# OpenAI VP: How AI Changed My Family’s Fight Against Cancer | Ashley Alexander Markdown copy of https://realalpha.app/v/pR7NCYKsA3o/ on Real Alpha, the best minutes from long interviews with the people building AI. Cite and link the page, not this copy. Ashley Alexander says AI can help patients and caregivers navigate the whole care journey, from organizing records to preparing for appointments. - Show: Behind the Craft - Hosts: [Peter Yang](https://realalpha.app/people/peter-yang/) - Guest: [Ashley Alexander](https://realalpha.app/people/ashley-alexander/) is VP of Product at OpenAI leading health. - Published: Nov 8, 2026 - Length: 47 min ## The best minutes - [25:34](https://realalpha.app/v/pR7NCYKsA3o/?t=1534) [A complete medical history can catch dangerous treatment conflicts](https://realalpha.app/s/a-complete-medical-history-can-catch-dangerous-treatment/) (3 min) - [36:13](https://realalpha.app/v/pR7NCYKsA3o/?t=2173) [Use a separate project and ask questions during appointments](https://realalpha.app/s/use-a-separate-project-and-ask-questions-during-appointments/) (3 min) - [41:04](https://realalpha.app/v/pR7NCYKsA3o/?t=2464) [Protect time for family by making caregiving non-negotiable](https://realalpha.app/s/protect-time-for-family-by-making-caregiving-non-negotiable/) (4 min) ## Also worth watching - [29:52](https://realalpha.app/v/pR7NCYKsA3o/?t=1792) [Clinician AI use is rising, but record access depends on health systems](https://realalpha.app/s/clinician-ai-use-is-rising-but-record-access-depends-on/) (2 min) - [9:38](https://realalpha.app/v/pR7NCYKsA3o/?t=578) [Most clinicians welcome patients who arrive informed](https://realalpha.app/s/most-clinicians-welcome-patients-who-arrive-informed/) (3 min) - [14:17](https://realalpha.app/v/pR7NCYKsA3o/?t=857) [Cancer care is about more than finding a cure](https://realalpha.app/s/cancer-care-is-about-more-than-finding-a-cure/) (3 min) - [22:20](https://realalpha.app/v/pR7NCYKsA3o/?t=1340) [Condition prompts can track research while care sheets centralize records](https://realalpha.app/s/condition-prompts-can-track-research-while-care-sheets/) (3 min) Skip the opening caregiving and career history, the sponsor read, and the health-record privacy and future AI health-feature discussions. ## Full analysis: Ashley Alexander says both parents had two cancers each - Alexander said each parent had two different cancers, diagnosed closely together around the pandemic. - Her clearest safety example is one reported contraindication catch, not a measured error rate. - Use AI to prepare questions, but verify record access and protect caregiver time. Its 6 sections, what it means for you and what to watch are on [the page](https://realalpha.app/v/pR7NCYKsA3o/#analysis), free with an account: - [2:34](https://realalpha.app/v/pR7NCYKsA3o/?t=154) Fragmented records put families between specialties - [26:24](https://realalpha.app/v/pR7NCYKsA3o/?t=1584) One record check surfaced a possible treatment conflict - [9:04](https://realalpha.app/v/pR7NCYKsA3o/?t=544) AI can turn appointment time into focused questions - [31:14](https://realalpha.app/v/pR7NCYKsA3o/?t=1874) Health-record access still depends on system integration - [16:42](https://realalpha.app/v/pR7NCYKsA3o/?t=1002) Alexander sees AI supporting the whole cancer journey - [42:15](https://realalpha.app/v/pR7NCYKsA3o/?t=2535) Caregiving still requires protected human time ## Summary Ashley Alexander is VP of Product at OpenAI leading health. She says caring for her parents through multiple cancers and seeing families navigate fragmented information led her to bring her product skills into health; she previously worked at Bain and Meta. Ashley Alexander says her experience caring for her parents through cancer showed her how fragmented records and uncertain treatment choices can leave families overwhelmed. She argues that AI can help caregivers organize information, understand medical terms, prepare focused questions and make better use of limited appointment time, while complementing rather than replacing clinicians. She also discusses privacy protections, the challenge of connecting health systems and AI’s potential across prevention, research and care delivery. Alexander and Peter Yang share practical caregiving workflows and argue that families, community and caregiver wellbeing still need time and attention. ### Minute by minute - [0:49](https://realalpha.app/v/pR7NCYKsA3o/?t=49) **Cancer care led Alexander to AI.** Ashley Alexander says her father was diagnosed with non-Hodgkin’s lymphoma when she was an undergraduate, and both parents later had two different cancers each, diagnosed close together; they are now in remission. As their caregiver and advocate, she found treatment choices difficult to navigate and had to piece together information across specialties. She studied management, worked at Bain and moved into product, then says ChatGPT’s launch showed her how AI could extend that work into health. - [7:06](https://realalpha.app/v/pR7NCYKsA3o/?t=426) **AI supports caregivers between visits.** Peter Yang says he uses a shared ChatGPT project and uploaded medical records to help manage his mother’s care, including figuring out whom to contact and coping with the emotional strain. Alexander says she uses AI between appointments to digest information and prepare questions specific to her father’s case, so she can use limited doctor time for decisions. - [9:38](https://realalpha.app/v/pR7NCYKsA3o/?t=578) **Prepared patients can help visits.** Alexander says clinicians she speaks with have mixed views, but most appreciate patients who arrive better informed and ready to discuss focused questions. She advises treating the clinician as the expert and using AI for preparation, not diagnosis or treatment. She also says AI could help reduce clinicians’ paperwork and after-hours administrative work. - [14:17](https://realalpha.app/v/pR7NCYKsA3o/?t=857) **Cancer care is more than cures.** Alexander says cancer care includes prevention, early signs, diagnosis, treatment decisions and the period of uncertainty around each step—not only finding a cure. She supports using AI to advance science, but argues it should also help across the wider care journey. She gives an example of a postpartum woman who found AI’s nonjudgmental support helpful for building healthier habits. - [19:08](https://realalpha.app/v/pR7NCYKsA3o/?t=1148) **Health context powers personalization.** Alexander says connecting health records and wearables can give ChatGPT context to personalize answers, rather than requiring people to upload documents manually. She says connected health data has extra encryption and is not used for model training or targeted ads. For condition updates, she suggests telling ChatGPT what to track or setting up an automation, while noting that proactive features still have limits. - [25:34](https://realalpha.app/v/pR7NCYKsA3o/?t=1534) **Organized records can surface risks.** Alexander recounts a story about former OpenAI executive Fiji Simo, who says ChatGPT found a contraindication in a patient’s history before a treatment was given. Alexander also says a well-organized record can help clinicians see information across health systems and catch medication conflicts. Yang notes that having his mother’s earlier cancer-treatment records could help him answer doctors’ questions. - [28:01](https://realalpha.app/v/pR7NCYKsA3o/?t=1681) **Health systems remain hard to connect.** Alexander says privacy rules reflect important commitments, but fragmented systems can still force families to carry scans between institutions on CDs. She says health systems want better tools too, and describes working with them to integrate AI into clinical workflows. She also says clinicians can use ChatGPT for Clinicians for free after verification, while connecting patient records requires the appropriate organizational agreements. - [32:25](https://realalpha.app/v/pR7NCYKsA3o/?t=1945) **AI could accelerate science and care.** Alexander says OpenAI is focused on using its models to advance science, and that AI could help across research, clinical trials and getting treatments to patients. She says 300 million people use ChatGPT for health questions each week. She describes healthcare progress as fast but slower than consumer technology because privacy, security and usability carry higher stakes. - [36:13](https://realalpha.app/v/pR7NCYKsA3o/?t=2173) **Use separate projects and ask live.