Interview: Dr Eric Topol (Part 1)

We’re joined by Dr Eric Topol—cardiologist, scientist, author, and global digital health leader. In part one, Eric shares his journey from clinician to digital health pioneer, his vision for “SuperAgers,” and why genomics and personalised medicine could redefine how long—and how well—we live

Chatbots for Patients

We discuss the Wall Street Journal’s bold claim that chatbots could become part of the medical team. From spotting errors to translating lab results and reminding patients about medications, can they really serve as low-risk, always-on companion? Questions remain around accuracy, empathy, and whether they truly add value or just more noise.

The Human Side of Interoperability

Inspired by Amy Gleason’s LA Times op-ed, we look at the personal impact of fragmented health systems. Her daughter’s care journey shows how disconnected records hinder outcomes—and how AI uncovered a hidden opportunity. Should we lean into more personal stories to communicate to a wider audience?

Meta & Who Owns Your Health Data?

A San Francisco jury found Meta guilty of illegally harvesting data from millions of Flo app users—menstrual cycles, ovulation, even pregnancy intentions. The ruling highlights urgent questions: Who really owns health data, and what rights do patients have when tech giants treat it like ad fuel?

Patient Consent in the Age of AI

Consent forms are broken—static, outdated, and unfit for the AI era. We unpack Y. Tony Yang’s American Journal of Bioethics piece arguing for “dynamic consent,” accountability frameworks, and real patient understanding. Without rethinking consent, healthcare risks losing trust as AI tools grow more influential

Black Box for Aged Care

What if aged care had a “black box,” like aviation? Sensors, AI, and monitoring systems could flag risks before crises hit. A Pulse+IT blog argues for shifting from reactive to proactive care, but business models and adoption lag behind. We debate whether the sector can finally move from inquiry to prevention

Resources:

• Louise’s LinkedIn poll on gen AI use for health research Link
• Dr Eric Topol’s book SuperAgers Link
• Y. Tony Yang’s American Journal of Bioethics Article on Patient Consent Link
• Aged Care’s Black Box in Pulse+IT Link
• Amy Gleason’s parental perspective on the need for health data interoperability Link

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Telecare Acquisition by Teladoc: US telehealth giant Teladoc Health acquires Australian virtual care clinic Telecare in a rare successful exit for the local digital health startup scene. The hosts discuss implications for Australia's startup ecosystem and the significance of this $2.57 billion company's investment in local innovation.

Boots At-Home Test Kits: UK pharmacy chain Boots launches 13 at-home testing kits that integrate with the NHS app, raising questions about clinical utility, health equity, and the transformation of retail healthcare. The discussion explores whether consumer demand justifies bypassing traditional healthcare pathways.

BUPA Genetic Testing Initiative: Health insurer BUPA rolls out a £300 genomic health toolkit offering medication response testing and disease risk assessment. The hosts debate whether this signals the arrival of personalised medicine or represents another way to monetise the "worried well."

FDA-Approved AI Wearable for Essential Tremor: The Felix Neuro AI wristband receives FDA approval as the first AI-powered device to treat essential tremor through real-time electrical pulse therapy. The technology demonstrates promising results with potential applications for other neurological conditions.

AI Scribes Market Consolidation and Regulation Epic's entry into the AI scribe market is the biggest signal yet of the commoditisation of AI Scribe technology, while regulatory challenges emerge around patient consent, medical device classification, and clinical responsibility. The hosts explore how market consolidation could concentrate control among big tech players.

ChatGPT-5 in Healthcare OpenAI launches ChatGPT-5 with explicit healthcare applications, featuring training from 250 physicians and patient testimonials. The discussion examines the potential for disrupting information asymmetry between patients and clinicians while addressing concerns about bias and hallucinations.

Resources:

TGA guidance on when scribes are medical devices Link

ACSQHC Pragmatic advice for clinicians on using AI Link

Department of Health, Disability and Ageing Safe and Responsible Artificial Intelligence in Health Care – Legislation and Regulation Review: Final Report Link

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GenAI as Therapist A New York Times op-ed explores how people are using ChatGPT for therapeutic conversations and emotional processing, raising questions about whether AI companions represent innovative digital self-care or a concerning workaround for unmet mental health needs.

USA's "Make HealthTech Great Again" Pledge The White House hosted a summit with 60+ tech companies to sign a HealthTech Ecosystem pledge promoting data interoperability and AI in healthcare, though questions remain about whether this represents genuine reform or just encourages data sharing with private platforms while healthcare infrastructure gets decimated.

Australia Gets Tough on De-Identification Australia's Privacy Commissioner issued new guidance clarifying that supposedly "de-identified" health data used for AI training may still qualify as personal information, potentially ending the era of inadequately anonymised data sharing and pushing the industry toward synthetic data or on-premise learning.

OpenAI's Kenya Study: Clinical Copilot in Action OpenAI's real-world study with Penda Health in Kenya showed their GPT-4o clinical copilot reduced diagnostic errors by 16% and treatment errors by 13% across 40,000 patient visits, demonstrating measurable improvements when AI is properly integrated into clinical workflows.

George and Louise chat with Dr Danny Sands - Pioneer of participatory medicine, discusses the origins of the e-patient movement and participatory medicine, from early email communication with patients and exploring how to maintain human connection while embracing technological advancement

Connect with Danny on LinkedIn

Resources:

NY Times I’m a Therapist. ChatGPT Is Eerily Effective Link

Australian Privacy Commissioner ruling Link

Sands (2025) From Internet to Artificial Intelligence (Al) Bots: Symbiotic Evolutions of Digital Technologies and e-Patients Link

Shout outs to: Liz Salmi, ePatientDave, Danny Sands, Ian Opperman, Gavin Andrews, Dr Amit Thacker Africa Health Business

Visit Pulse+IT.news to subscribe to breaking digital news, weekly newsletters and a rich treasure trove of archival material. People in the know, get their news from Pulse+IT – Your leading voice in digital health news.

Follow us on LinkedIn Louise | George | Pulse+IT

Follow us on BlueSky Louise | George | Pulse+IT

Send us your questions pulsepod@pulseit.news

Production by Octopod Productions | Ivan Juric