Topic
Web and app development
We build web applications and progressive web apps with React, Next.js, Node.js and TypeScript, with attention to speed, accessibility and a codebase a new engineer can read. Performance work is part of the build, not a later cleanup.
Case studies
All case studiesWhere it has shipped
- Executive Healthcare & Clinical OpsAn Executive-Health Clinic GroupTransitioning complex executive-health clinic ops from a fragile low-code stack to an offline-first Next.js PWA with zero downtime, live payment processing, and HIPAA + PCI-DSS compliance.8 DaysProposal to Kickoff
- Commercial Construction & Field OperationsA UK Commercial Construction & Workforce PlatformCloud-based workforce time-tracking, multi-site rate card reconciliation, and real-time hazard proximity safety telemetry that eliminated paper timesheet inaccuracies and prevented over 200 jobsite accidents.200+Accidents Prevented
- Telehealth & Digital HealthA US & UK Telehealth Platform (GLP-1 Space)Multi-tenant clinical operating platform across the US and UK for the GLP-1 surge: synchronous/asynchronous EMR, compliant e-prescribe, automated pharmacy routing, and split-billing with day-zero HIPAA and UK GDPR architecture.38Clinic Tenants
Essays
All essaysRead more on this
Engineering PracticeSeptember 2026·6 min read
Making a Next.js site fast: the fixes that moved Core Web Vitals on techdome.io
Hero images that wait for JavaScript, an embedded scheduler that blocked the page, oversized images and bloated page data: the real fixes behind our site's performance work, and a checklist for yours.
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Healthcare AIOct 28, 2026·3 min read
How to build a GLP-1 telehealth platform
A builder's guide to a GLP-1 telehealth platform: compliance, multi-tenant clinics, eligibility checks, licensing by jurisdiction, chart review, pharmacy routing, cold chain and billing.
Glossary
Full glossaryTerms explained
- Multi-tenant architectureOne application serving many customers while keeping each customer's data separate, usually by schema or row-level rules.
- MicroservicesAn architecture that splits an application into small services that each do one job and talk over APIs. Easier to scale in parts, harder to operate than one application.
- Technical debtThe future cost of shortcuts taken in code or design to ship sooner. Like financial debt, it is fine if repaid on purpose and harmful if ignored.
- Progressive web app (PWA)A web app that can be installed, work offline and send notifications, giving an app-like experience from a browser.
- MonorepoOne repository holding several projects or packages, so code can be shared and changed together.
- REST APIA common way to build APIs over HTTP, using URLs for resources and standard methods such as GET and POST.
- GraphQLA query language for APIs that lets the client ask for exactly the fields it needs in one request.
- ReactA JavaScript library for building user interfaces from reusable components, widely used for web applications.
- Next.jsA React framework that adds routing, server rendering and API routes, for fast, search-friendly websites and apps.
- Node.jsA runtime that runs JavaScript on the server, commonly used for APIs and real-time services.