
What happened
Director Hironori Muraoka built the clinic's reservation system and dashboard himself using Claude Code, and runs open-weight models and OpenAI's Whisper locally on a 96GB Mac Studio so patient data stays in-house.
Why it matters
Muraoka says the setup reliably does about one office worker's worth of work, helping the clinic see 100-plus patients some days versus 40–50 before, though he says costs include taking on maintenance himself.
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