For a while, I thought I was rebuilding a website.
What I was actually rebuilding was continuity.
Continue ReadingStarting Over: On Being a Beginner Again
There’s a particular discomfort in being competent at one thing and incompetent at another. For years, I knew what I was doing. I could walk into a room and trust my training, my experience, my reflexes. That certainty shaped not just my work—it shaped how I moved through the world as a physician.
Then everything shifted.
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Deflection Bias in Practice: Between Constraint and Choice
We work in systems where ideal diagnostics are not always available.
That’s not new. It’s the reality most of us have adapted to.
Decisions get made with incomplete data.
Sometimes that’s the best that can be done.
But over time, I’ve started to notice something less obvious—
not just in the system, but in how I think within it.
The Questions We Keep Editing Out
A Mid-Career Shift in Healthcare — Part II
Part I of this conversation was about the practical side of career change — credentials, finances, identity, the mechanics of letting go. The response from colleagues was revealing. Many recognized themselves in the questions.
But some replies hit me deeply. They pointed at something I often stepped around.
So Part II goes somewhere different. Not just the logistics of career transition — but the emotional ground underneath it. The questions most of us keep editing out of the conversation.
I wonder if any of these feel familiar.
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Practical Digital Transformation in Resource-Limited Healthcare Settings
Welcome to today’s #HealthXPh discussion on making digital health work in real-world settings. I’m @bonedoc, an orthopedic surgeon who’s been practicing in the Philippines for over twenty years, focusing on workflow redesign and systems improvement. Today we’ll explore three critical questions facing clinician-innovators everywhere, plus dig into some cross-cutting challenges you’ve all been asking about.
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When Healers Can’t Heal: The Hidden Cost of Physician Sleep Deprivation on Patient Safety
In the hallowed halls of medicine, we’ve long celebrated the physician who powers through exhaustion, the resident who completes a 30-hour shift, the surgeon who operates on minimal sleep. But what if this culture of sleep deprivation—once considered a badge of honor—is actually undermining the very care we’ve sworn to provide?
Recent evidence paints a sobering picture: even moderate sleep loss increases the risk of serious medical errors by 53%, with physicians experiencing the highest rates of sleep deprivation showing a 97% increased risk. As we face mounting pressures in healthcare delivery, it’s time for an honest conversation about the elephant in the room—or rather, the exhausted physician in the operating room, clinic, or emergency department.
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