My Wife Is a Better Doctor Than I Am
Medicine, and much of modern life, rewards hares, then asks them to solve tortoise-shaped problems.
Read essayPhysician · Founder · Writer · Father
I am a physician who builds things.
Anesthesiology and lifestyle medicine by training. In practice that has meant a multi-site mental health company, an infrastructure company for independent clinicians, a Zen center in a city that did not have one, and a weekly essay working out what any of it means.
Greenville, South Carolina
Board certified in anesthesiology and lifestyle medicine · Co-founder, MindWell Mental Health, three locations across two states · Co-founder, Practice Ally · President, Greenville Zen Center · Author, Just Sitting, November 2026
Start with what you need
Four doors into the work.
The subjects overlap because lives do. Choose the question that brought you here.
01
Medicine
Anesthesia, lifestyle medicine, physician wellbeing, and how change actually happens.
See medicine 02Meditation
Zen, and the Sunday sit I lead in Greenville. Free, open to anyone, no experience wanted. Let it come, let it go, just sit.
See meditation 03Building
Founding a multi-site practice and a 501(c)(3), helping other clinicians start and grow one, and looking for people to build the next thing with.
See building 04Living
Running, sourdough, aikido, family life, and cooking for the whole person at the table.
See livingThe Scorecard
What actually helps you live longer, scored.
Exercise, blood pressure, sleep, cancer screening, creatine, the cold plunge, the supplement aisle. Each one scored 0 to 100 by what the evidence says it does for how long and how well you live, with the studies linked. Free, no sponsors, and it changes when the evidence does.
Selected writing
A few good places to begin.
A Quiet Place to Sit
I did not plan to start a Zen center. A talk with a friend turned into one. Here is what it is, and who it is for.
Read essayStrava
On the gift of struggle and the temptation to spare our children from it.
Read essay
The book · November 7, 2026
Just Sitting
A Beginner's Guide to Zen Meditation
A clear, companionable introduction to beginning a meditation practice without turning stillness into one more thing to achieve.
Published by the Greenville Zen Center, a 501(c)(3). The Center receives one hundred percent of the proceeds. Jay takes no royalty.
Speaking
Attention is a clinical instrument. Nobody trains you to maintain it.
Draft point-of-view line for review
- 01
Who Actually Changes
Behavior change fails in clinic because we treat it as a conversation between one physician and one patient. It is not, and the teams that get results are built on that fact.
- 02
What a Lifestyle Medicine Practice Actually Costs to Run
Everyone agrees the model works clinically and nobody says out loud what the first eighteen months look like on a P and L. This is the unedited version, from three sites across two states.
- 03
Physician, Sit Down
Attention is the instrument you use in every encounter and the only one nobody taught you to maintain. Contemplative practice is not self-care, it is instrument maintenance.
Where you may have seen me
Publication, podcast, and venue marks will appear here as the archive grows.
