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Field notes from production AI.

Long-form essays from the engineers shipping AI inside payers, hospitals, energy operators and proptech platforms. Written for technology leaders who care more about what runs in production than what trended last week.

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Field notes, sorted by recency.

1314 essays
TECHNOLOGY Medical ImagingPipelines: Storage,Inference, andCompliance. How to build medical imaging pipelinesthat handle storage, AI inference, and… DESIGN SHIP OBSERVE REFINE MEDICAL
Insights · Jun 16, 2026

Medical Imaging Pipelines: Storage, Inference, and Compliance

How to build medical imaging pipelines that handle storage, AI inference, and compliance at scale: DICOM, model integration, and the controls a clinical deployment needs.

12 min read
TECHNOLOGY Clinical DecisionSupport: Avoiding AlertFatigue by Design. How to design clinical decision supportthat avoids alert fatigue: relevance… ASSESS ADOPT OPTIMIZE GOVERN
Insights · Jun 16, 2026

Clinical Decision Support: Avoiding Alert Fatigue by Design

How to design clinical decision support that avoids alert fatigue: relevance, specificity, and the controls that keep alerts trusted and acted on, not dismissed.

12 min read
TECHNOLOGY De-Identification atScale: Techniques forHealthcare Analytics. Techniques for de-identifying healthcaredata at scale for analytics and AI… ARCHITECTURE SECURITY RELIABILITY COST DEIDENTIFICATION
Insights · Jun 16, 2026

De-Identification at Scale: Techniques for Healthcare Analytics

Techniques for de-identifying healthcare data at scale for analytics and AI: methods, re-identification risk, and the controls a compliant de-identification pipeline needs.

11 min read
TECHNOLOGY Consent Management forHealthcare AI: Patternsand Pitfalls. How to manage patient consent forhealthcare AI: capturing, enforcing, and… DISCOVERY DESIGN DELIVERY SCALE
Insights · Jun 15, 2026

Consent Management for Healthcare AI: Patterns and Pitfalls

How to manage patient consent for healthcare AI: capturing, enforcing, and honoring consent across data uses, with the patterns and pitfalls a compliant system needs.

12 min read
TECHNOLOGY AI in Revenue CycleManagement: Where theROI Actually Is. Where AI delivers real ROI in healthcarerevenue cycle management, coding… MODEL DEPLOY MONITOR ITERATE AI
Insights · Jun 15, 2026

AI in Revenue Cycle Management: Where the ROI Actually Is

Where AI delivers real ROI in healthcare revenue cycle management, coding, denials, prior auth, and where it does not, with the controls a production deployment needs.

12 min read
TECHNOLOGY FHIR-NativeArchitectures: Designingfor Interoperability. What FHIR-native architecture means andhow it delivers real healthcare… ASSESS ADOPT OPTIMIZE GOVERN
Insights · Jun 15, 2026

FHIR-Native Architectures: Designing for Interoperability

What FHIR-native architecture means and how it delivers real healthcare interoperability: using FHIR as the model, not a translation layer, plus the controls it needs.

12 min read
TECHNOLOGY Healthcare DataLakes: Governing PHIat Petabyte Scale. How to build a healthcare data lake thatgoverns PHI at petabyte scale: access… HEALTHCAREDATA DO Start from metricsShip incrementallyAutomate the guardrails AVOID Big-bang rolloutsSkipping discoveryManual, ad-hoc checks
Insights · Jun 15, 2026

Healthcare Data Lakes: Governing PHI at Petabyte Scale

How to build a healthcare data lake that governs PHI at petabyte scale: access control, lineage, de-identification, and the controls a compliant platform needs.

12 min read
TECHNOLOGY Ambient ClinicalIntelligence: Beyond theHype of AI Scribes. What ambient clinical intelligenceactually requires in production beyond… 01 Level 1 02 Level 2 03 Level 3 04 Level 4 AMBIENT CLINICAL
Insights · Jun 15, 2026

Ambient Clinical Intelligence: Beyond the Hype of AI Scribes

What ambient clinical intelligence actually requires in production beyond AI scribe demos: accuracy, clinician workflow, compliance, and the controls that make it safe.

