Blog

Real lessons on leading and scaling.

Writing for founders scaling beyond themselves, and for new leaders scaling their impact.

Clear Is Kind: Why Setting Expectations Isn't Micromanaging
January 20, 2026

Clear Is Kind: Why Setting Expectations Isn't Micromanaging

Quote from Brene Brown I fired my first employee within 90 days of becoming a VP. Not because he couldn't do the job. Because he'd been set up to fail for years before I got there. The top brass were ready to let him go before I even started. Here was the problem: no one had ever told him he wasn't meeting expectations. Because no one had ever told him what the expectations were. They hired him for a stretch role and assumed he'd figure it out. He waited for clear direction since it was...

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Can't We All Just Get Along?
December 22, 2025

Can't We All Just Get Along?

The friction between your office and field teams isn't attitude. It's ignorance... and it's avoidable. Does this sound familiar? Your team in the field thinks your admin department is a bunch of penny-pinching Gen-Xers who don't understand how crazy their day is. Your admin team thinks you hired a bunch of overpaid brats who can't turn in their paperwork or respond to an email to save their life. And you're stuck in the middle, wondering why everyone is So. Damn. Petty. Here's the thing: it's...

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Same-Day Add-Ons Aren't "Good Problems". They're just problems.
December 4, 2025

Same-Day Add-Ons Aren't "Good Problems". They're just problems.

Same-day add-ons aren't "good problems." They're just problems. And they're usually a signal of something deeper. Teams that rarely get surprised by add-ons aren't lucky. They're proactive. Someone checks in before the week starts. Someone is paying attention. When add-ons are constant, it's not a scheduling failure. It's an ownership failure. And ownership doesn't scale by accident. It scales when leaders model it, hand it off, and trust their people.

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You Don't Need Permission to Delegate. You Need Confidence.
November 3, 2025

You Don't Need Permission to Delegate. You Need Confidence.

I was talking with a senior leader at a small neuromonitoring company about getting ready for her maternity leave. It's over months away, but she was already losing sleep over it. Not about becoming a first-time mom, but about leaving her team for 12 weeks during their biggest expansion year. "What if my director can't handle it and/or people quit?" "What if we get an RFP or new contract that someone needs to redline?" "What if a surgeon requests me for a case?" I asked her: "๐—ช๐—ต๐—ฎ๐˜ ๐—ฎ๐—ฟ๐—ฒ...

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The "Other" Gap Holding Women Back
October 26, 2025

The "Other" Gap Holding Women Back

We've all heard of the "gender pay gap", but rarely do we talk about the "gender feedback gap" and how it affects women's careers. I watched a VP give her director "feedback" a few years ago. "Great work on the presentation!" (No notes...) After the director left, she turned to me: "She completely lost the room after slide three. I guess I'm doing the next one." I asked the obvious question: "I agree... Will you tell her that?" Long pause. "Maybe, but I don't want to discourage her... She'll...

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๐—ง๐—ต๐—ฒ ๐—ฆ๐—ต๐—ฟ๐—ถ๐—ป๐—ธ๐—ถ๐—ป๐—ด ๐—ฅ๐—ฒ๐—ถ๐—บ๐—ฏ๐˜‚๐—ฟ๐˜€๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐—Ÿ๐—ฎ๐—ป๐—ฑ๐˜€๐—ฐ๐—ฎ๐—ฝ๐—ฒ ๐—ถ๐—ป ๐—ก๐—ฒ๐˜‚๐—ฟ๐—ผ๐—บ๐—ผ๐—ป๐—ถ๐˜๐—ผ๐—ฟ๐—ถ๐—ป๐—ด (IONM)
September 7, 2025

๐—ง๐—ต๐—ฒ ๐—ฆ๐—ต๐—ฟ๐—ถ๐—ป๐—ธ๐—ถ๐—ป๐—ด ๐—ฅ๐—ฒ๐—ถ๐—บ๐—ฏ๐˜‚๐—ฟ๐˜€๐—ฒ๐—บ๐—ฒ๐—ป๐˜ ๐—Ÿ๐—ฎ๐—ป๐—ฑ๐˜€๐—ฐ๐—ฎ๐—ฝ๐—ฒ ๐—ถ๐—ป ๐—ก๐—ฒ๐˜‚๐—ฟ๐—ผ๐—บ๐—ผ๐—ป๐—ถ๐˜๐—ผ๐—ฟ๐—ถ๐—ป๐—ด (IONM)

Intraoperative neuromonitoring (IONM) is one of the most powerful safeguards we have in surgery. It helps prevent devastating neurological injuries, gives surgeons real-time feedback, and provides patients with peace of mind. But behind the operating room doors, ๐—ฎ ๐—ณ๐—ถ๐—ป๐—ฎ๐—ป๐—ฐ๐—ถ๐—ฎ๐—น ๐—ฐ๐—ฟ๐—ถ๐˜€๐—ถ๐˜€ ๐—ต๐—ฎ๐˜€ ๐—ฏ๐—ฒ๐—ฒ๐—ป ๐—พ๐˜‚๐—ถ๐—ฒ๐˜๐—น๐˜† ๐˜‚๐—ป๐—ณ๐—ผ๐—น๐—ฑ๐—ถ๐—ป๐—ด.

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