Asides are a microblog of shared links and quick thoughts. They're on the main page but also all collected here.

Think of it like a Twitter feed without the awfulness.

Freya India, writing in After Babel:

When so few seem interested in being a person, isn’t that the best time to be one? Maybe this is a moment for optimism. You just have to be human.

[…]

To have your own voice you need to venture out into the world. You need to take risks and try things, you need experiences and adventures…So go outside, say yes to things, be scared and excited and uncomfortable. Feel your hands shake before you speak, your legs ache after a long day, your face flush when asking her out. Experience it all, the real world with all your senses, the fear of getting lost, the relief of finding your way, the hands of another person. Look people in the eye and learn about the world from living in it.

// 02.06.26

I 3D-printed an MRI for my daughter’s somewhat excessive Calico Critter collection.

My wife overheard her playing with it, as one critter was telling another it was time for her scan.

“It’s your turn to take a nap in the MRI machine,” one says.

“What’s an MRI machine?” asks the patient.

“Oh, it’s just a machine that gives you extra critter magic.”

// 02.04.26

Amazon founder Jeff Bezos on his decision to start an online bookstore in the 1990s:

The framework I found which made the decision incredibly easy was what I called the regret minimization framework. I wanted to project myself forward to age 80 and look back on my life and I want to have minimized the number of regrets I have. And I knew that when I was 80 I was not going to regret having tried this. I was not going to regret trying to participate in this thing called the internet that I thought was going to be a really big deal. But I knew the one thing I might regret is not ever having tried. And I knew that that would haunt me every day. So when I thought about it that way it was an incredibly easy decision.

With unavoidable uncertainty and wild problems, sometimes regret minimization is the best paradigm we have.

// 01.28.26

Basecamp’s Jason Fried’s brief discussion of product development should be required reading for anyone who designs software, including EHRs, PACS, dictation, or whatever new dumb AI implementation someone is pitching to revolutionize healthcare (but that no one talked to an actual doctor about).

The critical tension is the balance between making features obvious, easy, and possible. You have to have opinions, and you have to choose, because being everything to everyone isn’t an option.

// 01.27.26

Our family had some nice, quiet snow days over the weekend here in Dallas, so I finally finished this historically interesting if morbid Lego mosaic of the first CT scan from 1971 (right frontal GBM):

The Stoics thought everyone should have a memento mori, but the typical skull is so staid.

// 01.26.26

I’m in the new episode 7 of AJR’s Radiology Trailblazers podcast with Dr. Lindsey Negrete and Dr. Amy Maduram. Please do not think for a second that I accept my inclusion in any “trailblazing” premise(!), but we had a nice discussion about the writing process in and out of radiology. Whenever I do a podcast, I am always able to create at least one new verbal tic. This time it was “in reality”—please forgive me.

// 01.21.26

Author Tim O’Reilly, in his 2006 commencement speech at UC Berkeley:

Money is like gasoline during a road trip. You don’t want to run out of gas on your trip, but you’re not doing a tour of gas stations.

// 01.21.26

From Developmental Editing by Scott Norton:

Few pleasures are as great as the taste of a fresh idea. A new insight melts in the brain like chocolate on the tongue. Whether the insight is unprecedented in human history or news only to yourself doesn’t matter; the first time a thought occurs is always magic.

That magic is so fickle, perishable. I always find the strong desire to capture as much of it as possible, and the more I can horde upfront the better chance I have of making it to the finish line of anything.

// 01.14.26

Kevin Kelly, adding 101 new bits to his growing collection of pithy advice. A few of my favorites:

  • Forget trying to decide what your life’s destiny is. That’s too grand. Instead, just figure out what you should do in the next 2 years.
  • Try to define yourself by what you love and embrace, rather than what you hate and refuse.
  • Read a lot of history so you can understand how weird the past was; that way you will be comfortable with how weird the future will be.
  • There should be at least one thing in your life you enjoy despite being no good at it. This is your play time, which will keep you young. Never apologize for it.
  • The patience you need for big things, is developed by your patience with the little things.
  • There is a profound difference between thinking less of yourself (not useful), and thinking of yourself less (better).
    Avoid making any kind of important decision when you are either hungry, angry, lonely, or tired (HALT)
// 01.07.26

From a highly enjoyable “So you wanna de-bog yourself” (about getting “unstuck”) by Adam Mastroianni:

“Declining the dragon” – a medieval knight metaphor for getting unstuck: Sometimes I’ll know exactly what I need to do in order to leave the bog, but I’m too afraid to do it. I’m afraid to tell the truth, or make someone mad, or take a risk. And so I dither, hoping that the future will not require me to be brave.

