Épisodes

  • Moving Beyond Replacement: How Physician-AI Augmentation Reshapes Clinical Practice
    Oct 24 2025

    Can AI-powered wearables and sophisticated diagnostic algorithms truly change clinical practice? Or are we mistaking technological capability for clinical readiness?

    In this episode, our hosts bring a dual perspective as physicians and healthcare AI futurists to a critical analysis. They examine emerging hardware and diagnostic approaches that could reshape real-time workflows, scrutinize what benchmark studies actually reveal about AI performance, and articulate a vision grounded in a simple but profound truth: while the physician's eye is limited to the visible spectrum, AI can process extensive multimodal data in real time.

    This isn't about diminishing the role of physicians. It's about what happens when AI is designed as an extension of physician capability rather than a substitute for it. The episode offers a concrete vision of how this partnership could work in practice, and what a human-AI partnership means for clinical practice.

    What You Will Discover:

    [00:34] Intro

    [00:54] How AI-powered glasses could reshape real-time clinical workflows

    [05:45] What radiology benchmarks reveal about AI's clinical readiness

    [07:45] Why human perception has fundamental limits and how AI fills that gap

    [09:26] How lack of regulation could amplify health inequities in the AI era

    [10:19] Envisioning the need for physician-algorithm specialists

    [12:06] Shaping a more capable, present, and human-centered practice

    Referenced in the show:

    🖇️ “The algorithmic consultant: a new era of clinical AI calls for a new workforce of physician-algorithm specialists” – https://www.nature.com/articles/s41746-025-01960-0

    🖇️ “Radiology’s Last Exam (RadLE): Benchmarking Frontier

    Multimodal AI Against Human Experts and a Taxonomy of

    Visual Reasoning Errors in Radiology” – https://arxiv.org/abs/2509.25559

    🖇️“Analog in-memory computing attention mechanism for fast and energy-efficient large language models” – https://www.nature.com/articles/s43588-025-00854-1

    🖇️ “New Meta Ray-Ban AI-Powered Display Glasses & Neural Band” – https://www.meta.com/ai-glasses/meta-ray-ban-display/?srsltid=AfmBOorJFTa87uJM8WpBm-rGtISfvdb-LGADG99BHMZfDIH-Ijj7Pzz6


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram -

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    16 min
  • AI Won't Replace You—But Patients Using AI Will Change Everything
    Oct 24 2025

    What if AI could have detected your patient's serious condition earlier than your current best practice protocols, potentially avoiding a complex intervention? For Ed Marx, this isn't hypothetical—he lived it.

    This episode dives into the clinical realities of AI as a tool for early diagnosis, demonstrating how it's transforming the clinician-patient partnership and challenging providers to rethink workflows to keep pace with AI-empowered patients. Drawing from 20 years of digital transformation leadership and deeply personal healthcare experiences, Ed Marx shares powerful personal case studies of AI's success in diagnostics and overcoming access bottlenecks for specialized care. This episode provides a grounded analysis necessary to examine the immediate strategic implications for practitioners and the necessity for administrators to reorganize primary care delivery models.

    The future of care requires collaboration—where clinicians leverage AI not as a replacement, but as a tool to enhance early detection, improve access, and extend their reach.

    What You Will Discover:

    - From Digital Charts to AI Charts: Healthcare's Third Evolution

    - Why Concierge AI Is Nothing Like Dr. Google

    - Ed's Prostate Cancer Story: How AI Could Have Changed Everything

    - “December Is Too Late”: Bypassing Specialist Wait Times with AI

    - Why 40% of Patients Are Skipping Visits

    - How AI Empowers Rather Than Replaces

    - From Resistance to Action: Strategic Steps for Healthcare Leaders

    Referenced in the show:

    🖇️”The algorithmic consultant: a new era of clinical AI calls for a new workforce of physician-algorithm specialists” – https://www.nature.com/articles/s41746-025-01960-0

    🖇️ “If A.I. Can Diagnose Patients, What Are Doctors For?” https://www.newyorker.com/magazine/2025/09/29/if-ai-can-diagnose-patients-what-are-doctors-for


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website - https://www.marxadvisory.com/about-ed-marx

    Visit our website:

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    14 min
  • Why Healthcare Can't Close the AI Implementation Gap (And What to Do About It)
    Oct 24 2025

    The question isn't whether AI works in clinical practice—it's about dismantling the bottlenecks that keep proven innovations trapped in academic papers instead of integrated into daily care.

