Journal

Quiet field notes from the studio.

Short essays on the small craft of careful diagnostics. Written by clinicians, edited by humans, never sponsored.

Practice · April 2026

When direct-to-consumer DNA tests are worth it (and when they're not)

The short answer: rarely for medical decisions, occasionally for family history, never as a substitute for a fasting metabolic panel.

Reference · March 2026

Faxes get lost. Portal messages get buried. A short signed letter on the desk tends to be read.

Cardiology · February 2026

Total cholesterol is the noisiest number in the panel. Here are the four ratios we actually look at.

Endocrinology · January 2026

Why we ask for free T3, free T4 and antibodies before changing anyone's dose.

Studio · December 2025

A short letter to patients. What we learned, what we are changing, and what we are keeping the same.

Preventive · November 2025

If you only have time for one panel, this is the one. Plus what to do with the numbers.