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Reflections

The human side of medicine and technology.

Good medicine asks more of us than knowledge alone. It asks for judgment, humility, courage, and an honest understanding of uncertainty.

Reflections is a place to explore those ideas—and the questions that arise when medicine, artificial intelligence, philosophy, and human experience meet.

You'll find personal essays, thoughtful disagreements, and occasional contributions from people who believe that how we do our work matters as much as what we accomplish.

Medicine, Machines, and Marcus Aurelius

A physician's reflections on Stoic philosophy, clinical judgment, artificial intelligence, and the challenge of doing meaningful work without knowing how it will turn out.

Building Something That Might Become Firewood

Edward Rose, M.D. · November 1, 2026

I'm seventy years old, building a medical technology company that might ultimately become nothing more than firewood. And strangely enough, Marcus Aurelius is helping me make peace with that possibility.

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Have something worth reflecting on?

We welcome thoughtful perspectives from physicians, researchers, philosophers, engineers, patients, and others exploring the relationship between medicine, technology, ethics, and the human experience.

You don't have to agree with us. We value careful reasoning, intellectual honesty, and respectful disagreement.

Interested in contributing? Get in touch.