    In this episode, our panel of experts cuts through the noise to ask: What's actually preventing healthcare from closing the implementation gap—and what can we do moving forward? Because we need more healthcare professionals who not only recognize AI's potential but also implement it in a way that improves patient outcomes.

    Hear from three voices who bring this challenge to life: a clinician-founder who's navigated the frustration of having evidence without approval, a clinician and international AI advisor offering global insight on building trust and navigating governance, and a healthcare executive confronting the daily tension between operational demands and strategic transformation. Through peer-to-peer dialogue, they challenge conventional wisdom about innovation hierarchies, experimentation, and what leadership truly entails in the age of AI.

    What You’ll Discover:

    - The Seven-Year Evidence Gap

    - Why Culture (not Capability) is the Real Barrier

    - The Operational Trap: Why There's No Time to be Strategic

    - How Transparency Builds Trust in AI

    - Why Fear of Failure and Over-Governance Kill Innovation

    - Innovation Hierarchy: The Danger of Hiring Another Chief.

    - How to Remove Yourself from the Grind and Think about the Future

    - Board-Level Education: The Need for Tech-Advanced Leadership

    - Strategic Framework: A 5-Question for C-suite’s AI Readiness

    Most importantly, you'll walk away with a five-question evaluation framework that CMOs, CFOs, and CEOs can use immediately to assess AI readiness and drive meaningful implementation.

    This isn't just theory—it diagnoses the real barriers and prescribes practical solutions.


    Referenced in the show:

    🖇️ "Accelerating clinical evidence synthesis with large language models" – https://www.nature.com/articles/s41746-025-01840-7


    Book mentioned:

    📚Healthcare Digital Transformation: How Consumerism, Technology and Pandemic are Accelerating the Future - https://a.co/d/86uLRxw


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn -

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    18 min
  • The Wild West of Healthcare AI: Innovation, Regulation, and the Paralysis of Caution
    Oct 24 2025

    Healthcare AI is in its Wild West phase—messy, undefined, and full of potential.

    In this episode, our panel takes a step back to ask: where are we on this path to innovation, and how do we prepare for what's next?

    The conversation explores where healthcare AI sits on the hype cycle. While some are just discovering what AI can do, others are already navigating the trough of disillusionment. Our hosts discuss why innovation appears messy right now, how that's actually normal, and what the barriers to adoption reveal about the future trajectory.

    What You Will Discover:

    - Why controlling the 'mess' too much stifles progress?

    - What is the current stage of Healthcare AI in the Hype Cycle?

    - Who will pay for AI?

    - How to create a safe space for experimentation?

    From the struggle to legally define what AI even is, to the careful balance hospital leaders must strike between enabling innovation and ensuring patient safety—this episode is about distinguishing value from hype. Join our panel of experts for a peer-to-peer reality check on where we are, where we're headed, and how to navigate the uncertainty in between.

    Referenced in the show:

    🖇️ "The algorithmic consultant: a new era of clinical AI calls for a new workforce of physician-algorithm specialists" – https://www.nature.com/articles/s41746-025-01960-0

    🖇️ “Unprepared and overwhelmed: A case for clinician-focused AI education” – https://www.sciencedirect.com/science/article/abs/pii/S0933365725001873


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website - https://www.marxadvisory.com/about-ed-marx


    Visit our website:

    https://signalandsymptoms.com/


    Get advisory insights about Healthcare AI — at zero cost:

    https://signalandsymptoms.substack.com/

    Voir plus Voir moins
    16 min
  • Healthcare AI: Navigating Investment Challenges and Building Strong Partnerships for Innovation
    Oct 24 2025

    In a world of tightening budgets, how can health systems find the margin to invest in innovation and transformation?

