Doctors Who Code

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 placenta accreta spectrum (PAS), specifically a challenging case of placenta percreta. I had an old slide deck on the topic, but I knew it was outdated. […]

Published on lightslategray-turtle-256743.hostingersite.com By Dr. Chukwuma Onyeije, MFM “The contents of this file is everything algorithmically needed to train a GPT. Everything else is just efficiency.”— Andrej Karpathy, on his micro-GPT release, February 2026 As physicians, we are trained to meticulously gather and synthesize vast amounts of information before making a critical decision. We review […]

By Chukwuma I. Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist, Medical Director at Atlanta Perinatal Associates, Founder of CodeCraftMD I was reviewing evidence-based counseling guidelines for low-dose aspirin in preventing preeclampsia when something bothered me. Not the science—that was solid. The Society for Maternal-Fetal Medicine recommendations are clear, the evidence is strong, and the logic holds up […]

In my last post, I shared my journey into building an OpenClaw agent to gain deeper visibility into the development process. As someone fascinated by the intersection of medicine and code, the promise of a highly autonomous, transparent agent was too intriguing to pass up. However, after a period of active experimentation, I have decided […]

Why Code, Clinical Rigor, and Credibility Matter in the Age of TikTok Medicine When Algorithms Enter the Nursery A mother announces she will refuse vitamin K for her newborn. Not because of documented allergy. Not because of carefully researched religious exemption. Because she “heard something bad about it online.” When I ask what she heard, […]

By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist | Founder, CodeCraftMD | Atlanta Perinatal Associates Here’s the truth about being a physician-developer: you learn by breaking things on purpose. Earlier this week, I set up an OpenClaw agent on Cloudflare. Not because my clinical workflow desperately needed it. Not because I had some grand vision of […]

The Physician-Developer’s Blueprint for Rural AI That Works By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist & Founder, CodeCraftMD In Part 1, I showed you the math: $50 billion for AI “transformation” while cutting $137 billion from rural Medicaid. A textbook bait-and-switch where vendor-built “avatars” replace actual clinical capacity. But physician-developers don’t just identify broken systems. […]

How AI “Transformation” Became Cover for Abandoning Rural America By Chukwuma Onyeije, MD, FACOGMaternal-Fetal Medicine Specialist & Founder, CodeCraftMD The pitch sounds good if you don’t look too closely. Fifty billion dollars for “AI transformation” in rural healthcare. Digital assistants bringing 24/7 medical expertise to communities that can’t retain physicians. The promise of technology bridging […]

The history of medicine is, at its core, a history of how we manage information. For decades, Evidence-Based Medicine (EBM) has been our North Star—a rigorous framework designed to move us from “eminence-based” anecdotes to “evidence-based” certainty. It was a monumental achievement. But we are currently witnessing a quiet yet profound shift in the very […]

In the world of high-risk pregnancy, minutes matter. Whether we are managing a case of preeclampsia or coordinating a fetal intervention, the clinical stakes are immense. Yet, as a Maternal-Fetal Medicine (MFM) specialist, I’ve found that the biggest hurdle to patient care often isn’t the pathology—it’s the paperwork. Specifically, the Prior Authorization (PA). At CodeCraftMD, […]

By Chukwuma Onyeije, MD, FACOG – Maternal-Fetal Medicine Specialist & Founder of CodeCraftMD The Death of the “One-Size-Fits-All” Solution For the past two decades, medical software has been synonymous with monolithic platforms—Epic, Cerner, and their ilk—massive systems designed to serve every specialty, every workflow, and every conceivable use case. As physicians, we’ve learned to contort […]

Why I Finally Cancelled My UpToDate Subscription After 12 Years I just did something that would have been unthinkable five years ago: I cancelled my UpToDate subscription. For those keeping score, I’ve been an UpToDate subscriber for over twelve years. It was the clinical reference tool that lived in a perpetually open browser tab, the […]