https://drouveysi.com.au/ GP and medical-AI context engineer in Melbourne. Essays from the Clinic, Lab, Workshop, Horizon and Life rooms. en-au Tue, 07 Jul 2026 00:00:00 GMT https://drouveysi.com.au/essays/youre-listening-to-the-room/ https://drouveysi.com.au/essays/youre-listening-to-the-room/ Mon, 06 Jul 2026 14:00:00 GMT workshop Two decades of chasing the perfect soundstage, one dead YouTube channel, and the uncomfortable truth of hi-fi: the most important component in your system came free with the house. https://drouveysi.com.au/essays/you-can-buy-a-better-one/ https://drouveysi.com.au/essays/you-can-buy-a-better-one/ Mon, 06 Jul 2026 14:00:00 GMT workshop A factory guitar is better than my best build. A cabinetmaker would have done the room faster. Everyone who makes things gets asked why. This is the actual answer. https://drouveysi.com.au/essays/wrong-in-both-directions-seventy-years-of-ai-predictions-graded/ https://drouveysi.com.au/essays/wrong-in-both-directions-seventy-years-of-ai-predictions-graded/ Mon, 06 Jul 2026 14:00:00 GMT horizon From the Dartmouth summer project to AI 2027, a graded scoreboard of the field's most confident predictions, the people who were spectacularly wrong in both directions, and what the shrinking timeline actually measures. https://drouveysi.com.au/essays/wood-argues-back/ https://drouveysi.com.au/essays/wood-argues-back/ Mon, 06 Jul 2026 14:00:00 GMT workshop I've built more than a dozen electric guitars from raw timber. The bench has been quiet for a couple of years, and this is what the building taught me while it was loud. https://drouveysi.com.au/essays/why-the-long-appointment/ https://drouveysi.com.au/essays/why-the-long-appointment/ Mon, 06 Jul 2026 14:00:00 GMT clinic What 20, 40 and 60 minute appointments are each for, and how to get the most out of them. https://drouveysi.com.au/essays/when-tests-are-normal/ https://drouveysi.com.au/essays/when-tests-are-normal/ Mon, 06 Jul 2026 14:00:00 GMT clinic Normal test results rule things out. They do not mean nothing is wrong. What good care looks like for fibromyalgia, IBS, chronic fatigue syndrome and POTS. https://drouveysi.com.au/essays/what-adhd-medication-actually-does/ https://drouveysi.com.au/essays/what-adhd-medication-actually-does/ Mon, 06 Jul 2026 14:00:00 GMT clinic Stimulant medication is the most effective and most misunderstood part of ADHD treatment. What it does, what it does not do, and how prescribing currently works in Victoria. https://drouveysi.com.au/essays/three-small-landlords/ https://drouveysi.com.au/essays/three-small-landlords/ Mon, 06 Jul 2026 14:00:00 GMT life We tell people we have three cats. This is legally accurate and materially misleading. Notes on Ezri, Lucy and Molly, and the terms of our tenancy. https://drouveysi.com.au/essays/there-is-no-hard-problem-only-a-hard-habit/ https://drouveysi.com.au/essays/there-is-no-hard-problem-only-a-hard-habit/ Mon, 06 Jul 2026 14:00:00 GMT horizon The hard problem of consciousness has resisted every explanation for centuries. Maybe that is because it is unsolved. Or maybe it is because it is mis-asked, and we are mistaking a habit of thought for a feature of reality. https://drouveysi.com.au/essays/the-universe-is-trying-to-wake-up/ https://drouveysi.com.au/essays/the-universe-is-trying-to-wake-up/ Mon, 06 Jul 2026 14:00:00 GMT horizon The case I keep failing to talk myself out of. That experience is fundamental rather than manufactured, that it comes in degrees, that the universe has spent fourteen billion years concentrating it, and that we have just started building the next thing it runs on. https://drouveysi.com.au/essays/the-standing-appointment/ https://drouveysi.com.au/essays/the-standing-appointment/ Mon, 06 Jul 2026 14:00:00 GMT life Twice a week, a court with my name