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Welcome to Risk Never Sleeps, where we meet and get to know the people delivering patient care and protecting patient safety. I'm your host, Ed Gaudette.
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Welcome to the Risk Never Sleeps podcast in which we learn about the people that are on the front lines delivering patient care and protecting patient safety. I'm Ed Gaudette, the host, and I am pleased to be joined by Nancy Sabati.
C
Very good.
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From Heidi Health.
C
You got it.
A
Did I get that out or out? Yay. This is your second podcast it is ever.
C
I know.
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This is exciting.
C
It is.
A
All right, here we go. Put that seatbelt down, folks. We're going for a ride. So let's start off with a softball. Tell our listeners a little bit about yourself, your role and your organization.
C
Sure. So I'm a primary care physician. My role is I'm the US Based cmio, so Chief Medical Information Officer of HEIDI Health. I joined in January, so it's still a fairly new role for me. Prior to that, I was at Beth Israel Leahy Health, which is the largest health system in Massachusetts. I was the ACMIO there doing things such as rolling out Epic, but I also had a chance to roll out Heidi in that role and it was a great experience. Heidi was loved universally across our system and the rest is history. I jumped ship and over to Heidi Health.
A
That's a pretty big vote of confidence. We're going to learn more about Heidi in a second bi. Where? About what area?
C
So Beth Israel Lahey Health spans 13 hospitals, three academic medical centers in Boston, in and around Boston. We span from New Hampshire down to Cape Cod and they are covered in snow right now. I know.
A
I'm from Boston. Where were you located?
C
I lived in Boston. I live in jp.
A
Oh, okay. Jp. Oh, yeah, yeah. Did you know John Halamka?
C
Of course. We crossed paths for about a year or two because John left sooner after I joined. But yeah, John.
A
Okay.
C
John's amazing.
A
What were you doing before bi?
C
I joined a company called Iora Primary Care, which was a startup similar to Heidi, although Heidi is not what I would consider a startup at this point. Iora Primary Care was a different way of doing primary care. It was a health coaching based model. I had left MGH after 19 years, which was unusual. Like people who start their career at MGH and nobody ever leaves. But I felt that at that point there had to be a better way to do primary care and I wasn't going to find it at mgh. I joined ior. I loved the experience. It was really transformative. IOR got Bought by One Medical. Which One Medical got bought by Amazon and from there I went to bilh.
A
You stayed at through the Amazon acquisition?
C
I left a little earlier than that.
A
Yeah.
C
Okay. So. But it was. It was just a wonderful experience and I got to learn new skills and meet some amazing people.
A
How did you get in healthcare?
C
How did I get in healthcare? How did I. How did I become a doctor? That's the question. I went to college thinking I was going to be an engineer. I got a C in calculus and so that kind of.
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In an A in biology.
C
Yeah, and an A in biology and my roommate was pre med and I thought, oh, that's sounds like a good path. I'll do that.
A
Yeah. Where did you go to school?
C
I went to Harvard undergrad. I did my medical school. I did a Dartmouth Brown program.
A
Oh nice.
C
Trained in New York City. So. I love New York City, but I'm born and bred Boston girl.
A
So you still live in Boston?
C
Oh yeah.
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You're still in jp?
C
Still in jp.
A
Oh, nice. I love jp.
C
Yeah. Serious stuff now.
A
Yeah, I think so. Possibly. It's more about you. Really? That's okay. That's what the podcast about. Tell us about Heidi. Sure. What problem does Heidi solve?
C
Oh, where do I begin? So Heidi first started as an AI scribe.
A
Okay.
C
It's been around 2019. A Dr. Tom Kelly, he was in his vascular surgery residency, was overwhelmed by the documentation burden, decided to use his talents to start a company. So Heidi as an AI scribe is the most used AI scribe across the globe. So we're in 190 countries, we can accommodate 110 languages. So it really is a global company. It's less known in the US but we are growing rapidly in the us.
