YouSaid · the spoken record

Alex Lebrun

lines on the record: 78
first: 2023-06-19
most recent: 2023-06-19
sittings or episodes: 1
sources: podcast

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“So, my dream is to build a healthcare system from scratch without any of all these limitations and constraints we mentioned. So controlling full stack patient experience, provider, hospital, data-driven prevention. So my dream is to be able to build that and to do that, I still need to learn a lot in healthcare and I need a few billion dollars.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Hopefully, 10 years' time, you know, every physician has their AI assistant doing a lot of stuff for them and helping them to be 10 times more efficient, seeing more patients, spending more time with every patient, making better decisions. I also think that at the higher level, decisions that require a big picture of the data, you know, large view will be taken by AI, not by people. So for instance, in emergency services regulation center, when you have thousands of people needing help and you have some resources, what is the state of your resources? What is the demand? How you make these decisions at the city scale? Today is done by humans, but it's a miracle that he doesn't collapse. And sometimes it collapsed in the big event.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Again, it changed a lot. So 10 years ago, VCs in Europe were all from the financial industry. There is nothing about financial finance being a VC, a little bit, of course, but it's mostly about entrepreneurship. So 10 years ago, all the VCs I was working with in the US were former entrepreneurs and all the VCs I knew in Europe were former bankers in most situations. You don't need your VC to be a banker, but you need them to be an ex entrepreneur.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So I worked with Andreas and Arvitz with my previous startup. It was incredible because they never call, they never ask for anything. We didn't even have board meetings. And every time I need something in a 20 minute, I get huge help. Maybe it's to find a real estate problem because I don't have an office. Maybe it's organizing a huge event and I don't want to hire a marketing team. I want to use them for one week. Or I have a strategic decision to make and they give me access to the best people in less than a day. And so the fact that you are in control and you ask for help and the deliver it, we could go with that ai to a very nice company with only 13 employees because we are relying on Android for all these things. It was incredible. But for my first setups, I did some strategic mistakes, go to market mistakes, and then I wish my VCs back then would have been more involved with me and coach me. And it really depends on the founder stage, a neutral VC who is not here is much better than a bad VC. We can have a net very...”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Probably Jan Leka, especially when we doubt about something or either confident that we are on the right path and it means a lot.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“It's a very good one, and we had exactly the same frustration at the beginning of Labla when I thought if patients love your healthcare product enough and you prove the health benefits of your product, then payers will pay for it. And it's now that I'm saying it so wrong, it was obvious, but probably a big belief we had that was painful and expensive to learn.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“They think it's conscious. They are influenced by the form, like, oh, perfect answer. Duffet form needs a chatbot. It answered my question and influenced by the form. They make conclusion on the deep inside of the system and say, oh, it's conscious. And for me, the biggest proof of that is that in 1966, when the mother of all chatbots was released at the MIT, Eliza, the very first bot, for a few months, people around the world thought that AI was solved, that there was a human sentient AI in Eliza, which is a very, very simple pattern matching system with regular expressions. But because of this, the way it was presented, people fell in the trap and I think we keep falling in this trap again and again and again for 60 years.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Can help people to grow. It's true for yourself, so you can correct some weaknesses, you can be stronger at what you are strong at already. But I think you have to accept that some of the fundamental characteristics of yourself and the people around you won't change. And if you expect them to change, it leads to big failure and mistakes.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“I don't think AI will kill investigative journalism, the findings, the right sources, the right information. So this part of media I don't think will be replaced by now the generation part at the output probably will be disrupted a lot.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah, more or less, but all of them, and many models have huge bias. The guy, very strong researcher who found this thing at Facebook very, very early before everybody talked about bias, is Mustafa. He's from Senegal. I don't think it's just luck that somebody with a different angle than we have, different culture found out a huge hole in the models that we hadn't found before.