12 min read
TECHNOLOGY AWS Backup and DR:Building a Recovery PlanThat Actually Works. How to build an AWS backup and disasterrecovery plan that actually works… 01 Scope 02 Build 03 Launch 04 Iterate
Insights · Jun 15, 2026

AWS Backup and DR: Building a Recovery Plan That Actually Works

How to build an AWS backup and disaster recovery plan that actually works: RPO/RTO targets, tested restores, and the controls that turn backups into real recovery.

12 min read
TECHNOLOGY AWS PrivateLink forSaaS: Architecture forB2B Integrations. How AWS PrivateLink enables private B2BSaaS integrations without exposing… PLAN BUILD MEASURE IMPROVE AWS
Insights · Jun 15, 2026

AWS PrivateLink for SaaS: Architecture for B2B Integrations

How AWS PrivateLink enables private B2B SaaS integrations without exposing services to the internet: architecture, patterns, and the controls a production setup needs.

12 min read
TECHNOLOGY Bedrock KnowledgeBases: Managed RAGand Its Limits. What Amazon Bedrock Knowledge Basesoffer for managed RAG, where they save… 01 Discover 02 Prototype 03 Harden 04 Roll out
Insights · Jun 15, 2026

Bedrock Knowledge Bases: Managed RAG and Its Limits

What Amazon Bedrock Knowledge Bases offer for managed RAG, where they save effort, and where their limits mean you need a custom retrieval pipeline instead.

13 min read
TECHNOLOGY AWS Glue vs.Self-Managed Spark:The Real Tradeoffs. The real tradeoffs between AWS Glue andself-managed Spark: control, cost… AWS GLUE /SELF-MANAGEDSPARK: AWS Glue Best fit for your caseSimpler to operateLower switching cost Self-Managed Spark: Added complexityHeavier toolingSteeper learning curve
Insights · Jun 15, 2026

AWS Glue vs. Self-Managed Spark: The Real Tradeoffs

The real tradeoffs between AWS Glue and self-managed Spark: control, cost, operational burden, and how to choose the right one for your data workloads.

13 min read
TECHNOLOGY Karpenter vs. ClusterAutoscaler on EKS: A2026 Comparison. A 2026 comparison of Karpenter andCluster Autoscaler on EKS: how each… KARPENTER/ CLUSTERAUTOSCALER Karpenter Best fit for your caseSimpler to operateLower switching cost Cluster Autoscaler Added complexityHeavier toolingSteeper learning curve
Insights · Jun 9, 2026

Karpenter vs. Cluster Autoscaler on EKS: A 2026 Comparison

A 2026 comparison of Karpenter and Cluster Autoscaler on EKS: how each scales nodes, their tradeoffs in flexibility and cost, and how to choose for your cluster.

12 min read
TECHNOLOGY AWS Cost AnomalyDetection: CatchingSpikes Before the Bill. How AWS Cost Anomaly Detection catchescost spikes before the monthly bill… 100% EFFORT MIX Strategy 32% Engineering 26% Governance 24% Enablement 18%
Insights · Jun 8, 2026

AWS Cost Anomaly Detection: Catching Spikes Before the Bill

How AWS Cost Anomaly Detection catches cost spikes before the monthly bill: setup, monitors, alerting, and the practice that turns surprises into early signals.

12 min read
TECHNOLOGY EventBridge as theBackbone of Event-DrivenAWS Architectures. How Amazon EventBridge serves as thebackbone of event-driven AWS… PLAN BUILD MEASURE IMPROVE EVENTBRID…
Insights · Jun 8, 2026

EventBridge as the Backbone of Event-Driven AWS Architectures

How Amazon EventBridge serves as the backbone of event-driven AWS architectures: decoupling, routing, schema, and the controls a production event bus needs.

12 min read
TECHNOLOGY AWS Control Tower:Multi-Account DoneRight. How AWS Control Tower sets upmulti-account governance the right way… 01 Discover 02 Prototype 03 Harden 04 Roll out
Insights · Jun 8, 2026

AWS Control Tower: Multi-Account Done Right

How AWS Control Tower sets up multi-account governance the right way: guardrails, account factory, and where it fits versus a hand-built landing zone.

