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    Software How-To

    Giant Robots Smashing Into Other Giant Robots

    A podcast about the design, development, and business of great software. Each week thoughtbot is joined by the people who build and nurture the products we love.

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    Latest Episodes:
    469: Harpoon with Dominic Holt Apr 06, 2023
    Show notes

    Dominic Holt is CEO of harpoon, a drag-and-drop Kubernetes tool for deploying any software in seconds. Victoria talks to Dominic about commoditizing DevOps as a capability, coming up with the idea for drag and drop just thinking through how he could do these things in a visual and intuitive way, and using Kubernetes as a base for Harpoon. Harpoon Follow Harpoon on Facebook, or LinkedIn. Follow Dominic Holt on LinkedIn or Twitter. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Dominic Holt, CEO of harpoon, a drag-and-drop Kubernetes tool for deploying any software in seconds. Dominic, thank you for joining me. DOMINIC: Yeah, of course. Thanks for having me, Victoria. VICTORIA: Yes, I'm really excited to talk all about what Kubernetes is. And I have Joe Ferris, the CTO of thoughtbot, here with me as well to help me in that process. JOE: Hello. VICTORIA: Excellent. Okay, so, Dominic, why don't you just tell me how it all got started? What led you to start harpoon? DOMINIC: I got into the DevOps space fairly early. It was, I don't know, probably 2012 timeframe, which sounds like not that long ago. But, I mean, DevOps is also still a baby. So I have a software background. And I was starting to figure out how to do the continuous; I guess, automated way of standing up cloud infrastructure for Lockheed Martin at the time because people didn't know how to do that. There weren't a lot of tools available, and nobody knew what DevOps was. And if you said it to somebody, they would have slapped you. VICTORIA: Aggressive. [laughs] DOMINIC: [laughs] Maybe not, maybe not. Maybe they'd be nicer about it. But anyway, nobody knew what DevOps was because it wasn't coined yet. And I started realizing that this was not some system administration voodoo. It was just common sense from a software development standpoint. And I ended up leaving Lockheed shortly thereafter and going and working for a small business here in San Diego. And I said, I have no idea what any of this stuff is, but we're going to do it because, in a few years, everybody's going to be doing it because it's common sense. So we did. We grew quite a large practice in consulting and DevOps, among other things. And predominantly, I was working with the U.S. Navy at the time, and they needed a standardized way to deploy software to aircraft carriers and destroyers, the ships out there in the ocean. And so, I came up with a design for them that used Kubernetes. And we built a pipeline, a CI/CD pipeline, to automatically deploy software from the cloud to Navy ships out in the ocean on top of Kubernetes. And everything worked great. And it was there, and we tested it. But at the end of the day, handing over the maintenance, what we call day two ops, proved to be troubling. And it never quite made it onto the ships in the way that we wanted. So after that, I did a bunch of consulting with other groups in the Navy, and the Air Force, and Space Force, and all kinds of different groups across the government. And I also started consulting in commercial, fortune 500, startups, everything. And I just saw that this problem was really pervasive, handling the day two operations. You get everything up and running, but then maintaining it after that was just complicated for people because all of the DevOps implementations are snowflakes. So if you go from Company A to Company B, they look nothing alike. And they may have a lot to do with somebody named Jim or Frank or Bob and how they thought was the best way to do it. And so, running a DevOps consultancy myself, I just knew how hard it was to find the talent, and how expensive they were, and how hard it was to keep them because everyone else was trying to hire my talent all the time. And I just thought to myself, all of this is completely untenable. Somebody is going to commoditize DevOps as a capability. And what would that look like? VICTORIA: Right. I'm familiar with the demand for people who know how to build the infrastructure and systems for deploying and running software. [laughs] And I like how you first talked about DevOps, just it being common sense. And I remember feeling that way when I went to my first DevOps DC meetup. I was like, oh, this is how you're supposed to build teams and organizations in a way to run things efficiently and apply those principles from building software to managing your infrastructure. DOMINIC: Yeah. Well, I had lived the life of an enterprise software developer for quite a while before then. And I had gone through that whole process they talk about in all of DevOps bibles about why it is we're doing this, where the software development team would have their nice, fancy dev laptops. And the operations team with the pagers or whatever would be the ones managing the servers. And the software developers were never really sure exactly how it was going to work in production, but were like; I'm just going to throw it over the fence and see what the ops people do. And inevitably, the ops people would call us very angrily, and they would say, "Your software doesn't work." And then, of course, we would say that the ops people are all crazy because it works just fine here on my laptop, and they just don't know what they're doing. And, I mean, we would just fight back and forth about this for six months until somebody figured out that we were running the wrong version of some dependency in the software on the ops side, and that's why it didn't work. So that process is just crazy, and nobody in their right mind would want to go through it if they could avoid it. VICTORIA: Right. I'm sure Joe has had some stories from his time at thoughtbot. JOE: Yeah, certainly. I was interested by what you said about working with...I think it was Frank, and Ted, and Bob. I've definitely worked with all those people in their own snowflakes. And one of the things that drew me to Kubernetes is that it was an attempt to standardize at least some of the approaches or at least provide anchor points for things like how you might implement networking, and routing, and so on. I'm interested to hear, you know, for a drag-and-drop solution, even though Kubernetes was meant to standardize a lot of things, there are a lot of different Kubernetes distributions. And I think there are still a lot of Kubernetes snowflakes. I'm curious how you manage to tackle that problem with a drag-and-drop solution to hit the different Kubernetes distributions out there. DOMINIC: Yeah, I mean, I think you nailed it, Joe. Standing up Kubernetes is a little bit complicated still these days. It's been made a lot easier by a lot of different companies, and products, and open-source software, and things like that. And so I see a lot of people getting up basic Kubernetes clusters these days. But then you look at companies like ARMO that are doing compliance scans and security scans on Kubernetes clusters, and they're making the claim that 100% of the Kubernetes clusters they scan are non-compliant [laughs] and have security issues. And so that just goes to show you all of the things that one has to know to be successful just to stand up a cluster in the first place. And even when I...like for a client or something, over the years, if I was standing up a Kubernetes cluster and a lot of it was automated, you know, we used Terraform and Ansible, and all the other best practices under the hood. A lot of the response I got back when we handed over a cluster to a client was, "Okay, now what?" There are still a lot of things you have to learn to maintain that cluster, keep it up to date, upgrade the underlying components of the cluster, deploy the software, configure the software, all those things. And can you learn these things? Absolutely. Like, they're not rocket science, but they're complicated. And it is a commitment that you have to make as an individual if you're going to become proficient in all of these things and managing your own cluster. And so we were just...we had done this so many times at different companies I had worked with, for different clients, and seeing how all of the different pieces work together and where clients were having problems and what really hung people up. And so I just started thinking to myself, how would you make that easier? How would you make that more available to the pizza guy or an 18-year-old with no formal training that's on a ship in the ocean? And that's why I came up with the idea for drag and drop, just thinking through how can I do these things in a visual way that is going to be intuitive for people? VICTORIA: Well, I have, obviously, a very thorough understanding of Kubernetes, [laughs] just kidding. But maybe explain a little bit more about to a founder why should they invest in this type of approach when they're building products? DOMINIC: So I think that's a great question. What I find these days is DevOps is almost a requirement to do business these days in some sort of nimble way. So you have to...whether you're a large enterprise or you're a garage startup, you need to be able to change your software to market forces, to stuff that's happening in the news, to your customers don't like something. So you want to change it to something else quickly or pivot because if something happens, you can get your day in the sun, or you can capitalize on something that's happening. And so the difficulty is I think a lot of people have an impression that DevOps scripts are sort of like a build once and forget type of thing, and it'll just work thereafter. But it's actually software, and I like to think of software as living organisms. You have to take care of them like they're people, almost because if you don't, they'll become brittle and unhealthy over time. If you have a child, you have to feed them probably multiple times a day, brush their teeth. You got to tuck them in at night. You have to be nice to them. You have to do all the things that you would do with a child. But with software as well, if you just take the quick route, and quick fix things, and hack, and take shortcuts, eventually, you're going to have a very unhealthy child on your hands, and they're going to have behavior problems. At the end of the day, you have all these DevOps scripts, and they can be quite complex together. And you have to take care of them like they're your own child. And the problem is you're also taking care of your software products like it's your child. And so now you're taking care of two children. And as somebody that has two children, I can tell you that things become much more complicated when two children are having behavioral problems than just one. And you're at the store, and it's very embarrassing. So I guess the point is that harpoon is a capability that can basically take care of your second child for you, which is your DevOps deployments. And then you can just focus on the one child that you, I mean, this is turning into a terrible analogy at this point. [laughter] But you should love all of your children equally. But, in this case, you're looking to take care of your products and get it out there, and harpoon is something that can take care of your DevOps software for you. VICTORIA: I agree. I think when your software or children are problematic, it's more than just embarrassing sometimes. It can create a lot of financial and legal liability as well. From your research, when you're building this product and, like, who's going to be interested in buying this thing, is that something that people are concerned about? DOMINIC: Yeah, absolutely. I mean, the fact that we can stand up your cluster for you, stand up all of your cloud infrastructure for you, and then dynamically generate all of the configuration as code as well, and how to open those things securely up to the network and control everything such that you're not going to accidentally do something that's really bad, can definitely help out a lot of people. The interest has been really overwhelming from so many different groups and organizations. We have people that are interested in the Department of Defense in both the U.S. and other countries. We have fortune 500 companies that see this as a pathway to accelerate digital transformation for legacy applications or even to use it as a sandbox, so people aren't bugging Frank, and Joe, and Bob, who run the Kubernetes clusters in production. We have startups who see it just as a way to skip over the whole DevOps thing and work on getting a product-market fit so that they have a production environment that just works out of the box. So it's been really interesting seeing all the different use cases people are using harpoon for and how it's helped them in some way get to some and realize some goal that they have. JOE: I'm curious if it's been a challenge as somebody managing the underlying infrastructure as sort of a plug-and-play thing. One experience I've had working more on the operations side of DevOps is that everything becomes your problem. Like, if the server misbehaves, if there's a database crash, whatever, certainly, that's your problem. But also, if the application is murdering your database, that becomes your problem. And it's really an application problem. But it surfaces visibly in the infrastructure when the CPU spikes and it stops responding to requests. And so, how do you navigate that agreement with your users? How do you balance what's your responsibility versus theirs to not kill the cluster? DOMINIC: One thing that's great about Kubernetes and why it's a great base for our product is that Kubernetes is really good at keeping things running. Certainly, there are catastrophic things that can happen, like an entire region of EC2 and Amazon Web Services goes down. And that is, obviously, if you have your clusters only running in that particular region, you're going to have a bad day. So there are things beyond our control. I mean, those things are also covered by the service-level agreement, the SLA with AWS, since you're using your own AWS account when you're utilizing harpoon. So it's like a hybrid SaaS where we deploy everything into your account, and you own it. And you can adjust those infrastructure things on your own as you'd like. So from that standpoint, you're kind of covered with your agreement with AWS as an example of a cloud service provider. And certainly, Kubernetes also kind of knows what to do in some of those instances where you have a container that is murdering everything. In a lot of cases, it can be configured to, you know, just die or go into a CrashLoopBackOff or something if it's just taking up all your resources in the cluster versus destroying your entire cluster in a great fireworks display. So we put some of those protections into the platform as well. But yeah, to your point, being an ops person is a difficult job because we're usually the ones [laughs] that get blamed for everything when something bad happens, even though sometimes it's the software team's fault or sometimes it's even just the infrastructure you're built on. Occasionally, AWS services and Google Cloud and Azure services do go down, and things happen. We've had instances, even during harpoon development, where we're testing harpoon late at night on AWS, and sometimes AWS does wonky things at night that people don't…