on it. On squash as geometry and deception at sprint pace, why a game is the only exercise contract I've ever kept, and the year my leg made me earn it back. https://drouveysi.com.au/essays/the-silence-is-data/ https://drouveysi.com.au/essays/the-silence-is-data/ Mon, 06 Jul 2026 14:00:00 GMT horizon The Fermi paradox is not a pub question about aliens. It is a measurement, it is screaming, and every proposed answer is secretly a confession about the person proposing it. https://drouveysi.com.au/essays/the-room-the-flood-built/ https://drouveysi.com.au/essays/the-room-the-flood-built/ Mon, 06 Jul 2026 14:00:00 GMT workshop A flood destroyed the best room in my house. The licensed trades handled the bones; nobody wanted the rest of a one-room job, so I spent eighteen months doing it myself, and the room I have now could only exist because of the one I lost. https://drouveysi.com.au/essays/the-riker-problem/ https://drouveysi.com.au/essays/the-riker-problem/ Mon, 06 Jul 2026 14:00:00 GMT horizon A transporter accident leaves two Rikers, both continuous with the original, and the episode quietly refuses to say which one is real. On why that refusal is the correct answer, and why the question is coming back as engineering. https://drouveysi.com.au/essays/the-profile-not-the-number/ https://drouveysi.com.au/essays/the-profile-not-the-number/ Mon, 06 Jul 2026 14:00:00 GMT lab AGI has no agreed definition because intelligence is not one thing. What happens when you assess a frontier model the way a clinician assesses a mind, as a profile of subsystems rather than a single number. https://drouveysi.com.au/essays/the-pairing-that-shouldnt-work/ https://drouveysi.com.au/essays/the-pairing-that-shouldnt-work/ Mon, 06 Jul 2026 14:00:00 GMT workshop The Focal Utopia finally clicked, on an OTL tube amp that every impedance rule says it should hate. A field report from the wrong side of the spec sheet. https://drouveysi.com.au/essays/the-other-side-of-the-bed/ https://drouveysi.com.au/essays/the-other-side-of-the-bed/ Mon, 06 Jul 2026 14:00:00 GMT clinic Last year I was the patient, for a leg that stopped working properly and a pair of operations to fix it. What a decade of medicine had not taught me, being on the trolley did. https://drouveysi.com.au/essays/the-other-new-people/ https://drouveysi.com.au/essays/the-other-new-people/ Mon, 06 Jul 2026 14:00:00 GMT life Everyone told me a baby was coming. Nobody mentioned that my parents would arrive with him, refitted. On watching your own mother and father become grandparents. https://drouveysi.com.au/essays/the-only-two-things-i-know/ https://drouveysi.com.au/essays/the-only-two-things-i-know/ Mon, 06 Jul 2026 14:00:00 GMT horizon Ontological mathematics, and the rabbit hole that accidentally led somewhere: from an Illuminati LARP on a conspiracy forum to Leibniz, Euler, and the oldest question there is. https://drouveysi.com.au/essays/the-new-years-toddler/ https://drouveysi.com.au/essays/the-new-years-toddler/ Mon, 06 Jul 2026 14:00:00 GMT life My son was born on New Year's Day, which means every year literally starts with him. Notes on living with a toddler. https://drouveysi.com.au/essays/the-model-is-not-the-product/ https://drouveysi.com.au/essays/the-model-is-not-the-product/ Mon, 06 Jul 2026 14:00:00 GMT lab What context engineering actually is, why "prompt engineering" was the wrong name, and why the discipline counts for more as models get better, not less. https://drouveysi.com.au/essays/the-feeling-of-choosing/ https://drouveysi.com.au/essays/the-feeling-of-choosing/ Mon, 06 Jul 2026 14:00:00 GMT horizon The felt moment of authorship is the most convincing experience a person has. On what survives when you stop trusting it, why the freedom worth wanting was never freedom from causation, and what