Essays on the science, the practice, the philosophy, and the technology of medicine. Browse by theme, or search the full text of every piece.
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.
2 essays →
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.
2 essays →
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.
Coming soon
First principles and thought experiments — the reasoning habits medicine runs on, taken apart away from the bedside where there is time to think.
Coming soon
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.
No newsletter signup, no follow-up unless you ask for one.
A journal on medicine
A personal journal on the science, practice, philosophy, and technology of medicine — written by a medical student, in public.
© 2026 Akafi Journal
Written in the margins of medical school.