** Alexander recommends keeping a loved one’s health information in a project with its own memory setting, getting their consent and separating it from personal health conversations. During appointments, she uses AI to clarify unfamiliar terms and think of questions in real time. Yang says sharing a family’s experience can also bring practical help from friends and clinicians; both say AI should strengthen, not replace, human connections. - [41:04](https://realalpha.app/v/pR7NCYKsA3o/?t=2464) **Make family time non-negotiable.** Alexander says she blocks time for her father’s appointments and treats family care as a priority, even with a demanding job. She recalls taking a month away from work when her parents were diagnosed with cancer and says caregivers also need time for their own mental health. She and Yang agree that clearer priorities can make room for family and community support. ## Transcript Behind the Craft, hosted by Peter Yang, with Ashley Alexander. Transcribed by machine (Whisper) from the episode’s audio, so a word may be off here and there. [0:00](https://realalpha.app/v/pR7NCYKsA3o/?t=0) There was a period around the pandemic where both of my parents each got diagnosed with two cancers each within a week of each other. My mom had breast cancer three times which is pretty crazy. I felt like I had an ability to potentially change the outcome based on how we steered the treatment path and I didn't feel like I had full information. As the doctors sharing things with me a lot of time I'm using it to sort of real-time like what does this mean for dad like what questions should I be asking right now? I feel way more empowered now to do that job for my family and for myself than I did without Chad. [0:31](https://realalpha.app/v/pR7NCYKsA3o/?t=31) All right, Ashley, I'm really excited to have you here. I think this interview is really special to me because we both care for parents through cancer. And I really want to understand, there's a lot of hype out there. I really want to understand how close we are, how close AI is to helping patients, caregivers, and also physicians, clinicians. So why don't we start with this? Can you talk about your journey caring for your parents and how it led you to OpenAI? Yeah, absolutely. Thank you so much for the time to speak about this and for your interest in this space. These are the conversations that I hope many of us will have more and more so that we can accelerate the positive benefit that AI can bring to all of us. [1:09](https://realalpha.app/v/pR7NCYKsA3o/?t=69) It's like you know me. This is actually, some people don't realize, this is actually the origin story of how I came to be here doing this work. And it dates back to over decades ago when I was a sophomore in undergraduate studies. My dad was diagnosed with non-Hodgkin's lymphoma. He is in remission. Actually, since then, both of my parents have had two different cancers each, diagnosed closely with each other. Everyone's in remission and okay now. But through that experience, I really play this role of caregiver, advocate, companion. I go with them to all of their appointments. I'm taking notes. [1:47](https://realalpha.app/v/pR7NCYKsA3o/?t=107) I'm chiming in with questions on their behalf. A lot of the time, especially in that very first time when my dad got non-Hodgkin's lymphoma, we were faced with a lot of decisions where, you know, there isn't a clear mandate, this is the treatment path. a lot of time and I was for me the first time seeing this in the system um the fact that we were kind of overwhelmed with so much information and yet still you know obviously in partnership with professionals but still like they would it was like you wouldn't do the surgery or this um radiation treatment or this you know there's there's there's options often and that can feel really overwhelming when you know I'm not the expert I didn't go to med school I don't have a background in pulmonology um and not only that but all the information was so fragmented you know for my dad you know the lungs and the heart they're connected but the pulmonology and the cardiology departments even at some of the best institutions which you know we were lucky enough to send him to um they don't they don't yeah they don't they're not structurally set up to to have that kind of and so i'm the one piecing together that information on behalf of him um it's just a [2:52](https://realalpha.app/v/pR7NCYKsA3o/?t=172) a lot of burden and it's a really, and it's a really high anxiety time. Um, so anyway, that just all gave me this passion to say, you know, there are a lot of like smart and wonderful individuals in the system. It's the, the system is, is failing us. The incentives are misaligned. There's a ton of information asymmetry. I don't feel like I'm in the driver's seat of something that's the most important to me, which is my father's life. Um, and we just like deserve better as humanity is how I feel. So that was, you know, a long management as one of my concentrations in undergraduate studies. I worked at Bain and Company for a bit. I did a bunch of healthcare cases there. Ultimately, went into product because I'm an engineer at heart, and I like building things, and I wanted to build this skill set. But I always thought, even at that moment, I'm taking a quick detour, what ended up being a little bit longer than I thought, but a detour from my personal mission to one day find a way to transpose the skill set back onto this problem that I think is probably the most important work i'll do in my life yeah and everything changed you know i was always looking for an opportunity to transpose that skill set back and everything changed when ai you know it's really [3:58](https://realalpha.app/v/pR7NCYKsA3o/?t=238) when chat gpt launched um I felt for the first time, you know, this difference in shift and the kind of information empowerment people can have in their own health. And it really changed everything for me. Yeah, I had a one-year-old and a three-year-old, actually. I had the one-year-old before ChatGPT launched, and I had the three-year-old after. And so I had my own experience with the health system of having babies, one with the power of chat, one without. And it just totally changed the game for me. So anyway, I felt for the first time, my skill set can be something that really impacts this problem at scale and the world and we as humanity need this and deserve this. [4:35](https://realalpha.app/v/pR7NCYKsA3o/?t=275) And I want to do everything I can to accelerate the timeline. That's awesome. I think I'll just share my personal story, too. We were talking about my mom had breast cancer three times, which is pretty crazy. The first couple of times, I was still younger. And this time, now I'm actually unemployed, so I have more time to take care of her. It requires that, doesn't it? i mean it's a full-time job it's full-time job you have to like uh so what i've been doing is like like you said basically basically pm the shit out of this thing and like you know using chat gpt using project the project organizing all our information like the the problem is like a lot of the healthcare stuff like you know doctors save lives and all the power to them but the system is like you gotta like get fax numbers and like make phone calls and like it's hard to even get their email address so like that's what i've been struggling with just like calling them every day and kind of being a pest and be like, hey, when can we get a diagnosis? [5:26](https://realalpha.app/v/pR7NCYKsA3o/?t=326) When can we get the biopsy? And so on and so forth. Absolutely. Yeah. You have to advocate. That word advocate is a real thing. And I think about all the people who don't have a you or me, they're kind of fighting on their behalf and how much, you know, they probably feel lost and scared in those moments because we felt that way. And, you know, I come from like a middle class family, we had insurance, you know, we're in the Bay Area where there's a lot of great access to great care. And even still, I felt scared and not empowered. And so imagine how it feels for the single mom in the middle of America who's trying to make ends meet. Maybe she's working multiple jobs and, you know, maybe