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Insights

Notes on architecture, infrastructure, security, and AI systems — written from work I have actually shipped.

Health Technology

8 min read

Four connectivity states, one clinic

Offline-first is usually modelled as a boolean. Building HealthOS taught me that a hospital needs at least four states, and that the user has to be able to see which one they are in.

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Health Technology

7 min read

Multi-tenancy when the tenants are hospitals

Three separations get conflated in multi-tenant systems: tenant, role, and workflow. Clinical software makes the cost of confusing them obvious.

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AI Systems

8 min read

What an AI agent needs before you can leave it running

Notes from taking a retrieval-and-reasoning agent from a working demo to something that runs unattended and touches a blockchain.

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Security & Infrastructure

7 min read

A risk score you cannot explain is noise

Modelling package dependencies as a graph for Argus Protocol, and why tracing the reason behind a score mattered more than the scoring itself.

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Security & Infrastructure

6 min read

Security trade-offs for small teams

The controls I put in first when there is no security budget, no dedicated team, and real consequences if something goes wrong.

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Systems Architecture

7 min read

When custom software is worth it

I have deployed bought systems across multiple healthcare sites and I am building a platform from scratch. The decision between the two is less about cost than about who owns the problem.

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Systems Architecture

6 min read

Designing systems for unstable infrastructure

What I have learned running technology across sites where neither power nor connectivity can be assumed, and how that changes the architecture rather than just the ops plan.

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