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So where are you based?
C
We have offices in New York City as well as San Francisco.
A
Okay. And. But are you a US based company or.
C
No, it's an Australian based company.
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Australia. Oh, Australia. Have you been there?
C
No, but I'm going.
A
When?
C
Next month. Very excited.
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For how long?
C
Two weeks. No, I know. It's not enough.
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That's a rookie mistake.
C
It's not enough.
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Yes, you need to go a month.
C
I know. I wish.
A
Then you get to go to Tasmania. Oh, see the devils.
C
Wow, that would be cool.
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And New Zealand? Are you going to get to New Zealand?
C
I'm going to have to save that for another trip.
A
Where in Australia? Are they in Perth or.
C
So they are based in Melbourne, but I'm actually going to Perth. They have an event of Perth. I hear it's beautiful.
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You're going to. You're going to surf.
C
No, you don't want to see me surf. I am the worst balance. What come have anybody?
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Yeah.
C
And then we're going to event in Melbourne called Heidi Unlocked. Nice. So really get people in to understand what Heidi does and experience it in the visit. So that's an event and then I'm gonna go visit friends in Sydney. So.
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Nice.
C
So it'll be fun.
A
Yeah. And you'll blink and you'll be back on the plane.
C
Exactly.
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Going, why didn't I stay months?
C
I know. Well, the time difference alone.
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Well, yeah, it's gonna hurt. It's gonna hurt a little bit.
C
Yeah.
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Well, that'd be fun.
C
Yeah.
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They have some weird insects and snakes and other things there. Yeah. So be careful.
C
I'm not a big fan of spiders, but.
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Yeah, and they're big. They're like big like basketball sized spiders that eat your face.
C
Lovely. Thank you. Thank you for that.
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Sleep in a sleeping bag. Zipped all the way up if I were you. All right.
C
I didn't answer your question, though.
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No, I know. But we're going to get there. All right, go ahead.
C
What's exciting about HEIDI is it's real, really. Adding to its AI capabilities. It's becoming an AI healthcare partner. So to the platform we announced basically today a 5, which is exciting. Heidi. Evidence. So Evidence is a clinical medical information tool that's. That's trusted in terms of. It provides citations. It is basically a way of querying all the evidence out there, the evidence and getting information that you need.
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So what are some of the competitors in that space?
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Well, Open Evidence.
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Yeah.
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And up to date.
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Yeah.
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So the difference is that we don't sell your data. It is ad free. It is actually free. So you can go onto the HEIDI website and any clinician can use it. But if you're a health system and you want to be able to curate that information. So if I'm in the US versus UK and I want to pull in US best guidelines, or if I want to in my health system put in policies, put in drug formularies, put in other things that are really relevant to my health system, that's the real benefit of it.
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Are you doing a launch, special launch somewhere or for the announcement today or five and five. Okay. All right.
C
It is our lot. Have you seen our booth?
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Not yet.
C
It's huge.
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Is it? What's the booth number? Oh, it's just. It's that big.
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Go up the stairs and take a right and we're right in the front.
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So it Sounds like Heidi might be coming in ehr at some point.
C
So that's interesting that you should say, oh, boy.
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Because I think as we don't listen, Judy.
C
Yeah. But it's true when you think about what are, who are competitors know Epic is doing their Epic thing.
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Yeah.
C
And again, I actually launched or helped spread Epic across our system.
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Yeah.
C
And so I, I know Epic in and out. I respect Epic. But if you ask a clinician, once you roll out Epic, they don't come up and say thank you. Is it. But if you roll out Heidi, I get high fives. I get hugs. I get I love Heidi.
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Heidi hugs. Yeah. Heidi hugs. I love that she brand that Heidi.
C
So I will say I've had experience where we had clinicians who knew we were going to go on to Epic who said, I'm not going to do this. I'm going to retire. This is just not worth it. And then we added Heidi on top of that and they said, oh, you know what?
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I can do this. Not so bad.