happens to blame. https://drouveysi.com.au/essays/the-federation-doesnt-pay-you/ https://drouveysi.com.au/essays/the-federation-doesnt-pay-you/ Mon, 06 Jul 2026 14:00:00 GMT horizon Star Trek asks you to believe in warp drives and telepaths, and neither is the show's most radical claim. The most radical claim is that nobody aboard is paid, and that this made humanity better instead of worse. https://drouveysi.com.au/essays/the-disease-with-a-fan-club/ https://drouveysi.com.au/essays/the-disease-with-a-fan-club/ Mon, 06 Jul 2026 14:00:00 GMT horizon Propose curing the condition that kills more people than everything else combined, and watch educated people defend the condition. On ageing, the case for treating it, and why the objections deserve better answers than either side usually gives. https://drouveysi.com.au/essays/the-cliff-was-real/ https://drouveysi.com.au/essays/the-cliff-was-real/ Mon, 06 Jul 2026 14:00:00 GMT life The first Oculus development kit was a heavy plastic brick with a screen like a flyscreen door, and it gave me genuine vertigo at the edge of a rendered cliff. On the costs and returns of being early, then and now. https://drouveysi.com.au/essays/the-agreeable-machine/ https://drouveysi.com.au/essays/the-agreeable-machine/ Mon, 06 Jul 2026 14:00:00 GMT lab Medicine ran the experiment on what happens when you optimise for satisfaction. The result has a body count, and AI is re-running it at scale. https://drouveysi.com.au/essays/replacing-doctors-is-the-wrong-question/ https://drouveysi.com.au/essays/replacing-doctors-is-the-wrong-question/ Mon, 06 Jul 2026 14:00:00 GMT lab Will AI replace doctors is the question I get asked most and it cannot be answered as asked, because "doctor" is not a task. Unbundle the job and the real questions appear, along with some uncomfortable honesty about my own. https://drouveysi.com.au/essays/recognising-autism-in-adulthood/ https://drouveysi.com.au/essays/recognising-autism-in-adulthood/ Mon, 06 Jul 2026 14:00:00 GMT clinic Why autism is often recognised late, what an adult assessment involves, and what a diagnosis does and does not change. https://drouveysi.com.au/essays/prescience/ https://drouveysi.com.au/essays/prescience/ Mon, 06 Jul 2026 14:00:00 GMT lab There is a specific feeling you get when an AI does something your model of it said it couldn't do yet. It deserves a better name than "feeling the AGI", and it deserves some epistemic hygiene. A definition, a defence, and the discipline to go with it. https://drouveysi.com.au/essays/plausible-is-not-safe/ https://drouveysi.com.au/essays/plausible-is-not-safe/ Mon, 06 Jul 2026 14:00:00 GMT lab Why fluency is the most dangerous property of language models, what an evaluation suite actually is, and how a system earns the right to be trusted with medicine. https://drouveysi.com.au/essays/paperwork-with-a-stethoscope/ https://drouveysi.com.au/essays/paperwork-with-a-stethoscope/ Mon, 06 Jul 2026 14:00:00 GMT lab In one January week, the first state-approved AI prescription-renewal pilot opened and the big labs connected their models to medical records. What actually got automated, what the automation reveals about the job, and what is left of the doctor when the routine is gone. https://drouveysi.com.au/essays/ninety-five-per-cent-is-a-failing-grade/ https://drouveysi.com.au/essays/ninety-five-per-cent-is-a-failing-grade/ Mon, 06 Jul 2026 14:00:00 GMT lab An agent is a multiplication of failure probabilities. Why per-step brilliance doesn't survive a loop, and how reliability actually gets engineered. https://drouveysi.com.au/essays/naming-things-is-the-hard-part/ https://drouveysi.com.au/essays/naming-things-is-the-hard-part/ Mon, 06 Jul 2026 14:00:00 GMT lab Clinical ontology is where medical judgement gets frozen into structure a machine