doesn't even have full interest. I don't know. I can't even imagine how that must feel for that kind of person to go through a big health crisis. So I think what you're doing for your mom is incredible. [6:13](https://realalpha.app/v/pR7NCYKsA3o/?t=373) And I hope that we can build products that can give that kind of support. Maybe it can't fully replicate how amazing you are but for someone whose alternative is nothing we we deserve as humans more support than that when we're going through a health crisis this episode is brought to you by granola if you're in back-to-back meetings you know how much work it is to take notes live and clean them up afterwards that's why i love granola the best ai meeting notes app in the market here's how i use it granola automatically takes notes during a meeting and i can add my own notes too after the meeting ends i use a granola recipe to extract clear takeaways and next steps in the exact format that I want. Then I can just share their notes directly in Slack with my colleagues or even get Granola to share their notes automatically. [6:57](https://realalpha.app/v/pR7NCYKsA3o/?t=417) Honestly, of all the AI apps that I use, Granola is the one that saves me the most time. Try now at granola.ai slash peter and use the code peter to sign up and get three months free. That's granola.ai slash peter. Now back to our episode. Yeah, and we just talked about like how I'm using chat gpt real quick yes tell me yes i'd love to hear your setup yeah so i i basically gifted them like a chat gpt subscription and you know like a lot of times the people who are sick or older they don't actually know how to use all this stuff but we basically created a sheer project and we had like a google drive or something and i started uploading all her medical records there um once it has that context is actually able to provide like really good advice for better force you know and actually like a lot of it like i thought i'd be using it to do research on a disease but a lot of it is just like okay who should i call next or like you know who should I try to coordinate with next and also a lot of it honestly it's like personal therapy like because like you know like I think we're both a little bit of a control visa you know you're right for me at least I feel like I almost feel like I can talk to my AI more than honestly, like my mom or, you know, because sometimes I don't want to tell her like all the results and stuff. [8:07](https://realalpha.app/v/pR7NCYKsA3o/?t=487) Sure. So like kind of getting advice from the AI and like kind of like figuring out stuff out is super helpful. Oh, that's a great point. And I feel the same way. In large part, you know, the average doctor appointment in the United States is something like 15 minutes. And my experience has been even shorter than that. And a lot of these ones, again, not their fault. It's the system set up that makes it that way. and what i found is really helpful about ai is a lot of the time i i need more time to sort of digest what's going on to ask the follow-up questions and i just don't get that time with the doctor and so i what i found is i'm able to do that in between the appointments so that i'm going in with much more focused questions that you know only the doctor can get to because they're so personalized to my dad's case um versus these kind of you know there was a new therapy that came out recently for his interstitial lung disease and i kind of vaguely knew that the clinical trials are happening and instead of using some of those precious 15 minutes with the doctor to ask what's the latest can he try it whatever um in advance of the the upcoming appointment i was able to clear all that with chat so that i could go in and say okay this is what i've learned do [9:08](https://realalpha.app/v/pR7NCYKsA3o/?t=548) you agree with this take this sort of like take on where the clinical trials are at do you think we should try it with my dad should we not and i just got to much more action planning yeah um because i am a control freak too and that just helps me feel much more prepared and then when making those decisions i feel much more confident in what we're doing yeah and i understand what the doctor is telling me as opposed to like being overwhelmed with the deluge of information that i just can't digest all in one 15 minute slot yeah yeah i've asked my parents to include me all the doctor conversations um they're up in canada but like they thought down we in and but actually like now that you talk to your doctors and clinicians i'm sure like are doctors kind of annoyed by like people like us like coming with all these ideas or can they you know so i i talk to a lot of clinicians because we also build products in addition to building consumer products to support people in their health like you and i are using to support our parents and ourselves we also build products for clinicians so i talk to them a lot we also have many physicians that work with us we have hundreds of clinicians that are red teaming and um evaluating every [10:06](https://realalpha.app/v/pR7NCYKsA3o/?t=606) every major step of training has health context involved this is something we take very seriously um in terms of making sure the models live up to the sort of responsibility and safety standards that we do anyway all that to say i talked a lot of clinicians yeah yeah um i definitely think [10:19](https://realalpha.app/v/pR7NCYKsA3o/?t=619) **Ashley Alexander:** there's both opinions i hear both opinions i would say though the on balance the majority like tend to like that their patients can come in much more educated you know and i don't want [10:31](https://realalpha.app/v/pR7NCYKsA3o/?t=631) to sugarcoat it like there's definitely some clinicians who will call out the the edge cases or the sort of like the sort of like it it sort of is reminiscent of the dr ghoul you know days where you know some clinicians don't don't like that um but for i would say the vast majority of them have this reaction of wow this is actually really a helpful tool my patients are coming in more informed we're able to make better use of the time um because most most clinicians didn't get into the profession to have to just like fill out a bunch of charts and and paperwork and and make people feel overwhelmed they don't like that either you know the most of them came in because they really want to help people and they want to heal people and a huge part of the healing process is is understanding what's happening to you and understanding your options and being able to move through it together like so much of what a doctor does is so much more than just the actual process of prescribing the you know charting the whatever um so yeah most of them i think um from what i hear yeah like when their patients come in more educated and and ready to have the conversation i i guess just also like just as a caregiver you can also just like talk to it the right way right [11:39](https://realalpha.app/v/pR7NCYKsA3o/?t=699) just like kind of like cross-functional alignment right you can like you shouldn't come in with like hey you should go do this you should be like hey you know you're the expert but i did some research and like that's what i think that is such a good point and maybe a good kind of psa for all the all the people out there of you know this is not a replacement for a doctor it is not for diagnosis and treatment but it can really equip you with information and so you're Right. I think that the way to use this tool in a way that that really actually it actually strengthens your relationship with your doctor. [12:07](https://realalpha.app/v/pR7NCYKsA3o/?t=727) If you can go in saying exactly that, like you coming to you as the expert, but I've done some homework so that I'm coming in prepared with actually some pointed questions. So that I'm making better use of this limited time that we have together. I think doctors love that. Yeah. Yeah. If only all the doctors use like, you know, thoughts or whatever, because like you're right, like a lot is riding on that 15 minute conversation. and if they had like these AI tools to help them process their emails or something maybe they can actually share emails with all the patients I would love to help with that I think that's a tremendous application I hear all the time about you know