Rishi Khakhkhar

ER doc building @CounselHealth; prev virtual care + hospital-at-home @MountSinaiNYC

[Rishi Khakhkhar @khakrish]

Incredible chart. My MIL got a lung transplant for ILD in 2023, and now I can thank Trikafta! This is a great example of "care abundance" -- the red line is some proxy for physically bounded care delivery, which we can allocate to more patients by substituting some demand.

[Nick Mark MD @nickmmark]

Despite all the talk about AI making radiologists obsolete, the most striking example of a medical specialty being disrupted in the last decade may be adult CF care, and it wasn’t AI. It was Trikafta.

[Jay Rughani @JayRughani]

Counsel's medical AI available soon in your Oura ring app

[Rishi Khakhkhar @khakrish]

@ottosipe @doximity @photonhealth This is awesome man, congratulations!

[Rishi Khakhkhar @khakrish]

@nikillinit The rapid, accelerated aging in one of those groups isn’t enough?

[Counsel Health @CounselHealth]

In a recent @latimes op-ed, Dr. @HashemZikry, Medical Director at Counsel Health, explores the revolutionary potential of AI in delivering life-changing care at scale, and calls for serious, enforceable regulations to safely deploy this technology.

[Rishi Khakhkhar @khakrish]

@anish_koka Random musing after watching millions of these clips: I feel like Jordan’s famous hangtime was less about his vertical jump (which was immense) but the amazing discipline/body control required to put up a good shot while he was descending instead of at his peak

[Rishi Khakhkhar @khakrish]

@dvasishtha True, though AI care delivery should strive to be much more. ChatGPT with a telehealth wrapper quickly, and rightly, commoditizes

[Rishi Khakhkhar @khakrish]

@AdamRodmanMD @drjohnm Yup. @drjohnm, check out @PowerfulMedical’s Queen of Hearts mode! cc @RobertHermanMD

[Rishi Khakhkhar @khakrish]

Agree w/ Mario. Frontier model improvement is great but writing evergreen, rigorous evals, optimizing latency, deciding what remains agentic vs deterministic, making sense of very messy health data — in short, major architectural work — takes a ton of energy and focus. I’m glad talented folks are working on this 😉

[Rishi Khakhkhar @khakrish]

Vibe shift: over the past few months, basically every computer in the community ER where I work has an @EvidenceOpen window up. Younger and older attendings alike. Huge usage everywhere.

[Rishi Khakhkhar @khakrish]

Agree that we need malpractice/liability frameworks, but this has been done before (Waymo etc), I think we can solve that problem with the actuaries.

Doctronic’s recent jailbreaking/prompt-injection incident raises the more pressing question of whether the states should be regulating this vs the feds. Should the bandwidth-constrained Dept of Commerce in Utah have been responsible for redteaming efforts? That seems unreasonable.

[Rishi Khakhkhar @khakrish]

The house of medicine is at a crossroads, I think the path forward is obvious

[Rishi Khakhkhar @khakrish]

@dvasishtha We did this before! We villainized “Dr. Google” for 25 years and put our heads in the sand instead of building for the obvious access point of this century.

AI care is coming, with or without us. We can help build it safely or accept the acceleration of our fading relevance.

[Rishi Khakhkhar @khakrish]

@dvasishtha We did this before! We villainized “Dr. Google” for 25 years and put our heads in the sand instead of building for the obvious access point of this century.

AI care is coming, with or without us. We can help build it safely or accept the acceleration of our fading relevance.

[Rishi Khakhkhar @khakrish]

@dvasishtha I think the same entities that oppose midlevel scope expansion will oppose AI doctors, for the same economic reasons :)

That being said I do think AI doctors will be more rigorously scrutinized, evaluated, etc than current midlevel training programs and areas of scope expansion

[Rishi Khakhkhar @khakrish]

@shyamalanadkat Go get em!

[Rishi Khakhkhar @khakrish]

@MarioATX_MD I see. Does the equation change now that the tech is more mature? We’re not there yet but feels very feasible that soon, a capable humanoid robot will be as good as a home health aide or hospital PCA for many use cases.

[Rishi Khakhkhar @khakrish]

@RobertHermanMD @HenrytTimothy @JACCJournals @smithECGBlog @PendellM @belmontemarta1 Congratulations!

[Rishi Khakhkhar @khakrish]

@dvasishtha Is it really Big Sean? Sign of a bull market

[Julie Yoo @julesyoo]

@CounselHealth is a full-stack, AI-native medical group that makes medical care abundant - unlimited guidance from real doctors, 24/7, scaled by Counsel’s medical AI, in a now familiar chat interface.

This system embodies the qualities that everyone should expect from "AI as a New Site of Care", which go far beyond the simplistic, early models of digital health that simply replicated offline visits on a computer screen - e.g. care that is always on, with pan-specialty intelligence, personalized, and exponentially scalable.

Thrilled to have led the Seed and be co-leading the Series A with our friends at @GVteam as Counsel launches to the general public. Counsel has served over 100,000 patients through B2B2C partnerships to date, and now everyone can have a doctor in their pocket.

Congrats to @malagappan and the whole Counsel team on the launch!