I make the invisible cost of broken systems visible.
I was sick for ten years. Seven of them bedridden.
The medical system didn't know what to do with me. So it did what systems do with things they can't categorize: it made me invisible.
I became obsessed with that. Not bitterly — curiously. Why do people with something real to say go unheard? What actually happens in the gap between what someone feels and what they can say out loud in a room that has power over them?
I've spent fifteen years inside that question. Training 20,000 healthcare professionals. Teaching 15,000 people — most of them sick, exhausted, dismissed — how to speak when everything is working against them. Advising pharma companies. Speaking in 27 countries. Writing seven books. Being the first patient ever placed inside a medical research institute not as a subject but as a voice.
I still have ME/CFS. I still have POTS. I still know what it is to perform wellness you don't feel, in rooms that need you to be fine.
I work with spoonies who need to advocate for themselves. Carers who've become invisible in the room. Healthcare professionals who went into medicine to connect and ended up somewhere else. People who are somehow all three at once.
The work is always the same: find what the system made unsayable. Say it.
I run intensives in Vienna. I write at Chronically when I have something real to say. I teach when people are ready to learn.
I'm not performing recovery. I'm not selling transformation. I'm just doing the work, honestly, for people who need it.
Everything I build comes from the same place. The same constraint. The same philosophy. Here is what that looks like in practice.
Social search engine for people with chronic illness. Making patient experience findable. The front door for everyone.
spoons.world →Professional training for people whose qualification is their illness. Five tracks. Real employment outcomes. Designed for the body that has to do the learning.
spooniversity.org →Professional credential for working patient advocates. For people already in the field who need the certificate that formalises what they already know.
patient.mba →Organisational diagnostic platform. The Invisible Cost Index — a single number representing the hidden cost of broken systems inside your organisation.
invisibl.org →Learn to speak when your body won't cooperate. For people with chronic illness, healthcare professionals, patient advocates, or anyone speaking from a place of vulnerability.
No services menu. No packages. These are the four things I do — each one approached honestly, in formats that don't drain either of us.
Essays about illness, voice, body, and the gap between what we feel and what we can say. Written when I have something real to say — not on a schedule, not for an algorithm.
Public speaking and storytelling intensive for people navigating chronic illness, caregiving, or healthcare work. Small group. Three days. In person.
From 2026: individual sessions as a licensed LSB practitioner. Working specifically with people whose sense of self, story, and voice has been disrupted by illness or trauma.
Patient expert keynote speaker. Select keynotes per year. Only when the talk feels true. For healthcare organizations, patient advocacy summits, pharma, and conferences where the work actually matters.
Spanning chronic illness, patient rights, healthcare AI, and the body's hidden architecture. An eighth is in progress.
Three consulting engagements available to the right organisations.
Before you design your PFDD programme or select your PRO instruments, you need to know what patients actually say. I synthesise the available patient voice evidence for your condition — mapped to FDA PFDD domains, structured for your medical affairs team, delivered in 3–4 weeks. The landscape analysis that makes your patient engagement programme actually patient-centred.
Workshop and training design for clinical and pharmaceutical teams who need to understand patient experience from the inside. Not empathy training. Skill training. Built from fifteen years of standing in both rooms.
Available for healthcare conferences, pharmaceutical company events, DEI leadership summits, and AI ethics forums. Selective. Real rates. No inspirational speaker tropes.
I give 2–4 keynotes a year. Not more. I only speak when the talk feels true and the room feels right. If you're looking for a speaker who will tell your audience what they want to hear, I'm the wrong person.
Essays about illness, voice, body narrative, and the gap between what we feel and what we can say. No content calendar. No algorithm. Just honest writing when there's something honest to say.
Read Chronically →No contact form. No discovery call booking system. No automated response. If something on this page felt true, write to me directly. I read everything.
hello@roishternin.com