    This episode dives into the strategic and financial realities of healthcare today—a system strained by an aging population, staff shortages, and rising costs. But amid this pressure, huge amounts of capital is flowing into AI, with healthcare positioned as a major recipient of venture capital funding.

    We’re joined by guest host Dr. Victoria Manax, who brings a unique perspective as a seasoned investor and a leader with 20+ years of clinical and medical experience. Together, we move beyond the headlines to diagnose the industry's pain points, asking the critical question: What's the direct path to a return on investment that can truly improve patient care?

    What You Will Discover:

    - The Financial Landscape of Healthcare AI

    - Challenges & Opportunities for AI Adoption

    - Creating a Margin to Shift Investment into Innovation

    - Building Partnerships & Culture

    - Data as a Key Factor in Successful AI Application

    - The Call to be AI-enabled

    - A Founder-Physician's Advice on Healthcare Transformation

    If you're looking for grounded, peer-to-peer insights on navigating the complexities of healthcare AI, this episode is for you.

    Referenced in the show:

    🖇️ "The Latest VC Investment Deals in AI Startups - 2025" – https://www.crescendo.ai/news/latest-vc-investment-deals-in-ai-startups

    🖇️ “Healthcare AI rakes in nearly $4B in VC funding, buoying the digital health market in 2025” – https://www.fiercehealthcare.com/health-tech/healthcare-ai-rakes-nearly-4b-vc-funding-buoying-digital-health-market-2025


    Book recommendation:

    📚First-Principles Inbox: AI-Coached Mentorship for Elon Musk-Level Breakthroughs - Harvey Castro, MD, MBA – https://a.co/d/casKUMI


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website -

    Voir plus Voir moins
    17 min
  • AI vs. Your Brain: Preserving Clinical Expertise in the Age of AI
    Oct 24 2025

    The conversation in healthcare is shifting. It's no longer just about adopting AI, but about the cognitive cost of over-relying on it.

    In this episode, our expert panel—Dr. Junaid Kalia, Dr. Harvey Castro, and Dr. Sara Rana—examine the complex relationship between artificial intelligence and human cognition in clinical practice. Drawing on new research, the discussion highlights how dependence on AI can lead to "cognitive debt," potentially diminishing a physician's diagnostic skills, such as the ability to spot critical illnesses like cancer.

    While AI is undoubtedly here to stay, this episode provides insights into how healthcare professionals can thoughtfully engage with these smart tools. It emphasizes using AI to streamline administrative tasks and improve workflow efficiency while preserving the essential clinical reasoning that can't be outsourced.

    What You Will Discover:

    - Impact of Over-Reliance on AI: Cognitive Debt & Skill Atrophy

    - Maintaining Clinical Gestalt & Thoughtful Engagement with AI

    - Integrating AI into Clinical Workflow

    - How to Protect Brain Cognition

    The future of healthcare isn't about choosing between human and machine—it's a collaboration where technology enhances our capabilities while human judgment and compassion remain at the forefront of patient care.

    Referenced in the show:

    🖇️ "Your Brain on ChatGPT: Accumulation of Cognitive Debt When Using AI Assistance for Essay Writing Tasks" – https://www.researchgate.net/publication/392560878_Your_Brain_on_ChatGPT_Accumulation_of_Cognitive_Debt_when_Using_an_AI_Assistant_for_Essay_Writing_Task

    🖇️ “Endoscopist deskilling risk after exposure to artificial intelligence in colonoscopy: a multicentre, observational study” – https://pubmed.ncbi.nlm.nih.gov/40816301/


    Connect with us:


    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website - https://www.marxadvisory.com/about-ed-marx


    Special Guest:


    Dr. Sara Rana, AI Innovator & Policymaker

    💼LinkedIn -

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    16 min
  • Beyond the Benchmarks: How to Validate & Monitor AI Tools Before Deployment?
    Oct 24 2025

    Healthcare AI mistakes aren't just expensive—they're potentially dangerous. While the technology holds huge promise, rushed deployments without proper guardrails often create more clinical burden than relief.

