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Why Doctors Get Diagnosis Wrong — And How AI Is Fixing It | Dr. Steven Charlap, Medome Analytics Table
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Why Doctors Get Diagnosis Wrong — And How AI Is Fixing It | Dr. Steven Charlap, Medome Medical AI offers a breakthrough solution to the diagnostic errors affecting millions of patients each year. Discover how advanced clinical intelligence helps doctors detect early disease signals, eliminate false assumptions, and protect patient safety before symptoms escalate into serious emergencies. In this episode of We Built It Because We Had To, host Jonathan Buckley sits down with Dr Steven Charlap, founder of Medome, to discuss how artificial intelligence is transforming modern primary care. Here is what you will learn in this episode: • Why diagnostic errors impact hundreds of thousands of patients annually due to rushed appointments • How diagnosis by elimination outperforms human pattern matching to uncover rare conditions • The serious privacy risks of putting personal health records into public artificial intelligence models • How Medome fine tuned Google MedGemma across 100 million medical data points without exposing private health data • The engineering behind detecting triple drug adverse interactions to prevent severe medication complications • Why health systems often resist diagnostic software and how founders can navigate clinical adoption 00:00 - Intro 01:01 - The Misdiagnosis Crisis 02:27 - Catching Signals Before Symptoms 04:02 - Privacy Risks of Public AI 05:46 - Diagnosis by Elimination 06:34 - Premature Closure in Medicine 08:18 - Scrubbing PHI in Healthcare Models 10:04 - Fine Tuning MedGemma with Medical Data 11:08 - The Personal Story Behind Medome 14:00 - The Vision for AI First Primary Care 15:46 - The Specialist Referral Dilemma 18:05 - Tackling Complex Healthcare Problems 21:40 - Medome Features and Men Health 25:37 - Preventing Medical Data Errors 27:31 - Triple Drug Adverse Interaction Detection 29:40 - Why Hospitals Resist Extra Data 32:35 - Practical Advice for HealthTech Founders 35:30 - Conclusion and Where to Find Medome Guest Links: Learn more about Medome: https://medome.ai Connect with Dr Steven Charlap: https://www.linkedin.com/in/steven-charlap-md-mba-8911906/ Channel and Host Links: Subscribe to The Artesian Network: https://www.youtube.com/@theartesiannetwork Explore more founder stories: https://www.WeBuiltItBecauseWeHadTo.com Sponsor and Resource Links: Explore the We Built It Because We Had To podcast series: https://www.WeBuiltItBecauseWeHadTo.com #MedicalAI #HealthcareAI #HealthTech
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