The Journal
Personal writing, reflections, and lived experience. Explore finished literary works in The Oracle.
Must Watch
Watch Next
From the Journal
Featured
Richard Nkwenti
@TheEmperor ·
Good care begins before a treatment is chosen: with the patient’s goals, the evidence, the alternatives, and an honest account of uncertainty.
Richard Nkwenti
@TheEmperor ·
Antibiotics can be lifesaving. Using them well requires knowing when their power is useful, when it is not, and what every unnecessary course can cost.
Richard Nkwenti
@TheEmperor ·
A medication list is not clerical debris. It is a living record of diagnoses, decisions, side effects, access, habits, and transitions in care.
Richard Nkwenti
@TheEmperor ·
Menopause is universal in definition but highly individual in experience; responsible care considers symptoms, goals, history, options, and changing evidence.
Richard Nkwenti
@TheEmperor ·
You wouldn’t drive a car for 200,000 miles without changing the oil. Even a Tesla needs charging. Hormones are the fuel that carries a woman from one season of life to the next. After menopause, that fuel declines — and without the right replenishment and the right doctor, the body slowly loses power.
The Emperor's Letter
Discover original writings, science-informed perspectives, medicine, poetry, spirituality, and reflections on becoming more human.
A considered letter sent only when there is something worth saying—never on a manufactured schedule.
Email subscriptions are not yet open. Read the Letters archive in the meantime.
Read the Letters →
