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Field Notes

Field notes from the practice.

Essays and reflections on care, systems, and what it takes to build something that actually holds. Written from inside the work, not above it.

On SystemsMay 2026

Care begins before the appointment

The moments that shape health outcomes rarely happen inside the exam room. They happen in everything around it, and that is what we keep leaving out of the design.

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On DataApril 2026

What the data misses about trust

Some of the most important things I have learned in healthcare never appeared in a dashboard. Trust does not fit neatly into a spreadsheet.

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On PracticeMarch 2026

Designing care that holds under pressure

Pressure reveals what a system was truly designed to do. The strongest systems are not the ones that never strain, but the ones built to keep holding people when it arrives.

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More notes are on the way.