About Charlotte

I've always been the person who explains things.

In the ER, that means walking into a room where a family is frightened and exhausted, holding fragments of information from a dozen different providers that no one has ever connected, and making sense of it. Quickly, clearly, under pressure.

That's the work I've done for fifteen years as a board-certified emergency physician. And it turns out the skill at the center of it (synthesizing complexity into something a person can actually act on) is useful far beyond the hospital.

What shaped how I think

Emergency medicine is a particular kind of training ground. Every shift involves decisions made under uncertainty, with incomplete information, real consequences, and no option to wait. You learn to cut through noise fast. You learn that most hard situations are easier to navigate when you have confidence in your approach to finding the path (and when you are willing to change your mind).

I've also built a company. Darby is a healthcare technology company I co-founded, and leading it taught me a different kind of high-stakes decision-making: the kind where the information is also incomplete or evolving, the stakes are also real, but the uncertainty stretches over months and years rather than minutes. Perhaps counter-intuitively, I found that my anxiety about the well-being of my employees, customers and investors kept me up more than most tough cases from the ER. I think this is because in the ER people come with a problem and in most cases in business the stakeholders were coming to me “whole”. That experience sits alongside my clinical life and continues to inform how I work and think.

In Fall 2026, I will be returning to Boston to finish the MBA I started at Harvard Business School back in 2020. The training I received at HBS has absolutely sharpened how I think about systems, organizations, communication and development.

And when I’m not working, I run, sometimes for a long time (Across Florida 200 remains my longest effort to date). I mention this not as an athletic credential but because it reflects something true about how I'm wired: I gravitate towards hard things, and I've learned that most limits are further out than they appear.

What I do now

I work with two distinct groups of people, in two distinct ways.

For patients and families navigating a medical situation such as a serious diagnosis, a confusing hospitalization, an aging parent whose care has become overwhelming, I provide the clarity that the healthcare system rarely has time to offer. I review records, explain what they mean, and help people understand what's happening so they can decide what to do next.

For founders, executives, and high-achieving people sitting with a significant decision such as whether to stay or leave a career/role/company, how to get unstuck (personally or professionally), or how to move forward when there are multiple “right” answers, I provide a structured, focused space to think it through and arrive at clarity they can act on.

In both cases the work is the same at its core: cut through the noise, find the through-line, help someone see clearly enough to move.

A note on how I work

I work with a small number of people at a time, by design. The work I do requires attention and care, and I'm not interested in scaling it beyond what I can do well.

If you're not sure which of my services fits your situation (or if you're not sure either is right) you're welcome to reach out directly. I'll tell you candidly what I think.

Work with me on a medical situation»

Work with me on a key decision»

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Not ready for a call? Email me a brief description of your situation and I'll let you know if it's a fit.