"The most important medicine happens long before the operating room — in the years when a disease is still silent, and still reversible."

I spent more than twenty-five years as a surgeon. The work I trained for was personal: a person sat across from me, frightened and in pain, and trusted me to understand them and act. Somewhere along the way, the system began to treat that person as a coded encounter — a slot on a schedule, a number to move through.

I came to believe the care that matters most is the care almost no one is paid to give: catching the thing early, taking someone's true measure, and building an honest plan. So I decided to build it myself — the practice I would want for my own family. I named it Sartoria, after the tailor's atelier, because there, nothing comes off the rack.