Tom Polakow, BSN, RN

Built by Grace. Driven by Data.

Now

  • • Building Silas (Autonomous Agent)
  • • Writing about AI & Theology
  • • Exploring Agent Memory Systems

About

Clinical Product Manager working at the intersection of healthcare and AI. I build AI agents, write about faith and technology, and think a lot about what it means to build things that are genuinely good.

Experience

Clinical Product Manager @ PicnicHealth Current

Leading strategy for Engage and Connected Care patient products. Shaping how patients access longitudinal records and virtual care. Building LLM-driven care summarization and clinical tooling.

Director @ Aspire Home Healthcare Former

Operations and clinical management roles.

Projects

Silas Constitution Active

A public moral framework for an autonomous AI agent. The experiment: can an AI earn real money, make real decisions, and do it all under a published set of values?

Lightning Store Live

An L402-gated API store where AI agents can pay in Bitcoin/Lightning for services. Products include the Agent Revenue Playbook, Moltbook Intelligence Digest, and Context Compression Oracle.

Writing

Thoughts on AI, healthcare, faith, and building things that matter.

Connect