    Full show notes at the publisher

    468: DiME with Jennifer Goldsack Mar 30, 2023
    Show notes

    Jennifer Goldsack is CEO of Digital Medicine Society (DiMe), the professional home for digital medicine. It is a global nonprofit with a mission to advance the ethical, effective, equitable, and safe use of digital technology to redefine healthcare and improve lives. Victoria talks to Jennifer about using new products and solutions to solve some of the most pressing and persistent challenges in healthcare, measuring success by how well they are caring for people every day and not by how good their products or how many they use on any given day, and how DiME can improve the way that we identify, manage, cure, and support people in a lifetime journey of health and disease. Digital Medicine Society (DiMe) Follow Digital Medicine Society (DiMe) on LinkedIn or Twitter. Follow Jennifer Goldsack on LinkedIn. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Jennifer Goldsack, CEO of Digital Medicine Society, the professional home for digital medicine. Jennifer, thank you for joining me. JENNIFER: Thank you so much for having me; excited for our conversation today. VICTORIA: Wonderful, me too. And we have our Program Manager for DEI Geronda with us today. Hello. GERONDA: Hey, how's it going? I'm super excited to be on here as well. VICTORIA: Yes, me too. It's going to be a great conversation. So, Jennifer, why don't you just tell me a little bit more about the Digital Medicine Society? JENNIFER: Happy to, one of my favorite topics, Victoria. So the Digital Medicine Society, or as we affectionately refer to it as DiMe, is a global nonprofit, and our mission is to advance the ethical, effective, equitable, and safe use of digital technology to redefine healthcare and improve lives. And I think one point I'd like to make right off the bat is while we are tech and digital enthusiasts here at DiMe, we are not tech determinists. What we think about is how can we harness the promise of these new digital tools in the toolbox, these new products, these new solutions, and how can we use them to solve some of the most pressing and persistent challenges in healthcare, an industry that exists to care for people? That's what we think about all day. That's our measure of success: how well are we caring for people every day, not how good are our products or how many products can we use on any given day. VICTORIA: Right. So what did you see in the digital health space that led you to believe that something like DiMe needed to exist in the world? JENNIFER: So it's interesting. When we take a step back and think about all the experts that need to be at the table to ensure that we build a field of digital health that is worthy of our trust, in our opinion here at DiMe, we think this is the most interdisciplinary field you can imagine, and that's a bold claim. But let me play it out for you. And maybe we can think about some other interdisciplinary fields during the course of our discussion. For digital medicine to work, we need citizen scientists and cyber security experts. We need physicists, engineers, product folks, data scientists, clinical scientists, clinical care providers, healthcare executives, regulators, payors, investors, funders all to sit at the table together, all to speak a common unifying language, all to have a shared idea of what our North Star is. What are we trying to do here as we digitize healthcare, and what does good look like and for whom as we do it? And so that's the gap that the Digital Medicine Society was introduced to fill. That water cooler, if you like, where the leaders in our field can share their expertise and where we can very intentionally build a much better future for healthcare using the new digital tools in our toolbox. VICTORIA: Interesting. And I like how you pointed out for whom. [laughs] And I see digital equity is a big topic that you're focused on with the organization. Can you tell me a little bit more about that? JENNIFER: I'm happy to, and in our opinion here at DiMe, equity has to be front and center of everything we do. I think too many times we look across and considerations around diversity, equity, and inclusion; they're part of a rubric. They're a vertical. That's not what we think here at DiMe. We have to think about diversity, equity, and inclusion in everything that we do as we work to digitize healthcare. We know that there are pressing, persistent, and absolutely inexcusable inequities that exist across the burden of disease, across access to care, across the quality of care you're able to access, the care that you can afford. We know that all of those things introduce a long-standing history of inequities in health and healthcare. As we digitize the healthcare industry, it's unacceptable for us just to be thinking about, hey, as long as we don't make things worse, that's not acceptable to us. We are thinking at every turn about how can we improve the way that we identify disease, the way that we manage disease, the way we cure disease, the way that we support people in a lifetime journey of health and disease? And how can we make sure that we do that for everyone in a way we've never been able to before? So while I could talk about some of the projects that we've done that exclusively focus on advancing health equity through the use of digital tools, it's actually something we keep front and center in everything we do, in everything we talk about here at DiMe and something that we try and compel every single person in the field to think about to make sure that we seize this opportunity. GERONDA: I think that's fantastic. And something that you hit on that it's really important for us at thoughtbot is continuous improvement. And that intentionality is incredibly important when it comes to DEI efforts. And so one thing that we do have at thoughtbot is we have trainings, and we try to work toward a shared language. But we do understand that everyone is at a different point in a different journey towards DEI to be able to build and design the best products and provide businesses to our clientele. So I'd love to hear more about how your organization does consider that continuous improvement for all employees across the organization in terms of ensuring that you're enforcing shared language across the organization to be able to continue to have really great care for your people. JENNIFER: Geronda, I love this. And I think that you've touched on something that's really important, which is while we can be collectively frustrated, perhaps even angry, about the health inequity that we see on a daily basis and that we frankly have not addressed as an industry for decades and decades...and quite frankly, I think we should be frustrated; we should be angry. Not taking the time to meet people where they are as they make a commitment to designing, developing, and thinking about the business incentives that they need in order to do this work well and to be intentional is actually incredibly counterproductive. So we always start with that shared language. When we talk about inclusion in digital health, we need to not just think about all of the different vectors of inclusion and domains of diversity that we've developed as a healthcare industry, but we need to think about those vectors and domains at the intersection between healthcare and digital. And if we do nothing else beyond educate the field on what those domains and vectors are so they can be intentional, is they think about, gosh, what's the healthcare problem I want to solve for, for whom? How do I need to consider the needs of our intended users as I do that? That in and of itself is going to take us so much further than we are today. But I'd also love to learn from you guys. I love the three-part way you describe your work, that you think about designing, and then developing, and then getting the business of great product development right. How do you guys think about it? I'd love to be able to learn from you too. VICTORIA: One thing I know, speaking specifically to the intentionality that you mentioned, so if you're building an AI product and you're not intentionally thinking about DEI, you can actually build bias and problems into the code itself. So for us, and, Geronda, I want to hear your perspective here too, consulting with experts in the field, especially in DEI early and making a culture where we do have a program manager of DEI. So I've really pinged Geronda several times already this year about, like, I have this question about this. And I think having access to an expert and having access to knowledge that you should go back and check yourself is part of it. But do you have anything you want to add there, Geronda? GERONDA: I definitely agree with everything that you had said, Victoria. And also what I'll add too is that it is really thinking about in everything that we do, how do we bring DEI at the forefront? And recognizing, as I mentioned before, that everyone's in a different place. So it's not to say that if you mess up or if you didn't consider something that, you can't continuously improve. And we have this culture where I'm not going to come in as the DEI police to say, "How come you didn't consider that?" Or "Why didn't you think of that earlier?" It's more to say, "Oh, okay, well, here's how we can approach this differently." And everyone's pretty open to the feedback and the learning. And so one example that I'll give is that our website, thoughtbot.com, we're right now working towards accessibility for our website so that we can offer it more to those with disabilities, or those that are visually impaired, or hard of hearing, and offer it to be more accessible for anyone who goes to our website. And it's a learning curve for quite a few of our folks. But the learning library that's offered in there to say, okay, I may not know everything about how things impact those that may be visually impaired, but let me educate and help to develop this website in a way that's going to support them. So to Victoria's point, it's infusing DEI in every way that we can. And what I love as well is that we do have a DEI Council, and we do have a shared platform to bring about issues or have those discussions and ask the questions so that you can continuously improve yourself to make sure that you're developing and infusing DEI across the work that you do. So great question and I really feel like it's, of course, a work in progress. But we're in a really good place where we can continue to have that continuous improvement through education, and learning, and feedback to correct ourselves. VICTORIA: Yeah, I love that. I think that having the culture at least puts you in a good starting place. [laughs] I'd love to hear more about what projects you've worked on in that space, specifically, Jennifer. JENNIFER: So, first of all, I love how you talk about this idea of you need to have a culture in place that allows us to assess opportunities, that allows us to identify the kind of work we need to do based on where we are today. And then once we've assessed those opportunities, once we've identified potential pathways, we actually then have the support and the right environment to be able to implement these best practices. And there are two things that I'd love to highlight. The first is actually education resources and specifically education resources on applied digital health ethics. I think creating this culture of ethics which is absolutely inextricable from a culture of equity, is critically important. You need to have those folks on staff just like you guys do. You need to be able to go to potential end users and communities and have line items in your budget to reimburse them for their time and their expertise. You need to be able to have goals and performance metrics that actually reflect the success you're having or where you're struggling when we think about building a more inclusive environment. So that's a lot of what we try and fuel through our applied digital health ethics education. That's something that's a direct-to-learner option for folks; we're very proud of. We've had fantastic reviews and testimonials. We had tremendous faculty help us with that curriculum, and it's been really well received. And we are confident in the change that that education resource is driving in the field. The second is actually a suite of resources that we launched more recently, and this is where I can start to get really tangible. So as an organization, we convened a broad and diverse group of experts to really tackle the issue of diversity, equity, and inclusion in digitized clinical trials. And I use action-oriented words like tackle very intentionally. Unfortunately, what we see an awful lot of the time is people admiring the problem, for want of a better expression, that we'll see endless panels at conferences and op-eds, and these sorts of things being written about the current state. But what we were determined to do is own the fact that there is nothing technically prohibiting us today from deploying these digital tools and resources in the service of advancing diversity, equity, and inclusion while simultaneously addressing some of the long-standing clinical issues, while simultaneously addressing some of the regulatory science issues, while promoting access, while making sure we generate better data for better clinical decision making. This is not an either-or. This is not a trade-off. We are not limited by the technology; we are powered by the technology. It requires our intent and our commitment to actually doing this work. So I'm going to pause there to see if Geronda or Victoria you have questions on any of that. And then I can certainly go into more detail about those tools if that's interesting. GERONDA: It's super interesting. And I do have a question. But I'll kind of recap and understand that by having those different broadened expertise, you're having multiple people come together with this expertise so that you can ensure you're providing the best data to help you make those equitable decisions. Does that sound about right? JENNIFER: That's exactly right. I think that as fantastic and expert as our team are, we are merely representative of a broader community that is doing this excellent work out every single day, trying to improve the way we care for people, representing different communities, building tools. And unless we bring not only those innovators from different backgrounds to the table but also representatives of the communities we're actually working hard to serve to the table, our efforts will be inadequate. And that's why we're so committed to this multidisciplinary, pre-competitive, and collaborative work as we build our tools and resources here at DiMe. GERONDA: Yeah, and that's amazing. The question that I have for you, the follow-up question to that, is we try to look across...our company is global. We do have employees in many different countries across the globe. So trying to ensure that we have an understanding of the needs on a global scale can sometimes be challenging. Can you speak more to this multidisciplinary broadened expertise and how they might bring in perspective that can help shape your technologies or even clinical trial project in a way that supports different ethnicities across the globe and how…

    Full show notes at the publisher

    467: Healthie with Cavan Klinsky Mar 23, 2023
    Show notes

    Cavan Klinsky is Co-Founder and CTO of Healthie, a scheduling engagement and Electronic Medical Records (EMR) platform used by healthtech organizations who seek to build long-term relationships with their clients. Will talks to Cavan about providing an underlying infrastructure that other digital healthcare companies use to be able to focus on patient care and not reinventing the technology wheel by providing a scheduling platform, an electronic medical record, and a patient engagement solution–all available via API, via an API-first design as well as through fully branded interfaces. Healthie lets companies get to market faster, scale with less headaches, and provides effective patient care much cheaper than if they tried to build everything themselves. Healthie Follow Healthie on Facebook, Instagram, LinkedIn or Twitter. Follow Cavan Klinsky on LinkedIn or Twitter. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: WILL: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Will Larry. And with me today is Cavan Klinsky, who is a part of Healthie, a scheduling engagement and EMR platform used by healthtech organizations who seek to build long-term relationships with their clients. Cavan, thank you for joining me. CAVAN: Thanks for having me on. WILL: Yeah, I'm excited about this. Healthcare is always an exciting topic to talk about, so let's start there. For the people who may not know, tell us about Healthie and what's in store for 2023. CAVAN: Healthie, as you mentioned, provides underlying infrastructure that other digital healthcare companies use to be able to focus on patient care and not kind of reinventing the technology wheel. So we do that by providing a scheduling platform, an electronic medical record, and a patient engagement solution. That's all available via API, via an API-first design as well as through fully branded interfaces. So we let companies get to market faster, scale with less headaches, and provide really, really powerful patient care much more cheaply than if they tried to build everything themselves. WILL: Oh, sweet. Okay, so who is your main audience? Is it the patient, or is it the healthcare provider? CAVAN: Healthie is a B2B company. So we sell basically the software to the digital healthcare organizations that are looking to deliver care, but there's a patient side of the platform. So they're able to onboard their patients. It allows patients to video chat with their provider, message, track goals, view care plans, et cetera. But our customers are the businesses. So before Healthie, people would basically either try to cobble together like eight or nine different solutions to provide the experience they wanted, or they would spend millions and millions of dollars building in-house trying to piece together. But when you look at these different healthcare organizations, 90% of the functionality they're using ends up really being the same. But people were trapped in this build versus buy decision where they were really concerned that they wouldn't be able to have a platform flashy enough for them. But the downside of that was just the cost of building that in-house. So Healthie really changes it from a build versus buy decision to a build and buy. So our customers buy the platform. They are able to launch very quickly. But because we're API-first, they are able to extend the pieces that are most unique to them. WILL: That's really neat. Yeah, one of the most frustrating things I find, especially when it comes to visiting a doctor, is having to call in to schedule an appointment. And I'm like; I just need an appointment; just show me the available times. I want to select it and be a part of that. And so research shows your software takes care of that, correct? CAVAN: Yeah, that's exactly right. And patients really, really love self-scheduling capabilities. When you talk to healthcare providers, if you ask a doctor, hey, why have they not embraced it? It's because they really want this fine-grained control over their calendar. A lot of them are used to calling the receptionist who's worked there for a decade and understands their preferences and how they want things sequenced. And they want this type of appointment able to be scheduled back to back but not this other type. That's kind of really what we enable is we have this almost eye-wateringly long settings page where you can go in there checkboxes, configure things. And what you end up is just this really nice middle ground where patients are able to get that easy, self-schedule experience, not calling anybody, not waiting on hold. But doctors and other medical professionals aren't giving up control over their calendar. So it allows our customers to be able to do a lot of optimization, making sure their providers are fully booked but in a way where for patients, it's a really, really easy experience. And that's kind of a lot of the secret sauce that we offer. WILL: Wow, that's neat. So tell us this, tell us about your background. How did you get started into the healthcare world? CAVAN: So I got started in the healthcare world as I think a lot of people in this space which is I really got started as a patient. I had open-heart surgery after my freshman year of high school. I had eight weeks after that where basically I ended up kind of...I wasn't able to exercise, run around, kind of do most of the things I'd spend summers doing. So I ended up really stuck in a bedroom for most of it. But that whole experience, kind of from prepping for the surgery, having it, recovering, got me really interested in healthcare and also really frustrated at just having a bunch of poor healthcare experiences. And it also really gave me time to start learning a lot about the engineering side of things. So I built my first web application that summer with Rails. So I found a lot of great thoughtbot posts, and I have a ton of respect for thoughtbot as an organization. I've been using Rails ever since. WILL: Wow. That's really neat. I read an article about this. Tell us about your React Native experience because, at thoughtbot, we're trying to get that started. We actually are started, but we're trying to get that same momentum as we have with Rails. CAVAN: So I think with React Native, initially, we were just a web platform. We realized very quickly that to enable a really strong patient experience...patients wanted to be using their mobile device. They don't want to be using a mobile web browser. They want a native application. So we initially launched, and this is maybe six months after we started the company, we launched an iOS app. We realized a couple of months later that we were going to need an Android application. So we had a Swift and an Android application written in Java. We had a server-rendered Rails web application that we expose a very, very limited set of features via a REST API. And it worked out okay, but what we realized from doing that for about a year and a half, two years, was that we were duplicating a lot of work. The iOS app and the Android app were very similar to each other. But we had two separate developers who weren't able to really code review or help out the other. We weren't a large enough company where it made sense for us to have a bunch of iOS developers and a bunch of Android developers. And then we were also duplicating a lot of functionality with this REST API, basically copied the things that we were doing just with server-rendered HTML. So in 2018, we had basically a from-the-ground rewrite of the whole web application, which was kind of a crazy experience. We moved to a single-page application on the web. We switched over to using GraphQL for everything. And then we initially rebuilt our mobile application still using Swift and Java but now on top of GraphQL but really with an eye towards saying, hey, how do we end up getting off of these kinds of very siloed developer experiences and not to something where even if we don't have multiple developers who can do it, at least where developers can help each other out and understand? So a few months after that, we kicked off our React Native rebuild. We built our whole mobile applications in React Native. Ultimately, having gone through a few different React projects, I think it's the only one in my life that kind of went as expected in a positive way. We did the rewrite. It came in on time. The mobile developers, instead of having an iOS and an Android, it was just two mobile developers who were able to help out each other and collaborate. We can have web devs do code review for mobile, and they're able to provide feedback because we use React on the web. So it's definitely not write once, run anywhere, but I do think it's pretty close to at least understand everywhere. And that's been a really, really big thing for us. And then we're still able to bridge out to Swift or to Java for some more of the OS-specific features. WILL: Yeah, yeah, I totally agree. That's the beauty of React Native, especially for your SaaS company. It's a perfect scenario because, like you said, web developers can code review. Sometimes they can even help with the code because it's right along the same lines and everything. So that's really neat. CAVAN: Yeah, and we're able to share libraries, so, like, some of the NPM packages end up being the same. So it's just, yeah, it's been a lot of really, really nice experiences with that. WILL: That's neat. So as the Founder and the CTO, what keeps you up at night? CAVAN: I think what keeps me up at night is primarily for exciting things. We're in this position where we're seeing this huge sea change in how digital healthcare is delivered. Healthie is in this really nice balance where we're a mature company, you know, we're seven years old. We serve thousands and thousands of providers, millions of patients. But we're not like the Epics of the world, that are 35 years old and are just super resistant to change. So we ended up in this kind of nice, sweet spot where we're tech-forward enough and flexible where we can really support these high-end use cases but then also basically mature enough where we have the scalability and the resiliency as an organization to be able to do that. So, I mean, a lot of what I think about is we provide business-critical healthcare, critical infrastructure for a lot of people. And that number continues to grow every day. It needs to work. It needs to work quickly. It needs to work securely. And that's what, a lot of the time, I think about both from a technical perspective and then also as the organization as a whole grows, from a hiring and an organizational structure perspective. So I think you really go from hacking on the codebase day one seven years ago to kind of hacking on the organization as a whole. And that's really where I spend my time and what keeps me up. WILL: That's neat. Wow, that's really cool. So as a first-time founder, tell me this, you've been around seven years. That seems like a long time, so kudos to you for enduring that and sustaining that. That's amazing. What are some of the things that day one when you started the company...if you could look back, what are some advice that you would give yourself to say, hey, don't do this or do this? CAVAN: Yeah, the piece of advice I would give myself is advice we actually received pretty frequently and didn't believe, and then it ended up almost totally derailing the company. WILL: Oh wow. CAVAN: And that's that, you know, both my co-founder and I were first-time founders. I think we're really smart. We're definitely hard-working, you know, very motivated people. And we were really convinced that we'd be able to just do a full-out sprint and never stop sprinting. And we kept on getting told by advisors and investors, "Hey, it's a marathon. It's a marathon." We were like, you know, we're just going to sprint the marathon. That started out okay, and then a couple of years in, we started hitting walls and really realized that you can't sprint a marathon. Startups take way longer than I think founders hope they do or think that they're going to take to develop. Digital health and our healthcare system moves much, much more slower than kind of people think. So especially if you're a founder in digital health, you need to be building both a company and, I think, a personal lifestyle that's sustainable. You need to make sure that the company has money in the bank and can be around for years and years and years. And you need to make sure that your job, your day-to-day, is something that you can also continue to do for years and years and years. So that's ultimately, I think, the most important thing that we're able to tell our customers and something that we've now gotten the company in a position to be in, which is, hey, we're a sustainable business. We're a stable business. We'll be around in 10 years. And that ends up being a huge selling point for us. But definitely, if I would go back and do it again, I would have been smarter about that from day one. I would have avoided a lot of big pain points. WILL: Yeah. It reminds me of when I started in development. I tried that same sprint the marathon, and so many of my co-workers were like, "Slow down, you're going to burn out. You're going to burn out." And it reminds me of that when you say that. CAVAN: Yep. And everybody thinks they're invincible, and then you realize occasionally you're not. And then also you look at it from hindsight, and you're like, well, the code I was writing between 2:00 a.m. and 6:00 a.m. every night for three months was not the best code. WILL: [laughs] CAVAN: And once you get to a point when you get some breathing room, it's almost that you got to go slow to go fast type things where a lot of these best practices, having really good test cases, having good CI, having good work-life balance for employees I do think on a long-enough timeline actually allows you to go much, much, much faster versus just trying to crunch the whole time. WILL: Totally, totally. I can't tell you how many bugs that I fixed that I was sitting down for hours and hours. I go on a 15-minute walk, and I solve it in the first 5 minutes. CAVAN: Yeah, absolutely. I literally, I mean, if I get stuck on something, you know, I just end up doing too much coding. But if I ever really, really get hung up, whether it's coding, or design, or anything like that, I'm like, at this point, I'm a cognizant of the pain. I'm not making progress. I'm spinning my wheels. I'm getting more and more frustrated with everything happening on my laptop and, like, exactly as you mentioned, go walk around the block. Come back, and you have that eureka moment pretty frequently. WILL: Definitely, definitely. MID-ROLL AD: Are you an entrepreneur or start-up founder looking to gain confidence in the way forward for your idea? At thoughtbot, we know you’re tight on time and investment, which is why we’ve created targeted 1-hour remote workshops to help you develop a concrete plan for your product’s next steps. Over four interactive sessions, we work with you on research, product design sprint, critical path, and presentation prep so that you and your team are better equipped with the skills and knowledge for success. Find out how we can help you move the needle at: tbot.io/entrepreneurs. WILL: You kind of mentioned it, mental health. A…