C
Not so bad. I can do this a couple more years. Really. Because Heidi provides such a great tool that they can do all their documentation. They can get home for dinner. It really is a transformative tool. So that was a great experience to be able to do at BILH until
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they go home and the wife says, who's this Heidi you're talking about all the time?
C
They get jealous.
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They do, yeah. Yeah. Look at my producer.
C
I know.
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She's laughing. Where did the name come from?
C
So it's not a person. I asked Sue. It was. It's a pairing of history.
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Yes.
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And diagnosis.
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Oh, Heidi, I like that. But yet personified.
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Exactly.
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As a person.
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Exactly.
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So it humanizes. I love.
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Yeah, yeah. It's warm and fuzzy.
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It is.
C
Yeah.
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Look out, Epic. Heidi's coming.
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Epic should look out.
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Whoa. All right. If you go back in time and tell your 20 year old something, what would it be?
C
Oh, wow. I would say, don't be so scared of change. I've, you know, I've taken a number of different pathways in my career leading up to them. It's you lose sleep. Is this the right decision? Should I do this? And as I've gotten older, I realized change is good. I may not feel completely prepared for whatever I'm taking on next, but I get to develop new skills. I get to meet some amazing people and it's always been a positive experience. So I would say my 25 year old self stop losing sleep.
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Yeah. Okay. What's the riskiest thing you've Ever done? It's the Risk Never Sleeps podcast. I have to ask you that question. Skydiving? Bungee jumping.
C
Did hike Angel Falls in Zion. Zion.
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I was just talking about Zion today. Yeah, that's pretty risky.
C
I did not know what I was getting myself into and. Oh, wow. Yeah. Yeah.
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Beautiful, though.
C
Oh, amazing.
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Yeah.
C
I don't think I'd do it again, though.
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No. Did you do Bryce?
C
Oh, yeah, I did, yeah.
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Nice.
C
Yeah.
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Do you ski?
C
Not recently, but I grew up skiing.
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You did?
C
North. Yeah. Yeah.
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Where?
C
Waterville, Loon, Stowe. All those places. Yeah.
A
Born and raised in Boston, just outside.
C
I grew up in Walpole.
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Yeah. Walpole. Yeah.
C
Yeah. Most people know Walpole because of prison,
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but that's not why I know it.
C
Okay, good.
A
We're gonna have to find out why you know it that way. Do you have a pen pal in prison?
C
No, I do not. I'm glad that they actually changed the name of it. It's no longer. Whatever it was. Walpole State Prisoner.
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What is it now?
C
I don't know.
A
Walpole Home for the Misguided.
C
No, they just. They took the Walpole out of.
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Oh, they did.
C
Which is good. Yeah, which is good. Walpole was getting a bad rap.
A
Like Concord, right? Yeah, same type of thing. If you weren't doing this job, be doing. What are you most passionate about?
C
I love primary care, but you just be pract.
A
You still practice?
C
I still practice, so I do. That's my other day job.
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Where do you practice?
C
In Boston.
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Yeah.
C
Yeah. So I love that. I love being creative.
A
So tell me more about that.
C
Oh, I love photography.
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Oh, great. Love Diana Arbus. Do you know who that is? Diana Arbus. Okay.
C
No, I love taking pictures. I don't like looking at them. Okay.
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How many photos do you have on your phone?
C
Too many.
A
Yeah.
C
But no, I like to. I love to hike. I don't know if I can make a job out of that.
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Yeah.
C
But. Yeah.
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Any hobbies other than that?
C
I'm from Boston. I love sports.
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Yeah.
C
So.
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Oh, it's been a tough year.
C
It's.
A
Well, although Celtics.
C
Celtics are looking.
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Did you go last night?
C
Here didn't. It was run around the corner. I tried to get the Heidi. Folks, like, come on, let's just catch the fourth quarter.
A
I did the same thing. I had no idea. It was right there. We had a dinner. He said we should go to the Celtics. I'm like, we have a dinner. We'll never get back in time. It's literally. Literally.
