
A working manual for the whole of a life: body, mind, work and the relationships that carry it. Co-written by a surgeon and a performance specialist. For people who would rather run their lives by design.
| Platform | Pricing | Freemium | Publishes | Twice weekly | |
|---|---|---|---|---|---|
| Issues | 202 | Founded | 4 years ago | Last Issue | 8 days ago |
| Active | |||||

One: the tumour
I still remember the scan. A lesion on the screen, and a patient across the desk who wanted it gone. He had already decided. Cut it out, today, if possible.
I told him we would wait and watch it instead.
He looked at me...
The dashboard was green. Every single tile. Yet, somehow, every single real world outcome that matters was worse: more complications, more deaths, more re-admissions, more medication mistakes, more debt, more staff rotation…
But the dashb...
It was a Tuesday. She wanted another blue squishy toy. The ones with the soft memory foam insides and cute big eyes. I didn’t like them. They only collect dust. She doesn’t play with them. She already had 28 similar ones. And they cost f*ck...
It was 2:40 in the morning when they wheeled Maria into the department. Fifty-one years old. Lawyer. Mentally sharp, fitter than most 20 year-olds. Kind and warm on first contact.
She had been having chest pain since lunchtime. Fourteen h...
Picture this - two teenage boys in a small, padded, soundproof room. It is the middle of the night in the middle of nowhere, Ohio. The moment we lock the door, the lamp outside comes on.
Mitch is on the phone. Every 20 minutes or so, he wr...
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The writers behind this newsletter.
Ex-surgeon's and ex-pharma executive's reflections on self-acceptance, growth, objective view of the world, growth, identity, and purpose. Created for my children, for after I am gone.
Scientist and physical performance expert helping leaders rewire thinking patterns with empathy, deep listening, and guidance
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