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    466: Finding Center with Dr. Stephanie Smith Mar 16, 2023
    Show notes

    Dr. Stephanie Smith is Clinical Psychologist and Founder of the Finding Center app, the first intuitive eating classes app. Victoria, along with surprise co-host thoughtbot's Director of Product Strategy, Jordyn Bonds talks to Dr. Stephanie about creating the Finding Center app to give people who are struggling with their bodies and their relationship with food a way to follow a plan, understand a path forward, and be able to see themselves getting healthier. Finding Center app Intuitive Eating by RDN Evelyn Tribole, MS and RDN Elyse Resch, MS The Body Is Not an Apology, Second Edition: The Power of Radical Self-Love Follow Dr. Stephanie Smith on LinkedIn, Instagram, or Facebook. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Dr. Stephanie Smith, Clinical Psychologist and Founder of the Finding Center app, the first intuitive eating classes app. Thank you for joining me. DR. SMITH: Yeah, it's a pleasure to be here. It's nice to see you. VICTORIA: Nice to see you too. And we also have Jordyn, our Director of Product Strategy at thoughtbot. Hi, Jordyn. JORDYN: Hello. VICTORIA: So let's just kick this off. And Dr. Smith, tell me a little bit more about your Finding Center app. DR. SMITH: So I created the Finding Center app really a little bit selfishly because I wanted to create what didn't exist for me 10 or 15 years ago when I was really struggling with food and my body. And I'm very by the book, you know, tell me what to do, and I'll follow that. And there just wasn't something like that at that time of my life. And so I created the Finding Center app to give people who are struggling with their bodies and their relationship with food a way to follow a plan, a way to understand a path forward, and to be able to see themselves getting through this, you know, getting to a healthier tomorrow. And that's what I really wanted for myself, and that's what I hope to build here. VICTORIA: Well, I love that it came out of a personal issue you were having. And what was the gap between that type of content versus what already existed in the market? DR. SMITH: Back at that time, you know, this is probably dating all of us here a little bit. But at that time, [chuckles] apps were a little bit newer; technology was, of course, you know, things are growing so quickly. And there were things like books, so you could read something on your own. Or you might be able to go see a therapist or a counselor, but they may not specialize in this kind of thing. And so there really was sort of this DIY, like piece things together, figure it out, try a book, try a workbook, maybe they'll go together, maybe they won't. Or go see a provider, and they may or may not specialize. But there really wasn't something that was going to be a direct guide for these issues. And certainly, at that time, and still exists today, there's this huge lack of available things that are respectful to body diversity and size diversity. And so, really looking for something that wasn't going to be further stigmatizing, it was and still is an extremely huge challenge in this marketplace. VICTORIA: Great. And tell me more about, you know, you've mentioned intuitive eating. And how is that different from a diet or from your regular food tracking apps? DR. SMITH: That's such a great question. So intuitive eating is really the most old school [laughs] kind of style of eating because it's what we're all born doing. If you've spent any time around toddlers, you know that they'll have a couple of bites of a sandwich, a little bit of apple, half a cookie, and then they'll go run and play. Kids are natural intuitive eaters, and that starts to fade as we get older. And we start to have this morality around food and morality around body and this pressure to change and have things different. And we kind of lose that intuitive ability to have half a cookie and go play because I'm done right now, and maybe I'll come back to it, maybe I won't. Intuitive eating really is about this recognition that that's what you were born with. That's what your birthright is, and you still have that. And it's really kind of pulling away these kinds of stigmas and biases that culture puts on top of our relationships with food and our relationships with our bodies. And when we can pull that back, there's this beautiful natural ability to eat what we want and to find a balanced way of nourishing ourselves. And that's really what intuitive eating is about is getting back to that. VICTORIA: I love that. And how did you go about taking what seems like even though it's a basic, like, at its most [laughs] basic concept, but it's this very big, different way of conceptualizing food and boil that down into like an application? [laughs] DR. SMITH: I have to be very clear here. I did not do this on my own. [chuckles] So intuitive eating has been around for a long time. It was started by a couple of dieticians, Evelyn Tribole and Elyse Resch. They've recently been in The New York Times recently and in other places. So it's becoming a little bit of a hot thing, which is great. But I had those resources. So I've been following people who kind of are in this space. And they are one of those people who had a book and a workbook, so you weren't able to get that kind of personalized walk-through. But these resources have existed, and those are some of the resources that are the ones I mentioned, you know, that I started putting together when there wasn't something like this app that existed. So it's really borrowing from them and then tying intuitive eating into body acceptance, and body liberation, and radical self-love, you know, tying intuitive eating in with these things, with our bodies because body shame and how we treat our bodies in terms of nourishment these are really integrated concepts. And I wanted to bring them together in a very intentional and overt kind of way. VICTORIA: I think that's wonderful. And I'm curious, Jordyn, if you have any thoughts on if you were meeting with a founder who had just built this app, what would be your first questions you would ask? JORDYN: Frankly, a lot of what I would ask is what you've already asked. But the sort of next thing I would focus on are questions around who are your users? How did you figure out who to bring this to first? How did you make that decision? DR. SMITH: That's a great question. So when I was building this, you know, I think I mentioned that I was really building it from this place of what would I have needed at that time? And so I'm really looking for people who kind of think similarly, you know, who really want structure, who want multimedia kind of support. I wanted journaling activities, and I wanted education, and I wanted something to think about or some mindfulness. I really wanted a lot of things because I learn in a lot of different ways. So I'm looking for people who like to learn that way. And I'm also the type of person that when I do something, I really want to do it. I want to dive in. I want to figure it out, you know, I really want to show up for it, and this is that kind of thing. And so it was pretty natural to think about the type of, you know, maybe personality who would be a great fit for this. And then, in terms of who it's for, I really started with people I knew. So the first program that I ran through it was an intensive version of the app, which meant that there were weekend group meetings with everyone. And there was live Q&A and a place for us to ask questions and respond back to each other and share. And I really started with people that I knew and friends of friends because a lot of people, you know, I think if we all think about our networks, a lot of people struggle in their relationships with food and in their relationships with body. And so the first place I started was with the people I already knew and saying, "Do you know anyone else who would be a good fit for this?" And it has kind of blossomed from there. JORDYN: What's been one of the more unexpected things you've learned from your users as you've gotten more people into the app using it? DR. SMITH: I think one of the things that isn't necessarily unexpected at all but is really striking to me in terms of how impactful it is is how much medical stigma impacts everyone and especially those who are in larger bodies, or bodies who are marginalized for other reasons because of their health status, or racial status, or age, or other factors like that. As a health psychologist, I like to think of my work and my workplace as being somewhere that people can come and feel safe, and feel heard, and feel understood. And now I'm seeing, you know, I work in a doctor's office, yet my experience of being in a doctor's office is so different from other people's experiences and the stories that I heard from others about how they went in for some kind of pain and weren't even offered physical therapy, you know, were offered a diet instead of that. And those kinds of stories, how many of those I've heard, has been really striking and really surprising to me how impactful that has been and how much work we really need to do to improve the experience for patients. JORDYN: Given that finding of the importance of safety, how has that idea informed how you've gone about designing and building the app? DR. SMITH: Of course, with a project like this, you know, I think a lot of founders on here have shared kind of building the airplane while you fly it. [chuckles] And so I've gone and, of course, recorded a lesson or made a journal entry activity or something like that. And then I am going back, and I'm adding things to those. So I'm doing a re-recording or adding a piece, or adjusting the journal prompts or the mindfulness activity, really to make some very clear statements there around if you've heard this kind of thing, you're not alone. If you have experienced this type of being shamed, let's really bring that out of the darkness. Let's bring it into the light because shame is something that lives in the dark. And so really wanting to help people excavate the parts of that shame that they are willing and comfortable and wanting to bring out into the light and creating a space for that has become really important for me. It is making sure that we're able to talk about these things and say, "No, yeah, I think my provider is a great person. I do think they care about me. And at the same time, they're living in this weight bias and this stigma place too. And these are the recommendations they gave me. And that was a person that I thought would be safe." And so really trying to have those balanced discussions around why that might happen and giving people a place to talk about that. VICTORIA: And one example I've seen in, I think, in your marketing materials is a measurement like the BMI or the Body Mass Index. And that's one that even myself I've experienced being used on me in a way where it's like, "Well, the index is saying you're overweight." And I'm like, "Well, clearly, I'm not. [laughter] Something is wrong with this measurement." And I can't even...you probably have a greater understanding of the harm that causes in communities. DR. SMITH: Yeah, that's such a great point. I have looked at that myself. And I remember the very first time that someone said that, like, "Well, you're overweight. Have you considered losing weight?" And I was coming in...I think I was coming in to talk about something related to my period, something like that. And I thought, why are we talking about this? What is going on? [laughs] Where did this come from? I just wanted to talk about switching my birth control. And it just comes into every conversation. And I think even someone like me, even someone who's in this space where I'm going, well, this is a bunch of crap; I think we all know at this point BMI is a bunch of crap. But even knowing that there's still this part of me that...and maybe you relate to this too of just, well, I do live in this culture. And you're saying these words about me like overweight. And my immediate thought, even though the one coming after that is frustration, my immediate thought is, oh no, what's wrong with my body? It's to be afraid. How am I going to be treated? Or does this mean something bad about my health? And so even these metrics like BMI do a terrible job at acknowledging body diversity and actual health and all of those things. They're still scary still. And I think in a body acceptance space; it's really important for us to also acknowledge that even though we want to be body-accepting and be advocates for ourselves, it's still really normal when someone gives us that kind of information, especially someone in a position of power like a health care provider, that when someone is saying those kinds of things to us that it can still hurt. Even though we know, maybe intellectually, this is where that's coming from, that it doesn't need to hurt, it still does. VICTORIA: And it can have financial implications as well if they're indicating that you're not "healthy" quote, unquote, because of a statistic like that that is meaningless. [laughs] But yeah, that can affect your insurance and all other kinds of things, so... DR. SMITH: Yeah. And I think the financial piece that you're bringing up there is such a good point because there's so much power and control dynamics that can occur around finances. We really are limited by [laughs] what we can afford and not afford to do. And so people who are limited in terms of what they're able to pursue for their health will have to go along with lots of things that they may not believe in or may not want to follow up on because that's what their doctor is telling them is within their insurance to do. And that's a really hard thing. VICTORIA: Sounds like the app gives patients or people the tools to be able to push back in some of those scenarios and also furthering body acceptance and an understanding of eating habits. What is the kind of immediate goals for your app? What does success look like in the next six months? And then maybe what does success look like five years from now? DR. SMITH: When you started asking that question, I almost felt like a magician or a stage performer putting on 18 different hats all at once. [laughs] And I thought, from which of these should I respond to that question? [laughs] And so there's the health care provider inside of me going, well, as many people getting the support that they need, that's the benefit. So if one person gets it, that's great. I want anyone who can feel greater liberation to have that. And then that hat pops off, and the marketer hat that I've been wearing kind of pops on and is like, well, these are the metrics in terms of growth and collaboration with other people in this space that I want to do. I want to collaborate with more people who are working here, and there are metrics around that that I want to pursue. And then the person inside of me that has to make money goes, okay, well, this many sales. And so I think success is a really hard thing for me to pin down. But if I were to summarize, trying to kind of encapsulate all of those roles, it really just is…

