drtalk is a US healthcare platform built entirely on .NET 8 and Azure. The backend handles secure video consultations, real-time messaging via SignalR, appointment scheduling, clinical data management, and payment processing through Stripe.
The architecture uses microservices where it matters and a modular monolith for the core domain logic. Cosmos DB for core practice and patient data, Azure Service Bus for async processing, and Application Insights for monitoring. Six years in production: continuous .NET development by a blended team across Australia and the Philippines.
- 6+ years
- in production
- .NET 8
- current version
- Azure
- cloud platform
- $1.5M+
- saved in dev costs



