Drafting medical reports from clinical notes, kept fully local for privacy

For turning clinical notes into medical reports, this person built a dedicated local skill specifically because of how sensitive that data is — it's the one task in their setup where they were explicit that privacy was the deciding factor, not convenience or cost. The same local setup also handles a more unusual case: pulling subtitles from educational YouTube videos with an unrestricted model, then having a larger local model review and expand on the material.

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