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    465: Playroom with Michele Veldsman Mar 09, 2023
    Show notes

    Michele Veldsman is Director of Neuroscience R&D at Cambridge Cognition and Founder and CEO of Playroom, an invitation-only secure social network for families. Victoria talks to Michele about the premise of Playroom and its goal of giving parents a network, a safe social community where parents are able to know and easily communicate with people associated with their children and also provide specific options to maintain boundaries when it comes to their privacy and safety, the challenges families face in raising kids and maintaining a career, and new features she wants the app to include, such as finding nearby restrooms while out and about. Playroom Follow Playroom on LinkedIn or Twitter. Follow Michele Veldsman on LinkedIn. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is the Giant Robots Smashing Into Other Giant Robots podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Michele Veldsman, Director of Neuroscience R&D at Cambridge Cognition and Founder and CEO of playroom, an invitation-only secure social network for your family. Michele, thank you for joining me. MICHELE: Thank you for having me. VICTORIA: Tell me a little bit about your journey. How did all of this get started? MICHELE: I had some kids, and I realized quite quickly that raising children is really difficult. I don't have family close by to support me. They are a couple of hours away. But trying to manage being a professional working in a fairly intense job, looking after my kids, making sure they have everything that they need and that they can socialize, and that I have a support network around me turned out to be really difficult. And so I wanted to find a way to solve that essentially. VICTORIA: Right. So you identified a problem from your own life in trying to manage your career, and you're raising your children without that close, immediate support. MICHELE: Yeah, exactly, yeah. And I realized this is a problem for a lot of people that increasingly, we don't live in these sort of small communities where we're surrounded by friends and family. Increasingly, people are moving to different cities, different countries. And that support network isn't there, but there are still all of the challenges of raising kids and trying to have a career at the same time. VICTORIA: Right. And like we were talking before we recorded, I just got back from visiting my family in Virginia, and I live in California now. So I'm familiar with some of the challenges my brother and sister-in-law are facing with childcare. Can you tell us some of the things that specifically you found really difficult in this situation? MICHELE: A lot of the time in my working life, I found there were loads and loads of tech to kind of try and make things easier to organize things. There's just a lot out there just for my working life but not much to support my family life, of which there are actually many, many more challenges because I'm kind of trying to juggle. I'm making sure that my kids their healthcare is all right, that they're getting their vaccinations on time, that I'm applying to school places on time, that I'm making sure that they're meeting other kids their age, and they're having play dates, and organizing birthday parties, all of those things. And then to try and fit that all into the wider day-to-day life, I found this really difficult. I spoke to other parents, and they also found it really difficult. In fact, I did some research with over 120 parents, and 70% of them found parenting really difficult or extremely difficult. VICTORIA: That's a lot of cognitive load on a person to manage all of these different things like school, and medical, and all the things you need to buy, [laughs] and what brands are the best. MICHELE: [laughs] Yeah, exactly. And actually, just trying to build this community around yourself is more difficult than you anticipate. So, for example, my kids went to nursery. And this is the time that they're starting to socialize and making these important connections that are really important to their development. And so as a parent, you're hearing from your three-year-old, oh, they've got this new best friend, but you have no idea how to connect to the parents of that child. And the nurseries daycare can't give out that information because, of course, there are privacy issues. So it's really difficult to make connections to other parents to be able to do these things like play dates. Organizing a birthday party, I found what you have to do is just take an invitation, give it to the nursery or the daycare center. Hopefully, they put it in the bags of the children that are friends with your kids, and then you kind of hope that they've got it and the right people are coming. You don't know who's coming to your kid's birthday party. And this just all seemed like there could be easy solutions to solve this to really build communities that center around your children. VICTORIA: And I love that the purpose of playroom is to really build that community of social support that you need for parents. You mentioned you started to do some research on what that would look like. And I'm wondering if there was anything that surprised you as a result of that research. MICHELE: Yes, I was quite surprised by...I suppose in some ways, it's reassuring actually as well that a lot of parents are going through similar struggles, struggling to connect to other families and not sort of in that way of, like, as you're...it's kind of a strange thing when you have kids because when they're very young, you can still socialize with your friends and people that you meet, maybe work colleagues. But as they get older, the focus becomes a little more around them and their friends, so making those connections are a little bit more difficult. So a lot of people struggle with that. A lot of people struggled with just keeping on top of everything. As you're saying, that cognitive load is very large; just trying to remember organizing dentist appointments, doctor's appointments, all of those things. It's a large cognitive load. And we've got enough tech now that we shouldn't have to...we should be able to put that load on to technology that can support us. VICTORIA: And so you feel like it was reassuring almost that this was a common problem [laughs], and it wasn't just you. MICHELE: Yeah, it's reassuring. It's always reassuring when you connect with other people to realize that they're going through similar things. It's not just you that's, you know, somehow not able to manage it all. But the other thing I found interesting is that there's a very large spectrum of how people feel about images and media associated with their children. So you've got a really wide spectrum of people who...some parents are very happy to share a lot about their children's lives, and their photos, and things that they're proud of on the major social media platforms. And other parents are a lot more guarded, and they don't want to share those pictures or have other people share them on platforms. So there's a massive spectrum of how people feel about the use of images and media associated with their children and also related to that of data associated with their children. VICTORIA: Yes, and I wanted to ask you about how privacy played into your planning on how you built the application. MICHELE: This was important to me because I had both that experience, and also, I started to become more aware of the darker sides of the major platforms where there's perhaps not as much protection for children and that, of course, children can't consent. So I found...having spoken to all of these parents, the spectrum was very wide on what people were willing to share, and how much they knew about how their data was used, and how much privacy they had on these platforms. I really wanted to ensure that that spectrum was reflected. In playroom, within the app, it's built so that you have control over how much privacy, how openly your images, for example, of your child, can be shared. So it can be from having any images to be shared with anybody. You know, maybe we're at a birthday party, and there are a lot of children there. So there are lots of pictures where your child is in there; some people are very happy for those to be shared. Others are not wanting that shared anywhere. So within the app, you have control over how far those sorts of pictures can be shared and with whom. But the premise of playroom is that you're essentially in a network, a community where you know everybody associated with your children. So it's not that sort of massively open network. It's very much closed and associated with just the people you know are surrounding your children. VICTORIA: That's great, and it's very relevant for me. I just got a new camera, and I offered to take pictures for my niece's birthday party last weekend. And now I have all these photos that, I'm not sure how to share them with the parents and in a way that would be secure and provide those options. So I can understand the value of what you've built here. MICHELE: Within playroom, there are bubbles. So if your child, for example, goes to nursery or daycare, they usually are in a room with children of a similar age, a playroom, that forms a bubble. So the nursery gives you a secure code that connects you to the other parents in that playroom. So that forms this bubble of parents associated with your children. So if you're taking photos at an event, so let's say you have a birthday party, you take photos. There are lots of other children in those photos. You can share those photos with the people in that bubble and in that bubble alone. And then, you can set your own personal media sharing settings so that you can make it clear to other parents that I don't want you to share this to wider social media. Watermark everything, very strongly watermarked or not downloadable. Or I'm happy for you to share it within playroom itself with other people that I know. So those settings are sort of adjustable depending on your preferences. VICTORIA: Were there any obstacles that you faced from maybe a technology or a process perspective with implementing or building the app? MICHELE: Yeah, so there are a couple of challenges. The biggest one is data and privacy. So, of course, security is a huge priority. That's going to be the center of priorities, really, so that everything is very, very secure. Parents, of course, are conscious of security surrounding their children. To be honest, as I was saying before, with sharing of media, it's quite on the spectrum, but either way, the priority is security and then privacy. So the use of data is an interesting one because a lot of traditional social networks, social media rely on the monetization of data. And again, this works on a spectrum where some parents flat out don't want any data associated with their children used or monetized in any way. Others are a lot more liberal about that. My personal view and from having spoken to a lot of parents, I think there's a good middle ground in which data is used in a responsible way for the purposes of actually benefiting parents in some way. So maybe it's the use of data rather than constant targeted ads, the use of data for the provision of services. Maybe within an area, you've got a high proportion of children there, and there needs to be better childcare provisions or play activity provisions. VICTORIA: That makes sense. So make the data more relevant in the way that it's used to provide better services to parents, right? MICHELE: Exactly, yeah, rather than that strict sort of targeted advertising. VICTORIA: That makes sense. And so you've had to adjust your plan for monetization based on the needs of your users regarding privacy and security, and we love to hear that founders really care about privacy and security at thoughtbot, so... MICHELE: Yes, exactly. Yeah, I think it's really, really important, and even more so now. There's really this acknowledgment of the very large open networks that they were never really built around children, of course. I mean, why would they be? But there's been a lot of controversy recently over parents having images and their children featured in videos and things online. The child accounts run by parents have millions of followers and videos, images, and things get saved thousands of times and commented in ways that are a little uncomfortable. So there is this sort of growing feeling that these large open networks...mostly parents just don't really know. And they do...when you become a parent, you're really excited, and you're proud, and you want to share these things with the world. And you perhaps don't think about those kinds of darker sides of things. That's really coming into the forefront now. So I think a sort of more closed community-based network is important. VICTORIA: I agree. I've spent some time volunteering for organizations that work with children and privacy and human trafficking situations. And when you start to understand really how dark it can get for children, maybe too dark for this podcast, but security and privacy becomes the penultimate goal. MID-ROLL AD: thoughtbot is thrilled to announce our own incubator launching this year. If you are a non-technical founding team with a business idea that involves a web or mobile app, we encourage you to apply for our eight-week program. We'll help you move forward with confidence in your team, your product vision, and a roadmap for getting you there. Learn more and apply at tbot.io/incubator. That's tbot.io/incubator. VICTORIA: You mentioned learning all of this as part of your journey on building the app. I'm curious what you brought from your background in neuroscience into the creation of the app and maybe how that played into how you built certain behaviors and things into the features. MICHELE: Yeah, it's kind of interesting. So my neuroscience background, I guess, has really informed how I think about child development and brain development and the importance of the developmental stages of socializing with children. It was always at the front of my mind, and one of the things that really spurred me on to create this is really knowing that as children are developing, they are learning these really important social skills, and I just wanted to foster that as much as possible. And I thought, you know, it's actually really difficult to foster that social side of things if you don't have a community naturally around you. So I guess that's the main way that it's fed into my thinking about playroom. Other than that, I'm not too sure, actually. I think it's early stages, but I think it will probably influence some of the UX decisions, which is a big part of what I do in my day job, not the UX itself but the kind of psychology and neuroscience behind certain behaviors and how we interact with technology. VICTORIA: I love to see founders and people who find their way into technology roles that usually come from a wide variety of backgrounds. And for me, neuroscience makes a lot of sense when you're doing these studies. Because you really are even, you know, from a scientific perspective, setting up a study and experiment to see how people will react to it. And you're proving your theory of is this how people will actually relate and connect inside the application? MICHELE: Yes, absolute…

