The story
From the hospital floor to the consultation room.
A career arc shaped by the most complex cases in academic medicine — and the conviction that the answer to most of them was time, depth, and seeing the whole person.
Years of academic hospitalist work.
Dr. St. Marie spent years as an academic hospitalist, caring for severely ill patients across internal medicine, critical care, and complex multi-system disease. He learned to read layered cases — the kind where the third diagnosis is what's actually driving the first two.
He also saw what hospital medicine couldn't deliver: time. The slow, careful, comprehensive evaluation most patients never got — the one that catches the through-line specialists couldn't see in fifteen-minute visits.
“The longer I practiced, the clearer it got: most of these patients weren't getting harder. They were getting less time.”
