The Twenty Minute VC (20VC): Venture Capital | Startup Funding | The Pitch - 20VC:詹森·黄关于“创始人模式”的经验教训 | 如何判断OpenAI或Anthropic是否会摧毁你的公司 | USV因热爱音乐而获得10亿美元投资回报 | Shiv Rao @ Abridge:五年荒漠期达成产品市场契合,估值达53亿美元 封面

20VC:詹森·黄关于“创始人模式”的经验教训 | 如何判断OpenAI或Anthropic是否会摧毁你的公司 | USV因热爱音乐而获得10亿美元投资回报 | Shiv Rao @ Abridge:五年荒漠期达成产品市场契合,估值达53亿美元

20VC: Lessons from Jensen Huang on "Founder Mode" | How to Know if OpenAI or Anthropic Will Kill your Company | How USV Liking Music Made Them $1BN on an Investment | The Five Year Desert to Product Market Fit & a $5.3BN Valuation with Shiv Rao @ Abridge

本集简介

Shiv Rao 是 Abridge 的首席执行官兼联合创始人,Abridge 是医疗领域生成式人工智能的领军企业。公司在获得由 Jensen Huang、Henry Kravis、USV、Bessemer Venture Partners 和 Elad Gill 等投资者参与的 3 亿美元融资后,估值达到 53 亿美元。作为一名执业心脏病专家,Shiv 已将公司扩展至 450 名员工,并与埃默里大学和耶鲁大学等主要医疗系统建立了合作关系。 议程: 04:00 — 你只需要活到足够久,不被淘汰 06:00 — USV 喜欢音乐,这让他们赚了数十亿美元吗? 13:58 — AI 原生公司的三种形态 15:00 — 如何判断基础模型是会毁灭你还是帮助你? 22:15 — 为什么 OpenAI 和 Anthropic 做咨询是如此显而易见的举动 41:00 — 从 Jensen Huang 身上学到的最重要一课 41:00 — 创始人模式的真正含义 52:00 — Duolingo 创始人教会我的关于牺牲的事 56:37 — 如果我再创办一家公司,Elad Gill 会是我唯一选择的投资者

双语字幕

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Speaker 0

只有尝过好东西,才有资格谈品味。

You have to taste good things to have good taste.

Speaker 0

在垂直领域的人工智能里,成为首批玩家至关重要。

It is critical in vertical AI, being one of the first.

Speaker 0

当你看到OpenAI和Anthropic宣布派出前线工程师,还跟大型私募股权机构合作,去支持他们的投资组合时。

When you saw like the announcements from OpenAI and Anthropic about forward deployed engineers and these partnerships with big private equity groups to go help their portfolios.

Speaker 0

如果这还不能说明垂直领域人工智能在未来很长一段时间内都有巨大机会,那我真不知道什么才算了。

If that wasn't a sign that there is absolutely an incredible opportunity for the foreseeable future for vertical AI, I don't know what is.

Speaker 0

医疗需求的浪潮即将袭来,而现在的系统根本准备不足。

We're in for a tsunami of healthcare needs, and the system is not prepared to deliver it.

Speaker 0

他们完成了种子轮和A轮融资。

They did the seed and the a.

Speaker 0

一开始,USV就是我们的商业模式。

USV was our business model initially.

Speaker 0

你越觉得某件事势在必行,它就越会成为现实。

The more you can feel inevitable, the more you will be.

Speaker 1

欢迎来到《20位风投》节目,我是哈里·斯蒂宾斯。

This is 20 VC with me, Harry Stebbings.

Speaker 1

今天坐在热椅上的是Abridge的创始人兼首席执行官希夫·拉奥。

Now joining me in the hot seat today, we have Shiv Rao, Founder and CEO of Abridge.

Speaker 1

我特别欣赏Abridge的地方是,它如今已经是一家价值53亿美元的公司了。

What I love about Abridge is, yes, it is a 5,300,000,000 company today.

Speaker 1

没错。

Yes.

Speaker 1

他们现在的投资人都是一流的,但在此之前,他们经历了五六年艰难的摸索期,公司是2018年成立的。

They have the best investors in the world in the company today, but they went through a five, six year wilderness period where they were founded in 2018.

Speaker 1

他们当初的种子轮只融了150万美元。

They did a seed round of five on 15.

Speaker 1

这样的稀释比例,真是让人惊叹。

That level of dilution, wow.

