Rounds & Square Pegs
Health informatics · written for the sideways path

You're in the right room.

A health informatics blog for the people who arrived from somewhere else. Nursing, pharmacy, public health, the ward. You already know what an EHR is. Nobody ever explained the API. We start there.

The square does not fit the circle. That is the entire point.

Field Notes

4 min read

The Farm Boy Who Decoded How Ideas Spread

A farm boy's observations about hybrid corn adoption created the framework we still use to understand how innovations spread. It matters more than ever now that health systems are trying to figure out what to do with AI.

On the board

Recent, across every type.

Lab

De-identify a dataset, step by step

A live pipeline you drive yourself. Watch the re-identification risk drop as each field is handled, and watch one patient stay flagged anyway.

Interactive
Explainer

What this blog is, and is not

No affiliate links, no sponsored posts, and no pretending every new tool is revolutionary. Here is what you are actually signing up for by reading this.

3 min read
Field Notes

The Farm Boy Who Decoded How Ideas Spread

A farm boy's observations about hybrid corn adoption created the framework we still use to understand how innovations spread. It matters more than ever now that health systems are trying to figure out what to do with AI.

4 min read
Field Notes

The Persistence of Reluctance: Why Doctors Still Hesitate at AI's Clinical Crossroads

Sixty-six years after Ledley and Lusted computerised medical diagnosis, physicians are still hesitant to embrace decision support tools. But this time, the reluctance might actually be justified.

5 min read
Field Notes

When Seeing Is No Longer Believing: Deepfakes as a Public Health Crisis

As deepfake technology makes it impossible to trust what you see and hear, the implications extend well past fraud, into mental health, emergency response, and the basic architecture of public health communication. The erosion of reality itself has become a health crisis.

5 min read
Explainer

APIs, without the computer science

You have used one today without knowing it. Here is the whole idea in plain clinical terms, and why it changes how systems talk.

7 min read

A square and a circle, refusing to line up. The mark for people who never quite did either.

One email. Only when it is worth opening.

No loops. No "you've got this." Just the post, when there is one, and nothing in between.