HeyJaredThe Doctor Unbound
The Doctor Unbound explores the messy, miraculous space between evidence and intuition — and how we can all live a little more unbound. Essays, books, coaching, and conversations for a more human kind of health.
- Indexed issues, last 90 days
- 7
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- Aug 19, 2026
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- Jul 6, 2026
Latest issues
The Meaning Inside the Label (opens the original)
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After more than thirty years as a family doctor, I have noticed an evolution in how many teenage girls and young women are choosing to tell me about their emotional distress. They have become increasingly likely to come into my office with a diagnosis already in hand, before I have even heard their story.They have ADHD. They have anxiety, depression, OCD or trauma. Their relationship is toxic. They are on the spectrum.<a class="image-link image2 is-viewable-img" href="https://substackcdn.com/ima
When Prevention Works Too Well (opens the original)
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A troubling story out of the United States caught my attention this week. As you may have heard, the administration is moving to upend the long-established childhood vaccine schedule. While I clearly find the story unsettling, it also highlights a broader problem we have in the practice of preventive medicine.To help explain, let me share a typical conversation I have in my office, that has nothing to do with children or vaccines.<a class="image-link image2 is-viewable-img" href="https://substac
The Delicate Art of Setting Boundaries (opens the original)
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At first, it seemed easier to say yes.When her sister called late at night, she answered. When a co-worker asked her to cover another shift, she agreed. When her partner became upset, she cancelled her own plans and stayed home to help him feel better. No single decision seemed serious on its own. She was being generous, dependable, and kind.Over time, though, the requests became expectations. Her sister was offended when she did not answer her texts immediately. Her co-worker stopped asking whe
Invisible Fire (opens the original)
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In the autumn of 1895, a German physicist named Wilhelm Röntgen was working late in his laboratory at the University of Würzburg. Like many physicists of his day, he was investigating the curious electrical discharges inside glass vacuum tubes. To eliminate any interference from visible light, he carefully wrapped one of the tubes in black cardboard before passing an electrical current through it.As he worked, he noticed that a fluorescent screen lying several feet away had begun to glow.The obs
When Politics Prescribes Medicine (opens the original)
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In the 1930s, a young Soviet agronomist named Trofim Lysenko believed he had discovered a revolutionary new approach to agriculture. He rejected the established principles of genetic inheritance, arguing instead that the environment could permanently reshape heredity itself. He claimed that crops could be transformed through simple environmental manipulation, producing dramatic increases in agricultural yields without the slow, painstaking work of selective breeding. His ideas were appealing, de
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