Insights

Clinical decisions, evidence, and where technology belongs.

Writing from a practising oncologist building systems for the decisions that remain difficult.

All Articles

Decision Support5 min read

The Claim Stops Where the Evidence Stops

A 9,691-patient trial shows why better documentation, better decisions, and better outcomes require separate evidence.

July 27, 2026
Industry & Strategy5 min read

I Found Out About Build Week on Friday Night

I found OpenAI Build Week on Friday night, built Ariad by Tuesday, and learned why fast clinical products still need reliable medical knowledge.

July 22, 2026
Clinical Commentary5 min read

The Hardest Decision in Oncology Is the One You Never Get to Check

Why the survival benefit number from an adjuvant trial is never the number a patient is asking for — and where decision support can close that gap.

June 16, 2026
Industry & Strategy6 min read

Canada Is Building the Foundation. The Value Is One Layer Up.

Canada is building sovereign AI infrastructure for health. The durable value will be made in the layer that turns it into better decisions at the bedside.

June 9, 2026
Industry & Strategy6 min read

The Doctors Who Use AI Were Never Worried About It

AI researchers are walking back doomsday predictions. In oncology the reversal is unsurprising — these tools help with what clinicians never had time to finish.

June 2, 2026
Clinical Commentary5 min read

We Turn Your Survival Curves Into Yes or No

Pharma invests years in continuous trial data. By the time it reaches clinic, most of that precision is gone. Here's where the value actually goes.

May 26, 2026
Decision Support5 min read

What Oncologists Actually Want from Clinical Decision Support

Most CDS tools assume doctors need help remembering guidelines. That's not where oncologists get stuck. Here's what the harder conversations actually look like.

May 21, 2026