Building the Physician's Knowledge Flywheel
Why the vault gets exponentially more valuable the more you use it. The long-game thesis: this is the clinical infrastructure that vendors cannot build.
· 10 min read
The Thinking Partner Commands Every Physician Should Build
Slash commands that replace the morning literature review. /challenge, /emerge, /connect, /close-clinic, /graduate: clinical reasoning augmentation, not automation.
· 11 min read
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
What Karpathy Actually Built (and Why It Matters for Medicine)
The compilation analogy, explained for clinicians. How LLM Wiki compiles clinical knowledge into synthesized entity pages instead of re-retrieving chunks on every query.
· 9 min read
The Physician's Second Brain: A 5-Post Series
A complete guide to building an LLM-powered clinical knowledge vault. Why existing PKM failed physicians, how to build one that works, and why this is the infrastructure layer physicians must own.
· 3 min read
The PKM System That Was Never Built for You
Why every personal knowledge management app failed physicians specifically, and why Karpathy's April 2026 LLM Wiki changes everything.
· 9 min read