Hew Health Field Notes
Vol. I November 2026
Published from Destin & Orlando
Read in 47 states

Field Notes.

Thoughts, stories and ideas.

II Recent Dispatches
Dispatch 07 Jul 2026

Regenerative Medicine for Pain & Joints

Regenerative medicine is a category of treatment that aims to support the body's own repair processes rather than mask symptoms or cut tissue out. In an orthopedic and pain-management context, that usually means injecting biologic materials (your own platelets, for instance) into a joint, tendon, or ligament that

Matthew Koucky · 5 min read
Dispatch 07 Jul 2026

Orthopedic Regenerative Medicine: What to Know First

Most patients who come to us about a stubborn knee, a shoulder that won't quiet down, or a low back that has outlasted two rounds of physical therapy have already done their homework. They've read about PRP. They've heard a friend mention stem cells.

Matthew Koucky · 5 min read
Dispatch 06 Jul 2026

Thyroid Function and Hormone Optimization: T3 & T4

A patient came in last month convinced she was losing her mind. Forty-three years old, runs a small architecture firm, used to swim a mile three mornings a week. Now she was sleeping nine hours and waking exhausted, gaining weight on the same diet she had eaten for a decade,

Matthew Koucky · 5 min read
Dispatch 01 Jul 2026

Hormone Optimization for Women in Perimenopause

Perimenopause rarely announces itself. Most women I see in their early forties describe it as a slow accumulation of small wrongnesses: sleep that used to be reliable now fractures around 3 a.m., periods that arrive ten days early or skip a month, a short fuse that surprises them, weight

Matthew Koucky · 4 min read
Dispatch 22 Jun 2026

What Is Hormone Optimization? A Guide for Adults 35–58

Most of the patients who walk into our practice asking about hormones are not in crisis. They are accomplished, busy, and frustrated. Sleep is shallower than it used to be. Recovery from a hard workout takes three days instead of one. Body composition has shifted despite no real change in

Matthew Koucky · 5 min read
Dispatch 19 Jun 2026

The Conversation We Don't Have Often Enough

# The Conversation We Don't Have Often Enough *On the clinical questions that arrive late in the visit, and what changes when we ask them early.* — The Editorial · Hew Health · Vol I, Issue 09 --- The conversation usually starts with "oh, one more thing." It is the

Matthew Koucky · 5 min read
Dispatch 17 Jun 2026

EBOO and the Limits of Inflammation Science

# EBOO and the Limits of Inflammation Science *An honest accounting of a therapy that has more story than literature, and what we keep and discard from each.* — The Editorial · Hew Health · Vol I, Issue 08 --- Extracorporeal blood oxygenation and ozonation — EBOO — has a story problem. The patients who come

Matthew Koucky · 4 min read
Dispatch 15 Jun 2026

Reading Your Own Bloodwork

# Reading Your Own Bloodwork *A short primer for patients who want to understand what they are looking at before the visit, rather than after.* — The Editorial · Hew Health · Vol I, Issue 06 --- A patient comes in with a folder. The folder has six months of labs in it — quarterly

Matthew Koucky · 4 min read