Essays
11 essays on leadership, pressure, and working with AI without outsourcing your judgment.
The Other Job Nobody Hired You For
I am in the middle of anesthesia training right now. Most days I am doing at least two jobs at once.
"As Long As"
You hire someone. You tell them what you need. They say yes, and in their head they finish the sentence with three words they will never say out loud…
What You're Actually Owed
The infant needed a line.
AI Doctrine (I Gave My AI Agents a Soul)
Seven weeks ago I opened this series with a simple observation: there's a gap between what AI looks like on a dashboard and what it actually produces…
The Human Edge Curriculum
A leader's value has never been the ability to produce answers quickly. It has always been the ability to recognize which answers are actually right …
AI Gave You Back the Time. What Did You Do With It?
A few months ago I started more projects in a single quarter than I had in the previous two years combined. Newsletter. Calculator site. Digital prod…
The Questions Every Leader Must Answer Before Their Next AI Investment
In 2013, MD Anderson Cancer Center partnered with IBM to build one of the most ambitious clinical AI projects in history. Watson would analyze patien…
The 2 AM Problem
I was working in a clinic in Mexico when a patient came in with knee and hip pain. In the United States the next step is obvious: order X-rays, get t…
Your AI Dashboard Is Lying to You
Mary Meeker published her first major AI report in five years last May. 340 slides. The kind of document that gets passed around in every boardroom a…
Build a Team, Not a Dependency
You wouldn't put your best surgeon on circulating nurse duty just because they're available. But that's exactly what most people do with their AI too…
The "Digital Amnesia" Tax
I'm a physician who uses AI every day, and between patient care, building a business, and getting pulled in ten directions at once, I don't have time…