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, and field-tested insights from the space between vision and reality. It’s a place for founders, healthcare innovators, and mission-driven leaders to explore what’s next—with clarity, curiosity, and purpose.
If you care about building things that work—for patients, for systems, and for people—this is for you.
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.