Medows Notebook
What we’re learning at the bedside.
Essays, case studies, and field notes from the team building Medows — and the doctors we build with.
Diagnostic AI Finally Gets a Rulebook
Twelve US health systems and Aidoc formed a consortium to govern diagnostic AI, betting that shared standards beat point solutions.
- 14 August 2026 · Medows3 min
Clinical AI's Real Danger: What It Skips
The largest clinical AI safety study yet found most severe errors are omissions, not wrong answers, and purpose-built tools beat general chatbots.
- 12 August 2026 · Medows3 min
Hospital AI Pilots Work. Scaling Doesn't.
A new survey finds EHR integration, not clinician trust, is the real reason clinical AI pilots stall before they scale.
- 10 August 2026 · Medows3 min
Before AI Hits the Ward, Doctors Test It
UnityPoint has 60 physicians pressure-test AI tools before rollout, not after. What that says about verifiable clinical AI.
- 7 August 2026 · Medows2 min
Clinical AI Explanations Can Mislead Beginners
A Nature Medicine study finds AI diagnostic explanations boost novice confidence even when wrong, while trained clinicians barely benefit.
- 5 August 2026 · Medows2 min
AI Scribe or Medical Device? The UK Decides
The MHRA just clarified when an AI scribe counts as a medical device in the NHS, and what it means for the doctors relying on one.
- 4 August 2026 · Medows3 min
Which AI Can a Doctor Actually Trust?
A new leaderboard scores 18 AI models on medical safety. The general chatbots doctors reach for aren't the safest ones in the room.
- 4 August 2026 · Medows3 min
AI Finds Bias in Half of Pregnancy Notes
A new AI analysis of 640,000+ obstetric notes found stigmatizing language in 47% of pregnancies, worse for Black and less-educated patients.
- 23 July 2026 · Medows · Alapan Mondal · Founder, Medows3 min
AI fixed the clinical note. Not the ward round.
Ambient AI scribes cut documentation time and burnout, and that is real. But the note was never the hard part of a shift. The ward round is the frontier.
- 15 July 2026 · Medows · Dr. Soumyadeep Adhikari · PGT General Medicine, RG Kar Medical College2 min
India moved to ban paraquat. The casualty doctor's problem does not end today.
India issued a draft order to ban paraquat on 13 July. It is not final yet, and the patient who walks into casualty tonight still has no antidote.
- 14 July 2026 · Medows · Alapan Mondal · Founder, Medows4 min
Medows is launching on Product Hunt
Medows is launching on Product Hunt on July 16: the first AI clinical workspace built for the individual doctor. Walk a real shift in our no-sign-up demo.
- 12 July 2026 · Medows · Alapan Mondal · Founder, Medows4 min
Why Medows Is the First AI Clinical Workspace
Most clinical AI solves one task. Medows is an AI clinical workspace built for the doctor on rounds — holds your list, answers grounded in the patient on screen, handover over WhatsApp.
- 27 June 2026 · Medows · Alapan Mondal · Founder, Medows3 min
Why handover defaults to WhatsApp, not email
We send handover over WhatsApp because the doctor on the receiving end already has it open. The whole story what it costs us, what we considered, and what would change our mind.
- 24 June 2026 · Medows · Alapan Mondal · Founder, Medows6 min
Why Doctors Need a Workspace of Their Own
Five studies on how junior doctors actually spend their time, what handover failure costs in serious adverse events, and why the ward is the only part of modern healthcare still running on paper and memory.
- 24 June 2026 · Dr. Soumyadeep Adhikari · PGT General Medicine, RG Kar Medical College6 min
Five Cases on the Ward: What an AI Workspace Looks Like in Real Use
Hyperkalemia at 2 a.m., quiet sepsis on a Sunday morning, a drug interaction caught at order time, and a handover that didn't drop the pending lab - four composite cases from Indian wards showing how Medows actually works.
- 24 June 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Slow Goodbye: Why Paraquat Poisoning Kills Long After the Bottle Is Empty
A weed-killer with no antidote, a patient who walks in talking, and a death that arrives weeks later as the lungs quietly turn to scar.
- 24 June 2026 · Medows · Alapan Mondal · Founder, Medows3 min
Why we built Medows as a workspace, not an EHR
Most clinical AI products land in the EHR. We didn't. Here's why the doctor on rounds needs a workspace of their own, and what we learned building one alongside residents at AIIMS Bhubaneswar and RG Kar.
