The journal, by the physicians.
An annual letter from the founder and a monthly essay from one of the physicians. We do not publish to a content calendar; we publish when there is something worth writing. Every essay is signed and reviewed across the practice.
Year four — what we learned about primary care from 1,200 members.
The annual founder's letter. Eighteen months of data on what members actually use, what they don't, and the four operational changes we made for 2026 in response. Including the unexpected shape of mental-health support, the role of the after-hours line, and what we got wrong on family memberships.
Recent essays.
Why we redesigned the annual physical from 60 minutes to 90.
On longevity research, statins, and the literature my members read.
Sleep medicine — a year of routine sleep-study referrals from primary care.
Why we declined to grow the practice in 2025.
Continuous glucose monitors in non-diabetics — what the evidence supports.
Mental health in primary care — what we measure, what we missed.
One letter a month. No more.
You'll receive the monthly essay and the annual founder's letter. We do not send membership marketing through this list. Subscribe whether or not you're a member.