there's this term that they use pajama time where when the advent of the EHR came about a lot of physicians ended up just having to do all this paperwork after their clinic hours and it really ended up adding to budget burnout which is really unfortunate I think we need to do a lot more to support the clinicians. [13:00](https://realalpha.app/v/pR7NCYKsA3o/?t=780) It's one of the hardest lines of work. It's one of the most important lines of work, as you feel when you or a loved one is going through a health episode. And I think the system makes it really hard on them, honestly. Yeah, they print it out and type-typing all this stuff. It's a very manual process, right? Very manual process. And to the point that, I don't know if you've experienced this, but I've seen in caring for my parents and also even for my own health, a lot of those, they call it in-basket, those emails in the chart, they're having to have like PAs and nurse practitioners help with some of the responses because it's just too much for any clinician. [13:36](https://realalpha.app/v/pR7NCYKsA3o/?t=816) So anyway, big plus one to your idea. I think there's definitely something there where this technology can help them in the same way that it, I don't know if it's helping you, but it's helping me with my own inbox. Yeah, I don't like to fill any metal forms online anymore. I mean, obviously medical stuff is more important. You got to be careful, but like, you know, I just get AI to do it for me. Yeah, I think we're at a point where there's still that need for sort of the human in the loop piece But it's still a huge time savings to have I still review all of my emails I don't have AI agentically sending things out without my review still But it still saves me a ton of time even if I end up making little tweaks here and there So I think that's a good application Awesome. So another thing that I really grind my gears is like maybe I spent too much time on xx But like some random would just tweet like, oh, AI is about to cure cancer or like this kind of stuff, right? [14:25](https://realalpha.app/v/pR7NCYKsA3o/?t=865) Like AI is like very eminently about to cure cancer because I'm like, you know, some research or something. And I saw Kate, the former CMO, tweet this saying like to actually give frontier cancer care is like very difficult from the standard care. Like, can you talk a little bit more about this? Like how can people actually even get this frontier, like state-of-the-art care? Like you have to spend a shit ton of money and like really go out of your way, right? Yeah, I mean, and I appreciate that you and I have the shared experience of actually supporting loved ones through cancer. So, you know it intimately in the way that I do. [14:57](https://realalpha.app/v/pR7NCYKsA3o/?t=897) I think there's such a journey, right? It's not just the treat. I know when people say cure cancer, I think a lot of time what they're talking about is the treatment, like having an actual cure in the form of some sort of therapeutic or something that can actually fully reverse the disease. But to me, surviving cancer is so much more than that. that's obviously really important i i do i do think we should point to this technology towards science and towards that that piece of the problem for sure and we and we are um but there's this whole journey of like from the moment that you get the first diagnosis or actually even upstream of that the moment that you think to even do the preventative screen or maybe you uh experience some symptom that gives you this trigger of like maybe i should get this checked out like that's for me that was the scariest part of like going from that sort of uncertainty of an early sign all the way to diagnosis you're you're hanging in limbo with a lot of uncertainty and then once you get the diagnosis that's to me that was an equally difficult part of that that limbo period of now i have a diagnosis but i don't know what the treatment path is and now I'm evaluating a bunch of that was like [16:03](https://realalpha.app/v/pR7NCYKsA3o/?t=963) actually the most stressful for me as a control freak because I felt like I had an ability to potentially change the outcome based on how we steered the treatment path and I didn't feel like I had full information. [16:15](https://realalpha.app/v/pR7NCYKsA3o/?t=975) **Ashley Alexander:** So anyway, I say that all to say that I think we should talk about like cancer care and sick care and any sort of health care as more than just cures. [16:26](https://realalpha.app/v/pR7NCYKsA3o/?t=986) So much of it is, I mean, even talk about the preventative all the way upstream. right if there were things that you could we could have all done you know the first question they ask when you have lymphoma patient is like did you smoke did you have birds in the house you know there's even so there's a really long journey here and I think um the promise of what this technology and and I think we're already living it in some ways but there's so much more to come in the future is really how it can transform that whole journey yeah um right and and so yes I do think um I do think when you see what's happening with the latest models what they're doing in the fields of mathematics, for example. [16:59](https://realalpha.app/v/pR7NCYKsA3o/?t=1019) You have to believe if we come together as an ecosystem, which we should, to solve these important problems, like some of the diseases that have eluded cures, we can have some new scientific breakthroughs, but I think we would be fools to only focus on just that piece. We should focus on the whole thing. That's a good point, because actually the best cure right now is just to get scans regularly and find this stuff early, so you can just cut it out, right? That's probably the one I'm like... Yeah, I mean, I'm not a doctor, but I do think that generally prevention, I think, can be an antidote to a lot of things, not just cancer, but all sorts of, you know, actually some of the largest determinants of death. [17:35](https://realalpha.app/v/pR7NCYKsA3o/?t=1055) There's like cardiovascular issues, metabolic issues, and a lot of those are actually things that don't even cut. It's like getting better sleep, like changing your diet, like moving. Everyone knows kind of intuitively that those are things that you're supposed to do, and yet it's still so hard for all of us, myself included, to adhere. And that's actually one of the things I think is really cool about AI. I hear these stories. I heard from a woman, for example, who was a couple years postpartum. And she just really struggled to shed what she called baby weight. And in her opinion, she just had, whatever, 15 pounds that she just really wanted to shed because she just didn't feel like her best self, like her pre-baby self. [18:14](https://realalpha.app/v/pR7NCYKsA3o/?t=1094) And she tried everything. and she wrote into us saying when ChatGPT on a whim decided to just kind of confide in ChatGPT I was like really feeling down about myself and that was the moment that it clicked for her and it was purely because this this tool that she had felt like a no judgment zone and she felt like she would be honest yeah that was the difference and and there was some day-to-day tracking you know she was sending progress photos she was logging her meals all those sorts of things but to her you know there are other products that she had tried doing that and didn't work for her the difference was having the space where like you know there was a day where she would have an off day where she didn't feel like doing the workout and she didn't feel embarrassed to confide in that and chat and chat's response was you know get back on the horse it's okay maybe maybe it's just a 10 minute walk today if you don't feel up to the you know 30 minute hit workout it's okay like think about the long journey and it's almost like that support so anyway i just i think this is a much broader conversation than just like the moment you're in a point of care yeah because like you you know, ChatGPT has perfect memory, right? [19:13](https://realalpha.app/v/pR7NCYKsA3o/?t=1153) Like, if my wife complains to me about something, like, I'll forget about, like, if she was, you know, she was paying something, like, a couple days ago, but ChatGPT will know. So it's kind of like, you know, yeah, you definitely