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barnickle.dev

Now

Last updated: February 2026

Work

Building AI-powered workflows at AcuityMD — backend systems that process billions of patient records for surgical intelligence.

Agentic development

Deep into Claude Code as a daily development partner. Exploring subagent patterns, MCP server integration, and what it means to treat AI as an architecture collaborator rather than just a code generator. This site was built entirely through that workflow.

Writing

Starting this blog to share patterns from real work — anonymized architecture decisions, agentic development practices, and opinions on where healthcare tech and AI engineering are heading.

San Diego

Living in North Park. Coffee, dogs, and the occasional board game.