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Make it more diverse. I'm really tired of talking to people just like me. It's a cliche to say that, but it would be a lot of value if we get more diverse. I have a quick anecdote. When I was at Facebook, somebody discovered that the model that was supposed to tag images, that was 100% successful to finding tennis balls in pictures. Actually, if you remove the tennis ball from the picture, it was still finding the tennis ball. So he didn't learn to find the tennis ball. It learned the context of a tennis ball, like a racket. In the second phase, it changed the color of the people on the picture. And if you had more black pixels in the hair, suddenly the bottle thinks, oh, it's a pink pong ball. It was a very early days when we discovered that some models have bias. And this is bias in this case is it didn't learn to look at the ball. It learned to look at the race of the people around. And it's actually making decision tennis versus ping pong based on the race of the people around.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Years, existing services companies like consulting companies are embracing AI. They will eventually remove the big data from their website and put AI, and then they will put LLM to replace the world. And they will take this business, I think. There was a company called Element AI a few years ago in Canada, very ambitious. A company who tried to do services like that, and they eventually failed. They were acquired by ServiceNow for solar months erased.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Will have issues, their issues. So we talked about the advantages of China, but they are very close. They are getting more and more close. They have maybe the wrong incentives at the research level. It's hard to predict what will come out of China. We talked about Europe where regulation is probably the biggest problem that will keep Europe behind. And we are already behind. That's my concern. The US is always in a very good position. Immigration laws may be something that will be a problem eventually in the US because talent is so distributed. We can learn deep learning very easily from everywhere in the world on a tablet today. It will be more and more like this. And if it's so hard to go to the US to work for US company, eventually it will have an impact, I think.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Have a key advantage that there is no GDPR or very few regulation internally. And so the data quality they have and the amount, both the quality and quantity of data is incredible in China. And so, for instance, for healthcare data, they probably have everything about every individual in China. And if you are supported by government, I'm sure you have access for research to all this. They are lucky for that.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“First, I wait a little bit because it's too early. We are still in the demo phase of AI, you know, LLMs, it's not really used a lot, it's just beginning to be used. And as I said, regulation timing is key. You shouldn't be too late. But if you're too early and nobody knows what actually are the risks, not the risk you think because you read some science fiction books, but the real risk nobody knows yet. And so I think first I would wait maybe a year or two to learn from the field what should be regulated and why. And then I would involve people who build these models, of course, but also people who are using it, you know, the users, the general public.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Finally, Brexit maybe was good. You know, I'm half joking if the regulation, if it's really like this and nobody can challenge it, startups like us may have to move. Or maybe we can keep the team in France, but we have to physically train the models elsewhere. I don't know. It's a big, huge tensure.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Some aspects say, for instance, that you should be accountable. I'm simplifying, but you should be accountable of all the data you use to train your model. For instance, you should make sure that you have a proper license, like explicit consent from everywhere it comes from. And I see why it's a beautiful idea who would disagree with that. But in practice, it means 100% of the LMs that were trained these last three years would be illegal in Europe. It's not connected to the reality. The intent is good, but the limited put on how to train a model and how to operate a model makes it in practice compared to what we do today, makes everything illegal.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“The new regulation is a disaster. If you look at it, the people who wrote this went too fast. Good regulation is about good timing and involving the right people who are actually doing stuff in this domain. I think Europe being late felt like, okay, let's be at least first in regulation.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So, Europe is probably 18 years of age compared to US and China, and with a new regulation, we are probably going to take 50 years more.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Exactly, it's enough. And so, if you are normal, it's hard to refuse a $1 billion offer if you haven't done 10 million before. But this is what Zuck did, what Google founders, Sergei and Larry did. So maybe we're not focused enough or disciplined enough and we don't have examples around us to grow this company. Hopefully it's changing. We have very good scale-ups in France now, but it takes some time to.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Yes, fresh title. So in France, you have really good AI engineers, machine learning engineers, because the education system is free, is very focused on mathematics. So we produce lots of good engineers, but we suck at growing companies. Really, we are not bad at that. I don't know why. Maybe we lack discipline.