K. P. S. Gill, MDPersonal
A series · one trunk, eleven branches

Where Knowledge Lives

In one physician’s lifetime, medical knowledge has moved from the physician’s mind to the paper chart, to the fragmented EMR, to the integrated EHR, to systems that read and act on the record. Each move changed who carries the record, who controls it, and what the physician is for.

Successionਗੁਰਮੁਖੀ · fidelity of the recordਲੰਗਰ · equal reachਅਖਾੜਾ · the embodied patientAng 463 · light is not understanding

  1. 0The Primary Care Office After the EHRThe trunk. Every branch grows from one of its sections and links back here.Published
  2. 11Where Knowledge Lived: Amritsar, 1995A memoir chapter on learning before the internet, and what scarcity taught.Pure memoirgrows from “Amritsar / Khalsa College”release 1 of 11Forthcoming
  3. 01A Short History of Writing Things DownFrom the Hippocratic case histories to Mayo’s single dossier, Weed’s problem list, and the first medical AI that no one dared to use.Essay / historygrows from “Interlude”release 2 of 11Forthcoming
  4. 02Pajama TimeWhat the electronic record did to the physician’s evening, and why the note grew longer as it became less readable.Memoir + evidencegrows from “Why Your Doctor Keeps Looking at the Computer”release 3 of 11Forthcoming
  5. 04Show Me WhyProvenance as the first principle of clinical AI: why the most important button is not “Accept.”Argumentgrows from “The New Clinical Skill”release 4 of 11Forthcoming
  6. 05Software Does Not TestifyWho answers when a chain of machines and humans harms a patient, and how AB 3030, SB 1120, and the AMA’s 2026 policy begin to answer.Legal-historicalgrows from “Who Is Responsible”release 5 of 11Forthcoming
  7. 06Langar and the AlgorithmEquity as architecture, and the two futures the same software can build.Essaygrows from “The Equity Question”release 6 of 11Forthcoming
  8. 03The HandoffWhy medicine loses information where it is passed on rather than where it is made, from Khadur Sahib’s succession to the 7 a.m. sign-out.Essaygrows from “Handoffs: Where the Record Breaks”release 7 of 11Forthcoming
  9. 07Ten Languages, One ClinicLanguage access in the Central Valley, and why translation is where AI errors are hardest to see.Memoir + policygrows from “Language Access”release 8 of 11Forthcoming
  10. 09The Efficiency TrapWhat health systems should measure instead of visits per hour.Policygrows from “The Efficiency Trap”release 9 of 11Forthcoming
  11. 08What the Chart Cannot SeeA field guide to the information that never makes it into a database: the gait, the pause, the daughter who looks away.Literary / clinicalgrows from “The Things the Machine Still Cannot See”release 10 of 11Forthcoming
  12. 10The Patient Will Have AI TooA guide for patients on chatbots, portals, and the question to bring to every visit.Patient guidegrows from “Patient sections”release 11 of 11Forthcoming

Published roughly every two to three weeks, alternating memoir and policy, in the order shown. Each branch is linked from the trunk section it grows from once it is published.