The archive

Every essay, in one place.

Essays on the science, the practice, the philosophy, and the technology of medicine. Browse by theme, or search the full text of every piece.

Four ways into medicine

Medical science

The body, the evidence, and how clinical knowledge is actually made — physiology, pharmacology, and a careful look at the studies behind what we are taught to do.

3 essays →

Productivity in medicine

Focus, systems, and stamina built for clinical life — how to hold ten thousand facts, survive exam season, and last the long game of medical training.

5 essays →

Technology in medicine

AI, tools, and data as they arrive in the clinic — what genuinely helps a doctor think and decide, and what only looks like it does.

5 essays →

Theory in medicine

First principles and thought experiments — the reasoning habits medicine runs on, taken apart away from the bedside where there is time to think.

1 essay →

Recent essays

Is Creatine Safe?

Creatine in 2025: Beyond Muscles — What Medical Science Really Says More Than a Gym Supplement Ask the

Unteachable Lessons

“Lessons You Can Only Learn the Hard Way” There’s a certain category of lessons that can’t be grasped

A Baseball into Orbit

Throwing a Baseball into Orbit: Possibilities and Consequences Introduction Have you ever wondered what it would take to

Friendships in Development

Friendship in Development Loneliness period in life There is a period in everybody’s journey where they are so

What should I write next?

A question you have never seen answered properly, something you were taught that never quite added up, or a topic you wish someone would take seriously. Tell me and I will look into it.

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