ageyfman

not my experience with a tuned prompt - using fathom

medical appointments is a perfect use case for ai note takers. Imagine you have an elderly parent who lives hundreds of miles away. You can't always be present for their medical appointments, yet, the outcomes of those appointments are critical, and sometimes information is shared in a way that the elderly parent cannot be a trustworthy source for that info. What do you do?

the product was commercial analytics for healthcare sales teams. We worked with our customers (medical device & biotech commercial teams) to define granular patient cohorts (patients with a specific disease and specific pattern of treatment) and then analyzed provider (doctor / facility) interactions with those patients.

One onboarding problem was always - here's what I know about the doctors / facilities I care about, help me understand what I don't know. Well, what they knew was usually in a CRM, with very poor hygiene, or some ERP - dat assembled by hundreds of sales and ops people over years, sometimes decades. So generally the first step for us was to do an MDM exercise to join their data to ours.

This had a huge pay-off for both parties. For us we were able to make our product much more useful to them. For them, they now had a map of their territory they could use across multiple business units, multiple therapeutic areas (these usually operate independently and sometimes sell to the same buyers!)

I'm seeing the same opportunity/challenge in my new company, but this time focusing on the supply chain of these companies.

this is a big issue in healthcare, a chunk of my last company's revenue was doing MDM for large medtechs.

they have to say this to safe face. people who're interviewing most of the time can't even tell if it's a 50% engineer

dodged a bullet. this guy is an asshole, regardless of his skills. imagine him interacting with junior devs

might have been QSBS, so no taxes < $10m

This is valuable in the sense that it accomplishes like 80% of what you need to think about when establishing a doc like this, and the open source nature of it is novel because you can crowd-source updates more effectively than via a comment section.

The value is that marketing & sales are easily the harder discipline for most SaaS businesses.

these folks are in Western Europe, and I'm on PST. So it's all async.

As a different point of view, I work w/ my designer in Figma, and the collab features are a must-have. Our iterations are much faster in Figma than they would be on static files shipped via PDF, or whatever it would be.

We switched 3 times with 0 downtime. Linode > Google > Azure > AWS. Chasing that sweet startup package at each place. We stuck with AWS.

Completely agreed. Customer success is what gives a middling product the time and space to turn into an ATM machine.

I was in the same situation. My co-founder and I split responsibilities and I moved into a sales role. It was difficult at first, but like anything, learnable.

... Pirate Bay? We're back in the early/mid 2010s now.

Try doing any type of deal (fundraising, M&A) where you can't point to the provenance of your application's code. This isn't good for programmers, programmers WANT clean and knowable copyrights. This is good for lawyers, who'll now have another way to extract thousands of $$ from companies to launder their code.

they built notion boards into github. nice work! we've been using notion for our product work and it's been very flexible and powerful, but I do miss having the code and issues living together.

Lytics.com is another one. It's a new space, but growing

this is inevitable.

Users, amiright?

these companies only need to move the needle a little bit to be wildly successful and usher a new set of internal applications that end-users can put together. Will it be children programming our internal enterprise apps? Maybe not. But there are a whole lot of folks who have the need and the desire to get some internal things built, and with these new tools (retool especially), it's not that hard. Calling it no-code does these tools a disservice. It's really block-oriented programming with a variety of complex blocks.

Here's a great overview of their process!

https://www.shrwood.com/Assignments-Liquidations/Assignment-...

I think they mean Texas soon, and New Mexico in the near future. Maybe better to have written:

and we'll soon expand to Texas, and New Mexico in the near future

The point I was making isn't that the cloud is naturally more secure, it's that the company was 100% focused on medical imaging, not the 1000 projects a typical network/system admin at a hospital has to juggle.

In 2009 I was building an enterprise medical imaging SaaS for hospitals, and we would constantly come across hospital IT admins who were adamantly against trusting a cloud vendor with their sensitive healthcare data - even one that's audited, security-checked and whose sole responsibility is to take care of these images.

We always thought it was a joke that these guys questioned us, when we knew how bad their internal security practices were. At some point around 2011-2012 we seized on the idea that holding your images inside of the hospital's four walls was a liability for them, and not a point of pride.

So, not at all surprised about this, nor about the complete lack of security practices at many of these healthcare IT vendors.

this is quickly changing. For insurers that offer Medicare Advantage plans, they get paid on a per-member per-month model, so outcomes are very germane to their profit margin.

Insurance companies have very little/not at all influence over prescribing patterns of physicians. If you could tie this improved outcomes, then there is a business model here.

There is a value-based angle here. But as the psychiatrist told him, she doesn't make any more or less by prescribing one drug vs. another. If he was able to link the use of a specific drug to improved outcomes (READ: fewer repeat visits, less time in the hospital), then it could be something that ACTUALLY reduces costs.

At first I thought this was satire. Here's this guy, who uses a pretty straightforward analysis without any prior healthcare domain experience, thinks he's found the holy grail after a few weeks of work, and then spends all of his money (without first talking to actual domain experts) before he gives up, because Healthcare.

they're one of (if not the) largest lessees in NYC (and other cities around the world), with long-term leases. A lot of landlords would have a conniption if these guys went out of business. Would rock the commercial RE market.