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Origins

This is the founder's personal journal entry. It is preserved in the founder's own words and provides background to the origins of Contrada.

Siena viewed across sunlit rooftops, with the cathedral rising above the city.
Siena, Italy. Archival image from the Contrada Collective. Photograph by Luigi Di Carlo.

It was the summer of 2016 when I arrived in Siena, Italy—my home for a few months before returning to college. Exhausted from travel, I stepped off the bus into something I couldn't quite explain. The sound of children playing echoed through narrow stone streets, the smell of fresh bread lingered in the air, and life moved with a rhythm that felt both slower and more complete. I had come to study the language and live with a host family. But almost immediately, it was clear I had stepped into something far deeper.

An early photograph from Siena in June 2016.
Arrival in Siena, the first photograph of the summer. June 19, 2016.

“I had stepped into something far deeper.”

A room in Siena photographed on June 19, 2016.
Bedroom with a host family, Siena, June 2016.

Siena is divided into 17 Contrade—tight-knit communities defined by identity, tradition, and belonging. But what stayed with me was not the structure—it was the way of life. Health was not something pursued. It was the natural result of how people lived each day. Meals were fresh and local. Movement was constant. Rest was respected. Stress was softened by routine, by pause, by connection. Harmful excess was rare, replaced by quality and intention. And community was ever-present.

One evening, as the heat of the day gave way to a cool breeze, I walked to the Piazza del Campo. There, sitting along the stone ledge beneath the Torre del Mangia, were three elderly men—laughing, leaning into one another, fully alive. They had each walked there. They weren't surviving. They were living well. And in that moment, something became clear: this was what health was meant to look like.

Piazza del Campo and the Torre del Mangia at night.
Piazza del Campo at night, Siena, June 2016.

I left Siena with a vision I couldn't ignore. Over the years that followed, that vision was shaped through training in Internal Medicine and Pediatrics, certification in Lifestyle Medicine, and study of healthcare systems across the world. What emerged was a simple but powerful truth: the best care is not found in choosing between approaches, but in combining them—the precision of evidence-based medicine with the quieter, foundational power of lifestyle. The same principles I witnessed in the Contrade—nutrition, movement, sleep, stress management, avoidance of harmful substances, and deep social connection—became the pillars of a second, equally essential form of medicine.

“The best care is not found in choosing between approaches, but in combining them.”

Contrada was built on this integration. Named after the communities that first inspired it, it represents a return to a more intentional way of practicing medicine—one that brings together modern medical expertise with a way of life that sustains health. Here, care is not passive or episodic. It is continuous, deliberate, and designed to help patients not only be treated, but to truly thrive.

Archive

The handwritten entry

The original handwritten pages are included as part of the entry's record, preserving the personal character of the source material.

First scanned spread of the handwritten Origins journal entry.
Second scanned spread of the handwritten Origins journal entry.