    Our hosts discuss three major approaches to healthcare AI safety from tech giants Google, OpenAI, and Microsoft. The conversation reveals how physician-centered oversight and multi-agent systems can prevent AI hallucinations while maintaining clinical workflow efficiency.

    This episode covers real-world deployment challenges, data drift monitoring, and why successful integration requires engagement from all stakeholders—patients, clinical staff, and leadership—throughout the evaluation process.

    Healthcare organizations often find themselves caught between vendor promises and clinical reality. This deep dive provides practical frameworks for evaluation, implementation, and oversight—helping you make informed decisions rather than costly mistakes.

    What You’ll Discover:

    - AI Guardrails

    - Understanding Why Healthcare AI Requires High-Stakes

    - Google: Asynchronous oversight & Multi-agent system

    - OpenAI: AI-based clinical decision support

    - Microsoft: Sequential diagnosis orchestration

    - Critical Implementation Considerations

    - The Essential "Village Approach" to AI Deployment

    Referenced in the show:

    🖇️ Google Research: Towards Physician-Centered Oversight of Conversational Diagnostic AI" - GAMI (Guardrail Articulated Medical Intelligence Explorer)

    🖇️OpenAI Research: "AI-Based Clinical Decision Support" - Primary care implementation study with 22,000 patients

    🖇️Microsoft Research: "Sequential Diagnosis with Large Language Models" - Multi-agent orchestration framework for medical diagnosis

    Connect with us:

    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd

    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website -

    Voir plus Voir moins
    17 min
  • The Healthcare AI Adoption Framework: Is Your AI a Smart Investment?
    Oct 24 2025

    In navigating healthcare innovation, leaders are tasked with a critical question: how do you vet a new AI solution when the stakes are so high? Because a bad AI investment is more than just a financial hit—it’s a risk to patient lives and a burden on your clinicians.

    The friction we see is often a symptom of systems where the C-suite’s goals for efficiency clash with the frontline's need for an optimized workflow. These projects fail not because of ill intent, but because the frameworks used to design them lack a diverse range of stakeholder perspectives, particularly those of practitioners and patients.

    In this episode, your hosts dissect an early pipeline framework for proper governance of AI adoption in healthcare, revealing how to achieve true clinical success by aligning technology, financial ROI, and what matters most—patient outcomes.

    Join our panel of a C-suite executive, a founder-clinician, and a front-line doctor for a peer-to-peer reality check on the process of AI adoption.

    What You’ll Discover:

    - Framework for Assessing Vendor AI Solutions

    - Strategic Alignment is Critical

    - Involving the Right People

    - Multi-Stakeholder Risk Assessment

    - The Vendor’s Worksheet: Defining Potential Impact and Value

    - What Executives Look at

    - The Key to Adoption

    - Ethics, Access, and Fairness

    Referenced in the show:

    🖇️ Journal Article: An early pipeline framework for assessing vendor AI solutions to support return on investment (2025)

    Connect with us:

    Dr. Junaid Kalia, Neurocritical Care Specialist and Founder of Savelife.AI™

    💼LinkedIn - https://www.linkedin.com/in/junaidkaliamd

    🔗Website - https://www.junaidkalia.com/

    📹YouTube - https://www.youtube.com/@junaidkaliamd


    Dr. Harvey Castro, ER Physician, #DrGPT™

    💼LinkedIn - https://www.linkedin.com/in/harveycastromd/

    🔗Website - https://www.harveycastromd.com/

    📷Instagram - https://www.instagram.com/harveycastromd/?hl=en


    Edward Marx, CEO, Advisor

    💼LinkedIn - https://www.linkedin.com/in/edwardmarx/

    🔗Website - https://www.marxadvisory.com/about-ed-marx

    Visit our website:

    https://signalandsymptoms.com/


    Get advisory insights about Healthcare AI — at zero cost:

    https://signalandsymptoms.substack.com/

    Voir plus Voir moins
    17 min