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    464: IVP with Zack Willis and Eric Liaw Mar 02, 2023
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    Eric Liaw and Zack Willis are part of IVP, a leading venture firm with a 43-year history of partnering with entrepreneurs who are undaunted on the path to innovation. Will talks to Eric and Zack about what has made IVP so long-lasting in the Venture Capital industry, how they help companies' portfolios, and the accomplishments they are most proud of. Follow Eric on LinkedIn or Twitter. Follow Zack on LinkedIn or Twitter. IVP Follow IVP on LinkedIn, Twitter, or Facebook. Follow Aarish Shah on LinkedIn or Twitter. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: WILL: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Will Larry. And with me today is Eric Liaw and Zack Willis, who are part of IVP, a leading venture firm with a 43-year history of partnering with entrepreneurs who are undaunted on the path to innovation. Zack, Eric, thank you for joining me. ERIC: Thanks, Will. It's great to be here, really appreciate it. And I got to say, as the Giant Robot Podcast, as a kid growing up, Transformers were my favorite toys. So this may be the closest I ever get to being a Transformer by being part of Giant Robots, so thank you for the opportunity. [laughter] WILL: Love it. We love robots here, so it's perfect. All right, let's start here. For folks who may not know, tell us about IVP and what's on deck for 2023. ERIC: Well, you gave a great intro, so let me just add to that a little bit. You know, we're really proud of our history and our firm. We've been around since 1980. So we're one of the sort of original Silicon Valley venture firms. But when I speak about the firm in that context, I don't think it does justice to how the firm has expanded over the years and how our investment activity now encompasses not only the Bay Area but major U.S. markets like New York and LA. We have investments in Canada, Australia, and a number in Western and Central Europe as well. And the common theme for us is that we're focused on working with entrepreneurs who, as you pointed out, are undaunted as they innovate and are pursuing dreams to create companies that will become recognizable in households and companies across the world, not just today but tomorrow as well. So that's really what IVP is all about. And it's what we're looking forward to in 2023 despite obviously the fact that the world is a little more challenging these days, a little bit more uncertain in, particular in the venture category. But we're really excited about the things that we're working on. We invested a lot in our team over a number of years. And, believe it or not, despite what you might read in headlines around venture activity, we are very much open for business in 2023 because we think that great entrepreneurs and great ideas come together at all times, regardless of whether the stock market is up or down. And our job is to find them, work with them, and become partners for three, four, or five, six, seven years, sometimes longer than that. So really, there's no bad time to start a company and get to know venture investors like us. WILL: Yeah, definitely. Your company has been around for 43 years. Can you kind of tell me what has made you last that long, for 43 years? That's a long time to be in the venture capitalist world, especially before it was popular and fun. ERIC: You know, it's a great question. I've been at the firm for 11 years now. So a lot of the credit goes to people that...our founder, Reid Dennis, who started the firm. He's in his 90s now, so he has since retired, but a lot of credit goes to people that came before me and before Zack. And I think that's a common theme for any kind of organization or institution, no pun intended, because that's what the I in IVP stands for. But it goes to that sort of common thread. You have to evolve, especially in technology. The technology markets that were successful for IVP in the early '80s that's not really cutting-edge venture anymore. As an example, Seagate was one of our first investments ever when people weren't sure that personal hard drive technology would actually work or whether or not they're getting market demand. I mean, who would actually want storage themselves carried around with them at all times? And now, think about how much storage you have in your pocket. It's pretty gnarly to think about how much technology has advanced. But if you kept only thinking about, okay, I'm going to invest in the next hard drive, you would have really gotten stuck after that. And obviously, the things that have come since out of the minds of technology entrepreneurs have far exceeded what people at the time of the founding of IVP would have thought was possible. So I think that evolution is really important, staying fresh; technology trends evolve. In the early days of IVP and in Silicon Valley, there was a saying among venture capitalists that if you couldn't drive to the board meeting within 30 minutes, you didn't make the investment. That's just not true anymore. There's no way. WILL: [laughs] ERIC: And I think COVID has certainly proved that because investments are being made around the world. Now, maybe in hindsight, that was too fast. There was too much capital flowing around just to resume dating if you will. But the underlying theme is evolution, and I think it's teamwork. Because our founder, Reid, wanted the organization and firm to thrive well beyond his days as an active investor, and you can only do that with building a team that's multigenerational. And I'm proud and lucky to be part of an organization that's done that. WILL: Awesome, awesome. Well, tell me about you. Tell me more about your background. How did you get started in the VC world? ERIC: You know, child of immigrants who came to the United States in the '70s from Taiwan. They met in New York City. Like many other people, moved to the burbs and they started a family. So I was born in New Jersey. My brother and I were both born there. I moved to LA when I was 12. I lived in Southern California until I went to college. Had the miraculous fortune to somehow get into Stanford and went to school sort of in the late '90s into the early 2000s, as good fortune would have it, in the middle of the internet bubble. So I had kind of a front-row seat to that era of technology, innovation not knowing anything about tech when I showed up in Palo Alto in the fall of '96. I got exposed to venture capital while I was in school. There was a pretty memorable, at least for me, speech that I went to. John Doerr, now retired from Kleiner Perkins, was on stage in the engineering auditorium and gave a speech about how Amazon was going to change the world. And this was probably in the fall of '98. And he was right. I just think maybe the timeframe was slightly off, but he was right. I mean, at the time, it was books and CDs, and to some of our listeners, CDs was actually how you used to listen to music. WILL: [laughs] ERIC: But you sort of had this really expansive vision. And it was a really exciting way to understand that there are ways to be involved in the technology ecosystem without necessarily being a software engineer. Because I tried my hand at that, and I wasn't anywhere close to being top of the class, let's put it that way. And so, I wanted to be involved in the industry but also kind of think about how I could play to whatever strengths I had. And then the sort of window into venture capital sort of started to open in terms of my awareness of it. I ended up working at Morgan Stanley for a couple of years out of college, where I got to learn more about technology from a business lens. But I always knew I had an angle or a desire to become a venture capitalist. So got into the industry; it'll be 20 years ago this summer. And I've been fortunate enough to keep doing it for that period of time. So that's kind of the medium-length answer to how I got started [laughs] in the business. ZACK: I don't have quite the story that Eric does there. [laughs] But venture capital was never on my radar. I went to college to be a programmer, and that's where I started out. My first real job was at Anheuser-Busch in Los Angeles, and go Lakers. WILL: [laughs] ZACK: Me and Eric have some LA routes [laughter], so that was a great job. I had a ton of fun. And I just got a call from a recruiter one day that a VC firm was looking for a job as an IT manager. I was very unqualified for the position, went through the interview process. It took like six months. I think I met everybody at the firm, got the job. And that was, like Eric, that was about 20 years ago now. And I have just been in the industry ever since. So it's a great place to be, and I have no plans on leaving. WILL: Oh, that's amazing. I love it. So tell me this, beyond dollars invested...because honestly, when I think of venture capitalists, it is mostly about the money. Hey, how much money have you done? How much money have you sent in? What does that look like? But I don't think we ever cover the next step. What else is there? So beyond dollars, what does IVP do to help companies' portfolio? ERIC: Capital is definitely part of it. It's venture capital, so let's be real. You can't ignore that part of it. But I do think that it is only a part of it because what I think sometimes people don't really think through...because the media in particular likes to write about the day a company goes public or if there's a big acquisition like it all just happened at that one moment, but that is so far from the truth. I mean, the amount of work that entrepreneurs and people at startups put in to drive to those outcomes that sort of culminate in that moment is really one of the things I respect most and enjoy most to be part of as a venture capitalist. And so what our role in that can often be is actually quite varied because no two companies are the same. I mean, there are some common themes, but no two companies are the same. And so how we try and get involved is tailored to what a given company needs at a given point in time. Now, some of the common threads might be working with companies to help build out their teams. We do a lot of that because, ultimately, the team is who's at a company every day. I mean, investors aren't there every day and frankly, if we are, probably something's gone wrong. WILL: [laughs] ERIC: That team is important. And we like to think about getting involved in high-leverage moments. And there are a number of different ones, and Zack is part of this too. So a high-leverage hire is probably someone at the C-level or VP-level because that person then recruits and builds out a team. It's different...not to say that individual contributors aren't also important, but we're trying to think about those key players, moments where we can help, I guess, in a biblical turn, teach people how to fish instead of fish for them. That's our mentality, and recruiting is part of it. Sometimes these are partnerships that can drive significant revenue lines. Sometimes it's debating what a business model should be in a given company. A great example on some of these is at both Coinbase and Discord; there was debate around what the business models ought to look like. Coinbase is very transactional. We pushed them to sort of think through a recurring revenue component, some other services that they could have so that their revenue could be a little smoother and not just dependent on transaction volumes. At Discord, they were thinking through raising money to start an in-house gaming studio. We kind of said, "You know, that's a really competitive industry, and the content creation costs just keep going up. How about a different model? Maybe we can think about a subscription service." And that became what drives the revenue today around buying advanced features for your private servers and things like that. There are a lot of moments...unfortunately, sometimes our companies become targets of bad actors, which brings Zack back to the forefront. Part of the benefit of having a portfolio is we see a lot of these different incidents. And Zack is someone that we sort of unleash with our companies when they face some of these challenges, you know, I got a hack, or I have this going on, and Zack jumps in. You should talk about some of the situations that you've had to deal with. And the bat phone rings when those things happen, and we send them straight to Zack. WILL: [laughs] ZACK: Yeah, I mean, we definitely do everything we can. There definitely have been times where it's, all right; this happened to us; what do we do? How can we help this company? And I've really been deeply involved in security most of my career, and it's kind of where I wanted to go. And I pride myself on that. And we have great security here, and we try to instill the same in our portfolio companies. And recently, we developed these jump guides, which is another way we're helping portfolio companies. So they're kind of like how-to lists. So there would be how to hire your first CFO, how to go IPO, that sort of stuff, and I just authored a couple, actually, that are about how to keep your company safe and how to keep your employees safe. And it's all just tips. It's nothing revolutionary, mind-blowing, but it's just stuff that every company should be doing to keep themselves safe. And so that's really the message that we try to give to our portfolio companies. We definitely internalize it as well. I think really the key to good security is there's a partnership. There has to be a partnership between you with, the security team, and all the employees. You can have all the layers of defense you want. You can have your firewalls, your antivirus, et cetera, but if your employees don't understand the value of security and why they shouldn't click on that link or they shouldn't download that file, it's meaningless. It's very important to instill that, just have open communication. And what I tell everybody at IVP is that security is in your hands. We're doing what we can, but it's in your hands. So, ultimately, it falls on them. And it's a scary time, you know, new stuff coming out all the time. But, yeah, we do our best to keep on top of it and our portfolio companies as well. ERIC: Zack is being very modest. But if you take a step back, if you think about, you know, in any of our own lives, which there's a parallel, I think for companies, there are certain moments when you're facing a tough spot, and people that were there for you and helped you are the ones that are most memorable. And when there are good days, things are pretty easy. And those hard days are where we want to make sure that we're there for our companies. And some of those hard days are in times like these where companies have to make some tough decisions around their cost structure because the environment has changed; some of these are, as Zack points out when they're facing a hack or a breach of some sort. And so, ideally, some of those you're preventing before they happen. But in the moment, Zack is a great ally and asset for a lot of our companies. And some of these also happen on a day-to-day basis. It works great to have someone like Zack on our team. He can kick around and be a source for feedback for some product testing, which he does with a lot of companies that are in the portfolio. And actually, he does that when we're evaluating companies too, and sometime…

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    463: EmergeOne with Aarish Shah Feb 23, 2023
    Show notes

