Blog

Notes fromthe exam room.

Engineering, clinical, and product writing on building owned models and agentic workflows for specialty medicine. Articles below are illustrative [PLACEHOLDER].

Engineering · Clinical AI · Product · Company

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Latest writing

Engineering

Why we own our clinical ASR

Renting speech APIs caps accuracy and leaks PHI. Here's how we built Vocalis on Riva.

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Clinical AI

Verifiers beat bigger models

In medicine, an independent verifier earns more trust than a larger generator.

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Product

The data flywheel, concretely

How every physician edit becomes labeled training data in Forma.

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Clinical AI

Coding with the receipts

Evidence-linked ICD-10/CPT and why auditability is the feature.

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Engineering

On-prem inference for PHI

Packaging owned models as NIM microservices on NVIDIA AI Enterprise.

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Product

Designing motion that respects clinicians

Cinematic, accessible, never in the way of the work.

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Part 1

The wedge.

Why we finish the encounter instead of stopping at the note.

Part 2

The stack.

Owned speech, reasoning, vision — and why GPUs are essential.

Part 3

The flywheel.

How corrections compound into per-provider models.

Part 4

The deployment.

From cloud to air-gapped edge, without losing PHI.

Topics

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Find the writing relevant to your work.

Engineering

Models, serving, and infrastructure.

Clinical AI

Reliability, evals, and specialty depth.

Product

How the ecosystem fits together.

Security

PHI, on-prem, and governance.

Company

Team, mission, and milestones.

Research

What we're learning as we ship.

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A short, technical newsletter on owned clinical models and agentic medicine — no fluff, roughly twice a month. Subscribe via the contact page; we mark anything unverified as illustrative.

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Why we write

Building in public builds trust

Healthcare buys on credibility. Writing openly about our models, evals, and failures is how we earn it — and how we recruit the engineers who want their work in exam rooms.

  • Engineering depth, not press releases
  • Honest about aspirational vs. shipped
  • Clinical reliability in the open
  • Recruiting through real work
Proof

What clinicians say

Outcomes are reported by design partners and marked illustrative [PLACEHOLDER].

“The clearest writing on clinical AI reliability I've found.”
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“Build-in-public done with actual technical depth.”
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