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Shot of Digital Health Therapy

Shot of Digital Health Therapy

By: Eugene Borukhovich and Jim Joyce
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A Shot of Digital Health Therapy is a meticulously unproduced podcast hosted by health tech founders Eugene Borukhovich and Jim Joyce. Born in the pandemic, therapeutic by design—oh, and comedy is still included. We dive into unscripted conversations with the people shaping employer benefits, digital health moonshots, and the broader healthcare system. From real talk to ridiculous tangents, we spotlight the builders, thinkers, and occasional troublemakers moving the industry forward. We'd love to have you join us.2020-2025 Eugene Borukhovich and Jim Joyce Economics Hygiene & Healthy Living
Episodes
  • Bart De Witte: Why 'Android for Medical AI' is the Only Way to Fix Clinical Innovation

    Bart De Witte: Why 'Android for Medical AI' is the Only Way to Fix Clinical Innovation
    Apr 17 2026
    In this episode of The Shot of Digital Health Therapy, Jim Joyce and I sit down with Bart De Witte. Bart is a former dentist turned corporate heavyweight (SAP and IBM before becoming a radical advocate for open-source AI. He’s the founder of a non-profit (Hippo AI Foundation) dedicated to freeing medical data and is now building Isaree, a platform aimed at becoming the "Android for Medical Intelligence". -In 1989, a high school Bart wrote that AI would turn doctors into "Super Doctors." -Base Jumping vs. BigCo: Why jumping off a bridge with a parachute is actually the perfect training for navigating the "insane" user interfaces and corporate structures of legacy -Regulatory Capture: How European bureaucracy is accidentally (or intentionally) creating monopolies for West Coast tech giants while stifling local startups. -The Death of the Token: Why the future of healthcare isn't a centralized LLM, but 30 billion parameter models running locally on your phone for "zero tokens" and total privacy. Fun mentions as always: Matthew Holt Indu Subaiya, MD, MBA, MFA Martin Kelly Sean Hogan 00:00:00 - Intro: The Shot of Digital Health Therapy 00:03:00 - Why the Stock Market and French Fries are Actually Belgian 00:05:30 - The 1989 Prophecy: How AI Creates "Super Doctors" 00:08:00 - Base Jumping: The Ultimate Training for High-Stakes Entrepreneurship 00:10:00 - Roasting the SAP "Certified User" Paywall 00:13:00 - From Dentistry to Global Software Innovation 00:17:00 - Vodka Diplomacy: Building Trust and Breaking Spies in Eastern Europe 00:19:00 - Autopsy of a Failure: Why IBM Watson Health Never Stood a Chance 00:22:00 - 240 Flights a Year: The Loneliness of the "Black Card" 00:26:00 - The Open Source Rebellion: Betting Everything on Copyleft 00:32:00 - EU Regulatory Insanity: How the AI Act Stifles Local Innovation 00:37:00 - Digital Feudalism: Why We Need to Fight for Our Language and Thought 00:41:00 - Proximity AI: Running 30B Parameter Models Directly on Your Phone 00:43:00 - The "Last Mile": Why 98% of AI Research Never Helps a Patient 00:48:00 - Advice to a Young Dentist: Neurodivergence is Your Greatest Edge
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    50 mins
  • Yang Su & Xing Su: Why the "Tesla Roadster" Strategy is the Only Way to Fix Senior Care

