Author

By training, I am a computer engineer and a physician. By temperament, I am a builder, a problem-solver, and someone drawn to complex environments where decisions matter. By career, I am a family physician practicing broad-scope medicine, including emergency and inpatient care, primarily in remote regions of Québec and Nunavut. In places where resources are limited and distances are vast, medicine becomes what it was always meant to be: applied judgment under uncertainty.

Before medicine, I served as a telecommunications officer in the Canadian Armed Forces. That chapter shaped me more than I understood at the time. Managing communications infrastructure in operational contexts forces clarity: systems must work, redundancy must be real, and failure has consequences. After the military, I founded and ran a software engineering company. I designed and built systems, shipped products, debugged what broke, and learned firsthand that elegant theory collapses quickly if it does not survive contact with reality.

Medicine was not the original plan. It emerged gradually—at the intersection of biology, technology, and the human condition. I was drawn to it not out of romanticism, but because it is the most sophisticated real-world system I have encountered: physiology, psychology, probability, ethics, logistics, and time pressure, all interacting in imperfect information environments. In remote practice, that complexity is amplified. You stabilize, you improvise, you coordinate evacuations, you make decisions with incomplete data—and you live with them.

Alongside clinical work, I co-founded AI Medica and serve as vice-president of Wikimedica. My focus there is straightforward: structure medical knowledge so that it is interoperable, traceable, and useful—both for clinicians and for the intelligent systems that increasingly support them. I am interested in how we encode expertise, how we reduce epistemic noise, and how we build tools that augment judgment without replacing it.

Outside of work, I travel—extensively. I have visited more than 75 countries and continue to move whenever possible. I work on cars. I build furniture. I dive—at the master level, with technical diving certification. These are not hobbies so much as parallel laboratories. Engines, wood, decompression planning, remote roads—each is a system governed by constraints. Understand the constraints, respect the physics, and things tend to work. Ignore them, and reality corrects you.

I am a reflection of the content you will find on this blog, a computer engineer, a programmer, a handyman, a biologist, a tinkerer, a maker, a thinker, a traveller, a diver and many other things but not one in particular.

This blog, was created in 2009 and since then many things have changed, including me. I have kept older author pages (here, here and here). While they depict version of me that are way gloomier, they should provide some context that might aid in understanding material written in those periods.

One Reply to “Author”

  1. Hi, my name is Fernando Lopez, originally from Honduras, now living in the US. I’m directing a documentary film about Utila and Doctor John. I was wondering we could establish a conversation about using one of your images for our film. We have been working on this documentary for four years now, and it is independently produced. Basically me and a couple of friends have been to Utila 5 times to interview various people. I look forward to hearing from you.

Leave a Reply

Your email address will not be published. Required fields are marked *