Training
Undergraduate at Carleton College (biology, 2003); University of Minnesota Medical School (MD, 2010); internal-medicine residency at Hennepin Healthcare (2013); five years at the Hennepin general-medicine clinic before moving to Duluth in 2018; seven years at Essentia Health's Lakeside primary-care clinic before founding Chronograph in October 2022.
Board-certified in internal medicine (ABIM, recertified 2023). Member of the American College of Physicians. Certified hospice and palliative-care concentration through the American Academy of Hospice and Palliative Medicine's primary-care palliative track. Holds a Minnesota DEA registration in good standing and a current NPDB query on file.
What I do
I run the cardiometabolic lane and the end-of-life lane. Day-to-day, that translates into long visits about lipids, blood pressure, prediabetes, and statin decisions, mixed with bedside visits at members' homes when someone is in their last weeks. I write the practice's transcripts on most months. I sign the lease.
I read the New England Journal of Medicine table of contents weekly; I read The Atlantic for medicine-and-society writing; I read Atul Gawande when I want to remember why I started; I read Aldo Leopold and Mary Oliver when I want to remember that there is a world outside the chart. I am not a literary clinician; I am a clinician who reads.
What I don't do
I do not run the musculoskeletal, mental-health, reproductive, perimenopause, or sports lanes. Those have leads who know more than I do, and the panel is small enough that I do not need to pretend otherwise. I do not start adult ADHD diagnoses. I do not initiate hormone-optimization regimens. I do not see newborns or children under 5. I do not perform abortions; I refer to providers who do.
I am not a longevity clinician. I do not order an annual full-body MRI on a member without symptoms. I will tell a member who has read about a longevity intervention on the internet what the evidence base is, and I will be honest about it; I will not write a script for an intervention whose evidence base is mostly Instagram, and I will be polite about declining.
Reading 2026
- The Lancet Menopause Series (2024) — re-reading after our perimenopause-protocol revision.
- SUSTAIN-6, STEP-1, and SELECT — the GLP-1 cardiovascular outcomes literature.
- Atul Gawande, Being Mortal, third re-read.
- Robert Macfarlane, Underland — not a clinical book; a useful one.
- The USPSTF A&B updates as they ship.
Availability
Member-facing hours: Monday/Wednesday/Friday 07:30–18:00, Tuesday 07:30–13:00, alternating Saturdays 09:00–13:00. House calls within Duluth city limits Tuesday afternoons or by arrangement. Off-cycle: Thursday is a clinical writing and reading day; I am reachable by SMS, but the schedule will not have a slot on it.
Members can reach me by SMS for short questions on a number provided at intake; voice for longer ones. After hours, the practice line ((218) 727-0413) routes to whichever clinician is on call until 22:00. Outside that window, the answer is to call 911 if it's an emergency or to reach me at the next morning visit; we are honest that we are not a 24-hour service.
Cross-references: most of my visits live in Lane 01 and Lane 08; my transcripts are "On the economy of attention", "Why we list our prices", and "Notes on listening". The practice's about page is the longest version of the why-we-started story.