"If you think about a healthcare system, the choke point is a doctor's time and attention. Anything that takes that up has a direct impact on patient outcomes because it slows down bed movement, reduces the speed of different interventions, and forces doctors to constantly triage their own time." - Jeremy Au
"There's this phenomenon called 'pajama time.' It's doctors having to catch up on administrative work at home in their pajamas because it's just too much. It takes up about 40% of their time, leading to burnout and causing some doctors to consider leaving the practice." - Jeremy Au
"Because of our model focus at Heidi, we are actually quite strong in tricky visits involving Malay, Hokkien, English, and a bit of Singlish. We naturally gravitate towards markets in Asia where out-of-the-box LLMs do not perform as well due to non-Latin character sets." - Jeremy Au
What is technology actually doing to healthcare, and what can it still not touch?
Four conversations from the BRAVE archive, on the gap between what medicine can do and what a doctor actually has time to do.
Dr. Thomas Kelly walked away from vascular surgery to build Heidi, an AI scribe and care partner now used by clinicians in more than 100 countries. He argues a doctor's paperwork is a patient safety problem, not an inconvenience. Jay Fajardo started over as a solo founder at 58 to attack "pajama time," the 40% of a doctor's day that disappears into admin. Ed Booty spent two years learning that a pure-play tech platform will not reach a rural village, and rebuilt reach52 around community health workers instead. Joshua Wang works upstream, on why we keep catching cancer too late to treat it well. And Dr. Tom closes on what it actually takes to make medical AI work across Malay, Hokkien, English and Singlish.
Watch the full episodes:
E716 Dr. Thomas Kelly, Co-Founder & CEO of Heidi Health
https://www.youtube.com/watch?v=yA5jzWf4V\_Y
E694 Jay Fajardo, Founder & CEO of BetterClinic
https://www.youtube.com/watch?v=sIOCY\_LtObM
E502 Edward Booty, Founder & CEO of reach52
https://www.youtube.com/watch?v=6pE0LFpCp\_Q
E628 Joshua Wang, Founder & CEO of Verimmune
https://www.youtube.com/watch?v=roXPyXASiRk
00:00 Intro
00:40 Dr. Thomas Kelly: paperwork is stealing clinical capacity
04:47 Jay Fajardo: pajama time and the 40% problem
09:59 Edward Booty: why pure-play tech doesn't reach rural patients
14:32 Joshua Wang: we catch cancer far too late
19:53 Dr. Thomas Kelly: Malay, Hokkien and Singlish, and the cost of localisation
25:19 Outro
Keywords: HealthTech Southeast Asia, Healthcare AI, AI Medical Scribe, Digital Health Innovations, Doctor Burnout, Rural Healthcare Distribution, Early Cancer Detection, Healthcare Localization, Emerging Markets Healthcare, Large Language Models (LLMs) in Medicine