I build things that I think should exist.

StatRad was one of the earliest teleradiology companies in the country, rising from the ashes of a failed nighttime cooperative to become a nationally recognized, JCAHO-approved platform for remote radiology interpretation.

From the ground up, we developed our own PACS system — picture archiving and communication software — along with a complete software workflow platform designed specifically for the demands of high-volume, distributed radiology. Rather than adopting existing solutions, we built tools tailored to the real operational challenges of round-the-clock image reading across a nationwide client base.

At the time of acquisition, StatRad was reading more than two million radiology studies per year. The company was acquired by IMED in 2024.

RadConnect was born from a family tragedy. A serious medical situation could have been better managed — potentially with a very different outcome — had radiology images been available online rather than waiting three days for a FedEx delivery. That gap between what existed and what should exist was the founding insight.

RadConnect created a platform for online radiology image sharing, allowing images to move instantly between providers, specialists, and patients. The platform was later rebranded as Nucleus, rebuilt around a zero-footprint viewer — accessible directly through a browser, with no software installation required on the viewing end. That shift removed a major point of friction for referring physicians and patients alike.

RadConnect was acquired by Change Healthcare in 2020, continuing on under the Nucleus name.

NeuroAlign CT is FDA-cleared software for automated coregistration of serial head CT examinations. When a patient has multiple CT scans over time — after a traumatic brain injury, stroke, or neurosurgical procedure — subtle changes between studies can be difficult to detect visually. NeuroAlign aligns prior scans to the current study automatically, making interval change far more apparent.

The result is faster, more accurate interpretation — with less reliance on the radiologist manually comparing two images side by side. The technology was licensed and later sold to Cortechs.ai, and is backed by two issued US patents.

Launched in 1999, BooksOnMP3 was the first audiobook site I created — and, as far as I know, the first online platform to offer audiobooks in MP3 format. At the time, digital audio distribution for spoken word was essentially nonexistent. MP3 players were new, the idea of downloading a book was novel, and the infrastructure was improvised.

The site was acquired by Books On Tape, establishing early validation for what would become a multi-billion dollar industry.

Created in 2000, Audiobooks.org has operated continuously as an audiobook resource for more than two decades, providing more than 1 million free downloads along the way. What began as an early-internet gathering point for spoken-word audio is now positioned at an inflection point: AI narration is reshaping production economics, and platforms with history, domain authority, and focus are well-placed to benefit.

Current projects in AI audio publishing and ebook synchronization are being developed with Audiobooks.org as a potential distribution home.

In 2011, a New York Times piece on The Notting Hill Mystery — an 1860s detective novel by Charles Felix, serialized in Once a Week between 1862 and 1863 — caught my attention. Here was a book being recognized as a foundational work of the genre, and yet no electronic edition existed. So I produced the first one.

This wasn't a commercial project. One of the first detective novels ever written deserved to exist in electronic form — and it didn't exist. Producing it was the same instinct behind early teleradiology and early MP3 audiobooks: build the thing that should exist.

I am actively exploring opportunities at the intersection of public domain literature, AI audio, and digital distribution — including projects that use AI narration to bring long-neglected works to new audiences at scale, with grad-student editorial curation for quality and fidelity. AI narration also generates positional metadata as a byproduct, and human-narrated books will need equivalent data to stay competitive. I am exploring a proposed open standard for this ebook/audiobook synchronization, with AudioBookMarks.com as its home.

If either area is relevant to your work, I'd welcome a conversation — dbates@joopa.com.