A pattern I have witnessed more times than I care to count — and what it taught me about the limits of standard care. He was 54. A division president at a firm he had spent 22 years building. Three children. A calendar booked six weeks out. He had never missed an annual physical in a decade. Every year, the same conversation: numbers slightly elevated, watch the blood pressure, good job on the cholesterol, see you next year. What nobody had done — in ten years of annual physi