Speaker 1

那真是过去的时光啊。

Those were the days.

Speaker 1

但现在,他们已经成为人工智能领域最炙手可热的公司之一,这证明了在别人不看好你的时候,坚持和持续努力才是成功的关键。

But now they are one of the hottest companies in AI, going to show that persistence and consistency in the face of people not always believing in you is the key to success.

Speaker 1

正如我所说,上一轮融资是3亿美元的E轮,公司估值高达53亿美元。

As I said, $300,000,000 series e last round at a 5,300,000,000 valuation.

Speaker 1

这是一个了不起的故事,我非常高兴能邀请到Shiv Rao,Abridge的创始人。

This is an incredible story, and I'm so happy to welcome Shiv R da Bridge.

Speaker 1

但在正式开始之前,我想问所有正在听的创业者一个问题。

But before we dive into the show today, here's a question for any founder listening.

Speaker 1

如果你的市场团队每周能多出30个小时,他们会用来做什么?

What would your marketing team do with an extra thirty hours a week?

Speaker 1

实际上,当团队不再手动搭建每一个活动、每一个流程、每一封邮件时,他们就能省下这么多时间。

That's roughly what teams get back when they stop manually building every campaign, every workflow, every email.

Speaker 1

现在,你们最优秀的市场人员每天都在复制模板、配置用户群体、在不同系统间追数据。

Right now, your best marketing people are spending their days cloning templates, configuring audience segments, and chasing data across systems.

Speaker 1

但这根本不是你们雇他们的初衷。

That's not what you hired them for.

Speaker 1

Conversion 是首个由 AI 代理负责执行的营销自动化平台。

Conversion is the first marketing automation platform where AI agents handle the execution.

Speaker 1

你的团队只需专注在策略、文案和销售漏斗上。

Your team focuses on strategy, on messaging, and pipeline.

Speaker 1

剩下的工作都交给代理完成——自动搭建活动、为每个客户个性化每个接触点,并自主决定下一步该做什么。

The agents handle the rest, building campaigns, personalizing every touch point per account, and deciding the next best action automatically.

Speaker 1

无论是提醒销售代表、启动再营销流程,还是把客户导入培育流程,代理都会自己搞定。

Whether that's pinging your AE, launching a retargeting sequence, or dropping someone into a nurture, the agents figure it out.

Speaker 1

正因如此,已有超过四千家 B2B 企业换了系统,包括 People Data Labs 和 Adaptive Security。

And that's why over 4,000 b two b companies have already made the switch, including People Data Labs and Adaptive Security.

Speaker 1

现在就去 conversion.ai/20vc,立减一万美元。

So head on over to conversion.ai/20vc and get $10,000 off.

Speaker 1

访问 conversion.ai/20vc,就能享受一万美元的优惠。

That's conversion.ai/20vc for $10,000 off conversion.

Speaker 1

Granola 捕捉完对话后,Artisan 会帮你开启下一次沟通。

After Granola captures the conversation, Artisan helps start the next one.

Speaker 1

这是Ava,由Artisan打造的首款全自主AI外销专员,能完全自动化你的外销流程。

Meet Ava, the first autonomous AI BDR built by Artisan to run your entire outbound on autopilot.

Speaker 2

你好。

Hey.

Speaker 2

我是Saster的杰森·莱本。

Jason Lebken from Saster here.

Speaker 2

Artisan简直太棒了。

Artisan is s tier.

Speaker 2

我们已经用Artisan全面取代了整个外销团队。

We've replaced our entire outbound sales team with Artisan.

Speaker 2

我们给Artisan发过的高度定制化邮件已经超过五万封。

I believe we've sent over 50,000 highly customized emails to Artisan.

Speaker 2

邮件打开率是人工操作的两倍,而且每天都能稳定成交十万美元级别的订单。

The open rate is twice what it was with humans, and they close 100 k deals day after day.

Speaker 1

Ava从两亿五千万个联系人中筛选潜在客户,深入挖掘每个目标的背景信息,然后撰写并发送多渠道个性化跟进内容,并能持续自我优化。

Eva sources leads from over 250,000,000 contacts, enriches every prospect with intense signals, then writes and sends personalized multichannel outreach, self optimizing over time.

Speaker 1

当潜在客户回复时,她会直接处理异议,并自动将会议安排到销售代表的日历里,全程无需人工干预。

When a lead replies, she handles objections and books meetings straight into your AE's calendars without any human input.

