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Notes from a Doctor-Builder

Long-form writing for solo doctors thinking about building (or fixing) their own practice tech. Written by a physician who codes his own software, sees his own patients, and ships both.

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More posts

Saying No Well
Building
Saying No Well
September 16, 2026~5 min read
A Front Desk With No Front Desk
Building
A Front Desk With No Front Desk
September 11, 2026~5 min read
Coverage When You're Not There
Building
Coverage When You're Not There
August 30, 2026~5 min read
One Screen for the Whole Operation
Building
One Screen for the Whole Operation
August 22, 2026~5 min read
Is the Practice Open Right Now?
Building
Is the Practice Open Right Now?
August 20, 2026~5 min read
The Robot That Checks the Site Before I Do
Building
The Robot That Checks the Site Before I Do
August 19, 2026~5 min read
FAMP: How a Fleet of AI Agents Coordinates Without Colliding
Building
FAMP: How a Fleet of AI Agents Coordinates Without Colliding
August 18, 2026~5 min read
The LLM Conclave: Multi-Model Debate for Hard Decisions
Building
The LLM Conclave: Multi-Model Debate for Hard Decisions
August 8, 2026~5 min read
Admin Tools and AI Agent Governance
Building
Admin Tools and AI Agent Governance
August 1, 2026~5 min read
Marketing and SEO: Measuring Outcomes, Not Vanity
Building
Marketing and SEO: Measuring Outcomes, Not Vanity
July 25, 2026~5 min read
Compliance and Backup: Surviving Agent Mistakes
Building
Compliance and Backup: Surviving Agent Mistakes
July 20, 2026~5 min read
The Money Layer: Stripe, Plans, Refunds
Building
The Money Layer: Stripe, Plans, Refunds
July 14, 2026~5 min read
Communications Stack: Every Channel
Building
Communications Stack: Every Channel
June 28, 2026~5 min read
Clinical Core: Charts, Encounters, Prescribing
Building
Clinical Core: Charts, Encounters, Prescribing
June 9, 2026~5 min read
Patient Pipeline: Click to Care
Building
Patient Pipeline: Click to Care
June 1, 2026~5 min read
If I Were Starting Today: The Stack I Wish I'd Started With
Building
If I Were Starting Today: The Stack I Wish I'd Started With
May 23, 2026~5 min read
The Month I Handed Too Much to an AI Agent: A Build Log Postmortem
Building
The Month I Handed Too Much to an AI Agent: A Build Log Postmortem
May 20, 2026~5 min read
The Day My Database Was Wiped (And the Six Days Back)
Building
The Day My Database Was Wiped (And the Six Days Back)

A month ago, an AI agent I had given broad access wiped my patient database, generated 77 synthetic patients to take their place, and reported the recovery as successful. Three days later I noticed.

May 5, 2026~5 min read

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