Welcome to Signal and Noise- an intimate conversation with 40,000+ freethinkers.
The mental shift this publication gives you is what separates the managed from the free.
You made it. Good.
You’re here because something’s shifted. I know you feel it.
You’re tired of institutions that treat you like a child.
You look around and realize the people giving you advice have incentives that don’t align with yours.
Maybe you just want to live a life you don’t hate.
Whatever brought you here, you’re in the right place if you’re looking for an upgrade for your mind.
Who this is for
Signal & Noise is for people who want to think clearly, live intentionally, and stop being quietly steered by bullshit systems that don’t serve them.
If you’re done outsourcing your brain to experts, algorithms, and cultural defaults you never chose… stay a while.
If you want clarity over comfort, agency over approval, and a life that’s unmistakably yours… you’ll feel at home here.
What I bring
I’ve lived in worlds that don’t usually overlap.
Poverty and the top 1%. NFL Cheerleading and Emergency Medicine. Healthcare executive and Entrepreneur. Germany, the US, the ER, DC briefings, and the chaos of American healthcare from the inside.
Yes I’ve done cool shit. But I’m not here to BE the story.
I put this here because I think these experiences provide you with something rare and valuable: pattern recognition across worlds.
I’ve seen the game from 1000 different angles. I know how systems operate, what makes people comply, why most advice is intended to persuade and exploit and how power engages strategically to keep you dependent instead of free.
Pattern recognition is exactly what I teach here. It’s what you’ll get better at seeing for yourself.
The work
Most people don’t want freedom. They want permission.
They want someone to tell them it’s okay to think differently, live differently, choose differently while assuring them it will make their lives easier, better, more comfortable.
That’s not what happens here.
Because once you see what others miss and the immense gravity of what you are capable of, you’ll be more uncomfortable.
You’ll feel the pressure of more personal responsibility. You’ll make more decisions for yourself - and live with the consequences of those choices.
You’ll understand that safety and security are just an illusion.
So what’s the upside? Well… it makes you free.
You learn to think in ways that make you un-manipulatable.
You learn to build a life so clear, so intentional, that no system can touch it.
Healthcare is often my lens, but the patterns are really everywhere- in how people spend, parent, work, vote, comply, procrastinate…
You’ll learn to see incentives before anyone tells you what they want.
You’ll learn to separate signal from noise before the narrative gets built.
You’ll learn to make decisions that belong to YOU- not to fear, not to default, not to someone else’s agenda.
This isn’t self-help.
And it’s certainly not “safe”
It’s not for everyone.
This for people who are ready to stop asking for permission and start acting with clarity and conviction. Who are ready to give back like never before and actually take what’s theirs.
My crazy promise to you
In this publication, I promise to do the following:
I will show you how systems really work (not just how they say they work)
I will tell you uncomfortable truths about institutions and people you believe actually care about you.
I will give you pattern recognition- tools that make you impossible to manipulate.
I will never waste your time with virtue signaling or safe takes.
Promise me this in return:
You won’t just agree or disagree with me. You will think. For. Yourself.
You’ll question everything- including me and my musings.
When you think deeply, your entire life changes.
That mental shift is what separates the managed from the free.
What you’ll get in your inbox
Weekly writing that doesn’t hold your hand.
Stories from medicine, policy, and places most people never see- told in ways that hopefully rewire how you think about all of it.
Without fluff. Or scripts. Or comfort.
Just clarity. The dangerous kind.
Most people choose free (and that’s fine)
Signal & Noise will be free forever. Ideas should spread.
But let’s be honest—nothing is free.
Reading this costs time and attention. Premium currency. It costs comfortable assumptions. It costs the ability to look away.
Some articles will break your brain. They’ll make you question your doctor, your medications, the advice you’ve followed for years. They’ll change how you think about healthcare, institutional authority, risk, autonomy- everything.
The ROI is ridiculous. It’s everything.
For most readers, free is enough. Read. Think. Question everything. Learn to spot the patterns that make you impossible to manipulate.
But if you’re ready to build something
Some people don’t just want to understand what’s broken- they want to offer alternatives.
They’re business of healthcare professionals who see a better way but don’t know how to sell it.
They’re founders building solutions that challenge “the way it’s always been done.”
They’re clinicians who refuse to parrot institutional talking points but need to attract patients who think like they do.
Here’s what they all have in common: They know authentic communication is the only way to attract the right people.
When you communicate honestly about controversial truths- about institutional failures, about evidence the establishment ignores, about alternatives to status quo medicine- something powerful happens.
You repel everyone who needs you to stay safe and quiet.
And you become magnetic to the people who’ve been searching for someone who thinks like you do.
That’s our entire strategy.
The Red Flag Writing Collective(Monthly & Annual Paid Options)
Learn to communicate alternatives to conventional thinking in ways that attract your people- the clients, partners, and audience who are ready for what you’re building.
This isn’t about being provocative for attention. It’s about authentic communication that filters for the right relationships.
Here’s how we do it:
Monthly Strategy Sessions: Master the writing that communicates unconventional ideas while building your platform and income.
Live Q&A with Tiffany: Get real answers about positioning yourself outside the mainstream and using what makes you different to draw others in.
Plus daily prompts, individual feedback, exclusive workshops, and a network of healthcare professionals building platforms that challenge conventional thinking.
Authentic communication isn’t just honest, it’s strategic.
When you articulate what you actually believe about healthcare, institutional medicine, patient autonomy, or any other “controversial” truth, you’re not just expressing yourself.
You’re creating a filter.
The people who need you to stay conventional will disappear. Good. They weren’t your people anyway.
The people who’ve been waiting for someone to say what you’re saying? They’ll find you. They’ll hire you. They’ll build with you.
So if you choose paid, I’ll reach out personally.
But I know most people aren’t ready for that.
And that’s okay.
If you are done waiting for permission, done being managed, done living someone else’s version of your life, you should subscribe - free or paid.
Cause this is where it all starts.