Why did Dr. Mogire build SDE instead of just seeing more patients in clinic?

Because the bottleneck is not clinical capacity, it is the 13-minute primary care appointment that sends men home with "your cholesterol looks fine" before the ApoB, Lp(a), and hs-CRP are ever ordered. The clinical system is structurally unable to give most men the cardiovascular risk conversation they need, not because their physicians lack knowledge, but because the appointment structure, the reimbursement system, and the standard-of-care guidelines are designed for population-level screening rather than individual risk stratification.

SDE was built to operate in the gap between what the clinical system delivers to most men and what preventive cardiology actually knows. The platform exists to give men the clinical translation they cannot get in fourteen minutes, and to build the kind of informed patient who arrives at their physician appointment already knowing what questions to ask. The man who arrives at his primary care appointment with a home blood pressure log, an Lp(a) result, and a specific question about his ASCVD risk calculation gets a different appointment than the man who arrives with no data and waits to be told what to do.

What to do: The platform serves you best when it makes you a more informed patient everywhere else in the healthcare system, not just within SDE itself. Take the knowledge and use it.

For the full picture, read The Mogire Cardiac Risk Audit.