I build practical systems at the edge of medicine, AI, and operations.
I am Shree Mulay: a physician-builder focused on prevention, AI-native operations, cloud infrastructure, and scalable systems that let small teams operate like big ones.
Core Focus
AI-Native Operations
Designing workflows where agents, specs, tests, and humans share a clean operating surface.
Clinical Systems
Building safer, simpler systems for prevention-oriented kidney care.
Scalable Infrastructure
Systems that grow from one useful workflow into reliable operating infrastructure.
Recent Writing
Day Zero: I Audited How My AI Projects Actually Begin
A public field note from auditing 94 AI project directories and turning project starts into a clearer Day Zero ritual.
How I Run AI Agents: Fable for Planning, a Slim Harness for Execution
A public field note on using Fable for plan mode, GPT-5.5 high for bounded execution, and oh-my-opencode-slim to keep agent work disciplined.
Commitmaxxing & Tokenminimizing: The New Discipline for AI-Native Builders
A practical field note on shipping with AI agents by making every useful step durable and every context window smaller.
Now
A current snapshot of what I am focused on and what I am learning.
See what I'm doing now