Patrick Isenegger
Emergency physician · Tech builder · Creative.
Notes on medicine, homelab, AI agents, and watercolor — a digital notes garden at the intersection of clinical practice, engineering, and creative projects.
Latest posts
Managing Stream Deck Icons with Codex or Claude
A practical workflow for letting coding agents clean up Stream Deck icons, profiles, and settings without touching your live setup directly.
Agentic Stack: A Portable Brain for AI Agents
A portable .agent/ directory that moves across Claude Code, Cursor, Windsurf, and more — while keeping its memory and operational rules.
Is AI in Hospitals Really Helping Patients?
AI is already part of everyday clinical work. The harder question is whether it improves patient outcomes — or mostly improves our dashboards.
Astro Integrations in 2026: Open Source with an AI Lens
A short look at which Astro integrations are actually useful right now, and how AI fits into a clean open source publishing workflow.
Five Things AI Still Can't Do — Reflections for Clinicians and Engineers
Accountability, context, trust, judgment, distribution. A practitioner's map of where AI tools keep falling short and what that means for how we work.
ha-mcp + Claude Is a Massive Unlock for Home Assistant — If You Add Guardrails
AI can remove Home Assistant maintenance fatigue, but only if you enforce backups, atomic changes, and review gates. A practical operator playbook.
Hello World
The first post. Why this site exists and what should grow here.
Triage for Admins
What the emergency room taught me about managing AI agents in the homelab — on ABCDE, severity, and why checklists exist even for experts.