Paid
The Numbers That Keep Me Up at Night
300,000-400,000 patients die every year from medical mistakes
700 mothers die every year in the US from pregnancy-related causes. Many are preventable.
ObGyn has among the highest liability cases.
84% of ObGyns will be sued at least once. The average career sees 2.6 claims.
The median malpractice verdict in obstetrics is $1.9 million. The median time from injury to resolution is 5 years.
These aren’t just statistics. They’re patients who trusted us. Colleagues who did their best. Families destroyed on both sides of the lawsuit.
Read my Notes HERE.
I’ve spent 50 years trying to shrink these numbers. This newsletter is how I’m scaling that effort.
Who This Is For
For clinicians: You’re practicing in a system designed to fail you. Guidelines that lag a decade behind evidence. EMRs that make documentation harder, not safer. Risk management advice that protects the hospital, not you. I write what no one else will say out loud.
For patients: You deserve to know what questions to ask, what red flags to watch for, and when your doctor is following evidence versus habit. I translate the research so you can advocate for yourself.
For administrators and the rest: Every protocol I share has been pressure-tested. Implementation guides. Audit tools. The business case for safety. Better outcomes cost less than lawsuits.
Read my free Notes for short reviews of publications
What Free Subscribers Get
The hook. The problem. The headline finding.
You’ll see that the 18-minute decision-to-incision standard isn’t safe enough. You’ll learn that a $35 million verdict came from undisclosed test results. You’ll discover that the guideline you follow has a Grade C evidence rating.
What Paid Subscribers Get
Complete posts, uncut. Free subscribers see the problem. You get the solution. What Paid Subscribers Get
Complete posts, uncut. Free subscribers see the problem. You get the solution. Clinicians get the protocol and documentation language. Patients get the questions to ask and the red flags to watch.
The MedMal Room. Real cases, real verdicts. What went wrong, what the jury heard, what would have changed everything. Clinicians learn what to do differently. Patients learn what to demand.
Downloadable tools. For clinicians: checklists, audit templates, counseling scripts. For patients: decision aids to bring to appointments, questions for every critical conversation. All free to print, share, and use.
Liability and safety strategies. The documentation that protects clinicians in court is the same transparency that protects patients in labor. I teach both sides of that equation.
What our professional organizations should say but don’t. Guidelines written for patients, not committees. The recommendations that would exist if evidence outranked tradition.
Full archive access. Every post I’ve ever written. Cesarean timing. Oxytocin safety. Informed consent. VBAC. Induction. All of it, ungated, searchable, yours.
Action steps, not theory. Most posts end with specific recommendations: what clinicians should do, what patients should ask, what administrators should change. Monday morning implementation, not Sunday night reading. Clinicians get the protocol and documentation language. Patients get the questions to ask and the red flags to watch.
The Math
For patients:
$50/year = less than one hospital parking bill
One right question at the right moment changes your outcomes
One second opinion you didn’t know you needed
Gift subscriptions available for the pregnant person in your life
For clinicians:
$50/year = 0.001% of one malpractice settlement
One identified misdiagnosis save your health
One prevented claim saves your premium, your reputation, your sleep
Tax deductible as professional education
What You Get Immediately
→ Full archive access: Every post, uncut. The cesarean timing analysis. The oxytocin deep dive. The shoulder dystocia documentation guide.
→ The MedMal Room: Real cases, real verdicts. What went wrong. What the jury heard. What would have changed the outcome. Everyone should know these stories before they live one.
→ Downloadable tools: Clinical checklists. Patient decision aids. Audit templates. Counseling scripts. Use them Monday. Share them with your team. Reproduce them freely.
→ Liability analysis: Not theory. Specific documentation language. What plaintiff attorneys look for. How to make your chart the one they don’t want to depose.
Why I Charge
The paywall isn’t about money. It’s about commitment. The clinicians who pay are the ones who implement. The patients who pay are the ones who advocate. I’d rather reach 1,000 people who act than 100,000 who scroll.
My Promise
If you’re a paid subscriber for 30 days and honestly believe this wasn’t worth it, email me. I’ll refund you and we’ll part as friends.
No one has ever asked.
The Stakes
Every satisfactory fetal heart tracing that preceded a disaster. Every “failure to progress” that was actually a failure to wait. Every “shoulder dystocia came out of nowhere” that didn’t.
The patterns repeat. The tragedies rhyme.
I write to break the cycle. You subscribe to join me.
For Patients: You shouldn’t have to become a medical expert to get safe care. But until the system changes, knowledge is protection.
For Clinicians: You didn’t go into medicine to practice defensive documentation. But until the legal climate changes, preparation is survival.
For Both: The same information that helps patients ask better questions helps doctors give better answers.
We’re on the same side. Let’s act like it.
50 years of clinical experience. No hedge words when the evidence is clear.