Data
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Data

They drew fifteen vials on Tuesday. I sat in the chair and watched the tubes fill and thought about what I had written three weeks earlier. Fifteen vials of blood is doing something about it.

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Governance
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Governance

On Wednesday, the Office of Inspector General released the Medicare Advantage compliance guidance. By Thursday morning, I was revising my entire enterprise assurance plan. The question that kept forming was not about work.

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Friction
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Friction

I stopped riding in June because of Achilles tendonitis. I had been riding clipless pedals because that is what serious cyclists do. I cannot rotate my ankles. The friction was there the entire time.

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Alignment
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Alignment

The week I diagnosed the room, Cecili left for Asheville. The girls and I had the week. Solo parenting, work compression, holiday logistics. The office redesign did not happen. What I noticed instead was smaller.

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Depth
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Depth

A Monday morning. Our CEO came in energized. The idea had momentum before anyone had examined it. Something felt off.

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