Writing
Notes on building operational infrastructure in healthtech and medtech, from someone who has built it. No listicles about productivity.
Guide · 12 min read
An operational timeline for healthtech and medtech companies from ten people to sixty: what fails at each stage, in what order, and why none of it is bad luck. Most founders find their own company somewhere inside it.
Read the guideOctober 14, 2026 · 4 min read
The first ten hires come from the founder’s judgment. After that, the process still lives in one person’s head. Three pieces to build before the twentieth hire.
Read itOctober 7, 2026 · 4 min read
Every operator learns a new company. The expensive part is learning the industry on top of it. Three places that shows first, and how to test for it.
Read itSeptember 30, 2026 · 4 min read
A deck shows the numbers a founder chose to show. Diligence asks for the numbers that show how the company runs. Three of them matter most in healthtech.
Read itSeptember 23, 2026 · 3 min read
Three signs that look like ordinary startup friction long before a customer or a board member runs into them, and why they’re hard to see from inside.
Read itAugust 7, 2026 · 7 min read
Ten questions for a candidate operator, built to separate what someone knows cold from what they’d promise to go find out.
Read itAugust 7, 2026 · 4 min read
I published a test, so I took it. All ten questions, including the one where the honest answer is less impressive than the alternative.
Read itAugust 7, 2026 · 4 min read
The title gets used loosely. The plain version, the four categories the work covers, and who doesn’t need one.
Read itAugust 7, 2026 · 5 min read
What a full-time hire costs, what a fractional engagement buys instead, and three questions that usually settle which one you need now.
Read itAugust 7, 2026 · 5 min read
The window is narrower than most founders think, and in healthtech it arrives sooner. Four signals, and what catching it early buys you.
Read itAugust 7, 2026 · 6 min read
The same four operational categories apply. What sits inside them changes once there’s a regulatory pathway, a quality system, and a clearance date.
Read itTwelve questions and about five minutes will show you where the operational drag sits. Four scores, and an honest read on which one is furthest behind.
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