced with a tough challenge, remember the mighty oak tree. It too was once a little nut which stood its ground, and look at it now.

Have a good week.

 
 

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