Health Podcast Library

Episode Description



In this episode of The Agentic Patient, a Faces of Digital Health series on how patients are using AI to find answers the healthcare system didn't give them, Tjasa Zajc talks to Elena Ikonomovska, CEO and Co-Founder of Diadia Health. She stopped trusting chatbots with her own health data — after building an AI company on the problem they create.

Elena talks about her two-and-a-half-year journey that followed her mother's death and her own dismissed symptoms — and the causal-reasoning AI she built in response.


Guest: Elena Ikonomovska, CEO, Co-Founder & Chief AI Officer, Diadia Health


What the conversation covers:

- Why Ikonomovska calls generative AI's confident wrong answers "faithful hallucinations"

- Building a causal-reasoning engine instead of using large language models for clinical decisions

- Why lab "normal" ranges differ by genetics — and what that means for your bloodwork

- Her own dismissed thyroid and pre-diabetes symptoms, and what a two-and-a-half-year diagnosis journey actually looks like

- The risk of self-diagnosing from ChatGPT-style tools, and what to ask any AI health platform about your data

- Why she believes AI should strengthen, not replace, the doctor-patient relationship

- Early clinical results: agreement rates with physician judgment and reductions in diagnostic trial-and-error

- The equity risk in AI-driven healthcare — who gets access to validated tools, and who doesn't


Chapters:

00:00 Intro: why The Agentic Patient series exists

02:30 Meet Elena Ikonomovska and the case for causal AI

03:35 From two decades in machine learning to health AI

07:07 What the model needs: blood panels, genetics, and interactions

09:45 Elena's own diagnosis journey — two and a half years to answers

11:32 Why she wouldn't trust chatbots with her health today

12:40 "Faithful hallucinations": the hidden risk in generative AI

15:04 Inside a causal-reasoning engine built without generative AI

17:32 What happens when clinicians outsource reasoning to chatbots

21:06 Redefining "normal": genetics and personalized lab ranges

27:08 Women's health data gaps and the DTC testing boom

28:13 Strengthening, not replacing, the doctor-patient relationship

31:42 Chatbot safety advice: what patients should never share

38:07 Clinical validation, agreement rates, and what's next



Faces of Digital Health:

Website: https://www.facesofdigitalhealth.com

LinkedIn: https://www.linkedin.com/company/faces-of-digital-health

Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY

Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040

Newsletter: https://fodh.substack.com

The Agentic Patient series hub: https://www.facesofdigitalhealth.com/agentic-patient-blog


#DigitalHealth #AIinHealthcare #PatientAdvocacy #WomensHealth #HealthTech #ClinicalAI #TheAgenticPatient

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