    Yang Su & Xing Su: Why the "Tesla Roadster" Strategy is the Only Way to Fix Senior Care
    Mar 19 2026
    In this episode of #TheShot of #DigitalHealth Therapy, Jim Joyce and I sit down with Yang Su and Xing Su, co-founders of Seen Health. This is the first time EVER we had twin founders on the show so was fun to find out who actually came out first and what it takes to run a business together. The two brothers were "tech & consultancy royalty", who had never touched a medical record until their own family needed help. Now, they are proving that the biggest innovation in healthcare isn't a new algorithm (though their platform is a key ingredient to scale); it's a "one-stop-shop" center where a doctor, a physical therapist, and a hot meal are all down the same hallway and a community are all a big part of being "seen". The 4 Pillars of the Seen Health Thesis: -The "Roadster" Framework: Why you must start with the $100k-per-year, high-frailty "Roadster" model to build the infrastructure that will eventually drive costs down to $1k-per-month for everyone. -The Operator’s Edge: Why having "outsider" eyes allowed them to see that 70% of senior care is actually logistics, transportation, and nutrition - not just medicine. -The Focus Trap: Why they turned down "easy" revenue from selling their software to stay "unapologetically" focused on the elderly patient in front of them. -Hospitality as Medicine: Borrowing the "Ritz Carlton" philosophy to ensure seniors feel "seen" rather than processed by an institution. Fun mentions as always: Erik Milster, Elon Musk, The Ritz-Carlton Hotel Company, L.L.C., Tesla, Uber, Salesforce, Google, Coursera, Andrew Ng [00:02:40] The 3-Minute Birth Gap: Why being the "older" twin created a lifelong competitive rub. [00:09:00] The "Silicon Valley Dream" vs. Reality: Leaving Google and Stanford's Andrew Ng to find "scars" in the real world. [00:16:10] The Magical Twin Synchronicity: How Uber and Quip were both acquired on the exact same day, charting a course back to each other. [00:18:20] Discovering PACE: Why a 50-year-old model from San Francisco’s Chinatown is still the gold standard. [00:25:20] The San Gabriel Valley Bet: Why they chose hyper-focus over "general" scaling. [00:32:40] The Tesla Roadster Analogy: How to scale high-touch care by driving the "blueprint" cost down from $100k. [00:43:00] The EHR From Scratch: Why they built their own tech stack instead of buying "off the shelf". [00:47:30] The Refusal to Commercialize: Turning down tech revenue to protect the patient experience. [00:51:50] The Closer: "Unapologetically yourself"—advice to their younger twin selves.
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    50 mins
  • Carl Byers on the 4 AI Agents of your health & the lessons from taking Athenahealth to IPO

    Carl Byers on the 4 AI Agents of your health & the lessons from taking Athenahealth to IPO
    Mar 12 2026
    In this episode of #TheShot of #DigitalHealth Therapy, Jim Joyce and I sit down with Carl Bradford Byers 🚑 . Carl is a Partner at F-Prime who was previously CFO of athenahealth and helped scale the company from a basement startup to an IPO. He’s one of the few venture capitalists who actually knows how to build the pipes, not just pitch the vision. What we get into: -The 4 AI Agents of Your Health: How Carl sees the future of agentic AI in health care -The Investment Thesis: Why "smart money" is actually about finding the partner who will sleep in your office to vet the code -The IPO Scars: The reality of scaling to a publicly traded company and the growth mindset (aka survival instinct) required to stay alive. Links to watch / listen below in comments 👇 Fun mentions as always: Daniel Kendall, Marina Borukhovich, Jonathan Bush, Todd Park, Ed Park, Paul Markovich, Chris Dixon, Owen McCarthy, Eric Paley, Brian Roberts, Glen Tullman, John Hallock, Matthew Holt, Indu Subaiya, MD, MBA, MFA [00:02:45] The "Log Cabin" Intro: Carl’s roots and meeting the Athena founding team at Wesleyan. [00:05:30] The War Room: Driving Bill Clinton's van and the intensity of political "advance" work. [00:12:30] The Athena Basement: Why Carl chose a "basement startup" over a prestigious Chicago MBA. [00:16:45] The 4 Pillar Thesis: Breaking down the Clinical, Technical, Financial, and Operational requirements for health-tech. [00:18:45] The Investment Thesis: How Brian Roberts and Venrock vetted the early tech by sleeping in the office. [00:21:00] The President on the Phone: Securing an early $50k from George H.W. Bush. [00:24:00] Scars of the IPO: The transition from a "silly toy" to competing with giants like GE and McKesson. [00:57:00] The Madrid Ad: Why the "Who" is the only thing that survives a 20-year career.
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    59 mins
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