Clinical notes and commentary

Where clinic, surgery, wound care, and medical AI meet.

Short essays and professional commentary on limb preservation, diabetic foot care, pediatric and reconstructive foot and ankle surgery, and the clinical realities that determine whether new technology actually helps patients.

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Featured writing

A home base for longer-form posts, DF Blog guest pieces, and LinkedIn-linked clinical commentary.

Five-layer clinical system map for evaluating medical AI

The FDA Wants to Test Medical AI Like a Doctor. That Is Only the Start.

The FDA's proposed physician-style competency tests are a useful checkpoint. Clinical safety still depends on the model, clinician, interface, workflow, and what changes after deployment.

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Claude's Invisible Watermark: What It Proves and What It Doesn't

Claude's watermark can suggest model involvement. It cannot establish authorship, accuracy, originality, or responsibility.

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Missing Is Not Negative

A blank field is not a normal finding. Clinical AI must preserve the difference between absent, unassessed, and negative information.

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Anthropic’s Rare-Disease AI Credits Are a Start. Clinical Validation Is the Hard Part.

Anthropic’s program may give rare-disease teams more computational room. A physician’s view of what that helps and what medicine still has to prove.

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The AI Assistant I Want Is Still Too Easy to Misuse

The AI assistant is useful enough to want, but still too easy to misuse when clinic is moving.

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Before You Put Your Health Into an AI Chatbox

A patient-facing piece on using AI chat tools without casually handing over a whole chart, portal thread, medication list, or photo.

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Verification Is the New Clinical Skill

A DF Blog guest piece on the clinician signature, verification burden, and what medical AI asks physicians to trust.

Site summary · DF Blog

Not product announcements

Writing from the clinical middle: real patients, paperwork, uncertainty, and the gap between an impressive demo and work that survives clinic.

Themes

What this blog is for

Diabetic foot and limb preservation

Writing about the small operational details that decide whether a limb salvage plan actually closes.

Clinical AI in real workflow

The question is not whether the demo works. It is whether the output survives the room, the record, the staff workflow, and the signature.

Surgeon-builder perspective

Practical commentary from a clinician who lives with the paperwork, liability, follow-up loops, and patient stakes.