Why I'm Writing Here

I'm a spine surgeon. I spend most of my time in the OR, in clinic, or thinking about what happens between those two places — the imaging we order, the decisions we make before a single incision, the workflow bottlenecks nobody talks about.

I'm not interested in hype. I'm interested in what actually works, what we measure poorly, and what we could do better if we were honest about the gaps.

This site exists because I wanted a place to think in public about the parts of surgery that don't fit neatly into a journal article or a conference talk. The messy, practical, systems-level thinking that happens between cases — imaging interpretation as a workflow problem, the real cost of decision fatigue in elective spine surgery, what it means to adopt technology responsibly when the evidence is still catching up.

I write for surgeons, trainees, and builders. Patients are welcome, but this is the working-out-loud side of practice. If you're building tools for surgeons, I'd rather you understand how we actually think than how you imagine we do.

The categories here reflect the things I think about most: surgery and clinical decision-making, workflow and systems, and technology and innovation — but only the kind grounded in real problems. If it doesn't connect back to a patient, an OR, or a clinic, it probably won't end up here.

I'll write when I have something worth saying. No posting schedule, no content calendar. Just honest thinking from someone who operates, teaches, and builds.