Technology Investor · ER Physician · Cowboy Ethos

Bringing cowboy standards
to medicine and investing.

If it ain’t high yield, I’m not interested.

High yield is a standard. It means extracting the maximum useful output from every unit of time, attention, capital, and effort — in the ER, in markets, and in life.

This site is where I write to think clearly. Most of what appears here starts as notes to myself. You’re welcome to read along.

Latest Notes

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Investing August 12, 2026

Investing in SpaceX: Is It Too Late?

A first-principles evaluation of SpaceX after its IPO, using the latest revenue breakdowns, Starlink unit economics, and forward guidance — and why dollar-cost averaging remains the high-yield approach.

What you’ll find here

High Yield Medicine

Clinical efficiency, decision frameworks under uncertainty, systems for high-volume environments, and sustainable performance.

High Yield Investing

Capital allocation principles for people who already have high earning power and limited time. Clarity over noise.

Cowboy Ethos

Standards, self-reliance, preparation, and the quiet discipline of doing hard things well — without theatrics.