Everybody thinks this is a bad strategy because it merely prolongs my suffering, but that’s not why it’s a dumb thing to do. Yes, every moment I dither is a moment I suffer. But when I finally do the brave thing, that’s not the climax of my suffering—that moment is the opposite of suffering. Being brave feels good. I mean, have you ever stood up to a bully, or conquered stage fright, or finally stopped being embarrassed about what you love? It’s the most wonderful feeling in the world. Whenever you chicken out, you don’t just feel the pain of cowardice; you miss out on the pleasure of courage.

Medieval knights used to wander around hoping for honorable adventures to pop up so that they could demonstrate their bravery. They were desperate for big, scary dragons to appear. When I put off doing the brave thing, I am declining the dragon: missing an opportunity to do something that might be scary in the moment but would ultimately make me feel great.

The whole post makes for great early January reading.

// 01.06.26

About working as a hospital employee, from “The Young Physician Trap: Trading Autonomy for Salary” in Claim Denied:

And then comes the pay cut. It’s framed as “efficiency.” Or “underperformance.” The implication is clear: you’re the problem.

By now, the hospital knows they have you.

You bought a home. You structured your life around the salary they dangled. Maybe you counted on loan forgiveness. There might be a non-compete at play. Maybe your spouse’s career is tied to the area. Leaving suddenly isn’t easy.

// 01.02.26

In 2025, I shared something like 90 regular posts and 30 asides (clearly, I have not fully embraced the microblog component of the site I added during the 2023 redesign). The total wordcount of all that writing is a bit over 70,000 words (closer to 55,000 excluding blockquotes). So I wrote a book this year. Kinda. Well, it’s something at least.

I also have 65 articles drafted, some of which will definitely never generate photons on any of your devices, but many of which just need polishing and will appear here in 2026. As a reminder, all regular posts find their way to the archive list, and the asides are collected here. Happy New Year!

 

// 12.31.25

From The World I See, a memoir by the godmother of AI, Dr. Fei-Fei Li:

This, collectively, is the next North Star: reimagining AI from the ground up as a human-centered practice. I don’t see it as a change in the journey’s direction so much as a broadening of its scope. AI must become as committed to humanity as it’s always been to science. It should remain collaborative and deferential in the best academic tradition, but unafraid to confront the real world. Starlight, after all, is manifold. Its white glow, once unraveled, reveals every color that can be seen.

// 12.30.25

Medicine’s narrowest job board, Independent Radiology—the home of radiology private practice—is sitting pretty again at 150 groups. A few groups sadly closed for good, and some—fantastically—are fully hired up, but it looks like we’ll close the year back at that nice round number. If you’re looking for an opportunity, perusing the listings is good holiday homework.

// 12.22.25

On living in a tumultuous, uncertain world, from the Free Press’ Abigail Shrier:

Overinvest, never underinvest, in people around you and in those you love. Particularly in a world with poor visibility, they are the closest thing any of us has to security. Give the community you inhabit a real shot and make a go of ensuring it succeeds.

If crime skyrockets, if you must leave the city, if our great civilization goes bust, you won’t regret the time you spent taking your kids and their friends out for ice cream. You’ll all carry with you memories that will bolster you wherever you go. Do all these things right up until the very moment you decide to make a change.

Here is the tough love you requested: You won’t regret having wholeheartedly invested in your home and community for as long as they are yours. I can almost guarantee, at the end of your journey, you won’t lament, “Civilization collapsed. I needed to flee. And meanwhile, I’d just bought this damn sofa.”

 

// 12.07.25

Adam Cifu, writing in Sensible Medicine:

We profess to value diversity among our students, yet our admission requirements enforce homogeneity. If everyone must excel academically, publish articles, and complete service activities, how much diversity is left? Does the art history major, who aced his required science courses and then spent two years on a scaffolding restoring frescoes, fit into the current rubric? Is the English major, who waited tables to pay for a post-bac program, leaving no time for research or volunteer work, going to get an interview?

// 11.03.25

In real life, you can—to an exent—choose your community and who you hang out with. Online with social media, that’s much, much harder. This is a good video (“Something Strange Happens When You Trace How Connected We Are”) from Veritasium, and if you’re busy, that link takes you to the section on how the classic Prisoner’s Dilemma works when you add in network effects. Game theory tells us not to feed the trolls.

