Human First

A conversation about AI with Jake and his friend Max turned into Apocalypse Optional, a sci-fi film and book club with a quiz that sorts you into your apocalypse house. Season 2, Episode 19 of Still Here, Still Trying.

A practical framework for women’s health training in community health centers, and an invitation to FQHCs to help refine and pilot it.

Why I’m asking every federally qualified health center to get better at women’s health, from period pain to menopause, and how we can build that together.

Twenty-seven years into marriage, I’m still learning what Kellie needs from me. A letter for the man who knows very little about perimenopause and menopause, with a free guide to help him begin.

Yesterday was our twenty-seventh anniversary. Kellie has lived with every version of me so far, and she stayed close enough to tell me the truth about all of them.

Kellie and I heard a Tolkien line about marriage at a celebration of life the day before our 27th anniversary. What actually makes someone your person after decades together? Season 2, Episode 18 of Still Here, Still Trying.

My Coeur d'Alene Press column after the Panhandle Health District forum: why every community meeting turns back into the 2020 fight, why I support PHD, and why North Idaho health care only works if we stay in the same room.

"No margin, no mission" gets said so often in nonprofit healthcare that we have mostly stopped asking what anybody means by it. I understand why it sticks, and I want to defend it before I complain about it. P

A family reunion in Phoenix, work commitments that overlapped, and the in-laws I never got to hug. On deciding together whose plans move, with a free two-page worksheet to help.

Up all night talking with Jake, a nap I’ll never live down, and Jon Bellion with a full orchestra at the Hollywood Bowl. Just an ordinary Thursday I’ll never forget.

Idaho has lost more than a third of its OB-GYNs since 2022. Gynecologic care is falling to family medicine. And in March 2026 ACOG moved endometriosis diagnosis into primary care. Nobody has joined those three facts. A rural health center CEO does.

One in ten women of working age has endometriosis, and the best global data says each one loses close to eleven hours of work a week, mostly while sitting at her desk. A CEO who employs hundreds of women, and who is married to one with the disease, on what an employer can actually do.

The numbers behind endometriosis diagnostic delay, cited by organization and date: four to twelve years from the WHO, ten years in a 2026 French cohort, nine years four months and rising in the UK, and the 2011 finding that the delay sits in primary care. And why it is finally changing.

In March, ACOG said a doctor no longer has to confirm endometriosis surgically before treating it. That moves the work into primary care, in a state short on specialists. A health center CEO and endo dad on what the change actually asks of a clinic.

Painful periods are common in teenagers. Periods that keep her out of school are not a phase. A father of a daughter with endometriosis on what to watch for, what to say, and what changed in 2026 that gives you a real way to push for answers.

Every guide tells men to be supportive. None of them tell you what to do in the exam room. Here is the job, step by step: the timeline, what to write down, the one question to ask when you are told to wait and see, and the rule about not speaking for her.

A husband's honest guide to supporting a wife with endometriosis: what to say, what to stop doing, and how to help without handing her another job. Written by a man who got most of it wrong first.

What a father needs to know about endometriosis when his daughter or his wife is the one in pain: what the disease is, why it takes years to name, what belief looks like in practice, and where to start today. From the dad who wrote the book with that subtitle.

A high school friend used to say it as a joke. At fifty, it became a question: wherever I go, I’m going to be there, so how much say do I still have in what it’s like when I arrive? Season 2, Episode 17 of Still Here, Still Trying.

Before you get disappointed that she canceled, remember that she wanted to go too. On endometriosis, and the costs that never show up on a bill.