the middle space
A Blog on Innovation, Care, and the Real Work Behind It All
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I've spent my career at the intersection of clinical care, health plans, startups, and system transformation.
Across 50,000+ patient encounters and years in executive, advisory, and board roles, one thing has stayed constant:
Healthcare is deeply personal—and rarely straightforward.
The Middle Space is where I share grounded reflections, leadership lessons, field-tested insights from the space between vision and reality. Where founders, innovators, and leaders navigate what’s next.
This is a space to pause, process, and move forward with purpose.
Lessons from Mr. Wonderful: What Makes A Pitch Work
I had the chance to hear Kevin O’Leary speak at the Becker’s Healthcare 2025 Annual Review conference recently. Known to many as Mr. Wonderful on Shark Tank, he shared a framework for evaluating pitches that can be applicable to anyone building in healthcare.
Welcome to The Middle Space
Healthcare innovation doesn’t happen in a vacuum. It happens in the messy, brilliant middle — between strategy and implementation, between intention and outcomes, between what’s promised and what’s actually delivered.
I created this space to reflect on that middle.