For a while, I thought I was rebuilding a website.
What I was actually rebuilding was continuity.
Continue ReadingDeflection 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 Reading
Redesigning Physician/ Healthcare Life Without Abandoning Medicine
I’ll never forget what the EMT told me that night:
“The patient died on their way to another hospital, Doc.”
It was only thirty minutes after I received the referral—a multiply injured patient from a hit-and-run. In the chaos of emergency medicine, that moment crystallized a painful truth: in the Philippine healthcare system, Patient X—who has no one, and no resources—has alarmingly slim chances of survival.
Even those of us within the system know how overwhelming the costs can be. I’ve heard my kin say, “Health is expensive these days,” and I’ve swallowed that frustration more times than I can count.
Continue Reading
Managing Your Doctor Self
I’m having a conversation with a colleague when our talk drifted to how are we managing our lives. “How are you managing your physician life?” I asked. I am in the middle of pivoting professional directions, easing out on one an aspect of my physician life. So, maybe I could get an insight into how they balance all these amidst their very busy practice and learn something I could apply in my own life context.
Continue Reading
