A researcher observes a brain in a cage

Local AI: Stress-Testing Local Models on Real Tasks

April 22, 2026 by Michele Danilo Pierri

Part 3 of the “Local AI” series — Coding, reasoning, medical summarization, and clinical decision support Benchmarks tell you how fast a model runs. They don’t tell you if it can actually do anything useful. In Part 1 we set up Ollama, and in Part 2 we measured generation speeds. Now we push these models…

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A researcher observes a brain in a cage

Local AI: Choosing the Right Model for Your Hardware

April 18, 2026 by Michele Danilo Pierri

Part 2 of the “Local AI” series — Benchmarks and recommendations for CPU-only inference In Part 1, we installed Ollama and ran our first local model. Now the question becomes: which model should you actually use? The answer depends on your hardware and your patience. On CPU-only systems, model size directly impacts speed — and…

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A researcher observes a brain in a cage

Local AI: Running LLMs Without Dedicated Graphics

April 14, 2026 by Michele Danilo Pierri

Part 1 of the “Local AI” series — A practical guide to running local LLMs on CPU-only consumer hardware You’ve probably heard that running AI models locally requires expensive hardware: a Mac with Apple Silicon, or a gaming PC with a high-end NVIDIA GPU. This isn’t entirely wrong — those setups are faster. But they’re…

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Painterly early 20th-century medical laboratory, where a physician in a white coat sits before an elaborate brass-and-wood experimental machine, surrounded by hospital beds, antique instruments, framed documents, and tall arched windows glowing with warm golden light.

Local Artificial Intelligence in Healthcare

April 7, 2026 by Michele Danilo Pierri

Local Artificial Intelligence in Healthcare: Promise, Privacy, and Practical Limits Article authored by Michele D. Pierri, MD Cardiac Surgeon & Medical Technology Researcher Last updated: April 2026 Reading time: 12 minutes Artificial intelligence is rapidly entering healthcare, but its adoption keeps running into the same obstacle: sensitive data. Hospitals, clinics, and research groups work with…

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A doctor looks through a telescope.

AI & Digital Health: Quarterly Review 2026Q1

April 1, 2026 by Michele Danilo Pierri

Welcome to the first installment of AI & Digital Health: Quarterly Review — a new series tracking the most significant developments in healthcare technology every three months. Each report synthesizes research papers, regulatory updates, and industry news to provide clinicians and health tech professionals with a clear, critical picture of where the field is heading….

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rural scene

OpenClaw and Cowork in Healthcare

March 26, 2026 by Michele Danilo Pierri

OpenClaw vs Claude “Cowork”: AI Agents for Healthcare Professionals Article authored by Michele D. Pierri, MD Cardiac Surgeon & Medical Technology Researcher Last updated: March 2026 Reading time: 5 minutes A practical comparison of two agentic AI approaches transforming clinical workflows, research automation, and medical documentation. The emergence of agentic AI marks a shift in…

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Painterly rural scene at sunset, where a solitary man studies an immense handwritten scroll by candlelight beside a thatched farmhouse, surrounded by hay bales, a wooden desk, an antique typewriter, barrels, and farming tools.

Natural Language Processing for Medical Report Analysis – Part 1

March 15, 2026 by Michele Danilo Pierri

Introduction to Natural Language Processing for Medical Report Analysis: Pattern Matching with Regular Expressions Article authored by Michele D. Pierri, MD Cardiac Surgeon & Medical Technology Researcher Last updated: January 2025 Reading time: 25 minutes Abstract Medical discharge summaries contain critical clinical information that remains largely inaccessible to automated analysis due to their unstructured nature….

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Early 20th-century doctor standing beside a bedridden patient in a dim hospital ward, while an ornate medical machine emits glowing concentric waves across the room in a warm, painterly historical style.

From Smartwatch to ICU: 5 Breakthroughs Revolutionizing Hospital Monitoring

March 9, 2026 by Michele Danilo Pierri

How wearable devices and artificial intelligence are dismantling the wire-bound paradigm of intensive care—one sensor at a time. By Michele D. Pierri, MD, PhD In This Article Introduction: The Modern Monitoring Paradox A substantial share of adults now wear a device capable of tracking heart rate (HR), blood oxygen saturation (SpO2), and sleep architecture. Yet…

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Early 20th-century doctor reading beside a large mechanical records machine in a sunlit hospital ward, as long handwritten paper scrolls curl above rows of iron beds and arched windows

Why Clinical Digitalization Fails: A Structural Mismatch Between Medicine and Software

February 27, 2026 by Michele Danilo Pierri

Healthcare systems across the world have invested billions in clinical digitalization. Electronic health records (EHRs), clinical data warehouses, integrated hospital platforms, and now artificial intelligence systems have been introduced under the promise of efficiency, transparency, interoperability, and improved patient outcomes. Yet, after more than two decades of implementation, the recurring pattern remains strikingly consistent: resistance…

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Symbolic historical village divided between moonlit night and golden daylight, centered on a clock tower, with an hourglass and candle in the foreground and townspeople gathered along the street.

Bergson’s Time in Acute Medicine

February 7, 2026 by Michele Danilo Pierri

Bergson’s Time in Acute Medicine: Why the Patient Is a Trajectory, Not a Timestamp There’s a quiet contradiction at the heart of acute medicine. We obsess over time. We count minutes. We chart vitals every few seconds. We schedule labs at fixed intervals, because if something is dangerous, surely it must be tracked. And still,…

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