From the build log.
Notes on chronopharmacology, protocol architecture, and what it takes to build health intelligence for people who are already carrying a lot.
The polypharmacy problem.
When medications treat the side effects of other medications, the cascade compounds. Here's how we untangle it.
Drug-nutrient depletion.
Your PPI is silently draining your magnesium. The engine catches it before you feel it.
The design of quiet software.
How we think about an interface for someone who is already carrying a lot. The short answer: the screen should ask for less than it gives back.
What Pivotical is not.
It is not a clinician. It is not a diagnosis. It is not the place to take an emergency. We say this clearly so that what it is can be clear too.
On language.
Words shape how a tool feels. We try not to call ourselves anything that sounds like a category we don't want to live in.
What we mean by 'watching with you.'
An agent isn't a chatbot. It's a small specialist that notices in its own lane and brings you the one thing you need to know.
The work that happens between appointments.
Most of managing a long condition isn't the visit. It's the hundred small decisions you carry alone in the weeks after.
Why I'm building this.
A short, honest version. I needed something that didn't exist, so we started building it.