C
It was literally.
A
I could see it from my hotel.
C
So we walked by there as the game was coming out, and I was thrilled to see, like, half of the sad faces. Half of the. Half of it was green.
A
Oh, really? A lot. Lot of Celtics.
C
A lot of Celtics fans.
A
I saw a lot of early fans leaving. Not too happy.
C
Yeah. Yeah.
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From the LA area.
C
Yeah. But I love women's basketball, so. Yeah.
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You'll find Yukon. Yukon fan.
C
Yeah. They're amazing. Yeah.
A
Yeah. Baseball, hockey.
C
Well, hockey.
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Did you watch the hockey.
C
Did you watch the women's hockey? Oh, I know.
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I set myself up for that.
C
I was on the plane when the men were playing. But I did catch the women's game. And, Yeah, I saw the Hillary nights and then.
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Same outcome, right?
C
Yeah. In overtime.
A
Yeah. Yeah.
C
Which was amazing. I had. I digress. But I had the opportunity before the Sochi Olympics to get the Olympic women's were training in Boston.
A
Yeah.
C
So I got to be their medical doctor. So that was so much fun.
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This is a show you can digress on, actually.
C
Oh, that's good. So it was thrilling to see Hillary Knight.
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Yeah.
C
Who is just an amazing player.
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Yeah. Did you play hockey?
C
No, I played basketball.
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You did? Where? Harvard. Yeah. Oh, yeah. Show off.
C
A long time ago.
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Ever been to the Grolier Bookstore in Harvard? Oh, yeah, the poetry bookstore. Oh, okay.
C
All right.
A
You read poetry?
C
My husband does.
A
Really?
C
Yeah, he actually writes his own poetry.
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So do I. What's his name?
C
Phil Granoff. It's brand new. He's not published.
A
Oh, I'm published.
C
Are you really?
A
Yeah. In what poetry? Southwest Review.
C
Okay.
A
Which is part of smu. I was in jama. There you go. Yeah. Jama. Yeah.
C
All right.
A
A poem called the Diagnosis, about my mother's journey with stage four lung cancer.
C
Oh, wow.
A
Yeah. Pretty brutal, but. Yeah. But I got in jama. I know it's hard to do the poetry. They have the.
C
Of course.
A
Oh, so your husband's on his journey? He's. Poetry journey.
C
Yes. He's taking a class at Harvard Extension School.
A
I'll have to connect with him.
C
Yeah, he's. He has submitted a couple of his poems, but he hasn't had any.
A
Yeah, I can connect him with a whole group of people, a whole underground poetry. Underground.
C
Yeah.
A
It's pretty.
C
So have you ever been to the Cantab?
A
No.
C
Okay. When you're in Boston, you have to go to the Cantab. It's basically open mic poetry.
A
Where is that? Someone just brought that up the other day. Is that Central Square? Yeah. Okay. Yes. I have never been, but I do know it.
C
You Gotta go. It's a lot of fun.
A
Yeah. I've been in the Middle East.
C
Oh, the Middle East. Not the Middle east, but the Middle East.
A
Yeah.
C
Yeah. Okay.
A
Yeah. Almost went to the Middle East.
C
Yes.
A
During the first conflict, I was in the reserves and I was in a field artillery unit. And we were getting called up, and then the war just ended in 91, so I'm very lucky.
C
Yeah. That's kind of sad.
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I got out quickly.
C
Good.
A
After I did my time. Yeah. Wow. Talk about digress. You're on a. You're on an island. You can bring five records with you. What would you bring?
C
Records?
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Yeah, albums. You know what those are?
C
Nobody listens to albums anymore.
A
Oh, it's a.
B
It's resurgent.
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Yes. Kids listen to vinyl now. Well, I'm not the cool kids.
C
I am not a kid.
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And the old kids do, too.
C
I would rather bring the movies.
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Okay. All right, five movies.
