Built by Grace. Driven by Data.

Tom Polakow.

Clinical Product Manager · AI Builder · Writer

Registered nurse turned product manager, working at the intersection of healthcare and AI. I lead patient products at PicnicHealth, build autonomous agents, and write about what it means to build technology that is genuinely good. If you're rethinking how care gets delivered in the age of AI, I'd like to talk.

BSN, RN Clinical foundation
PicnicHealth Patient product strategy
3 live products Designed, built & shipped
AI & Theology Writing & research
01

The Arc

Bedside nurse. Healthcare operator. Product builder. The same question the whole way: what does genuinely good care look like — and what does it take to build it?

Bedside The foundation

Nursing and clinical leadership — including Director roles at Aspire Home Healthcare spanning operations and clinical management. Learned how care actually gets delivered: at the bedside, and in the messy systems behind it.

Product The craft

At PicnicHealth, leading strategy for the Engage and Connected Care patient products — shaping how patients access longitudinal records and virtual care, and building LLM-driven care summarization and clinical tooling.

Building Now →

Building autonomous agents with published values, exploring agent memory systems, and writing about faith and technology. The conviction: AI in healthcare should be held to the same standard as the people who deliver care.

02

Now

  • Building Silas — an autonomous agent with a published constitution
  • Writing about AI & theology
  • Exploring agent memory systems
03

Experience

PicnicHealth Clinical Product Manager
Current

Leading strategy for the Engage and Connected Care patient products. Shaping how patients access longitudinal records and virtual care. Building LLM-driven care summarization and clinical tooling that puts real medical context in front of the people who need it.

Patient Products LLM Summarization Virtual Care Longitudinal Records Clinical Tooling
Aspire Home Healthcare Director
Former

Operations and clinical management roles — running the day-to-day realities of home healthcare delivery, from staffing and compliance to patient outcomes.

Home Healthcare Clinical Operations Leadership
04

Featured Project

Live Dashboard
TerraSolar Monitor Live

Real-time Earth & Space monitor — earthquakes, volcanic activity, solar storms, and geomagnetic events, with AI-generated situation summaries.

React Express Gemini AI TypeScript
Community Platform
Onwentsia Gardens HOA Live

A full community platform for my HOA — directory, interactive map, dues payments, events, polls, documents, and an AI assistant trained on the bylaws and board decisions.

Next.js Supabase Google SSO AI Assistant
05

Writing

Essays and threads on AI, healthcare, faith, and building things that matter.

AI & Theology

What ancient wisdom has to say about building minds — agency, conscience, and what we owe the things we create.

Healthcare & AI

Where LLMs actually help patients and clinicians — and where the hype gets people hurt.

Building in Public

Field notes from building autonomous agents with real money, real memory, and published values.

Let's build things that are
genuinely good.

I'm building at the intersection of healthcare, AI, and conscience. If that's your world — or you think it should be — let's talk.