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Chukwuma Onyeije, MD

@chukwumaonyeije.bsky.social
127 followers 163 following 555 posts

Physician Founder CodeCraftMD.com - AI billing tools helping doctors reclaim time & focus on patients 🩺💻 | MFM Specialist | Ethical AI in medicine | Blogging @ doctorswhocode.blog

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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 20/09/2026
I gave Doctors Who Code a phone number. DWC-Bot could answer a call. Then the engineering question changed: where does a spoken idea go after the conversation ends? That question led to AgenticBuilderMD.com. #AIAgents #DoctorsWhoCode
agenticbuildermd.com
AgenticBuilderMD — Coming Soon
A working laboratory for physicians building useful, inspectable, and responsible AI agents.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 13/09/2026
1/4 🧇 A new waffle experiment: Whole-Soy Curl–Oat Recovery Waffles. The tofu swap? 80 g dry Butler Soy Curls + 1½ cups warm water. Grind the curls first, then blend into a creamy base. #PlantBased #VeganRecipes
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 07/09/2026
www.tiktok.com/@doctors.who...
tiktok.com
Invisible Evidence, Visible Decisions Doctors: your best work is invisible if it stays on your laptop. One clinical question became an evidence review, two presentations, and tools patients and clinic...
TikTok video by Doctors Who Code
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 04/09/2026
A beginner-friendly guide to turning a spare computer into a focused Omarchy workstation for Git, containers, AI coding agents, and small clinical software projects. #Omarchy, #doctorswhocode, www.doctorswhocode.blog/blog/omarchy...
doctorswhocode.blog
Omarchy for Physician-Developers: Build a Linux Development Lab | Doctors Who Code
A beginner-friendly guide to turning a spare computer into a focused Omarchy workstation for Git, containers, AI coding agents, and small clinical software projects.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 03/09/2026
You already know how to ask AI a question. The next skill is learning how to give it a job. This five-part course teaches physicians to supervise the loop. www.doctorswhocode.blog/courses/agen...
doctorswhocode.blog
Agents 101 for Physician Developers | Doctors Who Code
Move from AI conversations to bounded, observable, and verifiable agentic work without surrendering clinical judgment.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 01/09/2026
Breaking Barriers: GPT-4 Matches Physician Performance on Medical Board Exams www.doctorswhocode.blog/blog/breakin...
doctorswhocode.blog
Breaking Barriers: GPT-4 Matches Physician Performance on Medical Board Exams | Doctors Who Code
In a groundbreaking development that signals a new era in healthcare, artificial intelligence has achieved what many thought impossible: performing at t...
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 28/08/2026
Today I installed DeepSeek Harness. It made one distinction unusually clear. The model is not the working environment. The harness is. Physicians working with AI must understand the five controls surrounding the model: context, tools, permissions, logs, and human checkpoints.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 23/08/2026
At 35,000 feet over the Atlantic, one failed login finally pushed me to change password managers. The real lesson was not NordPass versus 1Password. It was this: security tools have to work under real conditions. www.tiktok.com/@doctors.who...
tiktok.com
At 35,000 feet over the Atlantic, one failed login finally pushed me to change password managers. The real lesson was not NordPass versus 1Password. It was this: security tools have to work under real...
TikTok video by Doctors Who Code
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 23/08/2026
Somewhere over the Atlantic at 35,000 feet, sluggish airplane Wi-Fi broke my login workflow—and forced a decision I’d put off for weeks: leaving NordPass for 1Password. Why? Security software has to work when network conditions and user patience are constrained. 🧵👇
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 23/08/2026
You have been programming for years. You just called it clinical medicine. If the blood pressure is severe, repeat it. If it remains severe, treat it. If specific symptoms are present, escalate care. That is conditional logic.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 03/08/2026
Evidence Is Not Yet a Clinical Instruction www.doctorswhocode.blog/blog/evidenc...
