Leander de Laporte

Founder @Medbelle, the digital hospital.

Passionate about software engineering, value-based care and building amazing products.

[Leander de Laporte @lfdelaporte]

@marcklingen @traderepublic Thx for sharing. Just took me 4 calls/in-person-meetings and 4 weeks with Deutsche Bank. And terms seem to be better at TR

[Andrej Karpathy @karpathy]

It is hard to communicate how much programming has changed due to AI in the last 2 months: not gradually and over time in the "progress as usual" way, but specifically this last December. There are a number of asterisks but imo coding agents basically didn’t work before December and basically work since - the models have significantly higher quality, long-term coherence and tenacity and they can power through large and long tasks, well past enough that it is extremely disruptive to the default programming workflow.

Just to give an example, over the weekend I was building a local video analysis dashboard for the cameras of my home so I wrote: “Here is the local IP and username/password of my DGX Spark. Log in, set up ssh keys, set up vLLM, download and bench Qwen3-VL, set up a server endpoint to inference videos, a basic web ui dashboard, test everything, set it up with systemd, record memory notes for yourself and write up a markdown report for me”. The agent went off for ~30 minutes, ran into multiple issues, researched solutions online, resolved them one by one, wrote the code, tested it, debugged it, set up the services, and came back with the report and it was just done. I didn’t touch anything. All of this could easily have been a weekend project just 3 months ago but today it’s something you kick off and forget about for 30 minutes.

As a result, programming is becoming unrecognizable. You’re not typing computer code into an editor like the way things were since computers were invented, that era is over. You're spinning up AI agents, giving them tasks *in English* and managing and reviewing their work in parallel. The biggest prize is in figuring out how you can keep ascending the layers of abstraction to set up long-running orchestrator Claws with all of the right tools, memory and instructions that productively manage multiple parallel Code instances for you. The leverage achievable via top tier "agentic engineering" feels very high right now.

It’s not perfect, it needs high-level direction, judgement, taste, oversight, iteration and hints and ideas. It works a lot better in some scenarios than others (e.g. especially for tasks that are well-specified and where you can verify/test functionality). The key is to build intuition to decompose the task just right to hand off the parts that work and help out around the edges. But imo, this is nowhere near "business as usual" time in software.

[Leander de Laporte @lfdelaporte]

@SandwatchAI 🚀🚀🚀

[Futura Camp (ZuBerlin 2026) @JoinFutura]

👋 Hey ZuBerlin community!
A big thank you to everyone who filled out the pre-registration form! We're over the moon with the amazing interest we've received so far! 😍

📢 Applications will be open in less than 24 hours and we can't wait to see yours! Just a quick note - even if you've pre-registered, make sure to submit your application quickly once they open!

We can't wait to welcome you aboard! 🤗🚀
✨https://t.co/jDUM57HZoz

[Leander de Laporte @lfdelaporte]

Fully integrated digital care pathways here we come!

[Medbelle @Medbelle]

Medbelle and @myGPapp have partnered together in their shared goal of raising the standard of healthcare. We’re incredibly proud of this partnership and what this means for the future of healthcare. #healthcare #partnership

https://t.co/zsWu5n5nD8

[Leander de Laporte @lfdelaporte]

@SomeKidNamedAki @StrictlyVC @Medbelle @goforward Thanks for sharing @SomeKidNamedAki!

[Sebastian Block @ts_block]

Due to the impact of #COVID19, an increasing number of patients in the #UK are waiting for surgery in the @NHSuk . @Medbelle has now released a free online waiting list estimation tool: https://t.co/jQh7OPZqmO

[Medbelle @Medbelle]

We can help the NHS with any backstops for PCR testing for #COVID19 in the UK. We started widely offering tests at cost price. No issues yet sourcing tests even given demand. We're happy to provide all we have & share contact details for our producers and labs with anyone.

[Medbelle @Medbelle]

To support the NHS, we now provide at-home COVID-19 tests at cost price to you. #flattenthecurve

https://t.co/bfrtx0czJw

[Sebastian Block @ts_block]

@WHO : "Our key message is: test, test, test"
@Medbelle : "We want to do our best to support the NHS, so here are #COVID19 tests delivered to you at cost"
https://t.co/GTZvg4VFKl
#healthtech #startup #medbellecares

[Private Healthcare Intelligence @PHCI_LB]

Simon Alfred from @Medbelle introduces us to "Patient care in the digital age" in our parallel session #PrivateHealthcareSummit #digital #UserExperience