Welcome to Dave’s Notes

Dave’s Notes is a long-running, evolving notebook of essays, cartoons, stories, and hard-won wisdom—written at the intersection of medicine, humanity, complexity, and care. Some pieces are short reflections, others are deep dives, many are illustrated with super-RAD cartoons (!), and all are part of an ongoing conversation about how we think, listen, and help one another better.

Below, you’ll find the essays indexed by year—an invitation to browse, wander, and choose what speaks to you. You can also scroll further down the page to engage with the most recent posts, where the conversation continues in real time.

This isn’t your average blog...it’s a platform for discovery, and a place where EMPOWERMENT is always part of the answer! Enjoy!

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2022

2023

2024

2025

2026

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SCROLL BELOW TO ENCOUNTER MOST RECENT POSTS, SCROLLING EVEN LOWER TO GO BACK IN TIME…

The Tyranny of Structurelessness in the Exam Room
David McCarty David McCarty

The Tyranny of Structurelessness in the Exam Room

The point? “Narrative” alone does not reliably produce clarity. It needs structure to become clinically useful. See, when structure dissolves, it doesn’t leave a vacuum; it leaves whoever happens to be in the room, improvising at the speed of life...

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What’s In A Name? OR: What should “ORTHODONTICS” be called, anyway?
David McCarty David McCarty

What’s In A Name? OR: What should “ORTHODONTICS” be called, anyway?

The problem is that teeth are not isolated objects. They sit within an interconnected craniofacial and respiratory complex (CFRC) complex that includes the face, jaws, tongue, airway corridors—including the nasal cavity, sinuses and throat—and muscles of breathing and posture. Decisions that cause change to the size or shape of that system can have good or bad consequences extending far beyond the smile.

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Snow White Was Never Waiting for a Prince
David McCarty David McCarty

Snow White Was Never Waiting for a Prince

But lately I’ve been wondering whether we have been reading it too literally. Perhaps this isn’t a story about a victimized innocent, and a dashing moneyed rescuer? Perhaps this is a story where every character in the storyline is…us?

What if “Snow White” is a story about human integration…and aspirational wholeness?

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Good Trouble in the Dental Chair
David McCarty David McCarty

Good Trouble in the Dental Chair

This consensus does several things right—bravely right—in a scientific culture that often rewards certainty over humility. And it is precisely because it does so many things right that it opens the door to a deeper conversation about how we talk about Sleep Apnea, dentistry, and healing itself…

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When Childhood Traits Become Adult Bodies
David McCarty David McCarty

When Childhood Traits Become Adult Bodies

What this paper really describes is not ADHD as a disorder, but neurodevelopmental vulnerability as a life-course condition—one that can slowly shape how a body meets the world over decades…

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THE THREE STARS OF EMPOWERMENT
David McCarty David McCarty

THE THREE STARS OF EMPOWERMENT

This is where everything gets uncomfortable, where jargon multiplies, where silos get deep. The short answer? Sleep Apnea is more than you think it is! But, as usual, I’m getting ahead of myself, so let’s back up.

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Who Is Happy E?!
David McCarty David McCarty

Who Is Happy E?!

At first, I thought you were just a logo. A friendly lowercase letter meant to soften a serious subject…but the longer I sit with you, the more you feel less like branding and more like a question that wandered in and decided to stay…

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KPAP: THE WRITING IS ON THE WALL
David McCarty David McCarty

KPAP: THE WRITING IS ON THE WALL

…because for a long time now, many of us have been living with a nagging, half-formed thought we didn’t quite know how to say out loud: What if too much pressure isn’t…um…benign?…

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To Cover?…or Not to Cover?…That is the Question
David McCarty David McCarty

To Cover?…or Not to Cover?…That is the Question

These principles were never meant to live in textbook…they exist precisely for moments like this one…when the system has grown too large, when efficiency incentives multiply, when individual patients risk the harm of being labelled, processed, and left behind when a “one size fits all” solution fails.

I’m writing this essay because Sleep Medicine has reached this moment.

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