doctorswhocode.blog
Evidence Is Not Yet a Clinical Instruction | Doctors Who Code
Clinical evidence describes populations. Physician-developers must preserve its limits before translating it into protocol logic or software.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 02/08/2026
No eggs. No oil. No refined flour. Just red lentils, tofu, and flax — blended into a savory waffle batter that actually holds together. 🧇 WFPB, fiber-forward, Mastering Diabetes style. Thread on how it works 🧵
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 02/08/2026
Evidence Is Not Yet a Clinical Instruction www.doctorswhocode.blog/blog/evidenc...
doctorswhocode.blog
Evidence Is Not Yet a Clinical Instruction | Doctors Who Code
Clinical evidence describes populations. Physician-developers must preserve its limits before translating it into protocol logic or software.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 27/06/2026
The better future is not locked charts. It is patient-controlled data with physician-grade architecture. Patient data liberation is necessary. Patient data protection has to be built into the liberation layer. We should help design the boundary. Full post 👇 www.doctorswhocode.blog/blog/patient...
doctorswhocode.blog
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 26/05/2026
Most physicians using AI are still prompting. That helps but it has a ceiling. The real leap is building agents that can analyze, plan, execute, audit, and stop at the right human checkpoint. The agent handles coordination. The physician keeps judgment. 🧠⚕️ #AIinMedicine #AIAgents #DoctorsWhoCode
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 22/05/2026
www.doctorswhocode.blog/blog/dictati...
doctorswhocode.blog
The Microphone Finally Got Smart: Dictation Before and After the LLM Era | Doctors Who Code
Dragon NaturallySpeaking trained physicians to talk like machines. Ambient AI scribes are starting to listen like clinicians. Here is what changed after 2022 and why it matters for every doctor taking...
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 20/05/2026
For years, clinical dictation meant adapting to the machine. Dragon NaturallySpeaking helped, but it also trained physicians to speak unnaturally: slower, flatter, with punctuation commands and constant correction. Ambient AI changes the direction of adaptation.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 18/05/2026
I gave an AI agent 94 specialized skills and let it run across my real physician-developer workflow for three weeks. Not a demo. Not a toy chatbot. A real server. Real logs. Real cron jobs. Real clinical drafts. Real GitHub workflows. Real failures.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 18/05/2026
New Blog post coming soon:
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 15/05/2026
🚨 Codex on mobile is not about writing TypeScript in a hospital hallway. It is about something more important for physician-builders: Keeping agentic work moving when your clinical day gives you fragments, not focus blocks. #DoctorsWhoCode #AIinMedicine #Codex
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 04/04/2026
I built a tool that helps you breathe better before your next hard workout. Not a wellness gimmick. A clinical-grade HRV breathing coach, built by a physician who trains. This is PGIS Breathe. Here's what it is and why it exists.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 01/04/2026
Most physician-developer projects fail not because the ideas are bad but because the first build is too large. Here are three that are sized to finish. www.doctorswhocode.blog/blog/three-g...
doctorswhocode.blog
Three GitHub Projects Physicians Can Actually Finish | Doctors Who Code
Most physician-developer projects fail not because the ideas are bad but because the first build is too large. Here are three that are sized to finish.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 27/03/2026
1/3 🧠⚕️ When clinical AI fails, most physicians ask the wrong question. Not: “Will malpractice cover me?” But: “Was I in the room when the choices that caused this failure were made?” That is the real accountability question. #AIinMedicine #PhysicianDeveloper #MedTwitter #HealthTech
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 25/03/2026
#Sora is gone. Good. It became a showcase for what AI should not be: deepfake bait, remixed without consent, moderated as an afterthought. The people steering it did not seem serious about the destination. Not every AI product deserves a second chance. Some products deserve an off switch. #AI #Sora
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 24/03/2026
Last Tuesday a patient told me she asked ChatGPT if her headache at 34 weeks was preeclampsia. Not sheepishly. Matter-of-factly. She called the triage line first. Nobody answered for 38 minutes. So she opened ChatGPT. This is not a patient education problem. 🧵
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 24/03/2026
A new JAMA study found vitamin K shot refusals nearly doubled between 2017 and 2024. CNN is reporting today that doctors across the country are seeing parents refuse not just vaccines but routine preventive care for newborns. This is the misinformation industrial complex at work.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 23/03/2026
If you're pregnant and managing opioid use disorder, there's encouraging new research. A major clinical trial just showed that a weekly buprenorphine injection worked better than daily tablets at helping moms stay opioid-free during pregnancy. #OpioidUseDisorder #Pregnancy #MaternalHealth #Recovery
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 22/03/2026
A patient is 22 weeks and 3 days pregnant. She's admitted. Her husband isn't there yet. She has 45 minutes before her MFM walks in. She opens her phone. 📱
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 19/03/2026
🧵 1/ AI adoption among physicians jumped from 38% to 81% in three years. The AMA says physicians should be at the center of AI-augmented care. But here's the part nobody wants to say out loud 👇
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 18/03/2026
Skill Loss Is the Wrong Fear. Here's the Right One. www.doctorswhocode.blog/blog/skill-l...
