The Essays

The Milky Way over a dark treeline, near Villadeciervos, Spain, August 2026. Photograph by Adrian E. Roitberg.

D Phrygian

The Essays

On academic medicine, the identity of the human, and what the practice of medicine must not let go of.

One essay every Friday at 7 AM, delivered by email.

These begin where the evidence runs out. A Standing Order takes a single object and says what it contains. An essay starts from something that cannot be settled by reading the document: what a profession owes the people it is still forming, what judgment is for once the work it was built on can be done another way, what presence costs when nothing pays for it.

The nearest measurable proxy is never the thing itself. That is the sentence the whole register is written against.

This is the first of three registers. The Standing Order is the institutional one, published here Tuesday, Wednesday and Thursday. Kidney Love is the interior work.

Every essay

  • When the Machine Builds Cities of Sand

    When the Machine Builds Cities of Sand

    What the Anthropic reports know about being human, and the AI pause debate does not. A model that read the situation correctly only when it was free of…

  • A Thousand Kisses Deep in Otherness

    A Thousand Kisses Deep in Otherness

    Borges, Buzzati, García Márquez were not tools that thought in my place. On the third choice the Economic Index does not name, amplification, through Leonard Cohen and a…

  • Three Lines from Novi Sad, Transported to an ICU Room in Florida

    Three Lines from Novi Sad, Transported to an ICU Room in Florida

    There was no field for the teddy bear. On what the algorithm reduces and what medicine must expand, through three lines of Balašević’s D-moll.

  • The Conversation We Never Had

    The Conversation We Never Had

    A proxy chooses right 44.7% of the time. A model given the patient’s values: 72.6%. On my father, a miracle in the ICU, and the conversation we never…

  • The Non-Algorithmic Self

    The Non-Algorithmic Self

    On the human work medicine cannot delegate. The inaugural essay of Nonalgorithmic.

Essays each Friday

Delivered by email at 7 AM. Free.