// 10.03.25

From her remarkable memoirs, the German-Jewish Gluckel of Hameln, writing about her childhood village of Altona sometime in the 17th century:

But great love and a close community spirit reigned among them, and in general they all enjoyed a better life than the richest man today. If a man were worth only 500 Reichsthalers, he could well be satisfied; and everyone was happier with whatever he had than nowadays when even the rich can never get enough.

The notion of the “good old days” surely comes for us all.

// 10.02.25

“For many big life choices, we only learn what we need to know after we’ve done it, and we change ourselves in the process of doing it.” – LA Paul

// 09.04.25

After my rant last week that radiology software companies need to spend the resources to actually involve radiologists in product creation, I got a great email from a large company who loved the article, asking if I could review their roadmap because they would “appreciate” my “perspective and feedback on where we are heading.” They missed (or pretended to miss) the point: You may think you need a free hour of a radiologist’s time, but you’re wrong. You need a thoughtful radiologist who cares about your product to be consistently involved.

// 07.25.25

Private equity radiology company US Radiology Specialists (USRS) is changing its name to Lumexa Imaging. Lumexa sounds like prescription eye drops or a new antidepressant. Or maybe an overseas manufacturer for flashlights on Amazon.

// 07.14.25

Morgan Housel, “Little Ways the World Works”:

Chamath Palihapitiya once noted that however fast your business grows, that’s the half-life for how quickly it can be destroyed. So many companies, flush with cheap money from previous years, are learning this right now. Every business and every industry has a natural growth rate – push beyond it and short-term growth comes at the cost of long-term quality, and eventually survival.

// 07.13.25

Niko McCarty, writing about writing in the age of AI:

“This is so boring. Why do you write like this?”

The truth is that my past slew of academic and corporate jobs had neutered my ability to write evocatively and creatively. Up until that point, I had never really stood up for anything in public. Perhaps I was afraid that people would attack me, or that my former mentors would be disappointed in my decision to publish argumentative or opinionated pieces. But that single sentence, uttered by my boss, shook me up. I started writing with fewer self-imposed restrictions. I stopped fearing the reactions of others. I decided to just be myself—to be uniquely human, and not give a damn.

Be a write, and not a write-not.

// 06.21.25

Oregon passed a law attempting to ban the corporate practice of medicine. It’s probably not going to work? There are carveouts. It would still allow for private equity to use a puppet doctor to run the show equally poorly (already common practice). It doesn’t address hospitals/health systems taking over the world, which often use the same corporate playbook. And none of it addresses the fact that access to capital, regulation, and reimbursement make it really hard to be small in medicine.

But it’s a start.

// 06.13.25

After 40 years, Spaceballs is set to return. Mel Brooks, a national treasure, will, incredibly, be over 100 if it comes out in 2027 as planned. My son is overdue to see the original.

// 06.13.25

From Obsolescence Rents: Teamsters, Truckers, and Impending Innovations, published by the National Bureau of Economic Research:

We consider large, permanent shocks to individual occupations whose arrival date is uncertain. We are motivated by the advent of self-driving trucks, which will dramatically reduce demand for truck drivers. Using a bare-bones overlapping generations model, we examine an occupation facing obsolescence. We show that workers must be compensated to enter the occupation – receiving what we dub obsolescence rents – with fewer and older workers remaining in the occupation. We investigate the market for teamsters at the dawn of the automotive truck as an á propos parallel to truckers themselves, as self-driving trucks crest the horizon. As widespread adoption of trucks drew nearer, the number of teamsters fell, the occupation became ‘grayer’, and teamster wages rose, as predicted by the model.

“Obsolence rents” is a neat phrase. I remember a friend growing up whose aging father made a great living maintaining legacy systems in the nearly defunct computer language COBOL.

// 06.06.25

A new small AI sentiment study, as summarized in Becker’s: “Patients undergoing mammography preferred having their images interpreted by a radiologist before and after AI review.”

Having their imaging interpreted by AI alone was acceptable to 4.44% participants.

Having their imaging interpreted by AI after radiologist interpretation was acceptable to 71% of participants.

The finding that 4% of people were already (incorrectly) comfortable is the most interesting thing about this study. We are so early in the game here, and the current tools so unrobust, that almost all the opining about AI diagnosis is only meaningful as a snapshot for the historical record and a ward against the hindsight bias when inevitably most predictions are wrong most of the time.