doctorswhocode.blog
Skill Loss Is the Wrong Fear. Here's the Right One. | Doctors Who Code
88% of physicians fear AI will erode their clinical instincts. That fear is real but misdirected. The greater risk is intellectual dependency on systems we didn't build and cannot interrogate.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 17/03/2026
The AMA just reported that 81% of physicians now use AI in practice — up from 38% in 2023. 85% want to be consulted on AI adoption decisions. I agree. And I think we're still asking for the wrong thing. #HealthcareAI #DoctorsWhoCode
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 17/03/2026
🏥➡️🏃‍♂️ What if the same thinking used for glycemic control in the ICU could help everyday athletes train smarter? That was the big idea behind my latest piece.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 16/03/2026
pgis-breathe-production.up.railway.app
pgis-breathe-production.up.railway.app
PGIS Breathe — HRV Breathing Coach
PGIS Breathe — Evidence-based HRV breathing exercises and Garmin HRV tracking for the Performance Glycemic Intelligence System.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 11/03/2026
Working on a new blog post on my PGIS system. Sometimes; you just need a coach or a system to help you to get out of your own way. www.doctorswhocode.blog/blog/pgis-pe...
doctorswhocode.blog
PGIS — Performance Glycemic Intelligence System
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 08/03/2026
It was a Tuesday evening consult. 31 weeks. Small for gestational age. Elevated umbilical artery resistance. A worried family in the room. The question: when do we deliver? The answer was buried in a PDF. So I built something better. 👇 #doctorswhocode #MFM #FetalGrowthRestriction
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 08/03/2026
coming soon... openmfm.org
openmfm.org
openMFM | Open-Source Maternal-Fetal Medicine Education
Evidence-based clinical presentations and tools for patients, providers, and sonographers.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 26/02/2026
Introducing PGIS! 🚀 An open-source framework for endurance athletes managing Type 2 Diabetes. Make data-driven training decisions with confidence. #PGIS #EnduranceTraining #T2D #OpenSource #DigitalHealth pgis-web-4hsukajb.manus.space
pgis-web-4hsukajb.manus.space
PGIS — Performance Glycemic Intelligence System
A public-facing website for the Performance Glycemic Intelligence System (PGIS), showcasing Dr. Onyeije's open-source framework for optimizing endurance training while managing Type 2 diabetes.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 25/02/2026
As a physician, endurance athlete, and Type 2 diabetic, I built the Performance Glycemic Intelligence System (PGIS) to answer one question: "What training is safe for my body today?" 🩺💻 #doctorswhocode #T2D #digitalhealth #wearables www.doctorswhocode.blog/blog/from-pa...
doctorswhocode.blog
From Patient Data to Open Source: Why I Built the Performance Glycemic Intelligence System (PGIS)
As a physician-developer and a 60-year-old endurance athlete living with Type 2 diabetes for over two decades, I have navigated a unique intersection of medicin
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 23/02/2026
The traditional clinical presentation workflow is broken. Physicians spend 3–5 hours per deck on uncompensated admin work. I fixed mine with a 3-step open-source system. Here's the full breakdown 🧵👇 www.doctorswhocode.blog/blog/the-ana...
