Start here · essay · 5 min ·
Supposed to Run Itself
After a year of building a fleet of AI agents at home, I think the models are the easy part, and most of what gets called agent engineering is a demo.
Registered Polysomnographic Technologist with 20+ years in sleep medicine; I lead the hypoglossal nerve stimulation (HGNS) program at Bon Secours St. Mary's Hospital in Richmond, VA. I also build and run AI agent systems and the software around them.
Start here · essay · 5 min ·
After a year of building a fleet of AI agents at home, I think the models are the easy part, and most of what gets called agent engineering is a demo.
0 days since the last note
Updated 2 Nov 2026
Leading the hypoglossal nerve stimulation (HGNS) program at Bon Secours St. Mary’s Hospital in Richmond, VA, and running studies of every type.
3 active · 2 experimental · 1 paused
The bar under each title is its length
Live
Autonomy and authority aren’t the same thing. Agents can do the work. Restarting the system should still take my signature.
Match the model to the stakes. A small coding model is fine for light work and the wrong call for anything critical.
When a model swings from “this is nothing” to “build everything around this” in one reply, call it out and get a second opinion.
A good test for any app: what would make it a no-question $25 one-time purchase?
Ask what standard practice is. Then ask what the gold standard is, and build toward that one.
Don’t let the main menu turn into a junk drawer. Anything that keeps piling up gets its own menu.
Name things so they don’t collide with words people already know. “Package” already means something on Linux.
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