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“I think it used to be true, but it's not true anymore. When I built my second company with.ai, I happened to stumble upon Adam Scheer, the creator of theory, a parking lot in the valet after an event. And he helped me a lot to think about wit.ai, gave me the confidence to follow what I had in mind. And owing to this confidence, I was able to refuse offers from Google and others who wanted to buy us too early. And so it had a huge impact on my company. If I were in Paris, no Adam share, nobody has done this before. maybe I would have sold it to the first 10 million. Okay, let's sell it. It's good. And so it used to be true, I think, that you needed to be in the valet with having these kind of people around you. Now, I think it's less true because everything is distributed. The talent is very, very distributed. It will get more distributed. And I think you should get close to your customers.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“We started with the US because the problem we are solving now of clinical documentation is huge in the US, bigger than in Europe. And so the willingness to pay for the existing providers and again, you need an entry point in the system is very high. We found this go-to-market. We also made it possible for physicians to use our products without any approval from anyone bottom-up. They can go to Naba.com. You know, it's a web application. It's a Chrome extension. They use it tomorrow and then they love it. and then we'll talk to their boss and say we like to use this in the full clinic.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So, in emergency services, the only potential player is the government. And so not a good go-to-market, you know. First, go to market. And that's why I didn't start with that. Now, you know, we've deployed our product in the US, thousands of doctors are using it every day. We are well-funded. Now, if the emergency services in France really want my product and the sponsor is Atri Pelouis, like the god of emergency in France and the Minister of Health looks at me in the eye, they say, we really want it. It may be the right timing, but it would be a very, very bad idea to start with that as a startups. And maybe if you're lucky you do a pilot and then you wait, you wait and you use what I call desk by pilot.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So very hard lessons. If you are thinking about creating a healthcare startup, the very, very first question I want to hear is who is paying for this product? Who is paying? What is the business model? Then you can, in a startup, you know, in YC, in all startup schools in the world, they tell you, don't start with a solution, start with a problem. But in healthcare, even starting with a problem is not enough. Start with who is paying and then how you do frame the problem for this person to pay and then what is the solution for this problem eventually.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“This is the biggest difficulty when you are trying to disrupt healthcare, actually, especially for a startup. You have the payer, insurance, or public payer. You have the providers.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Since it takes 10 to 15 years to train doctors, decisions you made 20 years ago have a big impact today. So first there are less and less doctors. Many of them are aging and we go be retired soon. And so the number is going to drop. And in terms of demand, everywhere in the world, you have a huge rise of chronic disease like diabetes. That takes a lot of medical resources. Chronic disease, we always see as engineers, young, healthy people, we see easy things with medicine where, oh, I'm hurt, I go, there is a quick diagnostic decision. Maybe I spend two days in the hospital and then it's over. But what takes the resources in the healthcare systems is not that. Is our aging people and chronic disease and often combined?”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“In France, we have a huge shortage of doctors, and there are zones in France where you have to drive 200 kilometers and wait for three weeks just to see a GP. So this is obviously a big problem. Globally, the problem is the same everywhere. It's access to healthcare. In France, you can get Good Daughter quickly if you know somebody in the system. In the US, you can get it if you have a lot of money. It looks different, but eventually it's a problem of not enough doctors.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So we've seen a change in that in the recent years, and up to three years ago, almost every doctor will tell me, okay, you don't understand our problems, go away. I'm already fighting against my EHR every day. I don't need more stuff. And it really changed recently. The core reason has nothing to do with AI is that the health systems are collapsing everywhere. I know the situation with NHS here, it's worse in France, in the US, all the major hospital groups are losing money.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“I saw the few nights, you know, maybe one in five results in services being sent. And in these cases, three in four are firefighters who have medical doctors and so on, but they don't handle the most critical medical agencies are handled by what you call SAMU in France. And it's in four.