A website rebuild became something different: a process of sorting through old systems, old writing, and earlier versions of the same questions. What remained was less about restoration and more about understanding what was still worth carrying forward.
Starting Over: On Being a Beginner Again
Experience does not remove the need to begin again. Sometimes the harder transition is learning how to carry what we know while becoming comfortable with what we have yet to learn.
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.
Continue ReadingPractical 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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