CURIOSITY & WORK

The projects change. The awkward questions are surprisingly loyal.

This is not a project portfolio. Most of the work here belongs to teams, institutions and communities — as it should.

I use this page to show the questions I keep following and some of the collaborations that have given those questions somewhere useful to go.

QUESTIONS I KEEP DRAGGING INTO ROOMS

Four things I seem unable to leave alone.

SURGICAL SYSTEMS

Can the district hospital actually do it?

Not in the guideline. On a Tuesday night, with the team and equipment that are really there.

PEOPLE & NETWORKS

Who is the real expert here?

Sometimes the specialist. Sometimes the senior nurse who has quietly kept the ward functioning for twenty years.

POLICY

What happens after the PDF?

Policies and national plans are useful. I am mostly interested in whether they survive first contact with implementation.

DESIGN

Can we make it simpler without making it stupid?

Frugal does not mean second-rate. It means stripping away what the context cannot sustain without stripping away safety.

ANTI-PORTFOLIO DISCLAIMER

If ten people built it, I am not putting my face on it and calling it “my project.”

The point of the examples below is to show where I contribute, not to erase everybody else who made the work possible.

SELECTED COLLABORATIVE WORK

Where the questions have turned into actual work.

INDIA

District operative care

Training, implementation and evaluation with teams working where referral is sometimes a road trip rather than a plan.

POLICY

National surgical planning

Helping countries and collaborators ask what happens after a surgical plan exists — who owns which action, by when, with what data.

CONNECT

Communities of practice

Exploring whether distributed peer networks can move useful expertise to the person making the decision in time.

DATA

Surgical systems data

Registries, operating rooms, volumes and the recurring discovery that a denominator can ruin a perfectly good story.

INNOVATION

Context-specific innovation

Designing around workforce, infrastructure, maintenance, affordability and the inconvenient persistence of reality.

LEADERSHIP

Negotiation & leadership

An emerging interest in the practical skills needed when change depends on people whose incentives are not identical to yours.

Priyansh Nathani
Doctor · global surgery · health systems · chronic question-asker

Built to explain the person behind the CV. The CV already has enough work.