Where the footnotes occasionally escape and become sentences.
Papers belong in journals. This page is for the bits around them: field stories, implementation notes, unfinished questions and ideas that do not need twelve co-authors to exist.
Some are finished. Some have merely stopped resisting.
The one where the surgery teacher was “just a dresser”
A practical session, a hospital hierarchy, and the inconvenient discovery that the person standing quietly at the door may know more than the room expects.
One size does not fit all. But you still need a first shirt.
Why standardisation and adaptation are not enemies; sometimes the first makes the second possible.
AI is a very good intern. It should not become the department.
Notes on using generative AI without outsourcing judgement, context or the pleasure of thinking.
The meeting is not improved by everyone proving they attended.
A recurring attempt to make communication shorter, ownership clearer and action items capable of surviving Zoom.
The answer to “no” is not always a longer email.
Practical negotiation lessons from health systems and stakeholders who inconveniently have interests of their own.
The people I WhatsApp at 2 AM
What communities of practice reveal about distributed expertise, trust and just-in-time support.
I reserve the right to change my mind when the evidence improves.
These notes are a record of thinking, not scripture. Corrections, counterexamples and better questions are welcome.
Priyansh Nathani
Doctor · global surgery · health systems · chronic question-asker
Built to explain the person behind the CV. The CV already has enough work.