THU OCT 15 2026 · 1 MIN READ
Strong convictions, loosely held

My wife and I were both trained in traditional medicine.
We've also spent years in personalized medicine.
Traditional medicine runs on guidelines. Big trials, one algorithm for everyone.
Personalized medicine runs on the individual. Clinical experience, cutting edge tools, and the N of 1 matters.
Heres the good news. Over the last 10 years it's really been flipping.
Same way the old "doctor knows best" model has faded, more prescribers on both sides are looking at the individual.
Thats really cool to see.
But some are still dug in.
On the traditional side, a patient says "this has really helped me," and it gets waved off because it isn't in the guideline.
The lazy take isn't disagreeing. It's not even looking.
What's the risk? What's the benefit for this person? Sometimes it's a big benefit and a low risk, and it gets ignored because it doesn't fit the algorithm.
On the personalized side, it's the mirror image.
"This is how I've always done it, and it works."
Then new evidence comes out that challenges it, and they just don't look.
Same lazy take, both directions. Getting so sure you stop being curious.
The value is in the middle.
Strong convictions, loosely held. You're not your past ideas.
The best providers I know change their mind when the evidence or the patient tells them to