about grounded vitals

As a physician, I have spent much of my career helping patients navigate complex decisions. Whether discussing a new medication, a surgical procedure, cancer treatment, hormone therapy, or a chronic illness, the process is fundamentally the same.

First, we gather the best available evidence.

Second, we explain the potential benefits, risks, uncertainties, and alternatives.

Third, we help patients make informed decisions that align with their goals, values, and circumstances.

This process is known as shared decision-making, and it is considered a cornerstone of modern medical practice. Grounded Vitals applies that same approach to issues that affect the health and well-being of communities. Topics such as data centers, energy infrastructure, water resources, land use, agriculture, environmental health, and emerging technologies are often discussed in ways that are highly technical, politically polarized, or difficult for ordinary citizens to understand.

Our goal is different.

We seek to examine the best available evidence, explain it in clear language, acknowledge both benefits and risks, identify areas of uncertainty, and provide communities with the information they need to make informed decisions.

We are not opposed to progress. We are not opposed to economic development. We are not opposed to technology.

At the same time, we believe that major decisions should be made with transparency, accountability, and a clear understanding of potential consequences. Just as patients deserve informed consent before making important medical decisions, communities deserve informed consent before making important decisions about their future. Grounded Vitals exists to help provide that information.

Our commitment is to evidence, transparency, respectful dialogue, and the long-term health of both people and place.