His Brother Was a Cardiologist. He Still Died From a Misdiagnosis | Dr. Steven Charlap

My guest today lost his brother to a misdiagnosis. His brother was a cardiologist. Think about that for a second: a physician inside the system, with every advantage, and the system still missed it.

Dr. Steven Charlap is a surgeon trained at NYU with an MBA from Harvard. He spent 21 years co-founding and running HealthDrive, a mobile medical company that served over five million patients across 13 states, made the Inc. 500 twice and exited to private equity. He gave his personal phone number to the families of his patients. He could have stopped there. Instead he spent the last decade, and over four million dollars of his own money, building MEDOME.ai, an AI powered personal health record that runs the full medical interview, applies more than 500 algorithms, and hands you back the questions your doctor does not have time to ask.

His answer to what his brother's story teaches us is three words: trust but verify. Doctors are human, under pressure, and there are 28,000 diseases. When he first went to doctors with MEDOME, some told him they did not want more information on their patients. So he built it for the rest of us.

What we get into:

• Trust but verify, and why even great doctors miss things
• 28,000 diseases, and why no physician can see them all
• The three-drug interaction his own product caught for him
• Why doctors told him they did not want more patient data
• How MEDOME gathers your history, wearables and lab results
• Generating the questions to ask your doctor, and recording the appointment
• How doctors respond to a patient who walks in informed
• Spending more on the product than on marketing
• AI in primary care and the doctor shortage
• Ten dollars a month, and who this is for
• Taking care of yourself before you have a problem

Timestamps

• 00:00 He lost his brother to a misdiagnosis
• 01:13 HealthDrive and handing out his personal phone number
• 02:48 What his brother's story tells us: trust but verify
• 04:13 Why doctors miss uncommon diseases
• 05:13 The three-drug interaction that nearly hurt him
• 06:44 Direct to consumer, and why doctors said no to more data
• 09:58 Detecting signals before symptoms appear
• 10:57 Plugging in your wearables
• 12:49 Questions for your doctor and recording the visit
• 13:04 How doctors respond to an informed patient
• 15:54 Product over marketing
• 18:57 AI in primary care and the doctor shortage
• 21:54 Trust but verify, applied to the technology itself
• 25:02 How to get access, and ten dollars a month
• 30:07 Using it to build a health plan
• 32:01 Steve's parting message

About the guest

Dr. Steven Charlap is a surgeon trained at NYU, a Harvard MBA, and the co-founder of HealthDrive, which served over five million patients across 13 states. He is the founder of MEDOME.ai, an AI powered personal health record. This episode is for informational purposes only and is not medical advice.

MEDOME: https://medome.ai

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