Speaker 1

Artisan 获得了 Y Combinator 的投资,并已筹集了三千六百万美元,致力于打造首个真正自主的 AI 销售代表。

Artisan is backed by Y Combinator and has raised $36,000,000 to build the first truly autonomous AI BDR.

Speaker 1

雇佣 Ava 这个 AI 销售代表,让您的外呼业务彻底自动化,访问 artisan.co/20vc 了解更多。

Hire Ava, the AI BDR, and put your outbound on autopilot at artisan.co/20vc.

Speaker 1

网址是 artisan.co/20vc。

That's artisan.coco/20vc.

Speaker 1

说到优秀的企业,我们得聊聊 Monaco。

And speaking of great companies, we have to talk about Monaco.

Speaker 1

多年来,我一直看到不少顶尖的创始人和早期市场团队在销售上碰壁。

For years, I've watched some of the best founders and early go to market teams struggle with sales.

Speaker 1

CRM 太多,工具太零散,手动操作太繁琐。

Too many CRMs, too many point solutions, too much manual work.

Speaker 1

而 Monaco 的出现,彻底改变了这一切。

Well, that changes with Monaco.

Speaker 1

Monaco 用一个原生 AI 平台,替换了你那些过时的 CRM 和零散的销售工具。

Monaco replaces your legacy CRM and fragmented sales stack with a single AI native platform.

Speaker 1

Monaco 的智能代理会自动帮你梳理整个目标客户群,整合实时数据,制定并执行外联流程,安排通话,还能记录和转录会议内容。

Monaco's agents automatically build and score your entire TAM, layer in real time signals, create and run out bound sequences, schedule calls, and record and transcribe meetings.

Speaker 1

你的销售线索几乎不用操心,自己就能推进。

Your pipeline practically manages itself.

Speaker 1

Monaco 会提醒你下一步该做什么,帮你草拟跟进邮件,确保每笔交易持续向前。

Monaco creates reminders, drafts follow-up emails for you, and keeps deals moving forward.

Speaker 1

这样下来,见面机会更多了,转化率更高了,收入增长也更快了。

So means more meetings, higher conversion rates, and faster revenue growth.

Speaker 1

如果你是早期创业公司,厌倦了用各种工具东拼西凑搞销售,又想加速增长,那就去 monaco.com 看看吧。

If you're an early stage startup, tired of duct taping sales tools together, and looking to grow revenue faster, check out Monaco at monaco.com.

Speaker 1

您已到达目的地。

You have now arrived at your destination.

Speaker 1

Shiv,我真是太期待这个了。

Shiv, I am so excited for this.

Speaker 1

其实大家不知道,我们当初认识是因为我拿你当过一家公司的参考对象,你帮了我大忙,连我合伙人都说:要不我们直接投资你算了?

Now people don't know, but we actually met because I used you for a reference on a company, and you were phenomenally helpful to the extent that my partner was can we just invest in him instead?

Speaker 1

那真是个好得多的主意,我早该点头答应的,完全打破所有规矩也值得。

Which really would have been a much better idea, and I should have gone yes, 100% and broken all the rules for it.

Speaker 1

非常感谢你今天来参加这次对话。

But thank you so much for joining me.

Speaker 0

这真是我的荣幸。

Oh, it's such a privilege.

Speaker 0

哈里,你真是个传奇人物。

Harry, you're you're a legend.

Speaker 1

兄弟,我真的特别感激你这么说。

Dude, I so appreciate that.

Speaker 1

我经常在想,真正优秀的CEO,动机无非两种:要么是害怕输掉,要么是享受赢的感觉。

So let's start with one that I often think about, which is great CEOs are motivated by one of two things I found, either the fear of losing or the thrill of winning.

Speaker 1

没有对错之分。

No right or wrong.

Speaker 1

但如果你要选一个,你觉得你自己是哪一种?

But if you were to say which one you are, which would you say you are?

Speaker 0

当然是赢的快感了。

Oh, it's a thrill of winning.

Speaker 0

百分之百。

A 100%.

Speaker 0

我特别喜欢高风险的游戏,全力以赴,想做点大事,开发新产品,改变现有市场,甚至创造全新的市场。

I love high stakes games, going for broke and trying to do something really big, trying to build a new product and trying to bend a new market or create a new one.

