No. 01
Clinical pearls
From the urgent care floor. Pearl-sized, evidence-grounded, the stuff that actually works at four patients an hour.
Field Guide
The repair
is the point.
A family medicine physician writing from inside the repair — clinical pearls, the specific breaks, and the quiet work of forging a practice. Workshop, not cathedral.
Not around the breaks. Through them.
No. 01
Inside the workshop.
Kintsugi is the Japanese art of repairing broken pottery — filling the cracks with gold so the bowl becomes worth more than it was before it broke.
I write from inside that repair.
Seventy medical school rejections across two cycles. Three gap years that didn't look like a plan. Eleven years of training most people don't see. I became a physician anyway — and the cracks didn't break me. Poured with intention, they became the most valuable part.
This is a field guide for the people who keep repairing themselves.
No. 02
What you'll find here.
Four veins, one bowl. Everything published lives in one of these.
No. 02
Inside the repair
The real texture of becoming a physician. The work no one films. Written out loud so you don't have to figure it out in the dark.
No. 03
The specific breaks
Rejection. Gap years. Imposter syndrome. Named specifically, not glossed — because vague resilience doesn't help anybody.
No. 04
Practice over polish
The operating systems behind a long career — gym, journal, meditation, the scaffolding that holds it up. Workshop, not cathedral.
Before You · A Field Guide Series
See all on Instagram →
Four breaks, one repair.
No. 03
Where to find me.
Instagram is the primary field. The rest are side benches.
Follow @doctor.dennis.md →
Long-form lives at Notes — field notes on medicine and the quiet work of the repair. Field Guide Vol I, Before You Quit, drops April 30.