Development of Revolutionary Backend Infrastructure


1. Complexity of the Treatment: The treatment being developed was highly intricate, requiring real-time data processing and analysis. It involved multiple data sources, including patient health data, wearable devices, and treatment protocols.

2. Data Security and Compliance: Handling sensitive patient health data required strict adherence to data security and privacy regulations, including HIPAA compliance.

3. Scalability: The system needed to be scalable to accommodate a growing number of patients, healthcare providers, and data sources.

4. Integration: The backend infrastructure had to integrate with a variety of tools and services, including AWS, GCP, Salesforce, Twilio, and more.


Clayton, as the subject matter expert and hands-on engineer, led the development of the backend infrastructure. His extensive experience in a range of technologies, including .NET 5, PostgreSQL, AWS SNS, AWS SQS, GCP Pub/Sub, LaunchDarkly, Salesforce, AWS Cognito, New Relic, Jaeger, Entity Framework Core, Prometheus, and Twilio, made him the ideal candidate for the role.

Under Clayton's leadership, the team:

1. Designed a Scalable Architecture: Clayton was instrumental in designing a modular and scalable architecture that allowed for easy integration of new data sources and components as the project evolved.

2. Ensured Data Security and Compliance: Clayton implemented robust security measures and worked closely with the compliance team to ensure HIPAA compliance and protect patient data.

3. Real-time Data Processing: Leveraging AWS SNS, AWS SQS, GCP Pub/Sub, and other technologies, Clayton's team established real-time data processing pipelines to enable instant feedback and treatment adjustments.

4. Feature Flags and Monitoring: Clayton integrated LaunchDarkly for feature flags and implemented monitoring and observability using New Relic, Jaeger, and Prometheus to ensure system reliability and performance.

5. Communication and Engagement: The project required patient engagement and communication through various channels. Clayton seamlessly integrated Twilio to enable secure and efficient patient-provider communication.

6. Data Migration and Management: Entity Framework Core and Liquibase were used to manage database schemas and efficiently handle data migrations.


Clayton's leadership and technical expertise played a significant role in the successful development of the backend infrastructure. The client now has a robust, scalable, and secure platform to support their innovative treatment for Type 2 Diabetes. Some key outcomes include:

1. Improved Patient Outcomes: Real-time data processing and treatment adjustments have led to better patient outcomes and a higher quality of care.

2. Scalability: The system can easily accommodate the growing number of patients and data sources, ensuring it remains effective as it scales.

3. Data Security: The client has maintained compliance with data security and privacy regulations, ensuring patient data is protected.

4. Efficient Communication: The integration of Twilio has enabled efficient and secure communication between patients and healthcare providers.

5. Monitoring and Performance: The system's robust monitoring and observability ensure high performance and reliability.


Clayton's role as the subject matter expert and hands-on engineer in the development of the backend infrastructure for the Client's Type 2 Diabetes treatment was pivotal to the project's success. His technical skills and leadership abilities ensured that the Client received a reliable, scalable, and secure platform to support their innovative healthcare solution.