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Walt SpenceNo. 042

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Healthcare Tech

Sleep medicine, hospital systems, and the technology gap in clinical work.

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2011Publishing history, charted as a night's sleep · 2026

There are way too many articles selling a lifestyle that doesn’t ex...Thought · Aug 20154 ThoughtsAug 2018Remote work isn’t new. We ran EnLab as a distributed team in 2015. ...Thought · Apr 2020Home sleep tests will keep growing, and they should. But a home tes...Thought · Sep 2020NFTs are the new box of samples. Same pitch, new chain.Thought · Mar 2021The patient trusts the device, and the device maker never meets the...Thought · Jul 2021Pediatric studies are the hardest work in sleep medicine and the mo...Thought · Apr 2022Everyone’s asking what ChatGPT knows. The better question is what i...Thought · Dec 2022Prompt engineering is a job title for a problem that should be solv...Thought · May 2023The AI demo ends when the model says it worked. The product starts ...Thought · Oct 2023Run a model on your own machine once and you’ll understand what you...Thought · Mar 2024A small model that knows its job beats a big model guessing at yours.Thought · Aug 2024I don’t want an AI that does everything. I want one that tells me e...Thought · Feb 2025If your agent’s only memory is the chat window, it doesn’t have a m...Thought · Jun 202512 ThoughtsOct 2026 – Nov 2026

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Walt Spence · Virginia · No. 042 · set in Anybody, Public Sans & IBM Plex Mono · rails-rendered · no tracking · text and code CC BY-SA 4.0 unless a page says otherwise · canonical home https://waltspence.com