Category Archives: oncology

Good Fucking Healthcare Advice…

A year ago I had a creative moment to launch a new site, a new brand, and a new endeavor called Good Fucking Healthcare Advice. I found the inspiration during a #HCLDR tweet chat in which I made the comment that “…healthcare needs to shut up and fucking listen more.”

The inspiration came from one of my favorite sites that I use often to help generate my own creativity. The site is called: Good Fucking Design Advice. (link here)

I wrote a letter to Brian Buirge and Jason Bacher and shared my idea with the both of them. To combine my healthcare industry knowledge with their take on design advice and inject a bit of disruption into healthcare.

To my delight, Jason took the time to respond to me.

Jason encouraged me to take the idea and run with it.

“…feel free to use GFDA’s advice, change it, sculpt it, and to incorporate it into healthcare and make it my own. Just as long as I respect where the advice comes from, it is there for the world to use.”

So with that, I am launching a new series of brief posts, with advice, and images to be used in healthcare.

The posts, the advice, and the images are for all of us.

Whether you are a person living in a community that may need to use healthcare, a current patient, or an allied health professional, the advice is for anyone impacted or touched by healthcare.

It is for those of us that give a damn about other people. Those of us that believe healthcare begins and ends with the person in front of us. Those of us that want to put the Me back into Medicine.

I can’t force you to do anything. The choice to read, share, care, and make a dent in the universe is your own. The choice between love or fear is on you. The choice to stop and fucking listen to patients is yours.

I choose to lead by example.

I pick myself.

I share my voice because it matters.

Healthcare should only be fucking scaled by the N of 1.

Make access to healthcare fucking easy

As always you can feel free to email me at or follow me on Twitter @cancergeek


3R’s: Adoption Obstacles In Healthcare

3R's To Change

Last night I had the privilege to join the #HCLDR dialogue. The topic was on one of my favorites, “Obstacles To Innovation In Healthcare.” I have to once again commend the work by Colin Hung (@Colin_Hung) and the 2 guest moderators Bill Bunting (@WTBunting) and Cari McLean (@carimclean) for such a wonderful discussion and rich topic.

In my experience of the US Healthcare system there are 3 things that enable and/or reduce the medical industrial complex’s ability to adopt innovation. I like to call them the 3R’s:

  1. Reimbursement
  2. Regulatory
  3. Research-clinical/medical evidence

Reimbursement: if the money doesn’t flow from doing the work, then few will give the innovtion a second look. When we leverage dollars as a penalty, adoption occurs, but its effectiveness is questionable.

Regulatory: when the FDA, Joint Commission, Nuclear Regulatory Commission or some other entity places a rule-law-compliance-regulation that makes something mandatory, then it forces healthcare to adopt. Again, many times this is also tied back to financial incentives.

Research-clinical/medical evidence: the other way to motivate physicians and others inside of healthcare to adopt a new innovation is when the literature supports it. If one can show the innovation is better and more effective and impacts a patient outcome then more clinicians are willing to make the change.

While this is the reality, it disappoints me.

The definition of innovation is a new method, a new idea, or a new product.

When did our culture of healthcare move from experimentation and exploring new frontiers to one that is all about following the rules?

Congratulations to those that are willing to challenge the status quo, ask questions, and willing to embrace new methods in healthcare without the promise of more dollars, following the rules, or medical evidence.

There are enough people focusing on scaling mediocrity and wanting to be average.

I am excited on continuing to find new ways of impacting healthcare;

Challenging healthcare one patient at a time to scale at a N of 1.

As always, you can feel free to contact me at: CANCERGEEK@GMAIL.COM or follow me on twitter @cancergeek

If you want to create some connections, join the tribe at and lets #GSD