12 min read
TECHNOLOGY Why Most DataArchitectures Breakat 10x Scale. Why data architectures that work todaybreak at 10x scale, the assumptions that… 10x MOST DATA ARCHITECTUR… MOST · DATA · ARCHITECTURES · BREAK
Insights · Jun 8, 2026

Why Most Data Architectures Break at 10x Scale

Why data architectures that work today break at 10x scale, the assumptions that fail, and how to design for the next order of magnitude without over-building today.

13 min read
TECHNOLOGY Spot Instances inProduction: ResiliencePatterns That Save 70%. How to run Spot Instances in productionsafely: handling interruptions… 100% EFFORT MIX Strategy 32% Engineering 26% Governance 24% Enablement 18%
Insights · Jun 8, 2026

Spot Instances in Production: Resilience Patterns That Save 70%

How to run Spot Instances in production safely: handling interruptions, diversification, and the resilience patterns that capture up to 70% savings without outages.

12 min read
TECHNOLOGY AWS Networking DeepDive: VPCs, TransitGateway, and PrivateLink. A deep dive into AWS networking, VPCs,Transit Gateway, and PrivateLink, and… 01 Ad hoc 02 Managed 03 Defined 04 Optimized AWS NETWORKING
Insights · Jun 8, 2026

AWS Networking Deep Dive: VPCs, Transit Gateway, and PrivateLink

A deep dive into AWS networking, VPCs, Transit Gateway, and PrivateLink, and how to choose the right connectivity pattern for your architecture and scale.

12 min read
TECHNOLOGY Choosing Between Aurora,RDS, and DynamoDB forYour Workload. A decision framework for choosingbetween Aurora, RDS, and DynamoDB… CHOOSINGBETWEEN DO Start from metricsShip incrementallyAutomate the guardrails AVOID Big-bang rolloutsSkipping discoveryManual, ad-hoc checks
Insights · Jun 8, 2026

Choosing Between Aurora, RDS, and DynamoDB for Your Workload

A decision framework for choosing between Aurora, RDS, and DynamoDB: access patterns, scale, consistency, and cost, matched to what your workload actually needs.

12 min read
TECHNOLOGY AWS Organizations andSCPs: Governance at theAccount Level. How to use AWS Organizations and ServiceControl Policies for account-level… STRATEGY DELIVERY GOVERNANCE SCALE AWSORGANIZATIONS
Insights · Jun 8, 2026

AWS Organizations and SCPs: Governance at the Account Level

How to use AWS Organizations and Service Control Policies for account-level governance: structure, guardrails, and the controls a production multi-account setup needs.

12 min read
TECHNOLOGY Cloud Exit Strategies:Designing forPortability From Day One. How to design cloud architectures forportability without over-investing in… PLAN BUILD MEASURE IMPROVE CLOUD
Insights · Jun 8, 2026

Cloud Exit Strategies: Designing for Portability From Day One

How to design cloud architectures for portability without over-investing in cloud-agnosticism: where lock-in matters, what to abstract, and the controls an exit needs.

13 min read
TECHNOLOGY Service Meshes in2026: Worth theComplexity?. A clear-eyed look at service meshes in2026: what they solve, the complexity… SERVICEMESHES DO Define ownership earlyMeasure before scalingBuild for observability AVOID Unclear accountabilityPremature optimizationBlack-box systems
Insights · Jun 8, 2026

Service Meshes in 2026: Worth the Complexity?

A clear-eyed look at service meshes in 2026: what they solve, the complexity they add, when they are worth it, and how to decide for your architecture.

13 min read
TECHNOLOGY TheMonolith-to-MicroservicesMigration Nobody WarnsYou About. The hidden costs ofmonolith-to-microservices migration… PEOPLE PROCESS PLATFORM PRACTICE MONOLITHMICROSERVICES
Insights · Jun 8, 2026

The Monolith-to-Microservices Migration Nobody Warns You About

The hidden costs of monolith-to-microservices migration nobody warns you about: distributed complexity, data, and the disciplined, incremental approach that works.

12 min read
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