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Missing some information. It takes a lot of time to get, and so on. So having an AI assistant work alongside them, listening to the call and documenting, I tried it. It works already perfectly with what we have. Would be a perfect team. So this is an example.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“And then you have like regulation doctors who make the decision should we send a real emergency services, should we send the firefighters, or should we just have a doctor talk to this person over the line? And so it's a two-step decision. And a lot is done around documenting the situation. And these things would be so easy to do with what we do at Nabla and what we know how to do with AI today. The goal would be to keep the person who is answering the phone because they are know-how in terms of empathy, calming people down, understanding the context, very complicated situation again. Typically, you have several people that are screaming, nobody knows how many victims, what's happening, very, very complicated situations. And these people, I spent hours and hours listening with headphones next to them, they are experts cutting through this darkness and understanding what's happening. So we want to keep these people, but they are typing with two fingers on the keyboard.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So it's interesting. I met a doctor in a cafe in Paris. I made a demo of Nabla on my phone and he told me, Alex, you're going to come to the emergency services call center next week all night with me. It turns out this guy is like the chief emergency physician in France, Patrick Pellou, invited me to spend nights over there. What I learned spending nights over there is it's a little bit like a call center. You have a first team is taking calls overall in France it's about 40 million calls a year and the first responder, they don't make medical decisions. They are not doctors. They're not even nurses. Their goal is to just to understand what is the address and what is the situation, what is the emergency. It's very hard to get that because people are panicked and you have lots of people calling for very small things really close things and you have real emergencies hidden. So their job is to sort through this very, very complicated situations when people are calling and actually write a note, structured note with this information.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“How many barriers? I think the mistake that many AI startups are doing in healthcare and what we did initially is we focused directly on the patients. It's too much, too fast. We cannot jump healthcare system is so complicated. You cannot regulation for many, many reasons. You cannot do that. Technically, we're not ready to do it. We don't have the data. We should first focus on clinicians, the way things are done today, change their life with AI. And then together we'll go to the next step. So I think to answer your question, that one of the main problem is that we are trying to go too fast to a patient facing perfect system. I'm spending a lot of time in hospitals, spending nights in the emergency services, call center in Paris listening to everyone.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Not a problem the World Health Organization says that we are missing 18 million clinicians by 2030. So the state is not, it will put people out of the jobs. The reality is we are desperately looking for clinicians in every country in the world. So if you can make their lives easier, it's a big win for everyone.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Epics spent billions and millions to try to block, but it finally was after, I think, 20 years of battle was passed. And so, yeah, there should be interoperable airborne. Like the new model on EHRs are like CRM systems today. They have an API easy to integrate.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So this assistant is connected to the EHR, so it will get the data from the existing source of truth, which is this patient's record.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“We don't record the meeting, but we capture the audio. We don't store it, we just capture it and then drop it. And so, yeah, it gets a lot of context from the audio environment, what we call ambient system”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“First, the solution I think how AI will impact doctors, it will bring an AI assistant to every doctor, to every clinician. This AI assistant will be aware of what's happening, what the patient is saying, what data we know about this patient, what documentation, what work needs to be done.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“And I posted this on LinkedIn, and many doctors answered and said, no, actually, it's more than 300 clicks. And so this is a stage today.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“The biggest work they have to do is clinical documentation. So they have to document everything they hear, their decisions. And in big systems that we call EEHR, electronic health records, which are dinosaur systems. And the reason they need to do this documentation more and more, first is the financial reason to get reimbursed by the insurance companies, especially in the US. You need to have a very solid file with all that. Otherwise, the insurance will take the first opportunity, the first pretext not to pay your claim. The second reason is for legal protection because medical malpractice trials, you know, it's so expensive. Your best protection is to document this in the right way. And so this is why mainly admin work started to grow bigger and bigger. And these EHRs are very, very old and clunky systems. I check the other day. There was one specific clinical action that took 227 clicks, mouse clicks to be performed in the city.