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Planes, Trains and Automobiles
What the life of a CRA reveals about the systems behind clinical trials
Jan 13
•
Suzanne Vyvoda
5
2
The End of Quiet Heroics
What 2026 makes unavoidable; and what it finally makes possible
Jan 6
•
Suzanne Vyvoda
3
4
‘We’ll Fix It Later’ Is How Things Break
How fragmentation, deferred decisions, and invisible load quietly reshaped biotech — and what it will take to build differently in 2026
Dec 30, 2025
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Suzanne Vyvoda
6
2
Before a Medicine Reaches You, It Has to Survive
Inside the clinical trial process that turns ideas into evidence
Dec 23, 2025
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Suzanne Vyvoda
4
6
The Architecture of a Broken Heart
What my mother’s life and death taught me about endurance, love, and the hidden language of women’s hearts.
Dec 16, 2025
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Suzanne Vyvoda
23
7
3
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Where Good Technology Goes to Die
Why Clinical AI and Digital Tools Stall Inside Real Trials — and What It Actually Takes to Make Them Work
Dec 9, 2025
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Suzanne Vyvoda
11
8
A CRC’s Day Is a Five-Alarm Fire. CROs and Sponsors Keep Bringing More Matches.
Inside the lived reality of clinical trial sites—the part of the trial everyone relies on, but almost no one understands.
Dec 2, 2025
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Suzanne Vyvoda
8
6
Trials as Architecture: What Biotech Can Learn from Ruins.
What we build in biotech is not all that different from what architects built in the ancient world.
Nov 25, 2025
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Suzanne Vyvoda
5
1
🩺 The Rules That Built Medicine — and the Ones Holding It Back
How the aftermath of war, scandal, and discovery shaped the rules that govern medical research today.
Nov 18, 2025
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Suzanne Vyvoda
5
2
2
We Promised a Revolution. We Built a Maze: The Real State of DCTs in 2025
Decentralized Clinical Trials promised to transform research. What worked, what didn’t, and why the revolution lost momentum.
Nov 11, 2025
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Suzanne Vyvoda
8
8
It didn’t start as a business. It started as a reaction.
The origin story of how the system that shaped me became the one I set out to change.
Nov 4, 2025
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Suzanne Vyvoda
8
1
Fragmented Foundations: The Hidden Fault Line Beneath Every Clinical Trial
The disconnect within sponsors — and across CROs, vendors, and sites — is breaking the clinical development process apart.
Oct 28, 2025
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Suzanne Vyvoda
4
2
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