The switch was opt-in, and the callers that said nothing were the ones that
paid for it: a 16,000-token deck reasoned its whole budget away and wrote
nothing (reasoning_chars=51573), the four 2,000-token reviews of that deck did
the same, and a 16,000-token revision reasoned for a minute and a half before
writing a word — which is past the point a browser waits for a request. Every
clinical route (encounters, notes, chart review, the visits, take-home, and
the rest) passes no reasoning option at all, so all of them were in that
position.
Silence now means off for DeepSeek, in one place rather than in fifteen, and
an explicit effort still means what it says: a task that wants reasoning asks
for it. The retry after a reasoning-starved reply no longer asks for 'low'
either — on DeepSeek that means thinking on, which is how a starved call came
back starved with four times the budget. It adds room instead.
Other providers are untouched, the Groq Qwen profile included.
A refresh landed on a new empty chat with the conversation a click away in
the list. The open chat's id is remembered per account and reopened on
load; New chat forgets it; a chat deleted elsewhere is quietly gone.
DeepSeek models think by default: measured on ds-deepseek-v4.1-flash, a
three-sentence clinical answer spent 301 reasoning tokens and 2.9 s before
writing and gave the same answer in 0.9 s with thinking off. The assistant's
reasoning effort now comes from CLINICAL_ASSISTANT_REASONING_EFFORT ('low'
as before; 'none' switches thinking off where a model allows it, sent as
DeepSeek's own thinking field through LiteLLM).
Co-Authored-By: Claude Fable 5.1 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_016fZGJNyDvERbMgS2Uc2msP