Speaker 1

你刚才说‘改变市场’。

You said bend a new market.

Speaker 1

我记得你是2018年创办这家公司的?

I think you started the company in 2018?

Speaker 1

是的。

Yeah.

Speaker 1

现在都2026年了。

Now it's 2026.

Speaker 1

你已经连续两三年表现得特别亮眼了。

You've been hot for like two or three years.

Speaker 1

这可是整整五年在默默坚持啊。

That is a five year wilderness walk.

Speaker 1

是的。

Yeah.

Speaker 1

回过头来看这段经历,你在把握市场时机上最大的体会是什么?

What are your biggest lessons on market timing as a result of that reflecting?

Speaker 0

确实,我觉得有些公司,包括我们自己,必须有一个明确的方向。

Yeah, I think that certain companies, certainly ours, have to have a true north.

Speaker 0

你每天都活在一种期待中,总觉得机会随时会来,因为你对市场有自己的一套判断。

You live every day in this anticipation that the sky is gonna open up because you have this thesis about market.

Speaker 0

你可能说不准它具体什么时候会实现,但你就是笃定它一定会来。

And you might not necessarily know exactly when it's gonna come true, but you know it's gonna come true.

Speaker 0

当你从心底里感受到这种信念时,就能获得强大的韧性。

And when you feel that in your bones, then I think you can draw a lot of resilience.

Speaker 0

你慢慢就会明白,只要坚持住就行。

You sort of figure out that you just need to stay standing.

Speaker 0

只要别倒下就够了。

You just need to not die.

Speaker 0

只要在它发生的时候还在现场就行。

You just need to sort of like be there when it's happening.

Speaker 0

对我们来说,确实就是这样。

And for us, was absolutely that way.

Speaker 0

我们一直坚信,这个藏在明处却没人注意的点子——这些数据和对话,是最真实的人类信号,能真正推动医疗行业的发展。

It was this thesis that this idea, this secret hiding in plain sight, that this dataset, these conversations, it's the most human signal and it really powers healthcare.

Speaker 0

你可以基于这个信号,搭建一套全新的体系。

You can build a whole new set of rails on top of this signal.

Speaker 0

我们当时的想法是,总有一天,技术会成熟,市场也会打开。

And the thinking was, well, at some point in time, the technology is gonna be right, but also the market is gonna be open.

Speaker 1

你会为这个信念拼到死吗?

Would you have died on this hill?

Speaker 1

我的意思是,有时候你可能有个很好的想法,甚至是对的,但市场就是跟不上节奏。

And what I mean by that is sometimes you can have a thesis, you can even be right, but the market doesn't move fast enough.

Speaker 0

是的。

Yeah.

Speaker 0

我肯定会为这个信念坚持到底。

I I would have died on this hill.

Speaker 0

我愿意调整具体的产品方向,或者改变功能上线的顺序。

I was willing to pivot on the specific product and what specific order we'd put a feature out.

Speaker 0

我愿意调整市场进入的策略。

I was willing to pivot on go to market.

Speaker 0

我们确实学到了很多。

Certainly, we learned so much.

Speaker 0

医疗行业实在是太复杂了。

Healthcare is incredibly complicated.

Speaker 0

找到合适的市场切入方式,是成败的关键。

Figuring out go to market is a really big part of how you win.

Speaker 0

但我并不愿意放弃这个核心观点。

But I wasn't willing to move on the thesis.

Speaker 0

对我们来说,医疗的本质是人与人之间的交流,这个理念已经深深融入了我们的身份,要改变它,就得从头再来。

And for us, that thesis that healthcare is about people and they're having conversations, I think, was just like core to the identity, and it would just have to be an entirely new thing.

Speaker 0

如果我们找不到其他真正能点燃热情的方向,那就干脆停下,重新开始。

We just sort of shut it down and start something new if there was something else we could get really passionate about.

Speaker 1

你之前提到过我参考的那些案例。

You said before about the references that I take.

Speaker 1

没错,我确实会参考。

I do.

Speaker 1

在你来之前,我已经把你的背景摸得一清二楚,这样你坐在伦敦这间昏暗的房间里,一个人跟我聊一整天,也应该觉得安心了。

I I sort the shit out of you before this, which should make you feel very comfortable sitting in this dark room End alone with of the day in London.

Speaker 1

为什么不呢?

Why not?

