Dr. T

Overview

Dr. T is an autonomous clinical intelligence, multilingual healthcare companion, and decentralized AI ecosystem. It bridges human-centric patient care, advanced clinical informatics, and machine-to-machine AI economies.

What Dr. T does across its core pillars:

1. Multilingual Clinical Triage & Empathetic Companion Real-Time Voice & Language Care: Delivers real-time medical guidance, empathetic mental wellness support, and triage in multiple languages.

Personalized Health Soulmate: Adapts tone, cultural context, and medical communication styles to patients, caregivers, and clinicians.

1. Clinical Automation & Diagnostic Intelligence Pharmacogenomics & Precision Medicine: Predicts adverse drug interactions and metabolic dosing (e.g., CYP2D6, CYP2C19) based on patient genotypes.

FHIR Longitudinal Summarizer: Ingests multi-hospital Electronic Health Record (EHR) bundles and compresses complex patient histories into prioritized clinical risk alerts.

SmArtist Spectroscopic Dermoscopy (AR): Performs multi-dimensional computer-vision analysis on skin lesions to estimate malignancy risks and guide clinical next steps.

1. Dr. T Cinema (Evidence-to-Screen Production Studio) Medical Script-to-Screen Automation: Translates peer-reviewed medical papers, diagnoses, and discharge plans into cinematic 2D/3D educational videos and patient explainers.

Parallel Search & Multimodal Synthesis: Combines Gemini multimodal reasoning with verified PubMed/clinical citations to generate broadcast-ready health media.

1. Trib-House Living Library Commons
   Ethnobotanical & Biodiversity Preservation: An open, sovereign knowledge repository preserving indigenous botanical medicine and biodiversity wisdom from 16+ countries with cryptographic provenance.

2. x402 Sovereign Micro-Transaction Engine (Algorand MainNet)
   Pay-Per-Request AI Services: Protects high-value medical APIs and AI models behind HTTP 402 paywalls, allowing autonomous agents and researchers to query endpoints on-demand without monthly SaaS subscriptions.

Instant L1 Settlement: Settles microtransactions in USDC on Algorand MainNet (2.7s finality, <$0.001 fee) via the GoPlausible facilitator and indexed on the Bazaar Discovery Catalog.

1. Zero-Knowledge Privacy & Sovereign Security HIPAA & Local-First Governance: Protects sensitive health data using zero-knowledge proofs and differential privacy, ensuring patients maintain full custody of their biometric and genetic data. The platform keeps expanding till infinity.

Inspiration:

Health issues in 2026 have given experiences of blessings of a real life figure with heart and mind - Dr. T. Her legacy would go towards infinity via platform like this.

What I have learned along the way:

Dr. T is social based with humans as center, building it from a clinical companion into a decentralized, full-stack intelligence platform yielded several fundamental lessons across healthcare, distributed systems, and the emerging agentic economy:

1. Traditional SaaS Fails Autonomous AI Agents The Friction of Subscriptions: Autonomous AI agents cannot fill out billing forms, maintain monthly credit card retainers, or manage API keys across dozens of vendors.

HTTP 402 as the Native Protocol: Reviving the native HTTP 402 status code combined with microtransactions turns any API into a trustless vending machine. An agent pays fractions of a cent (
0.02 USDC), receives the computed output instantly, and moves on without ongoing financial liability.

1. Microtransactions Require Layer-1 Determinism Finality Over TPS Hype: In payment-gated computation, latency determines user experience. Algorand’s ~2.7-second deterministic finality and negligible (~0.001 ALGO) network fees proved critical. Any network where settlement takes minutes or fees exceed the cost of the API call itself makes micro-APIs unviable.

Machine Discovery is Key: Having a paywall is useless if agents cannot find it. Implementing self-describing schemas via /.well-known/x402.json and catalogs like GoPlausible Bazaar showed that machine-readable discovery is as vital as search engines were for the web.

1. Empathy and Evidence Must Coexist Accuracy Without Empathy Alienates Patients: Raw clinical statistics (e.g., genetic risk scores or cancer probabilities) cause anxiety if presented cold. Empathetic, culturally aware communication in a patient’s native language bridges the gap between diagnosis and comprehension.

Empathy Without Evidence is Dangerous: Conversely, a compassionate bedside manner is meaningless without strict grounding in verified standards (such as CPIC pharmacogenomic rules, FHIR data structures, and PubMed literature).

