Case Study + Deep Dive Telemedicine Support Agents with LangGraph/MCP - Dan Mason



AI Summary

The video is a detailed presentation by a software engineer from Stride, showcasing their work on building AI agent workflows for healthcare, specifically focusing on a telemedicine text-message-based system to assist patients during early pregnancy loss (miscarriage) treatment.

Key points from the video:

  • Introduction to Stride’s custom software consultancy specializing in AI workflows and code generation.
  • Case study highlighting the problem: manual button-pushing by humans for patient interaction, limiting scalability.
  • The AI-powered system uses Langraph and Langchain frameworks with an LLM (Claude) at the core to flexibly manage patient communication and treatment workflows without coding for each new treatment.
  • The system maintains a state for each patient, understanding treatment phase, timing, and local time zones, adapting dynamically to patient inputs.
  • Hybrid human-in-the-loop design where the AI handles routine messaging with human supervisors reviewing complex or low-confidence cases.
  • Use of blueprints (structured medical knowledge documents) to ensure medically approved language and safe interactions.
  • Evaluation and confidence scoring mechanism to decide if AI responses need human approval.
  • The system can handle multiple treatments and is deployed using a modern stack (Python, Node, React, MongoDB, Twilio, AWS).
  • Challenges addressed include prompt injection safety, caching, and balancing cost versus performance.
  • The approach enables roughly 10x scaling of patient support capacity compared to full manual operation.
  • The team actively fine-tunes prompts and tooling to improve accuracy and maintainability without fine-tuning model weights.
  • The system design emphasizes explainability, flexibility, and smooth human-AI collaboration.

Overall, the video provides an insightful example of how AI agent workflows can be effectively applied to healthcare telemedicine scenarios to increase scale, maintain safety, and improve operational efficiency.