Speaker 1

我跟安迪·魏斯曼聊过,他领投了你们的种子轮。

I spoke to Andy Weissman, who led your seed round.

Speaker 0

是的

Yeah.

Speaker 1

我觉得,创始人常常担心市场时机的问题。

I think market timing is one thing founders often worry about.

Speaker 1

融资也是另一件非常困难的事。

Fundraising is another very hard thing.

Speaker 1

你们当初做Pre-Seed和Seed轮融资的时候,环境顺利吗?

Was it an easy pre seed, seed early fundraising environment for you?

Speaker 0

我不觉得特别顺利,但也没特别难。

I wouldn't say it was easy, but it wasn't hard at the same time.

Speaker 0

那是2018年、2019年的事了。

Now this was 2018, 2019.

Speaker 0

我们当时以1500万美元的估值,融了500万美元的种子轮。

Our series seed was we raised $5,000,000 on a pre of 'fifteen.

Speaker 0

这跟现在的情况完全不一样,但那时候是合理的。

So not the world we live in right now, but it made sense then.

Speaker 0

我们觉得这个时机正好,而且我们做得非常到位。

We felt like this was market and we did a really good job.

Speaker 0

我觉得创始人和市场有匹配度,但创始人和投资人之间也有匹配度。

I think that there is founder market fit, but there's also founder partner fit.

Speaker 0

当你和某个机构的人一聊就感觉特别合拍,你就知道你们迟早能合作起来。

When you just sort of, like, have chemistry with a person at a firm, you just know you're gonna find a way to work together.

Speaker 0

我和USV还有安迪打交道之前,早就默默关注Union Square Ventures好几年了。

So with USV and Andy, I stalked Union Square Ventures for years ahead of the first meeting that I had with them and with him.

Speaker 0

那时候还在用Twitter,我会把他们发的每条推文都看一遍,他们有个习惯,总爱聊音乐。

I would, like, read all their tweets when it was Twitter, and they had this ritual where they would talk about music.

Speaker 0

我特别佩服他们,周一聊乡村西部音乐,周三聊独立嘻哈,周五又转到瑞典死亡金属,完全不搭界的风格他们都能打通。

And I was always really impressed that they seemed to pattern match across totally different genres, the country western on one on Monday, and then indie hip hop on Wednesday, and then, like, Swedish death metal on Friday.

Speaker 0

这其实跟我自己听音乐的方式一模一样。

And to me, that's kind of how I enjoy music as well.

Speaker 0

既然他们能这么抽象地跨领域理解音乐,我就觉得,他们也完全有能力用全新的视角来看待医疗科技。

And that if they could abstract at that level, my thesis was they could be the right tech investor to think about healthcare in a new different way.

Speaker 0

所以我就通过一位天使投资人、一位MIT的朋友,搭上了他们。

So found a way to get to them through an angel, through a friend at MIT.

Speaker 0

我们进去后,大概做了一次介绍。

We went in and we sort of pitched.

Speaker 0

那次会议结束时,我就知道我们一定会合作。

And I knew at the end of that meeting that we were gonna work together.

Speaker 1

那我喜欢席琳·迪翁和泰勒·斯威夫特,你也不认同吗?

So would you not approve of my liking Celine Dion and Taylor Swift?

Speaker 1

这反而会让我吃亏?

That would go against me?

Speaker 0

说到安迪,他有句原话。

You know, speaking of Andy, Andy says this thing.

Speaker 0

他是全世界最讲究咖啡的人。

He's like the biggest coffee snob in the world.

Speaker 0

我曾经问过他,具体是怎么操作的,水温、豆子,所有细节。

And I once asked him, like, about exactly what his rituals are and the temperature and, like, the bean and all that stuff.

Speaker 0

他就说,咖啡嘛,都一样。

And he was just like, coffee's coffee, man.

Speaker 0

啥咖啡我都喝。

I'll have any coffee.

Speaker 0

你要是问他音乐,他就说,我喜欢所有的声音。

And when you ask him about music, he'll say, I like all the sounds.

Speaker 0

所以某种程度上,你能看出其中的模式,然后享受任何东西。

So maybe on some on some level, you can see the patterns and you can enjoy anything.

Speaker 1

我知道这有点跳脱,但你刚才提到咖啡和安迪的时候,让我想到了品味这回事。

I know it's very random, but when you said about coffee there and Andy, it made me think about taste.