should use these tools. And that's a good segue to talking about, like, how regular people can use ChatGPT Health. I think the first step is just to, like, connect all your accounts, right? Is that the first step? Yes, yes. So if you think, there's kind of a vision here where you could imagine the sort of best nutritionist, fitness coach, advocate, all in one, that's sort of the promise of what chat could do for you, all the way from sort of prevention to if you get into an episode of care, what you and I do for our parents. [19:55](https://realalpha.app/v/pR7NCYKsA3o/?t=1195) Chat could, you know, this technology could do that for you, even to booking appointments once. But in order for it to do a good job, in the same way that you and I need to understand the details of our parents' cases, it needs to have that context on you. And so step one is just we're trying to make it really easy for you without having to, you know, do the old fashioned way of like uploading tons and tons of labs, like finding all your labs, downloading, uploading, what you're having to do with your mom and the Google Drive. It works, but it's very manual. And so what we've done is made it easy to just single tap and put your login information for your health systems, connect your health records, connect your wearables if you want to, and then have that synchronously going so that if you go to see the doctor or you take some steps or whatever, that's just automatically context that chat has so it can personalize answers for you better. [20:43](https://realalpha.app/v/pR7NCYKsA3o/?t=1243) Nice. And I feel like talking to my normal friends, people not in the Bay Area, like the biggest barrier for them to really get the most out of chat gpt is just like connecting to stuff they're like oh you know it's gonna leak my information or like blah blah and i would tell them like hey this is like a you know this is like a trillion dollar company they're like information but like like do you have any like reassurances with people watching this that you know you're taking this seriously absolutely yes it's it's something that it to me it's the one it's probably the most single most important feature yeah that we put all of our energy into building first before we did anything else is is really shoring up that security and privacy approach because I too I mean I put my health data in here so I I'm I'm I'm eating the dog food that I may you know we use that term in the industry dog fooding um and the reason that I feel comfortable and I think other people should too is that we've we've really built that layer of privacy and thinking about the security of the data into the way we built the product there's additional encryption layers on the health data. If you sync your health records, for example, your health data, [21:47](https://realalpha.app/v/pR7NCYKsA3o/?t=1307) we're doing extra layers of kind of purposeful encryption. And importantly, we don't train on your health, the health data that you connect. We don't target ads based on that. So if you connect medical records, we're not training on or targeting on that. These are kind of design decisions that we're doing because it's the right thing to do in terms of preserving that trust and building something that people feel comfortable. Yeah, that makes sense. So beyond like the standard, like, you know, the steps and you can connect your medical records to CHAS-GPT. And what if I want to like, you know, research clinical trials or like getting to someone more like, you know, people with long term illnesses, like, is there plans for that? [22:32](https://realalpha.app/v/pR7NCYKsA3o/?t=1352) Or like, you know, like how do you best use CHAS-GPT to find that stuff? Yes, yes. There's so much potential for where this can go. I would say today where the product is at, the best thing I think would be to make sure that chat understands that that is something that is important to you, which is literally just as simple as telling chat that I have this condition. This is something where I want to always know the latest. I would even like set up an automation. I think we'll get to a point where chat will infer and just know these things for you. But to date, we still have a lot more that we can do in terms of what the models are capable in terms of proactively telling you things. [23:06](https://realalpha.app/v/pR7NCYKsA3o/?t=1386) then it won't all just happen right now, even though, you know, we'll get there. So for now, I think one of the best ways would be to maybe set up some sort of automation, like say to chat, I want you to always be looking for the, I don't know, say you have POTS or something like that, some sort of chronic illness or EDS, you can say I have [23:24](https://realalpha.app/v/pR7NCYKsA3o/?t=1404) **Ashley Alexander:** this condition, I want you to always alert me when a new study or a new breakthrough [23:29](https://realalpha.app/v/pR7NCYKsA3o/?t=1409) or some new finding or some new news comes out about this condition, that it can do very well today. yeah there's these websites right clinicaltrial.gov or something like these websites you can just search for stuff and get chat to do it yes yeah chat yeah chat can um can do pretty extensive web search at this point yeah yeah i i think uh as caregivers like just going back to that i think um i i actually built this open source skill called like f cancer i don't want to say the word but yeah cancer uh-huh and all it does is like it just maintains like a one pager on like like my mom's is. like treatment and like it has all the phone numbers at the top so you can call them whenever you want. That's wonderful. Yeah and just keeps it updated and like you said it keeps it updated like in a google doc or a site or uh right now it's a google doc i could use the site too but um but yeah like it kind of looks through all the emails and like you know uh like the notes from the phone calls and stuff and just keeps everything up to date. That's awesome. Yeah because I always like just so much shit going around like it's hard to keep track. It's hard to keep track. [24:24](https://realalpha.app/v/pR7NCYKsA3o/?t=1464) Yeah you know some you're reminding me of a story i just heard of someone who who's battling a chronic illness actually and what she did is she created a site where she has her her data populating there and she's given instructions for I think she she wanted particularly her latest medications to always be at the top and then her latest lab results next and then I think after that was like latest appointment notes or something like that okay and she this is a site that she's given access to just sort of her like her closest loved ones to kind of her care team nice nice and it's a helpful thing because when when you're going from doctor to doctor this, you know, a lot of the time they don't have full visibility into another system record. [25:02](https://realalpha.app/v/pR7NCYKsA3o/?t=1502) Sometimes it takes a lot of faxes and it doesn't always happen. And so what she's found is actually it's really helpful when she establishes care with a new provider or even if she's just like ping-ponging between a couple of different systems to just show them this. Because when they're prescribing medications, a lot of time that's how they catch contraindications. Got it. Got it. Yeah. Because doctors can't hold all the information they have for like 20 different patients. Of course. They need to help too. It would be incredible. It would be insane to expect that they would. And even if they could, a lot of time, again, they don't even have visibility into the full longitudinal record, cross-system record. [25:37](https://realalpha.app/v/pR7NCYKsA3o/?t=1537) Yeah, there's so much that we can do. But I do hear, I hear this story a lot from people who are really kind of taking a driver's seat and using chat in this way, putting all their information in one place. there are some people who actually just will always run um any new treatment or any new you know protocol that it goes comes from a doctor through chat just to just to double check and i've heard stories of people catching actually my former boss fiji simo has a story that she's [26:00](https://realalpha.app/v/pR7NCYKsA3o/?t=1560) **Ashley Alexander:** told publicly about this where she actually caught a contraindication right