- 20 June 2026 · Medows · Alapan Mondal · Founder, Medows4 min
What "Ask Medows" Actually Means
Three things "Ask Medows" is — context retrieval, source-grounded generation, in-patient interface. Three things it explicitly is not.
- 12 June 2026 · Medows · Alapan Mondal · Founder, Medows4 min
The Eighteen-Minute Handover
Forty seconds per patient is enough for the urgent thing. Everything else gets dropped. What it means to design a handover that respects that math.
- 3 June 2026 · Medows · Alapan Mondal · Founder, Medows5 min
Why Doctors Don't Trust AI (Yet)
Three reasons doctors don't trust clinical AI yet, in order of how often I hear them. None of them are about the AI being smart enough.
- 20 May 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Casualty at 11 p.m.
Forty significant clinical decisions in an hour. Six hours of sleep. The pitch every AI clinical tool gets wrong.
- 6 May 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The CCF Case Nobody Escalated
A 62-year-old man in decompensated CCF by 10 p.m. The 6 p.m. obs were the inflection point. Nobody saw them as a slope.
- 22 April 2026 · Medows · Alapan Mondal · Founder, Medows5 min
What Changed When We Standardised Handover
I-PASS cut preventable adverse events by 30%. The follow-up showed adherence to the bundle decayed by year-end. What that tells us about tool design.
- 8 April 2026 · Medows · Alapan Mondal · Founder, Medows5 min
The Burnout Number Indian Residency Does Not Talk About
40-60% burnout in published Indian resident cohorts. The hours are the visible part. The cognitive-load-per-hour is the part we don't talk about.
- 28 March 2026 · Medows · Alapan Mondal · Founder, Medows5 min
Context-Aware AI vs. ChatGPT for Clinical Reasoning
A junior doctor typing into ChatGPT on his phone gets a plausible answer. Why that answer is slightly useless for the patient three feet away.
- 14 March 2026 · Medows · Alapan Mondal · Founder, Medows5 min
The Morning Round in 90 Minutes
90 minutes on paper. 1.8 minutes per patient in practice. What that actually means for the round you think you're doing.
- 3 March 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
Hyperthyroid Storm — The Case I Almost Missed
A 28-year-old with fever, tachycardia, and hypotension. Sepsis was the obvious differential. The TSH was the answer.
- 18 February 2026 · Medows · Alapan Mondal · Founder, Medows5 min
What AIIMS Taught Me About Residency Software
Three things I didn't expect from a week shadowing a PGT at AIIMS Bhubaneswar. The paper list, WhatsApp, and the most stressful eight minutes of the day.
- 5 February 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal4 min
The DKA That Survived Because of One Note
A 45-year-old man, DKA, an 11 p.m. ABG, and a handover line that meant the receiving doctor caught a worsening at 3 a.m. instead of 8.
- 23 January 2026 · Medows · Alapan Mondal · Founder, Medows4 min
The Stroke Time Window Under Heavy Load
A 93-minute window. 140 minutes to needle. About 1.9 million neurons lost per minute. Where the time actually went.
- 10 January 2026 · Medows · Alapan Mondal · Founder, Medows4 min
What 5.9 Hours of EHR Actually Looks Like
The Arndt 2017 EHR-event-log study, broken down by activity. Half an hour a day goes to navigation alone.
- 21 December 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Polypharmacy Trap in the Geriatric Ward
An elderly man on warfarin, a new antibiotic, and the kind of interaction every pharmacy software catches — but only after the order is dispensed.
- 8 December 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal4 min
Pediatric Dosing in the Busy OPD
A 14 kg child, the wrong dose, and the dose-checking literature that says it's the system, not the resident.
- 25 November 2025 · Medows · Alapan Mondal · Founder, Medows5 min
Why We Still Hand Over on Paper
The largest published reduction in preventable adverse events in residency literature came from a structured handover. Most of us still do it on a folded sheet.
- 12 November 2025 · Medows · Alapan Mondal · Founder, Medows5 min
The Twenty-Eight Patient List Problem
Miller's 1956 paper put working memory at 7 ± 2 items. The average Indian PGT carries 28 on their ward list. What that gap actually costs.
- 28 October 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
Sepsis That Walks In Talking
She walked into casualty post-op, day 2, with vitals that looked fine on every check. The slope was the diagnosis.
- 15 October 2025 · Medows · Alapan Mondal · Founder, Medows5 min
The Interrupted Shift
A K+ of 5.9 that should have been caught at the bedside, the 9-minute interruption interval published in 2010, and why every ward tool we have assumes the doctor's working memory is intact.