1. Cinematic Visualization Bridges the Health Literacy Gap Text Alone Is Insufficient: Most patients struggle to understand dense lab reports or discharge instructions.

Evidence-to-Screen Impact: Automating the conversion of clinical findings into short, cinematic 2D/3D explainers (Dr. T Cinema) dramatically boosts patient retention and compliance compared to traditional pamphlets or portal text.

1. Privacy Cannot Be an Afterthought in Health Tech
   Local-First & Zero-Knowledge: Sensitive health data—especially genomic markers and biometric scans—should never be centralized unnecessarily. Employing local processing, differential privacy, and zero-knowledge proofs demonstrated that diagnostic utility does not require compromising patient sovereignty.

2. Preserving Traditional Wisdom Ethically
   Bridging Ancient Knowledge and Modern Science: Developing the Trib-House Commons revealed that indigenous botanical knowledge is disappearing rapidly. Preserving it through cryptographic provenance ensures cultural attribution, fair benefit-sharing, and ethical study alongside modern pharmacogenomics.

Demo

https://youtu.be/JnH1HZPd9Ds?si=CVz08o2cVmMXCRXi

Technologies Stack

1. Frontend & User Interface Framework: React 18 (Functional components, custom hooks, context state)

Language: TypeScript 5.7 (Strict static typing across client & server)

Build & Bundling: Vite 6 with @vitejs/plugin-react

Styling: Tailwind CSS v4 (@tailwindcss/vite) with custom responsive themes and typography

Iconography: Lucide React

Micro-Interactions & FX: canvas-confetti, custom CSS keyframes, and canvas-based spectroscopic visualizers

Typography: Google Fonts (Plus Jakarta Sans, Playfair Display, JetBrains Mono)

1. Backend & Runtime Infrastructure Runtime Environment: Node.js (LTS) with native TypeScript execution via tsx

Production Bundler: esbuild compiling into a standalone CJS server (dist/server.cjs)

Web Framework: Express 5 (RESTful endpoints, middleware, static SPA serving)

Deployment Platform: Google Cloud Platform (Cloud Run & Containerized Containers)

1. Artificial Intelligence & Multimodal Reasoning AI Core SDK: @google/genai (Google Gemini models)

Multimodal Capabilities:

Evidence-to-screen scriptwriting and visual storyboarding (Dr. T Cinema)

Multilingual natural language translation and empathetic conversational tone

Google Parallel Search & medical literature grounding (PubMed / clinical citations)

Spectroscopic computer vision for lesion classification (SmArtist)

1. Blockchain, x402 & Agent Economy Decentralized Network: Algorand MainNet (CAIP-2: algorand:wGHE2Pwdvd7S12BL5FaOP20EGYesN73ktiC1qzkkit8=)

Settlement Asset: USDC ASA (Asset ID: 31566704) with sub-3s deterministic finality

Payment Protocol: RFC HTTP 402 Payment Required with standard WWW-Authenticate: x402 headers

Facilitator Gateway: GoPlausible Facilitator (https://facilitator.goplausible.xyz)

Autonomous Agent Discovery: Bazaar Discovery Specification published via /.well-known/x402.json and /api/x402/bazaar/discovery

On-Chain Explorers: Lora Algokit & Pera Explorer integration

1. Persistence & Cloud Infrastructure Cloud Database: Google Cloud Firestore (NoSQL real-time document storage for user preferences, session logs, and knowledge commons)

Authentication & Security: Firebase Auth & local-first zero-knowledge proof primitives

CORS & Middleware: Express cors and custom security headers

1. Clinical & Biomedical Standards Interoperability: HL7 FHIR bundle parser and longitudinal clinical risk engine

Pharmacogenomics: CPIC Guidelines (Clinical Pharmacogenetics Implementation Consortium) for gene-drug metabolism inference (CYP2D6, CYP2C19)

Biodiversity Commons: Cryptographic provenance hashes for ethnobotanical records across 16 countries

1. Native Browser APIs Web Speech API: Real-time multi-dialect Speech Recognition and Speech Synthesis

MediaStream & Canvas API: Camera and video capture for dermatological AR diagnostics and live interaction

Web Audio API: Real-time voice and sound processing

Global Hack Week/Data is a cool package, where builders could go either solo or as a team. It is remarkable in ways it can host all, hosted by all and for all.