before a treatment was about to be given and her story was like the attending was like oh my gosh i'm so glad you [26:08](https://realalpha.app/v/pR7NCYKsA3o/?t=1568) said that absolutely we should do this other treatment oh right and it wasn't because the attending wasn't smart and wasn't paying attention it was because like they literally didn't have visibility into that part of the record oh so she found like a separate treatment that yeah yes the treatment that she was about to be given yeah would have had a really bad contraindication and she narrowly avoided it because she ran it through chat and chat caught it somewhere deep in her record it had that history of that's crazy yeah the indicator and then and i hear a story like this i mean that and that's like not a coincidence that you know my former boss had I hear stories like this all the time where either someone narrowly avoided a contraindication or they found a diagnosis that had eluded them for years. [26:46](https://realalpha.app/v/pR7NCYKsA3o/?t=1606) I hear that version all the time. There's this mom, her name's Hillary Eaton. She just got written up in the Boston Globe. So she's kind of publicly telling the story of her daughter where years she spent trying to figure out what was going on. She obviously saw these symptoms, but didn't have an explanation until using the power of chat to figure it out. And now they actually have a treatment path. Yeah, I think some of the similar... Like, you know, my mom, like, she had chemo before. So you can only have a certain number of radiation in chemo. So, like, I have records of, like, you know, whatever radiation she got before. [27:19](https://realalpha.app/v/pR7NCYKsA3o/?t=1639) Yes. So, like, in that 15-minute conversation, I have the doctor. Hopefully, we'll come here soon. I can actually tell them the stuff. Yes. Well, that's great. I hope that you are able... That AI is helping you keep track of that in your sheet. Because those are the kinds of things that I think it's really helpful. They'll ask you in the moment. Like, when was the last time you blah, blah, blah? Or how much radiation, blah, blah? And you're like, I don't know. You can now ask AI real time. That's been really helpful for me for more basic things than that, even. You know, just like what was your latest blood pressure read? [27:46](https://realalpha.app/v/pR7NCYKsA3o/?t=1666) I got a recent PCP appointment and my blood pressure was kind of low. She's like, did your blood pressure tend to run low? I was like, I don't know. Let's ask chat. Here's the last three readings. I just think it's so, it's just so helpful to have an encyclopedia on yourself. And let's talk about like... chat should be for clinicians and physicians so maybe you can like maybe we can build some empathy here because like part of me is like why are these guys still using faxes and like you know these like 20 year old systems inside the hospitals but maybe like there's some like regulation or something going on or like you know yeah there's a lot of regulation in health care i have a lot of empathy for for these folks um and it really comes down you know they're trying to uphold privacy that's right commitments that they have to you and me and so it comes from a place of deep values and principles that I think any of us would be very aligned to. [28:33](https://realalpha.app/v/pR7NCYKsA3o/?t=1713) Unfortunately, the reality is that what ends up happening is that it makes the whole system a lot more difficult to navigate. Like, for example, when my dad was first diagnosed with lymphoma, you get CTs of the lungs. I wanted to get a second opinion. I won't name the names, but there are two institutions. It's really not specific to them. Two top institutions in the Bay Area. And in order for me to get the second opinion from the second institution, I literally had to drive to the first one to physically pick up CDs. Yeah, yeah, exactly. That's what I have to do too. You have to do this too, yes. [29:03](https://realalpha.app/v/pR7NCYKsA3o/?t=1743) Which is crazy and then physically bring them to the other institution. I don't have a device that uses a CD anymore. Like, how are you hiring a... It's wild. And you know that's not a technical limitation, right? Like, there's clearly a privacy thing. So I think this... I hope that this can be a golden age. And what I'm seeing from every health system that we work with and we're working with some of the top institutions in the nation right now, they're the hunger for... They don't like this either. You know, it's not... They want to be able to uphold the privacy commitments without having to deal with antiquated technology. [29:30](https://realalpha.app/v/pR7NCYKsA3o/?t=1770) They're people, too, of the world. As consumers get access to all this technology, they're super smart, and they really deserve better. So I do think that we're on the precipice of a moment where AI is, and you're seeing it with some of the ambient scribe adoption. We partner openly with great providers in the space, like Abridge and Ambience, who power a bunch of the ambient scribing. You're already seeing this rapid adoption that previously did not happen. [29:56](https://realalpha.app/v/pR7NCYKsA3o/?t=1796) **Ashley Alexander:** And the latest AMA study, I think, showed something like over 70% of clinicians are using AI regularly now. [30:03](https://realalpha.app/v/pR7NCYKsA3o/?t=1803) And that was up from, I don't know, it was something in the 30s or 30% or so back in 2023. So it's growing quickly. It's happening. And I think faster than what everyone tells me. I've only been in healthcare now for a little over a year. But for people who've been in it for decades, they're telling me that this is unlike a pace that they've seen before. Because there's just so much to fix. And this technology is actually able to make a difference right now. And it's not just like if I'm a doctor, I want to adopt this stuff, I can just start using it. It's just like trying to get enterprise adoption of AI. [30:32](https://realalpha.app/v/pR7NCYKsA3o/?t=1832) You have to go through a lot of different other parties, right? So there's a couple of different paths, which is exciting. So we have a product called ChatGPT for clinicians, which is free for any clinician. They just have to verify that they're clinicians. So they use their MPI and ID, and then they get free access to our latest models. Like they get Astra for free. That's something that we just feel from a mission perspective is very important. It's a no-brainer for us to comp that for the physicians. So they can do that. Now, for many of them, they might not be authorized to sign a BAA on half of their organization. [31:03](https://realalpha.app/v/pR7NCYKsA3o/?t=1863) That's a bunch of industry lingo, which basically means that in order for us to be able to support their HIPAA compliance, they have to sign this document with us with sort of a legal agreement. So a lot of those individuals won't be able to, for example, sync up all their patient EHR records. is kind of the implication of that and so it's still a very powerful tool um it can they can ask questions in a very anonymized way you know i have a 73 year old patient that presents with xyz symptoms i'm thinking about blah blah blah as the causes like give me a sense of what your differential would be and it just helps them as a almost a thought partner um but it gets even more powerful when it is able to integrate with the the electronic medical record information and be in workflow. And so that's why we're also working with health systems directly to then actually integrate in a HIPAA compliant way with their systems. [32:00](https://realalpha.app/v/pR7NCYKsA3o/?t=1920) That is pretty consolidated, or is it pretty fragmented? Is there like a couple of electronic medical record platforms, or? There's a handful. And the thing that's nice about the health systems sort of right to their own data is that we can work directly with the health systems and work with them. And whatever electronic record they're working with, we just work with them to say, what's the way that you would like this to work for you? And we figure out, there's kind of open standards and things that we can use to make those things a reality for them together. got it okay and and how about like um like cutting-edge