https://www.patient.devhttps://substackcdn.com/image/fetch/$s_!v07s!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2Fb9f2efc2-ebbd-4504-bfbf-b771c17f9486_256x256.pnghttps://www.patient.devSubstackTue, 14 Jul 2026 20:59:10 GMT