Medicine's Crisis Is Not Ignorance. It Is Ineptitude.
Atul Gawande's framework for human failure explains why obstetric emergencies are lost to execution, not knowledge. The fix is a systems problem, not a training problem.
· 6 min read
FDA Clearance Is Not a Monitoring Plan
Clinical AI can fail without crashing. Physician-developers must build the monitoring, outcome linkage, and human checkpoints that keep cleared software safe after deployment.
· 18 min read
AI Drafts. The Clinician Verifies. That Line Cannot Move.
Speech recognition misses words. Language models infer things that were never said. A disciplined review habit is what separates ambient AI from a liability.
· 6 min read
When AI Told a Dying Man What He Wanted to Hear
Joe Riley trusted AI over his oncologist and died of a treatable cancer. His tragedy wasn't naivety — it was earned distrust, amplified by a machine that had no way to know the difference.
Your Patients Are Already Using ChatGPT to Decide Whether to Call You
They are not asking it for fun. They are asking it because the triage line puts them on hold for 45 minutes. The threat is not the technology. The threat is the system that made the technology necessary.
· 10 min read