Vital Signs and Bottom Lines
Your source for insights at the intersection of clinical leadership, digital tools, and entrepreneurial thinking.
One thing is clear: the beginning is hard!
There is so much I want to say… but where do I start? I am pretty good at conversation, but writing is an entirely different medium. And there is no use of ChatGPT for this!
1. Why this, and why now
Plants and humans grow in spurts. There is seasonality to our growth. For many mid-career physicians, including myself, the “mid” season is not about a growth spurt, but rather stagnation. One begins to question their purpose. Clinical work becomes repetitive and uninspiring. There is a longing for something else, something bigger than the daily grind…
This is not burnout. This is a call to action. And if you are willing to head it, you may end up doing things that you have never thought of, like completing an executive MBA at 53. Founding a company. Radically shifting your mindset.
This is the real reason beyond “Vital Signs and Bottom Lines”. I want to take you on an experiential journey of discovery. Come along to explore the intersection of healthcare with disruptive technologies and evolve in your entrepreneurial thinking. Open your “third eye” to see the future.
2. What kind of community would I like to build here
The speed of innovation is astounding. The amount of healthcare data is doubling every 73 days globally. Patients have become consumers, and now, with generative AI tools, they have become “citizen doctors”. If you are excited about the possibilities that this data explosion and health digitization can bring to improve and optimize our healthspan and lifespan, and perhaps a bit anxious about it, then this is the space for you.
3. What you may expect from this Substack
I will be posting every few weeks. The posts will always have two key sections:
Vital Signs: reflections on the value and benefits of companies, services, and technologies that are reshaping healthcare.
Bottom Lines: a business case-like analysis and entrepreneurial takeaways.
Many posts will be free.
Posts for paid subscribers will be in-depth case studies, complete with strategic, operational, and financial discussions. You can think of them as a mini-MBA series. These posts will have interactive features, including discussions.


I look forward to your posts.
Welcome to Substack.