I’m an OB. I have three kids. I run a company building emergency infrastructure for reproductive care.
I write by dictation. I always have. Dictation is native to medicine — clinicians have worked this way for decades, long before anyone had a laptop. I talk through an idea between cases, or on the drive home, or at eleven at night when the house is finally quiet. That recording goes to my team, or straight into a Claude model, and comes back as a structured draft.
Then every piece we publish goes through three passes:
Mine. I rewrite until it sounds like me. If it isn’t something I would say out loud, it comes out.
Every clinical claim is checked against its source — the actual paper, not a summary of it. Reading primary literature is what my training is for.
A line editor takes the final pass.
What the model does is transcribe, structure, and tighten. It does not supply the facts, the clinical judgment, or the position. Those are mine before it starts and mine again after it finishes.
We’re stating this plainly because we don’t think it needs hiding.
Here is what I’d ask people to actually weigh. The standard being applied right now — that writing only counts if one person typed every word of it unassisted — is not a standard anyone held before 2023. Executives have had speechwriters for a century. Physicians have had transcriptionists for longer. Every serious book has an editor whose fingerprints are on every page, and we don’t ask for their removal before we’ll take the ideas seriously.
Applied honestly, that standard doesn’t filter for quality. It filters for time. The people it removes are not worse thinkers — they’re busier ones. Clinicians. Caregivers. People running things. People writing in their second language. The person it protects is the one whose full-time job is producing prose.
For me the choice is not between writing this way and writing some purer way. It’s between publishing what I know and publishing a fraction of it. If the requirement is that I personally type every word, I publish a few times a year instead of steadily, and the work that goes unwritten is the work from the OB who was in a delivery room.
My name is on everything here. Every claim in it has been checked by a physician-scientist who is accountable for it. That is the assurance that has ever actually mattered, and it’s the one we’re offering.