Writing
The thinking behind all of it.
Essays on clinical judgment, the gray zone, and what it takes to build tools that work for the physician. Published on the PDI Med Substack; the latest is always here.
June 25, 2026 A Hemoglobin of 10.5 Here is a number: a hemoglobin of 10.5. In one patient, that number means anemia — something is wrong, and it needs to be explained. In another patient, that exact same number is… Read on Substack June 20, 2026 The Constitution Before the Code Before I wrote a single line of code, I wrote a list of things the system could never do. Not things it shouldn’t do. Not things it promised not to do. Things it would be structurally… Read on Substack June 15, 2026 The Library That Isn't a Library Medicine has a data problem that looks like the opposite of a data problem. Over the last thirty years, the digitization of healthcare has produced an almost incomprehensible volume of… Read on Substack June 13, 2026 The Load-Bearing Wall I had two grandfathers. One was an architect and a college professor. He was someone who understood, at a level I didn’t have language for as a child, that the visible and the structural… Read on Substack