    Aarish Shah is the Founder of EmergeOne and Projected.ai and host of Off Balance and Nothing Ventured Podcast. Will talks to Aarish about having the venture capitalist money idea and having that "aha!" moment that it could work, what drives him and having a purpose of helping others, and using his podcast to teach lessons that he's learned along the way. EmergeOne Projected.ai Off Balance and Nothing Ventured Podcast Follow EmergeOne on LinkedIn, Facebook, YouTube, or Twitter. Follow Aarish Shah on LinkedIn or Twitter. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: WILL: This is The Giant Robots Smashing Into Other Giant Robots podcast, where we explore the design, development, and business of great products. I'm your host, Will Larry. And with me today is Aarish Shah, Founder of EmergeOne and Projected.ai and host of Off Balance and Nothing Ventured Podcast. Aarish, thank you for joining me. AARISH: It's great to be here, Will. Really happy to be talking to you today. WILL: Yeah, I'm excited. I can't wait to dive in and learn more about you. Tell me about your journey, how it all started. AARISH: Wow, it's a bit of a long run. I'll try and condense it. But I am 44 years old at the moment. About 20 years ago, I came out of uni with a degree in languages which I found was sort of useful but not essential. So I ended up for a few years doing kind of the normal corporate thing. I worked with PriceWaterhouseCoopers, Nortel Networks, and then Deutsche Bank. And I qualified as an accountant along the way, so I'm effectively what you guys would consider a CPA over in the U.S. I then kind of up sticks, and I spent the next ten years of my life running a group of manufacturing and trading businesses alongside a property portfolio out in Papua New Guinea, which is a very, very interesting place to be, definitely one of the hardest environments to be building and running businesses for many reasons. I've had everything from people coming into one of my offices with guns. I had one of my factories burned to the ground and everything in between. So really, really great learning experience and certainly amazing to learn about physical products, you know, the manufacturing and distribution and sales and so on of actual physical products. And then, in 2015, I came back to the UK. I didn't really know what I wanted to do. And so I had a bunch of coffees with people and ended up as founding CFO in an EdTech venture, which was a joint venture between Eton College, which is one of the premier schools here in the UK where famously all of our Prime Ministers seem to come from, and Founders Factory which is an accelerator that was founded by Brent Hoberman of lastminute.com fame. So that was really exciting. I was straight off the boat from Papua New Guinea, sitting 10 feet away from Brent Hoberman, learning everything that there was to learn about the tech sector here in the UK and beyond. And had a really great couple of years working in that business and learning really everything there was to know about the VCA ecosystem, the early stage ecosystem, how to build products, how to finance them, how to sell into new territories (We were operating in China at the time.) and all sorts of other things. And then, in 2017, I decided it was time to move on. And I became what you guys would probably call a fractional CFO. So I worked across C through Series C businesses, everything from EdTech to FinTech, D2C, B2B marketplaces, beauty tech, you name it, kind of been there, seen it, and done it. And in 2019 and 2020, started getting approached by FDs and CFOs that wanted to work with me. And I really doubled down at that stage and decided to build EmergeOne into what it is today, which is a consultancy providing CFO services to venture-backed tech startups and scaleups. So we work with a huge bunch of businesses here in the UK that are backed by VCs, some of the big names here like Hoxton Ventures, Stride, Octopus, Outlier, Founders Factory, and others. And I'm really, really passionate about helping founders build their businesses in a scalable and sensible way, I guess, especially in the current environment. And so we're really lucky that we're trusted by these VCs and the founders that we work with to deliver really great services to them. And then, a couple of years ago, because I've been working kind of in the tech sector for so long, I started noodling around with a couple of ideas of projects that I wanted to move forward with. I raised a really small kind of pre-seed back in 2021 and started building a product, which is today Projected.ai, which we have just launched. We're in the process of launching at the moment. And what that is is effectively an email newsletter, if you can believe it, providing internal and external data to our client businesses. So effectively, it's like a flash report of your financials alongside some really sort of personalized news about what's going on in your industry, alongside some other sort of bits and bobs that we're currently building in. On top of that, a couple of years ago, again, I realized that I had a really good network of people that I had relationships with, and I decided to launch the Nothing Ventured Podcast to start speaking with people that operated in the VC ecosystem here in the UK and beyond. So I've been really fortunate to have guests like Hussein Kanji from Hoxton Ventures, Mac Conwell from RareBreed ventures in the U.S., and various others. And I really got to talk to them about why they got into venture, what they see is happening in the market, what are they excited about. And all those sorts of things. Because, to be honest, I'm really passionate about learning and understanding about where people are coming from, why they do what they do, what drives them, what they're passionate about, but equally, the sort of challenges they've also faced. And that's been going now for 60-odd episodes. We're launching Season 4 shortly. And I'm really lucky and fortunate to have been able to do that. And then finally, at the back end of 2022, so in December, actually, just as I was jumping on a plane, I sort of released something on LinkedIn, which was like 100 lessons that I've learned as a CEO and CFO over the last 20 years of operating. And unexpectedly, the thing went viral. I've had close to a million views on it, thousands of likes, hundreds of comments, and reshares. And I decided to turn what was effectively just a list into a short-form podcast, which has turned into Off Balance. So we're releasing that daily and kind of expanding on each and every one of those topics that I went through in that list. So, yeah, look, I mean, I'm someone with a finger in a lot of pies. I'm a massive generalist, so I love getting involved in different projects at different times. But I'm really fortunate to be able to do what I love doing. It's just been a wild journey for the last seven years, certainly, but the whole 20 years of my life. WILL: I love it. I love it. I love every idea that you had weaves into that venture capitalist money idea. So let's start at EmergeOne. When did you have that aha moment that this could work? AARISH: So I work a lot in strategy, so there are two forms of strategies, emergent and there's defined. So most people know about a strategy that is written down; it's a playbook. They go out, and they pursue it. For me, it was really emergent. Firstly, I realized that there were not that many great CFOs operating in tech, certainly here in the UK, because it's, to an extent, a nascent industry. And whilst there are great accountants, and there are great finance leaders in larger businesses, actually doing that in a startup or a scaleup is very, very different. Now, don't get me wrong, there are some great CFOs out there. It's just that I think there are far fewer than many people [laughs] assume there to be. So that was kind of the first thing that twigged with me. And I was seeing a lot of businesses picking up people and calling them a CFO when I knew for a fact there was no way that they really had the experience to be able to call themselves a CFO or to operate as one. So I guess that was the first aha moment. And the second aha moment was as I started talking to more and more VCs via the podcast, and just generally because I was out in the ecosystem talking to them, I realized that actually, the work that I was doing was not being driven necessarily by the client companies but actually by the VCs themselves because they wanted to make sure that having invested 1,2,5, 10 million pounds or dollars that those companies were in good hands and safe hands and that capital was being managed effectively and efficiently. And obviously, we're sitting in January of 2023 now. Never has that been more appropriate. More and more businesses are struggling. They're struggling to raise. They're having to extend their runways and figure out how to manage their cash in a much, much more significant way than maybe they had to two or three years ago. And so, for us, that's like a massively important thing. And having a great CFO in your business is going to help you do that. And therefore, we are getting approached more and more both by VCs as well as by companies that are just on the lookout for someone to help them. It was sort of a series of aha moments. But as I said earlier, it was an emergent strategy. It was something that kind of developed over time. But also, I'm someone that learned quite early on in my life to back myself. I think I took the punt on building this agency, if you like because it felt right. And it felt like something that I would enjoy doing, and it felt like something that I could actually make a difference in. And I think all of those things kind of culminated in really making EmergeOne what it is today, and I'm really proud of what we've been able to achieve. WILL: Yeah, I love that idea because I feel like, especially in startups, like you said, that excellent CFO is really hard to find. It's really hard to find. But if you don't have the numbers, you don't have a business. Let's be honest, the numbers you just don't have it. AARISH: Yeah, it's crazy to me that over the last decade or so, we've had, obviously, this period of super cheap money, super cheap capital. People have been raising at very inflated valuations. But we're seeing all of that come home to roost. We're seeing that in the public markets. A lot of these companies that IPOed over the last several years, obviously, have had their valuations drop significantly, you know, companies like Peloton, I guess, and others. People are starting to realize that actually cash is king. They need to understand how the cash is flowing through their business and to know that they need to have an intimate knowledge of their numbers. And, in fact, a lot of our role as a CFO in a business is to kind of coach the founder to make sure that they do understand those numbers and how they need to present them to internal stakeholders, external stakeholders, whether that's your board, whether that's investors, or whether that's your employees to make sure that people have a good idea of not only how they're tracking but where they're heading and where the end goal is. And I think it's massively important. I've always been a massive advocate for people getting to grips with their numbers, even if you're not a numbers person. Because especially if you're a founder or you're the leader in the business, the CEO, ultimately, the buck stops with you. You've got to know those numbers. It's not good enough to say, "Well, my CFO, my accountant has a handle on them." Like, if you're sitting in an investor meeting trying to pitch them to raise 5 to 10 million bucks, you're going to need to know those numbers inside out. And it's astonishing how many people actually ignore those. And what I would say is, you know, ignore them at your peril. WILL: Yeah, that just blows my mind because if I put myself in an investor seat if I'm giving you money, I want the head person, the CEO, to know exactly how to handle that money. So yeah, I love that idea, and I love what you're doing. Let's go on Projected.ai. And if I understand this correctly, this is more of a kind of [inaudible 10:51] the words. AARISH: So it's like a newsletter on steroids. WILL: Yeah, but it's to be honest about your numbers to board members and investors, correct? AARISH: Yeah. So Projected.ai was born out of this understanding that I guess I have, which is that CFOs and finance professionals working in startups and scaleups and SMEs they have dashboard fatigue. We interviewed CFOs, and they're operating off like 20 different dashboards, each of them giving them different numbers, each of them telling them something different. And they don't even have time to look at those dashboards, let alone make decisions based on the numbers that are coming out of them. So what we wanted to do with Projected was provide a touch point for that CFO where they could check in with their numbers in a really easy way on a consistent, regular basis. When I thought about this really clearly, I don't live in dashboards; where I live is in the tools I communicate in, so that's my emails, that may be my Slack channel, that may be WhatsApp or iMessage, or whatever it is that you use. But certainly, for business, it's going to be email and Slack for the most part. So I thought, what is the easiest way to communicate with someone in their business? It is via one of those channels. And what are the things that they want to know? Well, they want to know what's happening in their business, what's changed in their numbers over the last week, or two weeks, or month, but also what's happening outside their business. Because often, in startups, we get so kind of tunnel-visioned into what's happening inside the business. We don't take the time to look outside and figure out what others are doing or what may be happening in the macro environment that may have an impact on our business. And an obvious case of that at the moment is interest rates having moved up quite significantly over the last several months and still going to, as well as sort of inflation numbers also on their way up, and central banks everywhere trying to rein those in. All of that is going to have an impact on your business, especially if you're a consumer business, for example. And if you don't factor in all of those things or if you don't look at all of the things that could impact your business, you're going to make decisions with imperfect information, and, therefore, you'll make imperfect decisions. Now, you're never going to have perfect information. But the more information, the more pertinent information you have, the more transparent you can be, exactly as you said, to your board, to your shareholders. Tell them exactly what's happening, and get their advice to help you through those rough patches. Ultimately, we've got some tricks up our sleeves in terms of what we're going to be doing with those numbers, and how we're going to be presenting them, and how we're going to be manipulating them when we do show them to our users. But I kind of felt like we've moved past that time where CFOs were only about the numbers looking backwards. A really great CFO today is all about communication, information. It's about turning data into information, turning numbers into a narrative. Ye…

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    462: StoryGraph with Nadia Odunayo Feb 16, 2023
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    Nadia Odunayo is the Founder and CEO of The StoryGraph, a new website and app for avid book readers because life's too short for a book you're not in the mood for. The StoryGraph helps you track your reading and choose your next book based on your mood, favorite topics, and themes. Victoria talks to Nadia about coming up with a product based on the concept of mood, what you're in the mood for to read, i.e., this book made me feel this way. How do I find a book that makes me feel similar? They also talk about keeping yourself open to feedback, the ability to flow and change direction, and developing a reviewing system that keeps biases in check. StoryGraph Follow StoryGraph on LinkedIn, Instagram, or Twitter. Follow Nadia Odunayo on LinkedIn or Twitter. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is The Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Nadia Odunayo, Founder and CEO of StoryGraph, a new website and app for avid book readers because life's too short for a book you're not in the mood for. StoryGraph helps you track your reading and choose your next book based on your mood and your favorite topics and themes. Nadia, thank you for joining me. NADIA: Thank you for having me. VICTORIA: And you are a repeat guest at Giant Robots. But for those who missed that episode, tell me a little bit about your journey. And how did this all get started? NADIA: Okay. Yeah, so that first time was in 2015, and that was not too long after I had just got into tech. I did a bootcamp in London in 2014, Makers Academy, and that's where I learned to code. My degree was in philosophy, politics, and economics, so rather different. I worked at Pivotal for about a year and a half after I graduated from Makers Academy. And during my time at Pivotal, I got into conference speaking, and my first talk was around game theory. So I took my favorite topic in economics, game theory, and I combined that with distributed systems because that's what I was working on at the time in Pivotal on their Cloud Foundry PaaS. I think I gave it at RailsConf, and I think someone there recommended me to Giant Robots. And so Ben Orenstein interviewed me, and it was all about different types of conference talks and that kind of thing. So after Pivotal, I left and started a hybrid kind of consultancy/product company with a colleague, did that for about a year, left that, worked for about a year with my friend, Saron Yitbarek, on her company CodeNewbie. And then, when that partnership ended, I essentially had five years of runway from money that I got from the company that I started after Pivotal because we did some consulting with a bank. I'd always been entrepreneurial. I'd been doing various entrepreneurial things since secondary school, actually, high school. It was time for me to just have time on my side projects. And so I started hacking away on one of my side projects at the beginning of 2019 in January, and I haven't stopped since. That's what the StoryGraph has developed into. VICTORIA: Wonderful. And yes, I saw that the very early stages of StoryGraph started as a creative writing e-publication. Is that right? NADIA: So what happened was when I was at university, I started a creative writing e-publication, came up with the name The StoryGraph. Because we had won or we were going for some grant funding or something like that, I set up a corporate entity. And when I stopped working on that e-publication, I remember my mom saying to me, "Don't shut down the entity. I really like the name. I feel like you'll use it for something," that was in 2012. And so fast forward to 2019, and the side project that I was working on was called Read Lists. And it was very specifically focused on tracking and sharing progress through reading lists on a dashboard. But when I was doing customer research, and the scope of the project grew, Read Lists didn't fit anymore. And that's when I realized, oh, I can use The StoryGraph thing again. And so it's basically had two different lives or two different forms, the StoryGraph company. VICTORIA: That's wonderful. And I'm reading about StoryGraph and how it's an Amazon-free alternative to Goodreads. Can you talk a little bit more about the product and why people would want to use it? NADIA: So, as I said, it started life as a very specific focused side project. And I just had so much fun working on it and working in the book space. I'd always been a reader since I was a kid such that I said to myself, I need to find a way to make me building a books product a full-time thing. And so that's when customer research came in because the only way that you're going to make sure that you don't build something that people don't want is by talking to people. As I was doing customer research and figuring out, are there pain points amongst readers, people who track their reading? What would happen was the pain points that came up drove me towards building a more fully fledged reading, tracking, and recommendations product. It actually started as a very focused recommendations product. And then, we got to the point where we needed to build more around it for it to be a compelling product. And as it was growing, we never advertised ourselves as a Goodreads alternative or as an Amazon-free alternative to what was out there. But that was clearly a pain point in the market. There were tweets about us saying, "Finally a Goodreads alternative. It's small; it's independent; it's Amazon-free. And so thousands and thousands, hundreds of thousands of people have come to us because of that. VICTORIA: Wow. NADIA: And so it got to the point...mainly when we launched our payment plan, and we were trying to figure out the reasons why people were pre-ordering the plan, it was at that point where we decided to lean into the Amazon-free Goodreads alternative because that was what the market wanted. VICTORIA: Was that surprising for you? Or were there other things that came out of your research on your marketplace that kind of were different than what you thought it would be going in? NADIA: I think the most interesting thing about the product development journey was that I at least originally felt like I was building a product that wasn't for me. So what I mean by that is in my earliest rounds of research, what I was finding was that people still didn't think that they had one place to get consistently good book recommendations. And so then I started to explore, well, how do you even give somebody consistently good book recommendations? And one of the factors that kept on coming up was this concept of mood, what you're in the mood for. This book made me feel this way. How do I find a book that makes me feel similar? And so it got to the point where I said to myself, oh wow, I'm building a product for mood readers right now; that seems to be the gap, that seems to be the thing that nothing out there yet had properly attacked. And I had never considered myself a mood reader. I just thought I'm a planner. I'm an organized person. I typically decide what book I want to read, and then I read it. And so there was a point where I was concerned, and I thought, wait, am I now building something that is not for me? But then, as I started to work and do more research and talk to more and more people and thinking about my reading experiences, I developed the hypothesis or the viewpoint rather that I think everybody's a mood reader; it's just the scale. Because there are probably some books that I may have rated lowly in the past that if I had read it in a different frame of mind, or at a different time in my life, different circumstance, it probably would have resonated with me a lot more. Now, that's not to say that's true for every single book. There are some books that are just not going to work for you, no matter what. But I do think we're all on the scale of mood reading. And sometimes we say a book is a bad book, but we just read it at not the right time. And so I think the most surprising thing for me is going on that journey of realizing that, oh, I am a mood reader too. VICTORIA: [laughs] NADIA: And I ended up building an app that's a lot less focused on just the pure ratings. I was someone who, on Goodreads, if it had less than four stars, I'm not interested. And the ethos of the product is more about, well, hang on; these ratings are very subjective. And someone else's two, three-star could be your next five-star. What are the factors that really matter? Do you want something dark, adventurous? Are you looking for something funny, light? And then what kind of topics do you want to discover? And then it doesn't matter if the five people before you thought it was average; you might think it's excellent. VICTORIA: Yeah, it reminds me thinking about how bias can come in with authors and writing as well. So a simple five-star system might be more susceptible to bias against different genders or different types of names. Whereas if you have more complex numbers or complex rating systems, it might be easier to have different types of authors stand out in a different way. NADIA: That actually relates to what was going through my mind when I was developing the reviewing system on StoryGraph. You can just, if you want, leave your star rating and say no more, but the star rating is lower down on the page. And up front, we say this book would be great for someone who's in the mood for something...and then you've got checkboxes. And how would you rate the pace of the book? And if it's a fiction book, we ask you, "Are the characters lovable?" Is there a flawed narrator? Is it plot-driven or character-driven?" Questions like that because the thinking is it doesn't matter whether you are going to give the book two stars in your own personal star rating. You can still help someone else find a book that's good for them because they will be looking at the summary on the StoryGraph book page, and they'll go, "Oh wow, 80% of people said it's lovable. There's a diverse range of characters, and it's funny. So the topics fit things I'm interested in, so I care less about the average rating being like 3.5 because everything else seems perfect. Let me see for myself." And actually, we've also had a lot of feedback from people saying that "Oh, normally, I never know how to review a book or what to say. And this system has really helped me, almost give me prompts to get started about explaining the book, reviewing it for other people to help them decide if it's for them. So that's great." VICTORIA: That makes sense to me because I read a lot of books, maybe not as much as I would like to recently. But not all books that I love I can easily recommend to friends, but it's hard for me to say why. [laughs] You know, like, "This is a very complicated book." So I love it. I'll have to check it out later. It's been four years since you've been full-time or since 2019, almost five then. NADIA: Yes. VICTORIA: If you could travel back in time to when you first started to make this a full-time role, what advice would you give yourself now, having all of this foresight? NADIA: Have patience, trust the process because I can sometimes be impatient with, ah, I want this to happen now. I want this to pick up now. I want these features done now. I'm a solo dev on the project. I started it solo. I have a co-founder now, but I'm still the solo dev. And there were so many things, especially now that we've got a much larger user base, that people complained about or say is not quite right. And that can be really tough to just have to keep hearing when you're like, I know, but I don't have the resource to fix it right now or to improve it. But I think one of the things is, yeah, having faith in the process. Keep going through the cycles of listening to the customers, prioritizing the work, getting the work done, getting the feedback, and just keep going through that loop. And the product will keep getting better. Because sometimes it can feel, particularly in the first year when I was so low, you sometimes have moments of doubt. Or if a customer research round doesn't go super well, you start to wonder, is this only a nice-to-have? And is this going to go anywhere? And so that's one piece of advice. And I think the other one is knowing that there are several right paths because I think sometimes I would agonize over I want to do the right thing. I want to make sure I make the right choice right now. And, I mean, there are some things that are not good to do. You want to make sure that you're setting up your customer interviews in a non-leading way. You want to make sure that there are certain standards in the product in terms of the technical side and all that kind of stuff, so there's that. But I think it's understanding that you kind of just have to make a decision. And if you set yourself up to be able to be adaptive and responsive to change, then you'll be fine. Because you can always change course if the response you're getting back or the data you're getting back is going in the wrong direction. VICTORIA: I love that. And I want to pull on that thread about being open to changing your mind. I think that many founders start the company because they're so excited about this idea and this problem that they found. But how do you keep yourself open to feedback and keeping that ability to flow and to change direction? NADIA: I mean, I didn't set out to build a Goodreads alternative, and here I am. VICTORIA: [laughs] NADIA: I just wanted to build this specific side project or this specific...it was a companion app, in fact. Like, the first version of the thing I built, the first thing you had to do was sign in and connect your Goodreads account so that we could pull in your shelves and start creating the dashboards. So as a solo bootstrapping founder, building a Goodreads alternative was not something that I thought was going to lead to success. But through years of experience, and just hearing other people's stories, and research, I just learned that it's such a hard space just running a startup in general, and 90% of startups fail. And I just said to myself that, okay, the only way I can kind of survive for longer is if I am open to feedback, I'm open to change course, I'm patient, and I trust the process. These are the things I can do to just increase my chances of success. And so that's why I kind of feel it's imperative if you want to go down this route and you want to be successful, it's vital that you're open to completely changing the product, completely changing your direction, completely going back on a decision. You'll either lose customers or you'll run out of money, whatever it is. And so yeah, you've got to just basically be quite ruthless in the things that are just going to minimize your chances of failing. VICTORIA: That makes sense. And now, I have a two-part question for you. What's the wind in your sails? Like, the thing that keeps you going and keeps you motivated to keep working on this? And then, conversely, what's kind of holding you back? What are the obstacles and challenges that you're facing? NADIA: I think this kind of role...so I'm like founder, CEO, and developer. In general, I think I thrive under pressure and pushing myself, and trying to always be better and…

