Forward-Deployed Engineering β I land clinical AI inside a hospital's real systems
(VPC, behind the firewall β not vendor SaaS), wire it into their EHR workflow, operate it in prod, and
drive adoption. The model is the easy part; the engagement is the job.
rules_fallback vector store down β rule-only ESI, still safe
off assistant silent β pure human triage
Live on Cloud Run (~$0 idle, scale-to-zero). Rule-based ESI + BM25 retrieval + grounded template rationale β
makes no LLM calls today (consumes $0 of the Vertex credit; honest by design). The FDE value is the runbook,
the acceptance-test CI gate, the postmortems, and this human-decision layer β not the retrieval algorithm.