cancer research or stuff like that like like uh it's opening i'm i'm assuming you guys are helping we have a large um emphasis and focus on science and advancing science with our models it's some it's some of the most it's very exciting work um both through actually our pbc and our foundation our foundation has publicly shared that a big portion i'm gonna watch the stats i don't know exactly but we can look it up after yeah they're a big portion of those funds it's a lot of of money that the foundation is deploying is dedicated to advancing life sciences okay okay um so there's so there's kind [33:05](https://realalpha.app/v/pR7NCYKsA3o/?t=1985) of two angles yeah and um and it's it's a huge priority right now to say how do we work together with the ecosystem to accelerate discovery okay yeah i'm really excited for that i i think um i think we're talking about this before the interview but like you know everyone's building personal agents and stuff to help you manage your emails and like this kind of stuff that's great that saves me time but like to actually improve human life like you know cure these freaking diseases like that that is massive improvement it's incredible i mean i i think all of it's incredible to be honest i mean we have 300 million people coming to chat every week asking health questions like chat is supporting 300 million people in their health already today even without the acceleration of the cures for the whatever yeah um which i think is just amazing it's already happening in front of us and we're are we're also seeing these models that have this next level intelligence that are solving you know decades of math right so it's like just imagine what's going to happen when we come together as an ecosystem with all the the parties involved to point that towards cures um and importantly there's also you know a lot beyond the discovery [34:14](https://realalpha.app/v/pR7NCYKsA3o/?t=2054) of the cure there's also the a bunch of steps after that to actually make sure it gets in the hands of people you know everything from clinical trials and deployment right um and and what we've seen you know we work in partnership with a lot of um players in the space pharma companies etc and what we've seen is that there's a tremendous potential for ai to accelerate every step of those processes yeah um which is also really exciting so it's again i just i the thing that's so cool about this technology yeah and and why i'm able to have the impact that i'm able to have even a you're in here is because you can apply it to basically every part of the problem yeah and it's able to benefit in some way so it's pretty exciting yeah it's like a like because we both were having meta right and um like part of me is like probably because like working health care there's long shipping cycles and like because like at meta we can just run an ap test change some algal toggles and you can see the result in like the next day but do you feel that now you have to wait longer or do you feel like there's like a lot of progress making well it's yes and no i mean i I think we're having some of the fastest progress that we've ever seen in health care specifically. [35:20](https://realalpha.app/v/pR7NCYKsA3o/?t=2120) Now, health care has not historically moved as quickly as the consumer tech industry, social media. Exactly. I think for good reason, because the stakes are a lot higher. That's right. And so I think the pace is extraordinarily fast. Now, relative to consumer product, you know, social media, whatever, it's definitely slower. But I think rightfully so. all the things we're talking about getting security right getting the privacy approach right getting getting the the the ui in such a way that you know my mom can figure out how to connect her medical records without having any technical experience like these things to me are so important where it's a little bit of a different approach that you want to take to this type of work, I think, than maybe historical or just traditional direct-to-consumer product. [36:09](https://realalpha.app/v/pR7NCYKsA3o/?t=2169) Yeah, you don't want to run an A-B test on like treatment and stuff, you know, or like, you know, it doesn't make any sense. Yeah. Awesome. Well, I think for people listening to this who are like caregivers or patients going through some of the stuff, like, do you have any kind of, like, what was the step-by-step advice that you have for them? Oh, good question. Okay. So as a caregiver, this is actually an area that I think there's a tremendous amount of opportunity for more for the technology to do. But at least as this product stands today, my tip would be, or at least what I do. I like your setup, by the way. I think your setup is a great, great example. [36:45](https://realalpha.app/v/pR7NCYKsA3o/?t=2205) I don't know if you do this for your shared project, but I've made the project that I use to manage my dad's health a siloed project. So it's like a project only memory setting. So when you set up the project, you have to do it, I think, when you set up the project. But if you go into sort of the top right drop down of settings, you toggle them out. Because most projects just generally just memory is shared across your whole account. Okay, because I don't have it by myself. What I do, why I do that is it's just kind of like a nice hard barrier to make sure if I'm talking about, you know, the latest diagnosis or the latest lab test or whatever, there's no chance then that chat will get confused that that might be mine. [37:22](https://realalpha.app/v/pR7NCYKsA3o/?t=2242) Oh, I see. Because I also talk about my own health with chat a lot. Got it, got it. So I think that's like, that's a helpful, I hear this also from a lot of parents that are trying to get advice on raising their kids or whatever, that this is a helpful sort of power user way. Okay. to make sure that that information is kind of um separate okay yep okay just a stylistic thing i don't know i i prefer it just to make sure there's no no chance of the the mingling of of memory yeah yeah that makes sense um and then i think i think what you're doing is a great idea because yeah because because of privacy and all that that's probably the fastest way you could have a nice knowledge store that's specific to a loved one um obviously with their consent get their consent um i get my dad's consent and sometimes you know if he if he doesn't feel comfortable i'll kind of redact personalized things if that's what he wants for my account whatever okay put his put you know the latest lab report in or whatever and i use it all the time [38:19](https://realalpha.app/v/pR7NCYKsA3o/?t=2299) **Ashley Alexander:** the most actually and you know to help me understand what's going on yeah the most useful thing though i've found is even just real time when i'm in appointments yeah like as the doctor [38:28](https://realalpha.app/v/pR7NCYKsA3o/?t=2308) is sharing things with me a lot of time i'm using it to sort of real time like what does this mean for dad like what's the what question should i be asking right now like oh like like in person you just type type yeah well a lot of time there's a lot of telehealth these days um so but yes oh i would do it in person too but a lot of time we're dialed in um and i'll be kind of you know they'll mention a thing you know maybe a latest treatment or they'll mention some some some word that i don't know some acronym exactly um like you learn so much there's so many terms um of art that you know you wouldn't know i'm like what's a left wedge resection you know i didn't know when we were talking about lung um that's a type of surgery but you know it was really helpful for me real time to be asking and so i wouldn't have to waste the time with the doctor my dad would be asking questions i'd sort of side okay be educating myself and then i could i could make better use of the time um got it i don't know what tips do you have for you've been doing this a lot um i think um i think if you actually like a lot of people when they have these thumbs they don't like to share that they have cancer but you actually share or maybe because i like maybe i share too [39:31](https://realalpha.app/v/pR7NCYKsA3o/?t=2371) much a lot of people actually come out to help help you like like i'm in touch with like a great point i'm touch like