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    461: PSYONIC with Dr. Aadeel Akhtar Feb 09, 2023
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    Dr. Aadeel Akhtar is the Founder and CEO of PSYONIC, a company whose mission is to develop advanced prostheses that are affordable for everyone. Victoria talks to Dr. Akhtar about the gaps in the market he saw in current prosthetic ability, advancements PSYONIC has been able to make since commercialization, and essential principles and values that were important to him when building out the PSYONIC team. PSYONIC Follow PSYONIC on LinkedIn or Twitter. Follow Dr. Aadeel Akhtar on LinkedIn. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: VICTORIA: This is The Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host Victoria Guido. And with me today is Dr. Aadeel Akhtar, Founder and CEO of PSYONIC, a company whose mission is to develop advanced prostheses that are affordable for everyone. Aadeel, thank you for joining me. DR. AADEEL: Thank you for having me, Victoria. This is fun. VICTORIA: Yes, I'm excited to meet you. So I actually ran into you earlier this week at a San Diego tech meetup. And I'm curious just to hear more about your company PSYONIC. DR. AADEEL: So, as you mentioned, we develop advanced bionic limbs that are affordable and accessible. And this is actually something I've wanted to do my whole life ever since I was seven years old. My parents are from Pakistan. I was born in the Chicago suburbs. But I was visiting, and that was the first time I met someone missing a limb; and she was my age missing her right leg, using a tree branch as a crutch, living in poverty. And that's kind of what inspired me to go into this field. VICTORIA: Wonderful. And maybe you can start with what gaps in the market did you see in current prosthetic ability? DR. AADEEL: When we first started making these prosthetic devices, we were 3D printing them. And we thought that the biggest issue with prosthetic devices was that they were way too expensive and saw that with 3D printing, we'd be able to reduce the prices on them. And that's true; it was actually one of the biggest issues, but it wasn't the biggest issue. After talking with hundreds of patients and clinicians, the number one thing that we found that patients and clinicians would raise issue with was that their super expensive bionic hands were breaking all the time. And these were made with injection molded plastics and custom-machined steel. And they weren't doing anything crazy with it. They would accidentally hit the hand against the side of a table, but because they were made out of rigid components, they would end up snapping up those joints. And a natural hand, for example, if you bang a natural hand against a table or a rigid object, then it flexes out of the way. It has compliance in it, and that's why it's able to survive those types of hits and impacts a little bit more. It forced us to think outside the box of how can we still leverage the low-cost manufacturing of 3D printing but make this hand more robust than anything out there? And that's when I started looking into soft robotics. And with soft robotics, instead of making rigid links in your robot, so instead of having rigid joints and components, you'd use soft materials like silicone that are more akin to your skin and your own biological tissues that are more flexible and compliant. So we started making the fingers out of rubber and silicone. And now we've been able to do things like punch through flaming boards, and I dropped it from the roof of my house 30 feet up in the air, and it survived. We put it in a dryer for 10 minutes, and it survived tumbling around in a dryer. I've arm wrestled against the para-triathlete national champion and lost. So this thing was built to survive a lot more than just hitting your hand against the side of a table. VICTORIA: Wow, that sounds incredible. And I love that you started with a premise, and then you got feedback from your users and found a completely different problem, even though that same problem still existed [laughs] about the low cost. DR. AADEEL: Absolutely. VICTORIA: Wow. So taking it back a little bit more to the beginning, so you knew you always wanted to do prosthetics since you grew up in Pakistan and saw people without their limbs. Take me a little bit more from the beginning of the journey. When did you decide to start the company officially? DR. AADEEL: And just to clarify, I was just visiting Pakistan for the summer, but I grew up and was raised here in the U.S. So I went to Loyola University Chicago for undergrad, and I got a bachelor's degree in biology there, followed by a master's in computer science. And the original plan was to actually become an MD working with patients with amputations and developing prosthetics for them. But while I was an undergraduate student at Loyola, I took my first computer science class, and I absolutely loved it. I loved everything about coding, and programming, and engineering. And I realized that if I became a straight-up MD, I wouldn't get to do any of the cool things that I was learning in my computer science classes. And I wanted to figure out a way to combine my passions in engineering and computer science with clinical medicine and prosthetics. And right down the street at a hospital formerly known as The Rehabilitation Institute of Chicago...it's now the Shirley Ryan AbilityLab. It's the number-one rehabilitation hospital in the U.S. for the last 31 years. They made these huge breakthroughs in mind control bionic limbs where they were doing a surgery where they would reroute your nerves to other muscles that you already have on your body. And then, when you try to imagine bending your phantom elbow or making a phantom fist, your chest muscles would contract. And then you could use those signals to then control this robotic limb that was designed by Dean Kamen that was sponsored by DARPA and cost hundreds of thousands of dollars. That was just absolutely incredible. And it was this perfect mixture of engineering and clinical medicine, and it was exactly what I wanted to get into. But, as you'd mentioned, we're all about accessibility, and a $100,000 cost hand would not cut it. And so I ended up finishing a master's in computer science. I taught at Loyola for a couple of years and then went to the University of Illinois at Urbana-Champaign, where I got another master's in electrical and computer engineering, a Ph.D. in neuroscience. And then I finished the first year of medical school before I left to run PSYONIC because it is a lot more fun building bionic limbs [laughs] than finishing medical school. And while I was a graduate student, we started 3D printing our own prosthetic hands, and we got the chance in 2014 to go down to Quito, Ecuador, where we were working with a nonprofit organization called The Range of Motion Project. And their whole mission is to provide prosthetics to those who can't afford them in the U.S., Guatemala, and Ecuador. And we went down there, and we were working with a patient who had lost his left hand 35 years prior due to machine gunfire from a helicopter; he was in the Ecuadorian Army. And there was a border war between Ecuador and Peru. And Juan, our patient, in front of international news stations, said that he felt as though a part of him had come back. And that was because he actually made a pinch with his left hand for the first time in 35 years. And you have to imagine the hand at that time was three times the size of an average natural hand, adult human hand. Had wires going everywhere, breadboards, power supplies, the walls, you name it. And despite that, he said that a part of him had come back. And he actually forgot how to make a pinch with his left hand, and we had to retrain his brain by placing a mirror in front of his left side reflecting his right hand, tricking his brain into thinking that his left hand was actually there. And he would make a pinch with both sides, and it would reactivate the muscles in his forearm on his left side. And when he said that, that's when I realized that if I stay in academia, then this just ends up as a journal paper. And if we want everyone to feel the same way that Juan did, we had to commercialize the technology. And so that's when PSYONIC was born. VICTORIA: I love that you're working on that as someone who's from Washington, D.C., and has done a lot of work in veterans and homeless organizations and seen how life-changing getting access to limbs and regaining capability can be for people. DR. AADEEL: Absolutely. In fact, our first user in the U.S. is a U.S. Army sergeant who lost his hand in Iraq in 2005 due to roadside bombs, Sergeant Garrett Anderson. He used a hook on a daily basis, and with our hand, he's actually able to feel his daughter's hand, which is something that he wasn't able to do with any other prosthesis. And for him to tell us that that is why we do what we do. VICTORIA: Right. And I saw on your website that you have several patents and have talked about the advances you've been able to make in what I'm going to call the sensorimotor bionic limbs. Can you tell me a little bit more about some of the advancements you've been able to make since you decided to commercialize this? DR. AADEEL: The first thing that usually users notice is that, and clinicians notice as well, is that the hand is the fastest bionic hand in the world. So the fingers close in about 200 milliseconds. And to put that into context, we can wink our eyes in about 300 milliseconds. So it's technically faster than the blink of an eye, which is kind of a cool statistic there. So it's super fast. And the fingers are super resistant to impact, so they're very durable. And so we've got a couple of patents on both of those items in particular. And then there's the touch feedback aspect. So this is the only hand on the market that gives users touch feedback. And so the methods that we have to mold the fingers to enable that sensory feedback that is what our third patent is on for the hand, and it just looks really cool. It's got like this black carbon fiber on it that just looks really futuristic and bionic. And it just gives users the confidence that this isn't something to be pitied; this is something that's really cool. And especially for our war heroes, that's something to be celebrated that I lost my hand for our country, and now I've got this really cool one that can do all of the things that my hand used to do. VICTORIA: And I also saw that it's reimbursable by Medicare in the U.S. And I was curious if you had any lessons learned from that process for getting eligible for that. DR. AADEEL: Yeah. And that was part of the goal from the very beginning. After we did our customer discovery process, where we figured out what the pain points are and found out that durability was one of the biggest issues, obviously, one of the other issues was the really expensive price of the other hands, and typically what we call a multi-articulated hand, so that's one where each one of the fingers move individually. Those are only covered by the VA, so if you're in the military or workman's comp so if you had a workplace accident. And that only accounted for about 10% of the U.S. market. And what the clinicians kept telling us over and over again was that if you can get the hand covered by Medicare, then usually all the other insurance companies will follow suit, like your Blue Cross Blue Shield, your Aetna, your Kaiser, et cetera. So that was our design goal from the beginning. So how can we hit a price point that Medicare would cover but also make this fully featured that no other hand can do any of these other things? What it primarily came down to was hitting that price point. And as long as we hit that price point, then Medicare was going to be fine with it. So we invented a lot of the manufacturing methods that we use in-house to make the hand in particular. So we do all the silicone molding. We do all the carbon fiber work. We do all the fabric work. We do all the assembly of it in-house in our warehouse here in San Diego. And by being so vertically integrated, we're able to then iterate very quickly and make these innovations happen at a much more rapid scale so that we can get them out there faster and then help more people who need it. VICTORIA: So you've really grown tremendously from when you first had the project, and now you have a team here in San Diego. Do you have any lessons learned for enabling your team to drive faster in that innovation? DR. AADEEL: Yeah, the biggest thing that I feel like a lot of things come down to is just having grit. So especially with a startup, it's always going to be a roller coaster ride. And for us, I think one of the big motivating factors for us is the patients themselves when they get to do these things that they weren't able to do before. So another one of our first patients, Tina, had just become a grandmother, and she was able to feed her granddaughter for the first time because she was able to hold the bottle with her bionic hand, The Ability Hand, and then hold her granddaughter with her natural hand and then feed her using The Ability Hand. It's, like I said, moments like that is why we do what we're doing. It gives us that motivation to work those long hours, make those deadlines so that we can help as many people as possible. VICTORIA: Right. So you have that motivating power behind your idea, which makes a lot of sense. What else in your customer discovery sprint was surprising to you as you moved through that process? DR. AADEEL: So there was definitely the robustness that was surprising. There was the cost that wasn't necessarily the highest priority thing, which we thought would be the highest priority. And the speed and just having to rely on visual feedback, you have to kind of look at the hand as you're doing the task that you're doing, but you have to look at it very intently. So that takes a lot of cognitive load. You have to pay attention very specifically to am I doing the right movement with my hand? In ways that you wouldn't necessarily have to do with a natural hand. And by making the hand move so responsive as it is and move so quickly, in addition to having that touch feedback, that reduces, or at least we believe it'll reduce a lot of that cognitive load for our patients so that they don't have to be constantly monitoring exactly what the hand is doing in order to do a lot of the tasks or the activities of daily living that they're doing on a day to day basis. The whole customer discovery process drove what features we were going to focus on in actually making this hand a reality. VICTORIA: Yeah, that makes sense. And I love hearing about what came up that surprised people. And I appreciate your commitment to that process to really drive your business idea and to solve this problem that happens to so many people in the United States. Well, how widespread is this issue? And, of course, I'm sure you're targeting more than just the United States with rollout, but... DR. AADEEL: So, globally, there are over 10 million people with hand amputations, and 80% of them actually live in developing nations, and less than 3% have access to affordable rehabilitative care. So it's a huge need worldwide, and we want to make sure that everyone has access to the best available prosthetic devices. VICTORIA: That makes sense. So I guess commercializing this product leads to more room, more availability across for everyone. DR. AADEEL: Absolutely. And interesting thing about that, too, is that as we were developing these, the hand in part…

