Notes
Editorial writing.
Short essays on hospital medicine, clinical AI, and teaching the body to patients in a way they can actually understand. Updated as the week allows. RSS feed.
July 8, 2026 · Health Policy · UNDER REVIEW
What changed at the FDA, HHS, and CDC — and why a hospitalist is watching
Three federal health agencies shape my working day. In 2025 and 2026 all three went through unusual upheaval. Here is what actually changed, sourced, and what it means at the bedside.
May 9, 2026 · Under Review · UNDER REVIEW
Under clinical review
This essay is offline pending physician review.
May 8, 2026 · Clinical AI
Why I only adopt clinically validated tools
There is nothing courageous about waiting for evidence. It is the baseline of how medicine has always advanced.
May 5, 2026 · Clinical AI
The case against ambient AI scribes at the bedside
Ambient AI scribes are coming for the patient encounter, and the conversation about them has been almost entirely one-sided.
May 1, 2026 · Patient Education
AI as teaching, not transcription
If ambient scribes are the version of clinical AI I am most cautious about, patient-facing visualization is the version I am most excited about.