Good morning, everybody—It’s been a couple of weeks of a lot. The new house, the move, the old house getting ready for listing—it’s been full-on. But things are starting to settle. We’ve been in the new place for a week, and yes… we finally put up to...

I’m currently driving to IKEA—and no, that’s not something I usually recommend outsourcing. But hear me out.We’re moving into a new house nearby, and I love IKEA closets. Great quality, tons of accessories, and easy to integrate with TaskRabbit (whic...

There’s something we almost never talk about in EMS — not because it’s rare, but because it doesn’t match the rest of what we see. It doesn’t belong in the same category as cardiac arrests, stabbings, overdoses, trauma codes. It’s too… sacred. Too fr...

LIFO Leadership: The Bottleneck of ExcitabilityIn accounting, LIFO stands for Last In, First Out. The last item added is the first one acted on.In leadership—especially entrepreneurial leadership—it shows up like this:A founder has an idea in the sho...

Trenton isn’t just rough — it’s a battleground. The city pulses with tension, like a live wire stretched too tight. The houses lean with age, windows dark and hollow, like eyes that have seen too much. It’s the only place I’ve ever worked where you w...

Some EMS shifts end when you clock out. Some haunt you for days. But a shift like this one? It changes you. This city has a way of doing that.I’ve worked in quiet rural systems where a whole week might pass without a single call. I’ve worked in busy...

“You Do It Once? F%*k No — You Do It Eighteen Times”Trenton, 2022There’s this Robin Williams bit where he’s talking about golf — how the Scottish invented it as this torturous game. He pantomimes swinging a club and yelling profanities, and then says...

Hey everyone,This week, I want to talk about something that’s been a cornerstone of the Less Doing philosophy: asynchronous communication—and I’ve got a big announcement too.The Asynchronous Advantage: Redefining How We Work and LiveWe live in a worl...

After the hospital pronounced the jumper, we got cleaned up — wiped down the blood, restocked, shook the snow out of our jackets — and went back in service.It didn’t take long.Within minutes, dispatch sent us another call. “Sick person.” Woman in her...

It was Christmas Eve, and the call came in as “unresponsive adult female.” Mid-30s. No further information.I arrived first. The house was large, quiet, and meticulously decorated. A couple met me at the door — polite, composed, maybe in their sixties...

It came in as a lift assist.That’s one of those calls we almost don’t talk about. A person has fallen — usually older, usually unharmed — and needs help getting up. It’s the EMS equivalent of a courtesy call. No sirens. No adrenaline. No chart, if yo...

The call came in just after midnight: young adult, allergic reaction, epinephrine administered. Stable, but requesting transport.We pulled up to a health clinic just off campus. That kind of setting always lands somewhere between clinical and collegi...

The dispatch information was simple: 4-year-old child with a head injury on the side of the highway. There was no report of an accident, no explanation offered as to what took place, just “head injury on the side of a highway."There’s a specific kind...

A client recently sent me a clip of Tim Ferriss interviewing Chris Sacca, where Sacca basically said, “We're screwed.” AI is coming for jobs like lawyers and accountants—and it’s not just theory anymore. He’s already replaced some of the legal work i...

December 16, 2020The storm had already started when FDNY activated Central Park Medical Unit under Mutual Aid. That night, I was riding with Megan, a seasoned EMT, and Dylan, who was just seventeen and already sharper than most adults I knew. We were...