Audit the app for real-time performance bottlenecks and fix them — slow queries, missing indexes, N+1 problems, cache misses, and polling that should be websockets. Use when the user says "make it faster", "it's slow under load", "optimize the DB", or "add real-time updates".

Build an AI-powered healthcare intake assistant with a lip-synced Anam avatar, LiveKit voice pipeline, and real-time form updates via RPC