Metronome Family Medicine

06/17/2026

A patient's story is the most important diagnostic tool a doctor has.

In med school, I leaned into the medical humanities — studying how illness is told through poetry, film, song, and prose — because before you can diagnose and treat, you have to learn how to listen.

Fee-for-service medicine makes that almost impossible. A 20-minute appointment usually means 5-10 minutes with your doctor. You don't get to finish your story. Neither does your doctor.

In week three at Metronome I added a 90-minute option for new patient appointments. Because sometimes even an hour isn't enough.

The moment I'm chasing in every visit: I ask "what other questions do you have?" and a patient says "you know what... none!"

In nine years of fee-for-service medicine that was rare, and I would skip lunch and run 45 minutes behind to get it. In my Direct Primary Care I want it to be the standard - the goal of every visit.

If you've never had an hour and a half to tell your doctor your whole story — think about Direct Primary Care:)

Book a free intro call — link in bio. Or just call or text me directly: 720-856-4058 😊

06/14/2026

In 2002 a landmark study stopped early and millions of women were taken off hormone replacement therapy almost overnight.

The problem: the study used synthetic hormones, not bioidentical ones. It studied women over 60, not women in perimenopause. And the risks it identified were real — but incomplete.

What followed was a generation of undertreated women trading hot flashes and sleep disruption for elevated risks of heart disease, osteoporosis, and dementia. Nobody explained that stopping hormones carried its own risks.

New blog post breaks down the Women's Health Initiative — what it actually studied, what got lost in translation, and what the evidence shows now.

If you've been told HRT isn't safe or that you can only be on it for three years, read this.

Link in bio:)

A Longmont DPC doctor breaks down what the Women's Health Initiative actually studied — and why millions of women were taken off hormones based on incomplete science.

06/14/2026

https://www.metronomemd.com/stories/the-whi-hrt-and-what-got-lost-in-translation

A Longmont DPC doctor breaks down what the Women's Health Initiative actually studied — and why millions of women were taken off hormones based on incomplete science.

06/13/2026

My path to hormone optimization for midlife patients almost didn't happen.

The stigma, the bias, the misconceptions — they're real, and they keep a lot of physicians from engaging with this kind of care. I almost stayed in that camp.

What changed it for me was working alongside the gender-affirming care team at my last job.

Learning to prescribe and adjust estrogen and testosterone for transgender women and men — watching those protocols work, understanding the science, seeing patients thrive — destigmatized these medicines for me completely. And once that happened, the door opened to using them thoughtfully for midlife care too.

The biology isn't that different. The need isn't that different. And cisgender and transgender people are equally deserving of consideration and treatment.

If you've been curious about hormone therapy — for perimenopause, menopause, andropause, or anything in between — let's talk.

Metronome Family Medicine is Longmont's newest Direct Primary Care practice. Book a free 10-min intro call — link in bio.

06/12/2026

Great to see an old friend yesterday:)

06/11/2026

I don't love the posts that start with "what your doctor doesn't want you to know."

Your doctor wants what's best for you. That's why they went to medical school.

The problem isn't secrecy. It's time.

Fee-for-service medicine makes it structurally impossible for most physicians to meet even the basic requirements of their jobs — let alone learn new things, unlearn outdated protocols, or explore approaches like hormone optimization, functional medicine, or compounding.

Those things aren't excluded from your care because your doctor is keeping secrets. They're excluded because your doctor hasn't had time to learn them. And the system isn't built to give them that time.

Direct Primary Care restores time. Time with patients. Time to keep learning. Time to unlearn what needs to be unlearned.

If your doctor has told you your labs are normal when you still feel terrible — or that certain labs aren't worth checking — they may be working with outdated protocols inside an overburdened system. That's not their fault. But it is something you can change.

Metronome Family Medicine is Longmont's newest Direct Primary Care practice. Come see me 😊

Book a free 10-min intro call — link in bio.

06/07/2026

Last day of week one: onboarded my first employer group.

Drove to a local business. Denim backpack as my doctor bag. Four hours with seven Spanish speaking workers — hearts, vitals, sunscreen, electrolytes, Colorado life.

Also this week: new tech stack from scratch. Wednesday hikes. Lunch at home every day.

One week of Direct Primary Care. I genuinely cannot believe it took me this long, but at the same time the timing seems perfect:)

Founding spots still open.

Hint Health

A Longmont DPC doctor reflects on week one: a new tech stack, a house call at a Colorado farm, and what it actually feels like to practice medicine on your own terms.

06/05/2026

Week one, day four. And I have to be honest with you.

I'm having more fun practicing medicine right now than I ever have in my career:)

Today I spent two hours with a new patient who needed every single minute of it. And when we were done — I wasn't late for anything. No one was waiting. No one was frustrated. Nothing backed up.

In fee-for-service medicine, spending two hours with one patient meant the rest of the day fell apart. I'd be running 3 hours behind before lunch.

This is what Direct Primary Care actually feels like from the inside. And I built it so it could feel this way for you too.

If you've ever needed more time with your doctor — or wanted a doctor who actually has time for you — DPC is worth looking into. And if you're in Colorado, I'm still accepting new members.

Free 10-min intro call — link in bio.

06/04/2026

11 symptoms. One simple scale. And somehow it took until this year for me to use it.

I've used validated questionnaires to assess depression, anxiety, and pain for my entire career. But the Menopause Rating Scale — a tool that systematically inventories the physical, psychological, and urogenital changes of perimenopause and menopause — wasn't part of my training. It is now.

At Metronome Family Medicine it's part of every midlife woman's workup. Not just to form a baseline, but to guide treatment decisions and track the evolution of symptoms over time.

Hot flashes. Sleep disruption. Brain fog. Mood changes. Joint pain. Sexual health. Bladder changes. All of it — named, measured, and taken seriously.

Week one, day three. We're just getting started:)

If you're a woman in midlife — or you love one — and you've been searching for someone to actually inventory what's happening and come up with a real plan, I'm still accepting new members.

Free 10-min intro call — link in bio.

06/01/2026

We open tomorrow.

I've been sitting with that for a while tonight.

Nine years of corporate medicine. 2,500+ patients at any given time. Diagnosis codes and inbox management and running 45 minutes behind because I couldn't stop talking to the person in front of me.

On the blog tonight I wrote about what it took to finally understand why the happiest doctors I knew had all left the system — and what I realized along the way about music, medicine, and creativity.

It''s worth a read if you've ever wondered what drives a doctor to start over from scratch.

On the eve of opening Metronome Family Medicine, a Longmont DPC doctor reflects on nine years of corporate medicine and why he finally chose to write his own song.