The Clerical Work Should Leave the Visit | The 229 Podcast with Michal Nedoszytko

October 8, 2026: Michal Nedoszytko, Member of Clinical Staff at Abridge, sits down with Bill Russell. He is a cardiologist. He practiced in Belgium and Poland for 17 years. As an intern he was making 50 lab sheets a day. He says a PDF generator took that from 25 minutes to about 2 minutes, and the cardiology department started using it. In 2013 the Ministry of Health in Poland required reimbursement amounts on paper prescriptions, from a spreadsheet of about 15,000 medications. He built a site for that. He says about 100,000 doctors a month still use it, almost 15 years later. He says 13,000 people applied to an Anthropic hackathon and he finished third with a post-visit tool he built between patients. He says Abridge shipped real-time voice chart pull about a month before this recording, and he credits Eric Topol with the term Keyboard Liberation. He says the clerical work should leave the visit, and the decision stays with the patient and the doctor.

Key Points:

• 0:00 Doctors who build

• 2:31 50 sheets a day

• 5:57 Between the STEMIs

• 7:33 15,000 medications

• 9:54 Still used, almost 15 years later

• 13:31 One hackathon, 13,000 applications

• 29:36 Keyboard Liberation

• 32:49 The patient and the note

• 35:35 The clerical work leaves the visit

• 37:29 The decision stays human

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