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Browse all writing →The learning curve nobody warns you about
The 10,000-hour rule is told by people who never counted. The hours are not linear — and the plateau is where judgement is quietly built.
What a fracture clinic is actually optimised for
A fracture clinic is graded on throughput. The patient experiences something else entirely. The gap between the two scorecards is where all the interesting
How a reverse shoulder cheats physics — an interactive explainer
Why putting the ball where the socket was lets a torn-cuff shoulder lift again. Toggle the geometry and watch the deltoid's moment arm grow.
Glenoid version, in your hands
Why a few degrees of retroversion matters — with a baseplate you can tilt yourself. Drag the sliders and watch the failure risk climb the curve.
The cloud is just someone else's computer — and your patient's data is asleep on it
Most clinical tools assume the data should live in someone else's data centre. For a great deal of what clinicians build, that assumption is quietly backwa
What live navigation actually changes in shoulder replacement
Navigation for glenoid baseplate fixation is usually sold as precision for its own sake. The real value is what it does to your worst cases.
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See the Observatory →Marrow
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Bones, joints, and the trade of putting them back together.
The Forge
Technology
Building software as a clinician — and why the tools we're handed rarely fit.
Old Bones
History
Surgery's long, strange, occasionally gruesome past.
Marginalia
Books
Reading notes from the stack on the bedside table.
After Hours
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What everything outside medicine teaches you about the work.
Atlas
Travel
Notes from elsewhere, mostly at running pace.
Nebula
Ideas
Half-formed thoughts that don't fit anywhere else yet.
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All interactive →Posts with sliders, toggles and things you can poke at.
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