A New Home for My Writing posted on 2026-01-30
I’m grateful you have been reading my work here, and I’m honored that so many of you around the world have viewed or downloaded educational materials from bronchoscopy.org in support of our shared educational mission. I will continue to add to this website, and to post on Colt’s Corner. For some time now, however, I’ve been thinking about [Read More]
Who is the Best? posted on 2026-04-06
Patients often ask a question that seems simple but resists a clear answer: Who is the best doctor for me? Even if transparent outcomes data were widely available, the answer would remain uncertain. Because excellence in medicine is not confined to what can be measured. In the end, what patients are really asking is something [Read More]
The Disease We Romanticized—Then Forgot posted on 2026-03-28
There is a particular stillness in the faces of Amedeo Modigliani’s portraits. Elongated and instantly recognizable by their hollowed or pale blue eyes, with heads tilted like flowers resting on thin, swan-like necks, they now grace the walls of the world’s great museums. Many carry an unspoken fragility—a sense of life both vivid and already [Read More]
The Question Patients Cannot Answer posted on 2026-03-20
Procedural medicine is built on the premise that skills can be seen, measured, and compared. Physicians who perform procedures are trained, above all, to intervene, and their success is often defined by dexterity, decisiveness, and outcomes. It is therefore natural that patients would want to choose their doctors based on published results of technical success. [Read More]
Rethinking Legacy Thinking posted on 2026-03-08
Legacy thinking is often described as a way of thinking about the future, especially when it involves leaving something behind for the next generation. Yet the same phrase can mean something quite different. Legacy thinking can also refer to the habit of staying anchored to the past. In this sense, it means hoping or presuming [Read More]
The Physician’s Journey: Transitions, Burnout, and Reinvention posted on 2026-03-01
Medicine is a profession marked by transitions, though we rarely name them as such. In this Substack essay, I reflect on burnout, not as a weakness, but as a signal that change is necessary before health care professionals collapse under the burdens of accumulated years, growing responsibilities, unfriendly work environments, and shifting systems. As medicine [Read More]