A clinical researcher, dad, musician working in medical AI, reflecting on technology, work, relationships, and what it feels like to live through rapid change.
Patient Benefit Isn't Enough: Why Great Medical Devices Never Scale
Every medtech founder knows they need evidence that their product works, but many miss a more important adoption question:
What changes because the product works?
In this episode I walk through a simple framework I've found useful after moving from large medtech organisations into startups and smaller companies: three concentric circles of value.
Circle 1 – Patient benefit
Is the patient better off because of your device?
Circle 2 – Clinical utility
Is the organisation delivering care better off?
Circle 3 – Population benefit
Does the technology create value across the broader healthcare system?
Patient benefit is your ticket to ride. If you don't have it, stop and rethink the product. If you do, move to circle two.
Understanding where the value lands is what ultimately drives adoption. And for the best technologies, that value often lands in more than one place.
This episode draws on examples including bedside imaging, pathology AI, Abbott's FreeStyle Libre, the HPV vaccine and universal newborn hearing screening, to explore why some technologies become standard of care, why others don't, and why the evidence that proves feasibility and supports regulatory approval is often not the evidence that drives adoption.
24 May 2026
Another Value on the Wall: Why workplace culture is behaviours, skills, and systems - not slogans
Workplace culture gets blamed for a lot, rebranded constantly, and “fixed” with another set of values on the wall. But what if culture is not what an organisation says it values, but what it rewards, tolerates, hires for, and makes easy? Culture is real - but only useful if we stop treating it like a mystical force and start looking at the behaviours, skills, and systems that actually shape how work gets done. And as AI changes the scale of human collaboration, what comes next?
19 Apr 2026
The AI Interim: What Can We Actually Do?
AI is about to change everything, but no one can agree on how or when.
So what do you do with that?
This episode breaks down where we actually are - LLMs, AGI, Yann LeCun’s argument that scaling won’t get us there - and why a lot of what looks like intelligence is just really good UI.
We talk about:
LLMs vs real understanding,
the Claude “thinking” theatre,
AI agents behaving badly,
and the current AI bubble.
But more importantly:
How to live in the meantime.
Kids, social media, incentives, governance, meaning - and why the biggest risk isn’t AI becoming human, but humans becoming passive.
31 Mar 2026
Rethinking Audiology - A Love Letter and a Critique
I trained as an audiologist, but rarely call myself one these days.
In this episode, I unpack the gap between what the profession is trying to do and what it’s actually achieving. Why only a fraction of people who could benefit from hearing care ever receive it. And why new models of care are still being treated as threats rather than solutions.
We talk about access, incentives, automation, and the role of consumer technology, and what parts of audiology are genuinely irreplaceable (if any).
This is a love letter to hearing science and a reflection on where audiology needs to change.
17 Mar 2026
The Last Scarce Thing
AI is making cognition abundant.
So what becomes scarce?
In this episode, I explore the future of work, creativity and meaning - and why a Simon and Garfunkel song might matter more than any model.
3 Mar 2026
AI and the Interim Future
Intro to Tuesday Fortnight. On work, fulfillment, and living through change.
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