A Stern, Sad, and Distrustful Man: Cynicism as Diagnosis in Healthcare
Goodman Brown lost his faith when he saw the flaws in the people he once trusted. In healthcare, disillusionment can lead to something similar; moral injury, detachment, even cynicism. But the challenge isn’t to stay innocent. It’s to stay human, even after we’ve seen too much.
The House We Inherited: Healthcare’s Haunted Architecture
Hawthorne’s The House of the Seven Gables reminds us that injustice doesn’t disappear. It settles into the walls. Our healthcare system, too, is an inherited house: intricate, costly, and haunted by the wrongs that shaped it. From racial inequities to misaligned incentives, today’s fractures trace back through generations of policy and power. But as Hawthorne suggests, curses aren’t lifted through destruction; they’re healed through humility, compassion, and connection.
The Scarlet Letter: Stigma, Shame, and the Systems That Mark Us
The Scarlet Letter might not feel like a Halloween story. There are no ghosts, no Gothic mansions. Sometimes, though, the banality of a hell is still a hell. Hawthorne’s world is one of polite systems that confuse shame for morality and call it order. Modern healthcare has its own versions of that. Providers get branded “difficult,” “too idealistic,” or “not a team player.” And yet, like Hester Prynne, many stay. Not to defend the system, but to redeem what’s still good inside it… the quiet, stubborn act of care that changes what the letter means.
Dracula and the Networked Body: A Revenge Just Begun
In Dracula, infection travels through letters and whispers. Today, it moves through data.
Our health records replicate across portals, insurers, and algorithms. Sometimes accurate, sometimes corrupted, always multiplying. In this modern network, the danger isn’t only lost privacy but bad data: errors, duplications, and misinformation that blur the line between fact and fiction.
We are haunted by a system that feeds on confusion… a revenge just begun. But, like Stoker’s hunters, we still have weapons: clarity, curiosity, and the courage to carry our own map.
The Fall of the House of Usher… and of the U.S. Healthcare System
Our healthcare system didn’t break overnight. Like Poe’s haunted mansion, it’s collapsing from within; not from one catastrophe, but from years of hidden cracks: generational policy failures, burned-out providers, fragmented care, and the silence that grows between patient and clinician. When the people inside the house are suffering, and the walls are groaning, we have a choice: look away, or start the repair.
The Portrait and the Protocol: When the Perfect Chart Costs the Person
The EMR was meant to be our masterpiece, a portrait of precision. But like Dorian Gray’s painting, its perfection hides decay: the hours, the clicks, the quiet erosion of connection. What we call “complete documentation” may be the most exquisite tragedy in modern care.
The Second Symphony: How Technology Disrupted the Heart of Healthcare
Technology has brought incredible advancements to modern medicine, but in the rush for efficiency, something deeply human is getting lost. Patients feel it when their doctor spends more time with a screen than with them. Providers feel it in their inboxes and their bones. The shift from face-to-face care to portal messages and performance metrics has created a new kind of gap: one where the human voice, the story, the connection, the trust are all fading.
What happens when we trade presence for productivity? And how do we bring back the “radio star” in the video age of healthcare?
The Divided Self in Medicine: Dr. Jekyll, Mr. Hyde, and the Hidden Wounds of Healing
In medicine, we’re trained to believe that composure equals competence; that, if we keep our heads down and our hearts guarded, we’ll stay strong. But the truth is, pretending we don’t feel doesn’t make us better healers. It makes us brittle.
The real work isn’t about suppressing our humanity; it’s about integrating it. Caring and not caring, presence and detachment; both have their place. What matters is that we hold them in tension, rather than letting one erase the other.
Wholeness in medicine isn’t moral compromise. It’s moral clarity and the courage to tell the truth about what this work costs and still choose to care within it.
Whatever Our Souls Are Made Of: Reclaiming Identity from Illness
When illness or grief takes hold, it doesn’t just affect the body. It can start to rewrite identity. What begins as a diagnosis can, over time, become a defining role. This piece explores how patients often find themselves engulfed by medical labels, why that matters psychologically, and how reclaiming narrative (through tools like narrative medicine and identity reconstruction) can support real healing. With insights from recent research and echoes from Wuthering Heights, it’s about learning to say: this is part of my story, but it is not all of me.
The Bright Data & The Dimming Soul
We’re drowning in data. AI predictions, biohacking labs, “healthspan” programs that promise to optimize every cell. It’s fascinating…and exhausting.
Mary Shelley warned us 200 years ago: chasing knowledge without wisdom can backfire. Longevity medicine often walks that line. More tests don’t always mean more health. Sometimes, they just mean more anxiety.
