20+ yrs in healthcare. Clinical AI Architect. Working on Making AI clinically useful. #HealthcareAI #HealthTech
Palmdale
- Tweets 657
- Following 107
- Followers 41
- Likes 651
Pinned Tweet
I’ve spent over 15 years on the front lines of healthcare. I’ve personally felt where and how the system breaks, and how it impacts patients, their families, & our communities.
Now, I build AI infrastructure to fix those pain points. 🧵
#DigitalHealth #AI #Innovation #HealthIT
1
2
424
My claude-mem PR had a plot twist: another contributor already fixed the same OpenCode bug 3 weeks earlier.
Instead of dueling PRs, we coordinated — their fix, my bundle-level regression test.
github.com/thedotmack/claude… #OpenSource #TypeScript #OpenCode
6
I get ~8.8 tokens/second on an M1 iMac 16GB via ollama
Wait Xiaomi has also released the best 9B model in the world?!
This model is based on Qwen-9B...
And you can easily run it even on 8GB of memory!
- MIT license
- Multimodal (image + text)
- Solid for coding/agentic tasks
Perfect to use locally and offline... even on a laptop with unified memory!
24
claude-mem's opencode plugin failed to load — the bundle leaked non-function exports the loader called as factories. Now only the plugin function ships, tested against the real built bundle. github.com/thedotmack/claude… #OpenSource #TypeScript #OpenCode
3
93
it's very real, especially the ~guilt/pressure I had buying into a high ticket subscription had me sucked in to feeling like I had to be all-in on AI or have a bad ROI
Taking a step back for a month or 2 has helped me be more rational and moderate usage
Addictive behavior
266
Open-sourced my clinical LLM safety harness 🛡️ Hallucination detection, citation enforcement, self-harm/vulnerable-person safeguarding with P0 escalation, and a tamper-evident audit trail. github.com/rtmalikian/clinic… #LLMSafety #HealthAI #OpenSource #PatientSafety
12
Fixed: headroom's .xls loader fabricated digits above 2^53 — your 123456789012345678 showed as ...680. Now renders the honest float, matching the .xlsx loader. PR: github.com/headroomlabs-ai/h… #OpenSource #Python #AI
2
21
Those precisely timed, targeted posts around whatever the latest thing is.
Calculated enough that it feels almost violent.
Less conversation, more extraction, optimized for engagement. Wonder how much is genuine vs polished performance 🥱
14
Your local AI app shouldn't choreograph its sidebar every launch.
My ollama PR github.com/ollama/ollama/pul… stops the load-time animation — transitions deferred until after first paint, instant-feeling startup.
#Ollama #LocalAI #OpenSource #LLMs #SelfHosted
2
66
AI Twitter has pure trainspotting energy:
Refreshing leaderboards for tiny bumps, posting every new SOTA like the 14:37 from Crewe, getting giddy over 3D renderings.
Slightly obsessive but y'all are safe, harmless observers.
Wholesome, really.
#AI #LLM #Benchmarks
15
Loneliness Doesn't Mean Broken — A Gentle Conversation ✨ piped.video/live/vENzGTa8yXA… via @YouTube
1
435
Had a great live stream, thanks to @GGalustanian who got a shout out for their some awesome feedback on connect-mind.com and support!
1
31
Fixed a silent data-loss bug in headroomlabs-ai/headroom!
SmartCrusher now discloses dropped array items with a retrievable CCR sentinel instead of vanishing without a trace.
#OpenSource #VectorDB #MachineLearning
github.com/headroomlabs-ai/h…
2
43
