The late radiologist Harry Z. Mellins, M.D (1921-2009), arguing that radiologists are clinicians:

The radiologist is a clinician who has sacrificed one of the greatest glories of the practice of medicine, and its greatest responsibility—the daily contact with the ill and with their families—in order to concentrate the more on the other essence of our profession, the pathology of the living. This he sees through the medium of shadows, which has left him open to the charge of not quite being a real doctor.

But shadows, after all, are real. What are we to one another and what is the world to any of us, but an inverted image on the retina. Seeing is one with the mind. The camera does not see; it records. The radiologist perceives a shadow, sees a lesion, and imagines the man. The bedside physician sees the man, perceives the signs, and imagines the lesion. They practice from the outside in, and we from the inside out. Both are clinicians, for in truth, there is no other kind of doctor worthy of the name. The decisive test for all is finally and always at the bedside. This, then, is one concept of the radiologist—with a film on the view box, but the bedside on his mind.

// 06.09.26

The ACR’s RLI Leadership Essentials 201: Preparing for Practice is “a virtual, 4-month [Sept. 1–Dec. 31, 2026] professional development program designed to help residents and fellows build leadership and professional skills often not covered in traditional radiology training but highly valued in practice.” Totally free for ACR members (which is free for trainees).

// 05.26.26

In “Why Is It So Hard to Be Ordinary?” Joshua Rothman cuts deeply for The New Yorker:

What’s true for Little League holds for the rest of life. In some contexts, at some times, we strive for excellence, pushing ourselves. Elsewhere, we shrug, accepting our own ordinariness or mediocrity. The excellent and the ordinary coexist, but have an uneasy relationship. With phrases like “you win some, you lose some,” we acknowledge how, on an ordinary day, in an ordinary life, events cluster around a medium level of quality; in theory, we could be happy in the range between not-so-bad and pretty-good. Yet, for many people, it becomes difficult to find satisfaction in what’s regular. The excellent starts to shame the ordinary, leaving it worse off. We want to play winning seasons, not average ones. Having dunked once, we’d like to keep doing it. We’d prefer “great” weekends and vacations. On the largest scales, we oscillate between wanting to lead extraordinary lives and embracing the “merely” ordinary.

To paraphrase: if the questions are, is this it? Is this all there is? The answer is yes.

// 05.24.26

From Verdad’s “Priced for Perfection“:

The future is too uncertain and unpredictable to make high-certainty bets. Yet today’s market—and today’s largest tech companies—are taking one of the largest bets in the history of economics on the future of a new technology. One does not need to be a bear on the technology itself—we are power users and love AI—to identify that this moment in market history is likely to be characterized by over-investment, over-spending, excessive valuations, and inevitable disappointment as an uncertain future surprises a consensus narrative that is too specific and too confident relative to the pace of change.

Predictions are hard, narratives a bit easier. It will be interesting to look back at all the bold predictions and hand-wringing in 2, 5, 10 years and see who is eating claim chowder.

// 05.23.26