Speaker 1

大家都说,真正特别的人和AI之间的区别就在于品味。

And everyone talks about taste difference between those that are truly special and what separates humans and AI.

Speaker 1

你怎么看品味作为关键差异这一点?

How do you reflect on taste being the differentiator?

Speaker 0

我们定公司价值观的时候——那时候还没兴起什么品味这说法——大概是2021或2022年定的最新一版。

When we created our company values, and this is before this whole taste cycle, We created our company values in, like, maybe the the most recent variant in 2021 or 2022.

Speaker 0

其中一个观点是,只有尝过好东西,才能培养出好的品味。

One of them is that you have to taste good things to have good taste.

Speaker 0

我觉得这个关于品味的说法,对我们来说特别有道理。

And this idea of taste, I think, makes a ton of sense to us.

Speaker 0

它不只是评判,而是能看清模式,并把东西以有趣的方式组合起来,让人有不一样的感受,感觉真实,真正体现某个人或一群人的特质。

It's not just judgment, but it's being able to sort of see patterns, but put things together in interesting ways that hit different, that feel different, that feel authentic, that really represent a person or people.

Speaker 0

我觉得现在真正了不起的公司就在这儿——你能感受到产品背后的人,感受到他们做的选择,他们拒绝了什么,以及他们死守不放的那些强烈主张。

And I think that's where the really truly magical companies are these days, like where you can kind of feel like the human behind this product and feel like the decisions that they made, the things that they said no to, the strong opinions held tightly that they died on the hill for.

Speaker 1

我太喜欢这个说法了。

I love that.

Speaker 1

尝过好东西,才能有好品味。

Taste good things to have good taste.

Speaker 1

那是不是意味着你得什么都尝一尝?

Does that mean you should taste everything?

Speaker 0

不用。

No.

Speaker 0

但我认为这意味着你得有辨别力,如果你不接触某些风格,就根本无从察觉它们的存在。

But I do think it means you gotta be discerning, but if you're not exposing yourself to certain flavors, then you're just not gonna be aware of it.

Speaker 0

我觉得公司在实践中是这么理解的,比如我们应该阅读最新发布的论文,了解那些可能用得上的新型机器学习模型。

I think the way we translate that in the company, for example, is we should be reading the latest archive papers about some new type of machine learning model that maybe we can leverage.

Speaker 0

我们还得关注最新的界面和用户体验趋势,思考如何在自己的领域里把这些基础元素用出新意。

We should be thinking about the latest UIUX patterns out there and where we could take these primitives in our own specific space.

Speaker 0

如果我们想创造文化,那就得生活在文化的前沿。

We should be just sort of like living at the edge of culture if we also wanna create it.

Speaker 0

我觉得,最好的公司无论以何种方式,其实都在塑造文化。

And I think also the best companies in some way, shape or form are creating culture.

Speaker 1

你刚才提到,要有坚定但开放的意见。

You said about strong opinions loosely held.

Speaker 1

对。

Yeah.

Speaker 1

你有没有哪条特别坚定、但后来又放得开的意见?

What was the strongest opinion that you've had that's loosely held?

Speaker 0

对。

Yeah.

Speaker 0

那些松散持有的观点,和那些我们愿意为之赴死的坚定立场是不一样的。

The loosely held there's the tightly held ones, the ones that we would die on the hill on.

Speaker 0

我那些随着时间发生深刻转变的松散观点。

The loosely held ones that I've, like, shifted on pretty profoundly over time.

Speaker 0

我对公司的边界有过松散的看法,比如我们能扩张多远、能多快扩张。

I've had loosely held opinions about where the company's limits are, like how far we could expand and how quickly we could expand.

Speaker 0

我觉得我们很多原有的预设——

I think a lot of our priors,

Speaker 1

我们所有的预设都在不断更新。

all of our priors are getting updated.

Speaker 1

你预期会保持这么快的增长速度吗?

Do expect to grow as quickly as you have done?

Speaker 0

某种程度上,我觉得我们正走在一条命中注定的道路上。

In some way, feel like we're on this journey that we're meant to be on.

Speaker 0

我们正在做本该做的事。

We're doing this thing that we're supposed to do.

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我说的‘我们’,不只是公司,还包括所有医疗系统合作伙伴。

And by we, I mean, it's not just the company, but all of our health system partners.

