Writing

All articles and notes

• How do you change a database schema without downtime? Article · Modernization: compatible releases, bounded backfills, verification, and rollback.
• How should an EHR integration recover from a timeout? Article · Integration: durable write identity, duplicate protection, timeout recovery, and reconciliation.
• I tried Laya for ticket routing. Here’s what happened. Article · AI: zero-shot ticket routing, comment context, and the limits of a small offline experiment.
• How should you handle an LLM model deprecation? Article · Pinning, frozen eval cases, migration strategies, and a testable model swap window.
• How to choose between RAG and fine-tuning Article · Where the knowledge lives, how fast it changes, and how to test the choice.
• What does it cost to run an AI agent in production? Article · Context growth, retries, cost per completed task, and estimating agent spend before launch.
• How should healthcare software handle patient matching? Article · Patient identity matching, duplicate records, review queues, and safe healthcare workflows.
• When should a healthcare startup build an EHR integration? Article · Build vs buy, workflow proof, writeback risk, and EHR integration sequencing.
• Making agents work like an engineering team Article · Shared stories, PRs, review agents, compliance checks, and state transitions.
• How to evaluate an AI agent before production Article · Agent behavior, tool failures, eval cases, and rollout safety.
• Building AI into healthcare software without breaking compliance Article · Data boundaries, human review, audit trails, and fallbacks.
• Designing AI features that operations teams can trust Note · Confidence thresholds, fallbacks, review loops, and reliability.
• Modernizing legacy platforms without stopping the business Note · De-risking migrations while improving availability.
• Where healthcare software needs better product taste Note · Workflows, interoperability, compliance, and usability.