About

This site is a quiet working room. I write here to think in public—slowly, carefully, and without the theatre of promotion. Posts may be polished or provisional; either way, they are attempts to see clearly and to say only what I can stand behind.

I’m a physician in training in Internal Medicine & Paediatrics in Houston, with an earlier life in physics, dance, and military emergency management. My clinical interests lean toward geriatrics and hospice/palliative care; my intellectual bent is philosophical medicine and the ethics of practice.

I am trying to think rigorously and care well, without pretence. The writing here is one instrument of that vocation.

I do this amid the ordinary constraints of residency—finite time, rotating schedules, and the grit of ward life—which means essays often begin as field notes from the edges of care. Writing is a way to keep alignment between ideals and reality.

What guides the work is straightforward: be honest about what’s true, act with courage when it costs, and keep faith with human dignity—especially when it is fragile.

Boundaries & Disclosures

• Patients are never identifiable. Clinical details are altered or withheld to protect privacy.
• No medical advice. Nothing here substitutes for personal medical care.
• Views are my own. They do not represent my employers, institutions, or organisations.