Our Story

My interest in point-of-care ultrasound began early in my second year of residency. I remember late one weekend night, an ambulance was bringing in a young woman who had passed out at home after an evening out dancing with friends. We expected an intoxicated patient. Instead, we walked into the room to find a critically ill, profoundly hypotensive woman.

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POCUS was not routinely used but I decided to place a curvilinear probe on her abdomen. Almost immediately, I saw extensive free fluid throughout the peritoneal cavity. Based on the imaging, I told her I was worried about a ruptured ectopic pregnancy. She quickly told me that couldn't be possible; she had been diagnosed with a miscarriage four weeks earlier.

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Suddenly , the pieces fit together. A previously empty uterus combined with extensive intraperitoneal free fluid and profound hypotension pointed to a ruptured ectopic pregnancy requiring emergent surgical intervention.

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We urgently contacted gynecology. I remember repeatedly telling the gynecologist, "She has a positive FAST exam."

After the third or fourth time, the gynecologist finally looked at me and said, "I don't understand what you're saying."

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That moment taught me two lessons that have shaped my career. First, bedside ultrasound could reveal critical information within minutes and fundamentally change how I cared for a patient. Second, finding the answer wasn't enough. I needed to communicate what I was seeing in a way that other clinicians could immediately understand and trust.

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Those realizations have shaped my career path into what it is today. For more than 15 years, I have taught POCUS to thousands of medical students, residents, fellows, faculty, and practicing physicians. I have built and led emergency ultrasound programs at two prominent academic medical centers.

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Through all of that experience, I've become convinced of one thing: POCUS doesn't need to be complicated.

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That's why I created POCUS Geek.

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My goal is to take concepts that can seem complex and focus on what actually matters at the bedside: How do I get the image? What findings do I really need to know? And how do I use those findings to make better clinical decisions?

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POCUS Geek is built around practical, focused education for clinicians. No unnecessary complexity. The emphasis is on using goal-directed POCUS early in the evaluation to answer focused clinical questions and guide patient care.

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Because ultimately, POCUS isn't about making beautiful images. It's about getting the information you need to take better care of the patient in front of you.

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