À PROPOS DE CET ÉPISODE
Steven Charlap didn't build Medome.ai because the market asked for it. He built it because the system failed his brother — and then nearly failed him.
Steven Charlap is a 40-year licensed physician, trained surgeon, and serial entrepreneur who has spent 13 years and millions of dollars of his own money building what he believes is the world's most advanced diagnostic engine. Medome.ai is designed to eliminate misdiagnosis — a problem affecting five to seven million people in the United States alone — by doing what human physicians structurally cannot: starting from all possible diagnoses and eliminating the wrong ones rather than defaulting to the most common.
In this episode, Steven gets into what it actually takes to build something the entire system is financially incentivized to resist — and keep building anyway.
This episode covers:
· Why doctors, health systems, insurers, and pharmaceutical companies all have structural incentives to keep misdiagnosis in place — and what that means for anyone trying to fix it
· How Medome.ai built a counterintuitive diagnostic model that identifies what a physician is most likely to miss — and why that required 13 years, not 13 months
· What "trust but verify" actually means when your own physician doesn't connect the dots between three drugs you're taking simultaneously
· Why the conventional startup playbook — addressable market, competitive pressure, minimum viable product — doesn't apply when the mission is eliminating preventable death
· What institutional resistance actually looks like when you're building against it — and why self-insured employers may be the only stakeholders with a genuine financial incentive to change
· The operating discipline of staying on mission when the money is running out and the market isn't ready
When the system won't move, someone has to decide to keep pushing anyway. This is what that looks like from the inside.
Operating Discipline with Terri D. Wilson — candid conversations with CEOs and senior leaders about organizational performance under pressure.
Listen: opdiscipline.com/podcast
Connect with Terri D. Wilson on LinkedIn | https://www.linkedin.com/in/terridwilson/
Visit the Operating Discipline website: http://opdiscipline.com/
Listen to Operating Discipline on these podcast platforms:
YouTube | https://www.youtube.com/channel/UClbUwY45jbStUKsa2v7mALQ
Spotify | https://open.spotify.com/show/033qMnr5bIiui03nulsvfc
Apple | https://podcasts.apple.com/podcast/operating-discipline-hosted-by-terri-d-wilson/id1896857928
Amazon: https://music.amazon.com/podcasts/f3e88a4a-38f4-48b1-9827-8207876d4a95
#OperatingDiscipline #TerriWilson #Leadership #OrganisationalDesign #BusinessOperations #LeadershipDevelopment #ScalingBusinesses #CompanyCulture #OperationalExcellence #HRLeadership #TeamAccountability #BusinessGrowth #ExecutiveLeadership #ManagementStrategy #FounderMindset
Operating Discipline is the podcast for leaders who are ready to take a hard look at how their organisations actually work — not just what their strategy says on paper. Hosted by Terri D. Wilson, each episode is a candid conversation with founders, executives, and operators about how decisions get made, how accountability is held, and how work really flows inside growing businesses.
Terri brings over 30 years of executive and entrepreneurial experience to every conversation. She's worked across industries helping leaders build the systems, structures, and cultures that allow businesses to scale without breaking — and she knows that most organisations don't struggle because of bad strategy. They struggle because of how they actually operate day to day.
Whether you're navigating rapid growth, building a team you can trust, or trying to close the gap between the business you want and the one you're running, Operating Discipline gives you the frameworks and real-world examples to lead with intention. This is the show for leaders who are serious about execution, not just ideas.
