In clinical trials, patients deserve a finish line that is closer
They have been on the track since the first piece in this series and they are still waiting to cross the finish line. They are not counting laps. They are...
Writing
Thinking in public.
Essays from the ScientixAI team on evidence and AI in healthcare and life sciences.
In clinical trials, we race on a track we already know
This is the latest piece in the series where I opened with the switchboard era article, the case that clinical trials still run on wiring from another time...
In clinical trials, patients deserve a crew that has done this before
In this series of articles, I began with an analogy around the switchboard era and then pivoted to an analogy around NASCAR and how standardization has...
In clinical trials, patients deserve a car that has been built before (part two)
I sat down this week to write the fourth piece, the one about the crew. I could not do it. This is article three, part two.
In clinical trials, patients deserve a car that has been built before
In the previous article I used an analogy to demonstrate that our drug development process resembles F1 economics and argued for a standardized NASCAR like...
In clinical trials, we run on F1 economics
They did not volunteer to race. They did not train. They did not choose the car. They were assigned to it by a lottery. They don't even get to drive. The...
In clinical trials, we are still in the switchboard era
By 1920, AT&T was the largest U.S. employer of women. By the early 1920s, it was the largest U.S. employer overall, with telephone operators comprising...
The Virtuoso Delusion: Why AI is an instrument, not a musician
The hero image is jarring: That's me in a tuxedo sitting at a grand piano in a prestigious concert hall. I'm leaning into the keys with the intensity of a...
Why the 2026 Conference Cycle Won't Solve Your Digital Adoption Problem.
As we head into the peak of the 2026 healthcare conference season, the industry is once again chasing quick dopamine hits. We spend upwards of \$15,000 per...
Buzzwords Thrive, the "How" Dies: The Real Flaw in Tech's Ecosystem
As I head to JPM2026 I'm reminded of the principle that "how you do anything is how you do everything" cuts through the noise like nothing else. Small...
Obsolete on Arrival: Why Long-Running Projects Are Doomed in 2026
Imagine spending £100M+ and three years replacing an old ERP system with a shiny new Oracle Cloud implementation.
True Transformation: From Caterpillar to Butterfly in Clinical Trials, Or Just More of the Same?
This morning, during my daily Bible study, I encountered a profound reflection on transformation:
Behind the numbers: The unsung journey of a single blood test in clinical trials
Recently, I received my latest lab results, and one number stood out: my Hemoglobin A1C at 5.3%. For those unfamiliar, A1C measures average blood sugar...