oncologist in uh new in new york just giving like free advice and like a lot of people just come come out of the world to help help me which is very nice it's amazing yeah people people actually do really care that's a really that's a really good point like lean on your community that actually that is a great direction to take this because yeah i am the i am the biggest supporter of what this technology can do for us. And yet still, there's nothing that can replace And I think it's important for us to, as we have these conversations, talk about, in our best case scenario, what these tools actually do is they strengthen the human connections that we have because they allow us to show up in such a way that we're able to, you know, help each other, help ourselves, whatever, such that we have more of that, more of that time for human connection. I totally agree with that. I think having a community when you're going through. [40:23](https://realalpha.app/v/pR7NCYKsA3o/?t=2423) Like a lot of your friends might be going through the same thing, they might not be talking about it. Like a friend called me is like, hey, you know, my dad went through the same thing. Here's how we did it. And it's like very, you know, you don't talk about this in regular life, right? So like, it's because you just share. No, it's so true. And you don't know until you share. I had a similar situation with my dad, the second cancer that my dad had. One of my best friends' father-in-law's just happened to be in the space. And was able to, you know, they live in Pittsburgh, so they're kind of far away, but they he was able the doctor was able to refer me yeah to a specialist close by us that worked at stanford who ended up being my dad's doctor for that that other cancer um so you're right you just never know and you're right people really do come out of the woodworks to help yeah yeah yeah all right let me ask you one last question which is um i've always found it like as i got older i've always found it difficult to balance my career with actually spending my parents because you know like your parents aren't around forever forever and uh you know i think working at open eyes is a pretty demanding job right so how do you how do you think about this from your own [41:27](https://realalpha.app/v/pR7NCYKsA3o/?t=2487) point of view oh man yeah yes this is the age old question yeah um there's it's it's hard to do it all yeah um i think i really do think so there's all the like optimization hacks and trying to get the most out of every minute that you have and blah blah but at the end of the day we all have only 24 hours per day. And so there's only so much you can max out. I think it really comes down to being really clear about what are your priorities and if something's going to drop what, realistically, what's the stack rank of things. And I think it's going to be different for everyone, but it seems like you share a value system that I have, which is that my family is the most important. [42:05](https://realalpha.app/v/pR7NCYKsA3o/?t=2525) **Ashley Alexander:** And so for me, it's just a non-negotiable. Like if my dad has a doctor's appointment, even at this job, even in my former job at [42:12](https://realalpha.app/v/pR7NCYKsA3o/?t=2532) Metta, I'm lucky I've worked at employers that are understanding and supportive of these things but like i also still have to set that boundary i'll just block the time yeah i just block the time and no and not once have i ever gotten pushback or criticism or questioning um everyone's so supportive but it there's something that has to flip in you because until my dad um got very sick you know when this was back in university i still like ran kind of this crazy sort of always on life even as a student um i always felt like there's no more time in the day there's no there's no there's no more possible thing I could do right now and then someone gets sick and you realize wait actually when I really prioritize this like look at what I'm carving out like look what could drop and yeah you know it's always great obviously you'd like to do everything but I think I think sometimes when you prioritize you realize like how much you really can dedicate time to certain things if you just make the hard calls um and and And are you just limiting yourself? [43:10](https://realalpha.app/v/pR7NCYKsA3o/?t=2590) Like, are you deluding yourself that you're actually that busy? Maybe some of those meetings didn't actually have to happen or, you know, and speaking for myself. Yeah. You know, like a lot of PM meetings don't have to happen, so I don't think, yeah. Or something doesn't need to happen right then, maybe something can, like, you know, not everything. Some things are time sensitive, but sometimes there's like self-imposed, you know, and some things actually benefit from an extra week of breathing for people to come to it. So I don't know. I think I had a similar feeling when I had kids, I have a one-year-old and three-year-old right now, where you just start to realize that you can make time for the things that are important if you really prioritize them. [43:54](https://realalpha.app/v/pR7NCYKsA3o/?t=2634) It's really that simple. You have to kind of like not take your loved ones for granted, right, because you assume those will be around forever. Your kids will grow up and your parents will grow up. No, you have to prioritize. Yeah, you have to prioritize. And now, do you have any tips on it? Well, I think I kind of made the conscious choice to focus on my mom's care and make my little YouTube videos and stuff. Great YouTube videos. No, I totally agree. I mean, you're actually reminding me. There was a period around the pandemic where both of my parents each got diagnosed with two cancers each within a week of each other. [44:25](https://realalpha.app/v/pR7NCYKsA3o/?t=2665) And I had just had a miscarriage and it was just a tremendous, like a really hard month. I actually took that. We had this program or my former employer, we had a program called Recharge, which was sort of like every five years you get to take a month. And I used and I just took the month. I did a similar thing where I said, OK, this is going to dedicate this time. There's no shame in that. No, probably the best. One of the best is I don't regret that a single, but it was one of the best things I could have done in that moment to just both care for my parents but also you have to care for i guess that's the other piece of advice you have to care for yourself as a caregiver yeah we don't talk about that enough it's it's a big even with the with the with the help of ai it's still a really big cognitive load emotional load um just pure time load to be a caregiver um and you have to also make sure that you're budgeting time for your own your own mental health yeah yeah yeah i think i and talking to your community helps with that yeah i think so too and and i think it it can make it can make the you just feel just more empowered and being able to yeah like not take on that job yeah yes i feel way more empowered now to do that job for my family and for myself than i did [45:40](https://realalpha.app/v/pR7NCYKsA3o/?t=2740) without chat it's it's so it's amazing i'm just so excited for where this can go because you're mentioning several times you've mentioned some of the administrative stuff that it seems like things are coming back to it's um i agree and just with where the technology is going it's just it's really exciting to imagine a world where you know chat just knows that like i just got a pcp appointment i'm supposed to do follow-up labs i chat could the technology is totally capable now of just letting me know yeah hey i saw your your after visit note you've got these labs they're supposed to be through lab corp here's here's an appointment and a time that works for you. You're working from home this day. Here's the time slot. Do you want me to book it for you? And I could literally just push a button and it could make it all happen. I mean, that's the future we all deserve to live in. I'm so glad, actually, that you're working on this with the team. And I really think this could be the biggest positive impact on humanity. So thank you for working on this. I really hope so. Thank you. Please send me your feedback. And I'm just really excited to keep making it better for folks like you.