CTO at RevelAI Health. Tinkering with Byaan, an open-source local-first AI data agent. Previously Vincere Health (acquired)

Joined January 2015
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I'm usually the optimist in the room when it comes to AI. Lately I'm less sure. The promise was that AI would level the playing field. Anyone with curiosity and a laptop could compete with anyone. But watching the latest generation of frontier models roll out, I see a different pattern forming. The best intelligence is metered by API usage. The more you can pay, the more leverage you get. Companies and individuals with deep pockets compound their advantage while everyone else works with second-tier tools. If that holds, AI doesn't flatten the hierarchy. It hardens it. Some people could end up as a permanent underclass, priced out of the very intelligence that was supposed to lift them up. This is why open source matters more than ever. Not as a nice-to-have, but as the only real counterweight. I hope open models catch up fast, because the alternative is a world where access to intelligence is just another thing money buys. Just a thought I keep coming back to.
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Quick demo of Byaan. It’s a self-hosted AI data analyst I built for asking questions over Postgres, Mongo, MySQL, SQLite, ODBC, and files. The main idea: it should remember your schema notes, metric definitions, and corrections instead of starting from zero every chat. The github url is in comments
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Your AI writes perfect SQL. Also completely wrong SQL. The problem is not the model. It is that nobody has figured out how to teach AI what the data actually means. Wrote about the tribal knowledge gap, why semantic layers are not enough, and what a real fix looks like.
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Six months into using Claude Code full-time. My tmux splits have replaced every IDE panel I used to depend on. The context stays in the terminal, the history stays in git, and the AI sees exactly what I see. No GUI abstraction layer eating tokens.
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Spider benchmark says text-to-SQL is 86% accurate. Spider 2.0, which uses real enterprise schemas, says 6%. That is not a rounding error. That is the difference between a demo and production. Most AI data tools are optimized for the demo.
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this isn’t about AI replacing doctors. It’s about access. Patients are already using AI as their first touchpoint. Consumer-driven healthcare is here. Health systems need to meet patients where they are through technology
This isn’t an edge case. From anonymized U.S. ChatGPT data, we are seeing: • ~2M weekly messages on health insurance • ~600K weekly messages from people living in “hospital deserts” (30 min drive to nearest hospital) • 7 out of 10 msgs happen outside clinic hours
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My Claude Code setup right now: export CLAUDE_CODE_NO_FLICKER=1 alias cc="~/.local/bin/claude --permission-mode auto" Two lines. Biggest productivity unlock I’ve had in months. What changed: No flicker modeL feels like a real app, not terminal spam Auto permissions: no more clicking “approve” 40 times Just give it a task: come back to a PR The key insight: Manual approvals aren’t safety. They’re just friction. Auto mode handles the risky stuff. Everything else moves. A few quick upgrades: Run /powerup (this is very new, to learn features) Add a CLAUDE.md (teaches it your stack conventions) Create custom slash commands for repeat workflows or skills super helpful Try the CLI for a week. Same product… but the CLI UX just hits different. Feels faster, locks you in, and honestly way more fun with tmux.
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4 Aug 2025
Claude Code Made Me Fall in Love with the Terminal Like many of you, I recently made the full switch from Cursor to Claude Code. This transition marked more than just a tool change – it fundamentally transformed how I think about development environments. For years, I lived in VSCode (recently Cursor), relying heavily on mouse navigation and minimal keyboard shortcuts. I resisted the pull of Neovim and keyboard-centric workflows. But after embracing Claude Code, I discovered something profound: the terminal is the new IDE. You can run it everywhere with a consistent workflow – be it a Linux box, your Mac, or a VPS. That's all you need.
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4 Aug 2025
Like many of you, I recently made the full switch from Cursor to Claude Code. This transition marked more than just a tool change – it fundamentally transformed how I think about development environments.
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4 Aug 2025
For years, I lived in VSCode (recently Cursor), relying heavily on mouse navigation and minimal keyboard shortcuts. I resisted the pull of Neovim and keyboard-centric workflows. But after embracing Claude Code, I discovered something profound: the terminal is the new IDE. You can run it everywhere with a consistent workflow – be it a Linux box, your Mac, or a VPS. That's all you need.
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