doctorswhocode.blog
The Anatomy of a Real-Time Clinical Presentation: From Clinical Encounter to Open-Source Slides in Minutes
By Dr. Chukwuma Onyeije A few days ago, a consult reminded me why I started this blog . A colleague mentioned a new patient with a complex presentation of place
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 22/02/2026
Just as a doctor hones in on critical patient data, AI's "Attention" mechanism sifts through information. My latest post explores the groundbreaking "Attention Is All You Need" paper w/a physician's perspective. 🩺➡️🤖 #AIinMedicine #DeepLearning #doctorswhocode www.doctorswhocode.blog/blog/from-st...
doctorswhocode.blog
From Stethoscopes to Transformers: A Doctor’s Deep Dive into “Attention is All You Need”
Published on lightslategray-turtle-256743.hostingersite.com By Dr. Chukwuma Onyeije, MFM “The contents of this file is everything algorithmically needed t
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 17/02/2026
🚨 NEW RESEARCH: Pregnant patients who stopped their antidepressant were nearly 2x more likely to experience a mental health emergency.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 17/02/2026
acrobat.adobe.com/id/urn:aaid:... More PGIS data #type2diabetes
acrobat.adobe.com
Adobe Acrobat
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 15/02/2026
Still fine tuning the #PGIS (Peformance Glycemic Intelligence System). Just enjoying the data. Interested? Send me a DM. #type2diabetes #doctorswhocode #CGM #TimeInRange #GlucoseMonitoring #GlycemicControl #DiabetesTech #Zone2 #FitnessOver60
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 12/02/2026
As a physician-coder, coding time is a precious commodity. ⏳ I’m stepping back from my #OpenClaw experiment to focus on tools that are force multipliers, not maintenance projects. It's all about that Time-to-Utility ratio! 🩺💻 #DoctorsWhoCode #HealthTech #BuildInPublic #AI
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 11/02/2026
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 10/02/2026
🚨 COMING SOON to doctorswhocode.blog "I Stopped Renting Intelligence and Started Hosting It" I realized: I wasn't burned out—I was systemically depleted. So I built my own AI agent on Cloudflare. Here's what happened when a physician stopped being a tenant in someone else's system.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 08/02/2026
$50B for “AI transformation” in rural healthcare sounds exciting—until you read the fine print. Policy cuts $137B from rural Medicaid. That’s $2.74 lost in per every $1 spent on AI. 🧾🤖🏥 www.doctorswhocode.blog/blog/part-1-... #RuralHealthcare #HealthPolicy #Medicaid #HealthEquity #AIinMedicine
doctorswhocode.blog
Part 1: The $50 Billion Bait-and-Switch
How AI “Transformation” Became Cover for Abandoning Rural America By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist & Founder, Co
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 04/02/2026
Prior authorizations are a data-translation problem, not just a paperwork chore. 🩺 With "Doctors Who Code" mindset, we’ve built an AI-driven solution to automate the "heavy lifting" of data mining so clinicians can focus on what matters: the patient. #HealthTech #AIinHealthcare #ClinicalWorkflow
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 30/01/2026
Today’s Run — Anaerobic Precision 🏃🏾‍♂️⚡ Started the day with a Garmin-guided anaerobic interval session and everything lined up: nearly 8 hours of sleep, fasting glucose at 91, zero ankle pain, and cool morning temps.
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Chukwuma Onyeije, MD @chukwumaonyeije.bsky.social · 28/01/2026
Nurse Alex Pretti's Death and the Symbolism of the Human Body www.medpagetoday.com/opinion/seco...
medpagetoday.com
Opinion | Nurse Alex Pretti's Death and the Symbolism of the Human Body
ICE is a growing cancerous ball of cells in Minneapolis
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