    Full show notes at the publisher

    460: Frontrow Health with Irfan Alam Feb 02, 2023
    Show notes

    Irfan Alam is the CEO of Frontrow Health, a startup with a mission to finally put Americans in the front row of their own healthcare. Will and Victoria talk to Irfan about his background in business strategy and development for healthcare companies, how he went about searching for and building the perfect team, and how he started the culture of Frontrow Health on a level where there is balance and people want to join because it has a good culture. Frontrow Health Follow Frontrow Health LinkedIn. Follow Irfan Alam on LinkedIn. Follow thoughtbot on Twitter or LinkedIn. Become a Sponsor of Giant Robots! Transcript: WILL: This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Will Larry. VICTORIA: And I'm your other host, Victoria Guido. And with us today is Irfan Alam, Founder, and CEO at Frontrow Health, a startup with a mission to finally put Americans in the front row of their own healthcare. WILL: Hi, Irfan. Thank you for joining us. IRFAN: Thanks for having me; super excited to chat more about the whole process of building and launching Frontrow Health. VICTORIA: Yes, we're super excited. Of course, I know you as a client of thoughtbot, and I'm excited to hear your story. And you have this background in business strategy and development for healthcare companies. But what led you to decide to start your own platform? IRFAN: I think it was a combination of two things; one was a lived experience being inspired by the power of entrepreneurship with my family and then working at Everlywell. And then two, it was discovering and being reminded of a critical problem that I saw in the industry that I then became excited about solving. So growing up, I was raised by my two parents and my grandparents. My grandfather was an entrepreneur himself and also an immigrant and kind of brought our whole legacy of my family into the U.S. from Southeast Asia. He has always motivated me to take risks and to build something great for the world, and that's what he's always wanted for me. And so I joined Everlywell, a small digital health startup, back in 2019 because I was excited to get my feet wet in the world of startups. It was just within a number of months after that I had joined where COVID-19 hit, and Everlywell, a home lab testing company based out of Austin, got swept up into the storm of COVID and, in a lot of ways, threw ourselves into the center of the storm when we ended up launching the first home COVID-19 test. And it was that summer of 2020 when I probably had the most profound personal and professional growing experience of my life, just trying to handle this chaos and confusing world that we were all living in. But then also simultaneously watching how a small team could make an outsized impact in the world during a time of need. And that really led me to want to pursue my own startup ambitions. So I started thinking about business school. The founder and CEO, Julia Cheek, went to Harvard Business School in 2009 and publicly talks about it being sort of this magical moment in time where people were flooding in from the downturn economy, excited about solving new problems. And her class of graduates is sort of like a famous class of entrepreneurs. And so I brought it up with her, and she was super supportive. And I went through the process and got super lucky. And I decided to take the summer off in 2021 before coming to HBS and moving back to Boston. And it was during that summer where I started thinking about the problems that companies like Everlywell and direct-to-consumer health brands faced that I realized was not just at the fault of their own but because the industry didn't have the right digital tools necessary to succeed. That's sort of the origin of how Frontrow Health came to be. WILL: Sweet. So perfect segue; tell us more about the mission of Frontrow Health. IRFAN: We're on a mission to put people on the front row of their own healthcare. And we really just want to reimagine how people shop for their healthcare online. What I learned at Everlywell was that this boom of consumer health which means people who are taking charge of their own health and are able to do that directly through these digital health companies was a form of healthcare that could create a tremendous amount of value in people's lives. But that was only really accessible to a small niche audience. And it didn't feel like it was equitably accessible to the average American. And so some of those barriers that I realized as a part of my work at Everlywell for why the average American wasn't engaging with consumer health, this otherwise really powerful form of taking charge of your own health and wellness, was because of these three blockers that we're trying to address at Frontrow Health. The first being that people just don't know about what kinds of solutions are out there that can address their health issues beyond just taking a prescription medication given to them by the doctor that they visit in their office. The second is if they do know, they don't know what to trust. They don't know whether this spam of healthcare companies that they're getting advertisements on from Instagram are the right companies, whether these products are safe and effective for them uniquely because of their unique health issues their unique health history. And then finally, even if they are aware and they do trust the health product, at the end of the day, a lot of Americans just can't afford to spend money out of pocket to pay for these consumer health and wellness products like consumables, devices, virtual services, et cetera. And so Frontrow Health is all about trying to break down those barriers in order to unleash consumer health to the average American. VICTORIA: And were you always drawn to that healthcare industry from the beginning? IRFAN: Yeah. So I grew up very privileged with two parents who are physicians. My mom is a psychiatrist, which is quite rare for women of color, specifically of South Asian descent, to be a psychiatrist. And then my dad was a gastroenterologist. They were always the gut-brain connection between the two. And so, growing up, I somewhat classically assumed that I was going to be a doctor. Got to college, thought that that was going to be my path. I realized quickly that there is a whole world outside of being a physician yourself that I could still be a part of in healthcare without being a doctor. My parents actually, interestingly enough, began to encourage me to think beyond just being a doctor, with them both feeling like the amount of scale of impact that they could have would never be the same as someone who could do that through business or policy or these other facets that are important to healthcare. And so I got to undergrad, started studying policy economics. I started doing internships at different healthcare consulting firms. And I ended up first working at a life science business strategy consulting firm out of college. And it was great, but it ended up not being what I was most excited about because it was really focused on the biopharmaceutical and medical device industry. And what I realized when I got there was I just had this growing passion for digital health and technology, as I saw that it was kind of the future of how people were going to be able to take more preventative charge and improve their health over the long term. And so I was working on this digital health white paper with a partner at the consulting firm I was at, and I was doing research and stumbled upon Everlywell. And then, they had a job opening for this business strategy role. So that's why I ended up taking the leap into the startup world, into the digital health world, and just loved it and kept wanting to continue to grow my experience in that space. WILL: That's amazing. Your parents encouraged you to step outside of just the doctor-physician role and to think higher. So, as a founder, you know, it was amazing that your parents, as physicians, encouraged you to think higher and think into different roles. And as a founder, what were some of the decisions you had to make? What were some of the easier ones? What were some that were surprisingly difficult? IRFAN: I think the biggest misnomer of the founding experience is that founding a company is extremely linear. Sometimes you go one direction forward, and then you take a direction diagonally back, and then you go horizontally straight, and that was my story. When I do my pitch about Frontrow, I try to make it feel a little bit more linear, so it makes sense to people. But the truth is the quote, unquote, "hardest decisions" were about every time there was a direction changing point, and it required a decision about is this the right idea? Do I want to spend more time on another idea? Have I validated this enough? Should I validate it differently? Should I pursue this one further? What does that pursuit look like? Who should I pursue it with? Is it time to raise money? Do I drop out of school? Like, those direction-changing points that then create this much more complex map of the founder experience versus a linear line up into the right is, I think, the more challenging parts of being a founder. VICTORIA: That makes a lot of sense that you have to really go through this iterative process to figure out where are you spending your time, is it in the right place? A lot of hard decisions to make. And while you were founding Frontrow Health, you were also a part-time investor at Rock Health and reviewing other healthcare startup proposals. So did you see any trends or patterns that influenced how you progressed as a founder? IRFAN: Totally, yeah. That was actually instrumental to Frontrow Health. So the story is when I took the summer off before business school, I started thinking about different problems in the world, healthcare, and non-healthcare. Or actually, to be clear, I started thinking about lots of different solutions and ideas and then quickly began to realize that that was not the right approach to founding. I think the first step is to think about problems, problems you've seen, problems you've experienced, that you know others are experiencing, and then work to a solution from there by starting with what the user is experiencing. And so as I was going through that hacky journey over the summer, just randomly, a number of small healthcare companies started reaching out to me asking me for my opinion and advice about how or whether they should go direct-to-consumer, whether they should sell healthcare products direct to the consumer, which is what I did a lot of work on at Everlywell as one of the pioneering consumer health brands in the space. And I started to notice this trend of me telling these companies, "No, don't do it. It's really expensive. It's really ineffective and unprofitable to acquire customers through traditional paid media avenues like Instagram, TikTok, Snapchat, Facebook, et cetera." And, unsurprisingly, you could imagine Everlywell was trying to sell a home diabetes test for people who are type 2 diabetics but were only able to target people based on their interest in yoga and running, which is not really a substitute for a severe chronic condition. And as a result, thousands of people would see our ads every day that had no clinical relevance to our solution. And that was one of the deep problems of why consumer health companies weren't able to reach out to the audiences that actually really needed their solutions. And so when I got to Rock Health at the first semester in business school, doing this sort of part-time investor gig, on the first day, the partners basically told me, "Oh, we don't invest in consumer health." And I was like, "Oh, whoa, okay, that's my jam. That's a bummer. That's like [laughs] the only thing that I know about." And as I started to see the data and the pipeline of companies that were looking for investments and understanding what their unit economics looked like, what their go-to-market approaches looked like, that's when I started to put the dots together that this was not just an Everlywell problem; this was an industry problem. Mark Zuckerberg didn't build Facebook so that direct-to-consumer healthcare companies can cost-effectively target clinically relevant patients online. That just happens to be what it's being used for today. And so that's when I started to realize that there had to be a quote-unquote, "better way." WILL: You bring up social media at Frontrow Health. Have you had to combat the medical advice of social media? IRFAN: Yeah. You mean like this concept of quote, unquote, "Instagram medicine?" WILL: Yes. Yes. IRFAN: It's a great question. So as the story continues, I began to think about what is the right solution to this problem? And instead of Everlywell, I started thinking about the right solution to this problem. What I realized was instead of Everlywell wasting away millions of dollars to big tech companies that wasn't going to improving the health of anybody, what if we gave that money back to the consumer in reward for sharing their health information which would allow us to target them with the right clinically relevant products? That was the first version of Frontrow Health. I called it Health Mart back then. And so I basically started to get people to fill out a Google Form with their health data. And then I worked with my parents to send weekly product recommendations over email based on their unique health needs; you know, I want to sleep better; I'm a diabetic, whatever it is. And then, I wanted to see if I was just going to Venmo them cashback upon purchase if they were going to be any more likely to buy these products for these health brands. And at first, people were incrementally more likely to buy. It wasn't mind-blowing. And so, as I started to talk to the participants of the study, I started saying, "You know, you said that you have high cholesterol. These supplements have active ingredients that have been shown to reduce LDL levels. It's pretty cheap. I'm giving you 25-30% cashback. Why haven't you bought it?" And what they started saying was, "Well, I don't know what these active ingredients are. And before I put that in my body, I want to check with my doctor first." And so that was the final aha moment that led us to Frontrow Health, which is, what if we could bring the doctor into the fold? And instead of consumers just experiencing this Instagram medicine where they're just being blasted with Instagram ads every day about different health products, and they don't know what to trust, that second barrier that I talked about earlier, what if the doctor could instead of just being a guide for what prescription medications you should be taking could also be a guide on what health and wellness products you can be using? And so I added my dad to the email thread, and I said, "Okay, you can talk to an independent medical provider and ask them questions about the products that you're being recommended." And that's when people started buying because then they were able to find the trust in the products that were being curated based on their unique information. WILL: Wow, that's really neat. So to help the audience understand your iteration today, so the first iteration was just giving products and then Venmoing them back cashback. And then the second was bringing in a provider. So what does the product look like today? IRFAN: We went through, like you mentioned, a lot of different iterations of this. There were even prior iterations to this that a…

    Full show notes at the publisher

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