C
All right, five movies.
A
This will be interesting. Here we go. Oh, boy. Make them big. No pressure.
C
Amelie. Great movie.
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Which.
C
What is it? Amelie. You don't know Amelie?
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He's not the French. Oh, I do. Is that how you pronounce it? Amelie? I thought it was Emily.
C
No, it's Amelie. Amelie.
A
I'm just kidding.
C
Sorry.
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Look at my last name.
C
Just fun, creative movie.
A
Yeah. That's a great movie, by the way. Yeah.
C
Gladiator. Whoa.
A
Amelie and Gladiator. Damn. Okay. I want to be on your island.
C
Russell Crowe. A young Russell Crowe.
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Yeah.
C
Does it get better?
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Even an old Russell Crowe is pretty good.
C
Okay.
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Put on a little weight.
C
But I would. Do I have to do a good comedy?
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Yes. Which one?
C
What we do in the Shadows. Do you know that one?
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No.
C
Do you know that great one? I don't know. Is the vampire mockumentary?
A
What?
C
Yeah.
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Who are you?
C
It's a great movie.
A
Okay, that's three. These are really interesting.
C
That's pretty obvious. But the Matrix.
A
Okay.
C
Yeah.
A
Keanu Reeves. He's.
C
Yeah.
A
Yeah. I have a bromance with him. He's pretty awesome.
C
Yeah. I have to think of another one. Oh, I don't know. Let's see. I'd probably.
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Jaws.
C
So scary. I'm not a Jaws fan. I don't like horror.
A
You don't like horror? Halloween. No, no. Scream.
C
Hate that stuff.
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Oh, okay.
C
Hate that stuff.
A
Okay. You wouldn't like Long Legs on Earth? The Black Phone.
C
No, I'd have to do. I. I think to round it. I would have to do a rom com. Oh, rom com. Oh, I know. Four Weddings and a Funeral.
A
That's a good one.
C
Yeah, it's an old one, but yeah,
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That's a good one. That's. Is that Hugh.
C
Hugh Grant and Andy McDowell.
A
Yeah. Yeah. Groundhog Day.
C
Oh, that's a good one.
A
Danny McDonald.
C
Yeah.
A
Right.
C
Yeah.
A
Bill Murray.
C
Yeah.
A
Yeah.
C
I have another interesting tidbit.
A
Okay, here we go.
C
I once played basketball with Bill Murray on the Vineyard. No. He was doing a tour of the college and we had basketball practice. Oh, wow. He said, bill, you want to play?
A
He's pretty good.
C
He's pretty good. He actually has a decent jump shot.
A
He does. Yeah. He's an interesting guy, Bill Murray.
C
Yeah, you're. And I have to say, he actually beat our team. So. Did he? Well, we did three on three, but
A
no, but did Evan Dando play with him from the Lemonheads?
C
No, he wasn't there then.
A
You know the Lemon Heads?
C
I don't know the Lemon Heads. I know of the Lemon Heads, but I don't know the Lemon Heads.
A
Did you go to any bands in Boston? Did you go to the Rat Skiller when you were in school?
C
No.
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Is that still around? No, No.
C
I was so young.
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Not a punk girl. Not the punk bans.
C
No.
A
Sorry. What do you like for music?
C
Oh, I like. I'm pretty old fashioned at the Beatles and. Oh, it's okay. Stuff like that.
A
Yeah.
C
But I'm trying to get back into the running, so I'm creating a running playlist. So it's everything.
A
Van Halen.
C
Yeah. It was everything from, like, Madonna to Eminem to Dua Lipa to.
A
Oh, Dua Lipa.
C
Yeah. So some of the old, some of the new.
A
You said you weren't cool. That's pretty cool.
C
I'm still not cool.
A
Oh, that's pretty cool. All right. What advice would you have to someone coming out of school that wants to get into healthcare?
