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.

What Coach Saban Taught Me About Teams, Culture, and the Work That Lasts
When I heard Coach Nick Saban speak recently, I wasn’t expecting anything flashy. What I didn’t anticipate was how much of what he shared applied far beyond football — into healthcare, startups, innovation, and anywhere teams are trying to build something that lasts.
He spoke about success, but not in the way we often hear it. Not in outcomes. Not in wins. He talked about process. Fit. Discipline. And a culture of clarity.