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local-llm

2 posts

Physician-builder at a laptop with a local clinical knowledge graph, binders, stethoscope, and private local server
Technology Featured

The Physician's Stack: Obsidian + Claude Code + Local LLM

How to build a clinical knowledge vault without sending patient data to anyone's server. The two-vaults architecture, ingestion workflows, and the HIPAA-first policy.

· 12 min read
second brainObsidianClaude Code
Physician-developer at a workstation with terminal output and a clinical note glowing on dual monitors, GPU server on the desk, dark clinical office at night
Infrastructure Imperative Featured

The Local Advantage: Why Physician-Developers Should Build on Local LLMs Instead of Consumer AI

Consumer AI tools like ChatGPT and Claude are useful. But a physician-developer who deploys a locally fine-tuned model on controlled infrastructure has something more powerful: a clinical tool that learns your practice, respects your data, and costs less at scale.

· 12 min read
local-llmai-infrastructureclinical-ai