I too am like this. I know what I want when I see it. I also know good stuff. I am sure most people are the same way too.
The main difference between us and Jobs is; we do not have the patience to wait until it it is right. The heart to tell 64 (!!!) nurses that they do not fit. The authority to tell geniuses their work suck and they should come back with more designs.
He was willing to be rude, difficult and a bully to get it right.
Are you?