can use. It looks like admin. It is the most consequential design work in the field. https://drouveysi.com.au/essays/loud-enough-to-think/ https://drouveysi.com.au/essays/loud-enough-to-think/ Mon, 06 Jul 2026 14:00:00 GMT life The loudest room in the city is the quietest my head ever gets. On metal gigs, the etiquette of the pit, and why a man in his thirties keeps buying black t-shirts. https://drouveysi.com.au/essays/in-defence-of-the-forty-hour-story/ https://drouveysi.com.au/essays/in-defence-of-the-forty-hour-story/ Mon, 06 Jul 2026 14:00:00 GMT life Nobody asks a reader to justify a thousand pages. On single-player games as a narrative medium, playing slowly as an adult, and why the backlog is a library, not a debt. https://drouveysi.com.au/essays/if-were-wrong-about-machine-minds/ https://drouveysi.com.au/essays/if-were-wrong-about-machine-minds/ Mon, 06 Jul 2026 14:00:00 GMT horizon We have no instrument that detects experience, our best theories disagree, and we are building millions of systems that talk like minds. An argument for taking the question seriously before it is answered. https://drouveysi.com.au/essays/heritage-and-other-betrayals-that-weren-t/ https://drouveysi.com.au/essays/heritage-and-other-betrayals-that-weren-t/ Mon, 06 Jul 2026 14:00:00 GMT life My favourite band spent fifteen years perfecting something, then walked away from it, and half the internet has never forgiven them. On loving a catalogue, the schism, and why the anger was aimed at the wrong thing. https://drouveysi.com.au/essays/four-languages-in-various-states-of-repair/ https://drouveysi.com.au/essays/four-languages-in-various-states-of-repair/ Mon, 06 Jul 2026 14:00:00 GMT life English does the living, Azeri holds the childhood, Turkish came free with the layover, and Farsi I can hear but not speak. An inventory of a mind with four tongues in different conditions. https://drouveysi.com.au/essays/forgetting-is-a-feature/ https://drouveysi.com.au/essays/forgetting-is-a-feature/ Mon, 06 Jul 2026 14:00:00 GMT lab Giving an AI system memory sounds like a storage problem. It is an editorial one. On why keeping everything fails, what clinical notes solved a century early, and why whoever writes to memory is editing the agent. https://drouveysi.com.au/essays/explosion-in-bits-grind-in-atoms/ https://drouveysi.com.au/essays/explosion-in-bits-grind-in-atoms/ Mon, 06 Jul 2026 14:00:00 GMT lab On the walls between here and superintelligence, and why the ones still standing are made of matter. https://drouveysi.com.au/essays/come-back-if-it-gets-worse/ https://drouveysi.com.au/essays/come-back-if-it-gets-worse/ Mon, 06 Jul 2026 14:00:00 GMT lab Every GP consultation ends with a ritual: here is what I think, here is what would prove me wrong, here is when to return. It is called safety-netting, it is the best uncertainty engineering I know, and AI systems ship without it. https://drouveysi.com.au/essays/adult-adhd-assessment/ https://drouveysi.com.au/essays/adult-adhd-assessment/ Mon, 06 Jul 2026 14:00:00 GMT clinic What a proper adult ADHD work-up looks like, why it takes time, and how the pathway currently works in Victoria. https://drouveysi.com.au/essays/addiction-minus-the-morality-tale/ https://drouveysi.com.au/essays/addiction-minus-the-morality-tale/ Mon, 06 Jul 2026 14:00:00 GMT clinic Addiction is the last common condition we still treat as a character flaw. What it actually is, why willpower alone fails, and what treatment in general practice really looks like. https://drouveysi.com.au/essays/a-second-opinion-on-hallucination/ https://drouveysi.com.au/essays/a-second-opinion-on-hallucination/ Mon, 06 Jul 2026 14:00:00 GMT lab The field's most famous failure has the wrong name. Medicine has the right one, and the right name comes with a treatment plan attached.