// 05.22.25

If you’re at ASNR this year, I’m doing part of the session on Choosing & Navigating Your First Job tomorrow (Wednesday) at 1:15pm. Come say hi!

// 05.20.25

A struggling post-bankruptcy Envision was so desperate to get out of their radiology business—presumably due to the impossibility of recruiting/retaining, meeting clinical obligations, navigating the general tumult, etc.—that they have agreed to “transition” their remaining practices/contracts to RadPartners. Sounds like they already shed the salable groups/assets/non-competes, so this is most likely a final liability dump/hand-washing endeavor. It’s unclear how much money exchanged hands for the remaining 400 rads and some desperate/unhappy hospitals.

// 05.01.25

The toddler puts on a show of having an argument, but they are holding a tantrum in reverse. If they ‘win’ the argument, no tantrum is needed. If they lose, they can tell themselves that they tried but the other person deserved the tantrum because they didn’t listen.

– Seth Godin, “How to win an argument with a toddler” (P.S. You can’t)

// 04.15.25

Giving advice and selling can’t be the same thing.

Nassim Taleb, pithily summarizing a lot of problems. For example, the core problem of much of the financial planning industry.

// 04.08.25

Some really good follows on the Imaging Wire’s 2025 list of Top 40 Radiology Resources. I’ll happily accept the description of “excellent insights into the vagaries of being a working radiologist.”

// 03.28.25

I signed up for my Threads and my Bluesky accounts in addition to OG Twitter/X or even LinkedIn a while back but never started really using them (@benwhitemd across the board, links above–give me a follow?). I’ve now set those up so that I can more easily share tweets of new blog posts across all platforms to account for reader preference (and I even added the cute little logos to my sidebar here).

// 01.22.25

A Doximity “2024 recap” email reminded me that it was exactly one year ago today that I first wrote about job boards in radiology because of those misleading listings from RP. That’s what first got me thinking about doing something different with Independent Radiology (and the monthly jobs post). I’m glad it’s working so far with our field’s current market and tumultuousness.

// 01.05.25

It is because doctors are understood to place patients’ interests above commercial ones that they have long enjoyed professional autonomy and public trust. The history of medicine is too littered with incompetence and immorality to believe that doctors have always been worthy of this status. Still, something profound is lost when we submit to the jaundiced view that medicine is a business like any other. There is value in striving for something higher.

From Dhruv Khullar’s “The Gilded Age of Medicine Is Here” in the New Yorker.

// 12.17.24

I started Independent Radiology–a job board exclusively dedicated to featuring physician-owned private practices–on August 14. This past weekend we hit a major milestone I wouldn’t have predicted: 100 groups advertising their openings. The level of group and user engagement has been great to see.

// 12.09.24

If you’re a trainee going to RSNA this year, I’ll be giving a talk about careers in radiology during Session M3-RCP20: Navigating the Job Market at 9:30am on Monday. Come say hi!

// 12.01.24

They used to say academics was less production/pay and private practice was high stress/high comp. The gap has narrowed because the academy is demanding much more, lots of rads are just nonacademic employees of the university behemoth working a generic job, and the labor shortage means hospitals/universities need to pay more to compete in the job market.

Perhaps counterintuitively, strong private practice in the face of the labor shortage is one of the factors driving up academic compensation.

// 11.17.24

It’s an incredible privilege to work at a place and live in a country that is willing to set aside money to answer these existential questions. I heard a phrase the other week, existential humility, and I really liked that. We’re this complex life form that has evolved over billions of years to the point where we can ask these questions — and yet we’re perhaps not the only ones in the universe. And if we could know that for certain, that would be humbling in the most wonderful possible way.

– Astronomer Vanessa Bailey in Dave Eggers’ “The Searchers,” a profile on NASA’s Jet Propulsion Lab.

// 10.18.24

Another paper suggesting that clinicians prefer some structure (but not too much structure) in radiology reports. There are always edge cases where structured reporting becomes cumbersome–and overly parsed reports are also inefficient/unreadable–but there’s no denying it’s so much easier for me to scan a prior report when it’s not narrative free text.

// 10.06.24

A reader asked if anyone had successfully started a new radiology private practice recently, particularly one that involved financing, opening up new imaging centers, and fresh payor contracts. There is a vacuum in some areas, especially with the PE-exacerbated instability, and therefore a clear opportunity to those who can muster the manpower (no easy feat).

As a follow-up, I thought I’d ask (on their behalf): is anyone who has willing to mentor other upstarts?

// 09.30.24
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