Hemanshu Patel, MD.
I am a practicing primary care physician in California’s High Desert. I write TRENCHWORK between clinic days, and I build the tools I wish my clinic already had.
I am also the chief medical officer of CareMD. Most of what I write comes from the same place: a full schedule, a fuller inbox, and the work that lands after the last patient leaves.
Primary care, from the inside. Why clinic work gets harder, what we can change, and what happens when we test those ideas.
- Doctrine: how the system works
Long reads for the people who run clinics.
- Field Notes: practical lessons
Practical notes for students and trainees.
- Translations: explanations for patients
Plain English for patients and families.
- The Lab: try the ideas
How the tools get built.
One connected way of practicing, where every signal is captured once, understood quickly, and handed to the person who can finish it.
See the whole map →Simulations and tools that run in your browser. Try the ideas before you take my word for them.
Open the Lab →Bottom line first.
The point before the reasoning, in every piece.
Cited, with the source named.
If a number matters, you can check where it came from.
Written by a doctor.
AI helps me draft and check. The judgment stays mine.
No PHI. Ever.
Every patient in an essay or the Lab is invented. Every simulation says it is one.
The longer version: I let an AI draft my notes. Here’s the line I won’t let it cross.
Questions, corrections, and disagreements are welcome at hello@caremd.ai. Please leave out personal health details. I can’t give medical advice by email.
TRENCHWORK is independent and not affiliated with any payer, hospital system, or vendor. Patient-facing pieces are general health education, not medical advice.