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Yeah, three out of four doctors have suffered from burnout symptoms in the last year. And the main reason of this is they all mentioned the pressure of all this admin work, basically.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“No, the computer system is down today. We are just using papers and pens. And they were so happy, all of them. And so you have to realize that the state today is a very bad state where computers were bad, bad, bad, bad news for them because they are drowning under this administrative work, documentation for many reasons. Doctors spend on average 49% of their time doing this kind of administrative task as opposed to caring for patients. Is bad for everyone. It's bad for them. Three out of four doctors suffer from symptoms of burnout. It's bad for patients.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“The first thing I learned when I started to operate a healthcare company is that for the first 50 years of computerization, computers have been a bad news for doctors. Before computers, they see patients, they care, there is a little bit of admin work, but it's done by somebody else, and not so much paperwork. And they're very, very, very happy. And suddenly people like us come to them and say, okay, now there is an electronic patient record. You need to document, you need to fill this form, you need to do this and that. And we have trouble to get the money from the insurance company. So we need to document more to make sure the claims go through and so on and so on. So, you know, the other day I visited a small clinic in Paris and all the doctors looked very happy and I said, what happened? You know, it's not long.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“AI will not replace doctors, but doctors who use AI would replace doctors who don't. Definitely. AI can have a huge impact on doctors the way they work and those who will embrace this change will strive.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“Finally, it's here when I see people using ChatGPT and learning to do their job differently with the help of ChatGPT. I really feel we are on the verge of finally having a huge impact with Chatbot. For the first 10 years, I tried to convince people that chatbots were ready and to buy my chatbot. And they say, no, it's not. And then for the 10 following years, people told me, oh, chatbots are incredible. We can replace human with chatbots. And I said, no, no, no, no, don't do that. It's not really. And finally, now I feel we are at a point where many things will be impacted by Chel, but which doesn't mean replacing people with them. It's a great tool, but it doesn't mean it should, because of the chat form, it's tempting to think, okay, let's just replace this guy, this worker with a bot. In many cases, I don't think it's really for that, but it still have a huge impact of how work is done.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“At the same time, he said that I know he was trying to build a team to compete with OpenAI. He hired somebody from DeepMind, like the same day where he announced we should pause for six months. And it looks to me that the people who are proponents of this pose or to more regulation are the ones who feel they are in advance. And so it's like a way to say, guys, let us, we are in front. I don't want more people to start the race.”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“I fully agree with Yannin. I think if you really understand how machine learning works and you're not looking for free publicity, I don't see why you would say something like that, that getting more intelligent will make them want to kill humanity. I don't even understand the path leading to this thinking”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“So NLM is a huge probabilistic machine. It's like an autocomplete. I think this is the best image. And it will complete the beginning of your sentence at any cost. It will always complete it. And you may have like 10 sentences, let's say, in the input data set that are true, but maybe the LLM will start with the beginning of the first sentence and switch to the end of another sentence just because it looks good. But logically, factually, this output will be totally wrong. And I simplified a lot, but this is exactly how it works. And the form is perfectly looks like, sounds like a very good answer, but the reasoning, the facts may be totally off invented or wrong. And even if the input data set is wrong. So when people say chat GPT gave me a wrong output because it was strained on Reddit and Reddit is a lot of noise, yes, but only partially. Even if you remove Reddit from the training dataset, does that mean you won't have like random answers?”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source
“I'm not sure about national data sets. If you want to sell something to a nation, it's good to say that, but. More per industry, per vertical. As I said, of course, will improve the quality of the model. So if you train an LLM only on medical data, you get a better LLM for medical applications. But even if you feed the LLM with curated data”
2023-06-19 · The Twenty Minute VC · 20VC: Why No Models Today Will Be Used in a Year, Why Open Will Always Beat Closed in AI, Why Proprietary Data is Less Important Than Ever And Why EU AI Regulation is a Disaster with Alex Lebrun, Founder & CEO @ Nabla · IDENTIFIED FROM THE TRANSCRIPT · source