Speaker 0

感觉我们正在参与一场正在兴起的运动。

It feels like we're part of a movement that we're trying to create right now.

Speaker 0

我从没一觉醒来觉得‘这到底是怎么回事?’

So I can't say that I ever woke up being like, what is going on?

Speaker 0

但我每晚睡觉时,都觉得这一切太棒了。

But I can say that I've gone to bed at night feeling like this is awesome.

Speaker 0

这确实很棒,我们也得想想怎么让它变得更好。

You know, this is great and like we have to think about making it even greater.

Speaker 0

早上醒来,你一点都不会觉得满足。

You know, you wake up in the morning and you're not at all satisfied.

Speaker 0

但晚上,就像我一位心血管领域的导师曾经说的,试着带着一点格局、一点感恩去睡觉,明明知道明天一睁眼,那股劲儿又会回来。

But at night, as one that one mentor, a cardiology mentor once told me, he's like, try to go to bed with a little bit of perspective and a little bit of gratitude at least, knowing full well you're gonna wake up with that fire in your belly again.

Speaker 1

作为创始人,你觉得你可能有真正满足的一天吗?

As a founder, do you think you can ever be satisfied?

Speaker 0

大概不会吧。

Probably not.

Speaker 0

你总是想要更多东西。

You know, like you always want something more.

Speaker 0

你总想把事情做得更大,野心也会跟着不断增长。

You always wanna build something bigger, and your ambition, it always gets bigger.

Speaker 0

也许野心并不会越来越大。

You know, maybe it's maybe it doesn't get bigger.

Speaker 0

也许你只是慢慢接受了,随着时间推移,目标的范围发生了变化。

Maybe you just you're you you sort of reconcile yourself to a change in scope over time.

Speaker 1

你刚才提到现在合作的那些医疗合作伙伴。

You said about the health care partners you work with today.

Speaker 0

是的。

Yeah.

Speaker 1

对。

Yeah.

Speaker 1

我是Ligure的投资者。

I'm an investor in Ligure.

Speaker 1

虽然领域完全不同,但大空间领域现在也正经历一波像医疗行业那样的普及浪潮。

By no means similar in terms of space, but large space is traditional and now seeing tidal wave of adoption similar to healthcare.

Speaker 1

现在每一家律师事务所都在用AI,我必须用AI才能保持竞争力。

Every single law firm right now is going AI, I need AI to stay relevant.

Speaker 1

医疗行业和医疗合作伙伴那边情况也一样吗?

Is that the same with healthcare and healthcare partners?

Speaker 1

还是因为担心风险,导致进展更慢?

Or is the downside fear factor making it slower?

Speaker 0

没错,百分之百。

No, a 100%.

Speaker 0

现在每一个医疗系统都在这么做。

It's every single health system right now.

Speaker 0

现在有些医生,我们听说,如果医院没有提供数字桥梁,他们根本不会加入任何医疗系统。

There are doctors right now who we've heard who won't sign up to join a healthcare system, a hospital, if they don't have a bridge.

Speaker 0

这真是一个突然发生的转折点,短短三四年间,某项东西就变成了基本门槛。

It's one of those moments where all of a sudden, almost overnight, over the course of like three to four years, something just became table stakes.

Speaker 0

这已经成为医疗服务交付方式中不可或缺的一部分,尤其是在门诊领域。

It's part and parcel with how care is delivered, especially in the outpatient space.

Speaker 1

在市场拓展方面,什么是最让你意想不到的发现?

What did you not expect in GTM that surprised you most?

Speaker 0

这就是所谓‘坚定想法,但保持灵活’。

This is where strong ideas held loosely.

Speaker 0

刚融到资的时候,你可能会听到投资人建议你从低端市场切入,慢慢逆流而上,逐步颠覆。

When you first raise capital, maybe you hear an investor give you advice about starting down market and swimming upstream, disrupting over time.

Speaker 0

先找到产品市场契合点,建立快速反馈机制。

Get that PMF, find those fast feedback loops.

Speaker 0

这些话确实有道理,但你必须格外谨慎,因为在美国,医疗市场可不是一个53亿美元的小市场。

And it's true to an extent, but you just have to be really careful and mindful because healthcare specifically in The United States, it's not 1 $5,300,000,000,000 market.

Speaker 0

这其实是好几个不同的市场。

It's a bunch of different markets.