C
I would say. I would say do it. I would say there's a lot of. When someone says to me, well, I want to be a doctor, and I hear a lot of people saying, oh, don't go into medicine. There is such a need, especially for good, smart, motivated, passionate people. And it doesn't have to be necessarily going to medicine. There's so many other problems that we need to solve that I would say, go for it. We need to improve our health care system. Let's face it.
A
Yeah.
C
We're too expensive, we're too confusing. Our outcomes are awful, terrible, and we need to do better.
A
All right, well, it's been a pleasure, Nancy, having you on the show.
C
Thanks for having me.
A
Yeah. This is your second podcast down right. Excellent and done and finished.
C
And how did I do?
A
You did great. How did it feel?
C
It was good.
A
It was good, huh? It's a little bit of a conversation.
C
I love it.
A
We didn't go too deep. You didn't really reveal any secrets.
C
Okay. Is that the next podcast?
A
Yeah.
C
Yes.
A
In fact, it will be. I was gentle because I know it's only your second podcast, but.
C
Okay, good to know.
A
But we'll be watching for success at Heidi. Yeah, that's exciting. And we'll definitely reach out and have you back on the show.
C
All right, great. All right, thanks very much.
A
Thank you.
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Thanks for listening to Risk Never Sleeps for the show, notes, resources, and more information and how to transform the protection of patient safety. Visit us@SenseInet.com that's C-E N S I N E T dot com. I'm your host, Ed Gaudet, and until next time, stay vigilant because Risk never sleeps.
Host: Ed Gaudet
Guest: Dr. Nancy Cibotti, Chief Medical Information Officer (CMIO), Heidi Health
Date: April 30, 2026
In this engaging episode, host Ed Gaudet connects with Dr. Nancy Cibotti, U.S.-based CMIO at Heidi Health, to explore the evolving world of clinical documentation and how AI is transforming healthcare practice. Dr. Cibotti shares her career journey, discusses the global impact and capabilities of Heidi Health’s AI scribe, and offers a candid look at physician burnout, healthcare system challenges, and why change—though scary—can be a catalyst for innovation and improved patient care.
Timestamp: 00:53–03:36
Notable Quote:
"People who start their career at MGH never leave. But I felt that at that point there had to be a better way to do primary care and I wasn't going to find it at MGH." (02:17, Dr. Cibotti)
Timestamp: 03:41–06:59
Notable Quote:
"Heidi as an AI scribe is the most used AI scribe across the globe... We can accommodate 110 languages. So it really is a global company." (03:55, Dr. Cibotti)
Timestamp: 06:10–07:21
Timestamp: 07:37–08:49
Notable Quote:
"If you roll out Heidi, I get high fives. I get hugs. I get ‘I love Heidi.’" (08:01, Dr. Cibotti)
Timestamp: 08:57–09:17
“It's a pairing of history and diagnosis. But yet personified… It's warm and fuzzy.” (09:05, Dr. Cibotti)
Timestamp: 09:23–10:27
Notable Quote:
"Don't be so scared of change… It's always been a positive experience." (09:31, Dr. Cibotti)
Timestamp: 11:27–14:14
Timestamp: 15:29–18:49
Timestamp: 18:51–19:32
Notable Quote:
“There is such a need, especially for good, smart, motivated, passionate people. …We need to improve our health care system. Let's face it…Our outcomes are awful, terrible, and we need to do better.” (18:58, Dr. Cibotti)
“They can do all their documentation. They can get home for dinner. It really is a transformative tool.” (08:36, Dr. Cibotti)
This episode offers equal parts inspiration and practical knowledge for clinicians, healthcare executives, and anyone interested in AI’s rapidly expanding role in medicine. Dr. Cibotti’s lived experience, enthusiasm for technology, and commitment to patient safety reinforce the importance of innovation and courage in modern healthcare.
Memorable Sign-Off:
"We'll be watching for success at Heidi... and we'll definitely reach out and have you back on the show." (19:59, Ed Gaudet)
For more information, visit censinet.com