True care isn’t about quantifying every heartbeat. It’s about understanding the story behind it.
When “Nobody” Becomes Too Much: Titles & the Fight for Personhood
At my son’s homework table, dyslexia became the word that defined him. What began as common ground soon felt like erasure—a title overshadowing the boy himself. In medicine and in life, we often mistake titles for identity. True recognition means seeing beyond the label to the whole person.
Walking Through: Navigating Insurance & the Art of Medicine
This blog explores why health insurance and open enrollment aren’t just HR headaches but integral to patient care. It examines patient and provider perspectives on cost conversations, the ethical “art” of medicine, and how evidence, autonomy, and affordability intersect. The piece also outlines key enrollment timelines and highlights the value of health advisors in helping patients and practices navigate coverage choices.
The Final Adventure & dying Well
We live in an age obsessed with preservation. We count our steps, monitor our sleep, and stretch our lives longer than any generation before us. And yet, paradoxically, cancer is rising in the young, anxiety is everywhere, and many of us are living longer without feeling more whole.
Perhaps the goal was never just longevity. Perhaps healing was always meant to include peace.
“To die will be an awfully big adventure,” Peter Pan says — but maybe the real adventure is learning how to live and die well at the same time. Because death isn’t the opposite of life; it’s the frame that gives life its meaning. And when we learn to face it with curiosity and presence, even the end becomes part of the story worth telling.
Care Collective Podcast
We’re sharing a sneak peek of our recent conversation with the team at The Care Collective Podcast. The first snippet is weighty. It touches on the realities (ultimate consequence and shame) that often sit just below the surface in healthcare. But at the center, it isn’t about blame. It’s about learning to tell our stories honestly, and about offering support in places where silence has too often lived.
What we’re reaching for is understanding. Understanding between patients and providers. Understanding between families and systems. Because only when the whole story is spoken can healing start to take root.
Embodying the Clinical Story: Incarnation and the Practice of Presence in Healthcare
Burnout, compassion fatigue, fragmented care—these are not abstract terms. They are the daily reality of modern medicine. Clinicians are stretched thin, patients often feel unseen, and both sides of the stethoscope carry the weight of disconnection.
And yet research keeps showing something striking: when clinicians practice presence—full attention, attunement, and availability—something changes. Patients heal better, and clinicians themselves find resilience. Anxiety can fall in as little as forty seconds of compassion (Fogarty et al., 1999). Pain responses shift under fMRI when care is patient-centered (Sarinopoulos et al., 2013). Even symptoms of post-traumatic stress are lower after medical crises when patients experience care as compassionate (Moss et al., 2019).
The medical literature calls this therapeutic presence—a way of being that goes beyond proximity to embrace mindful awareness, relational depth, and attentive listening. Theological language goes even further. “The Word became flesh and dwelt among us” (John 1:14, ESV). The Incarnation reveals God’s healing nearness. What clinical science describes in terms of lowered anxiety and improved adherence, theology frames as the very grammar of divine love: God heals by drawing near.
Presence, then, is not an optional extra. It is constitutive of healing itself. When clinicians show up with compassion, they echo the deepest pattern of healing in the universe—and they often find that what they give is also what sustains them.
“I Put Myself Back in the Narrative”: Toward a Foundational Rebuilding of Healthcare
Diagnostic harm is now one of the leading causes of death and disability in the U.S.—and fragmented records are a primary reason why. This isn’t just about better systems. It’s about reclaiming story, structure, and clinical safety. From Hamilton to health policy, here’s why Storyline believes it’s time to rebuild the model from the ground up.
The Conversation We Avoid: Confronting Death in Modern America
Most people want to die at home—but few do. This post explores why modern healthcare avoids talking about death, how that avoidance causes harm, and what it looks like to lead these sacred conversations with care and clarity.
Health Is in the Holding: How Soil, Nature, and Microbes Support the Body
Inspired by Wendell Berry’s wisdom, this reflection explores how grounding, soil contact, and time in nature reduce stress, support immune function, and reconnect us to the systems that hold us—biologically and emotionally.
The Ancient and Beautiful Work of Caregiving
Caregiving is older than medicine—and just as vital. Drawing insight from characters like Cordelia and Samwise, this Storyline reflection explores how caregiving has always required presence, sacrifice, and courage. It’s still hard. And still beautiful.
The Neighborhood Model of Care: What Makes Storyline Different
Storyline Health Navigation isn’t just about appointments—it’s about building connection. Discover how our neighborhood model of care supports health, fights loneliness, and centers kindness in every step of your journey.