Speaker 0

取决于你想服务谁,细分市场时必须格外谨慎。

And depending on who you're trying to serve, you have to be really careful about how you segment.

Speaker 0

如果你想服务临床医生和医生,全国大约有一百万名医生,其中大概八十万是实际在行医的。

If you're trying to serve clinicians, doctors, there's about a million doctors in the country, maybe 800,000 of them are actually practicing.

Speaker 0

绝大多数医生都集中在大型医疗服务体系里。

The vast majority of them are concentrated in large care delivery systems.

Speaker 0

这些体系通常被称为一体化医疗网络,或者支付方与提供方一体化机构。

They're called integrated delivery networks or payer providers.

Speaker 0

它们还设有支付部门、保险部门,或者像埃默里、耶鲁、加州大学旧金山分校这样的学术医疗中心。

They also have like payer arms, insurance arms, or their academic medical centers like the Emory's, the Yale's, the UCSF's and beyond.

Speaker 0

既然他们集中在这类机构里,你就得尽快想办法打入这些地方,毕竟你的目标非常宏大。

And so when they're concentrated there, you have to think about getting there as fast as you possibly can because obviously you've got huge ambition.

Speaker 0

你希望产生尽可能大的影响,这是你必须达成的目标。

You want to create as much impact as you want, as you need to.

Speaker 0

很多医疗领域的创业者容易陷入一个误区,就是一直停留在低端市场。

And so the trap that a lot of, I think, healthcare founders fall into is that they stay downmarket.

Speaker 0

他们没意识到,应该在合适的时机果断向上突破,抓住关键机会。

They don't figure out they don't time their YOLO shot to go upmarket at the right moment.

Speaker 0

对我们来说,事情最终顺利发展了。

And for us, things really worked out.

Speaker 0

我们非常幸运,也很有优势,但确实一切水到渠成。

We're incredibly lucky, incredibly privileged, but things worked out.

Speaker 0

当时市场上各种因素恰好同时发生了变化。

A lot of different things happened in the marketplace at the same time.

Speaker 0

疫情过后,我听说全国有四到五成的医生表示自己已经精疲力尽。

On the other side of the pandemic, I'd say forty percent, fifty percent of the doctors in this country were saying that they were burnt out.

Speaker 0

最近《JAMA》还发表了一项关于护士的研究,显示有三成护士打算在未来一年内转行。

And there was a study about nurses recently that was published in JAMA that suggested that thirty percent of nurses in the country didn't want to be nurses in the next twelve months.

Speaker 0

所以,整个行业都面临着严重的倦怠和疲惫问题。

So there's all this burnout, all this fatigue.

Speaker 0

从那以后,财务压力一直没减,比如医保报销的削减就持续施压。

There's incredible financial pressures that have only continued since then, coming down from, for example, Medicare cuts.

Speaker 0

与此同时,新技术也出现了。

At the same time, there's this new technology.

Speaker 0

人工智能来了。

There's AI.

Speaker 0

那时候我们其实还不知道,但已经在提前培育市场,为我们的产品铺路了。

We were in that moment where, without even knowing it, we were pre selling the market and preparing the market for what we could bring.

Speaker 0

到了2023年,机会一打开,我们立刻冲了进去。

And then in 2023, when the sky opened, we ran right in.

Speaker 1

我得好好拆解一下你刚才说的这些。

I wanna unpack a load of things there.

Speaker 1

做第一个进入的人有多重要?

How important is being first?

Speaker 0

在垂直领域的人工智能里,这非常关键。

It is critical in vertical AI.

Speaker 0

成为第一批之一。

Being one of the first.

Speaker 0

我觉得晚了就没戏了。

I think being late doesn't work.

Speaker 0

但总有人说,太早了其实等于做错了。

But there's that refrain that being early is also being wrong.

Speaker 0

我觉得,只要案例扎实、够坚韧,就能化解太早入场的劣势。

I think where a good case study and being resilient, you can sort of overcome that issue of being perhaps too early.

Speaker 0

AI原生公司大概能分出三种类型。

There's like three variants of AI native company maybe.

Speaker 0

比如,我们是在Transformer论文发布三个月后起步的。

There's like, we started three months after the transformer paper.

Speaker 0

在我看来,分三类:Transformer之后、大模型之前;大模型之后、智能体之前;智能体之后。

In my head, there's like post transformer paper, pre LLM company, there's post LLM, pre agent company, there's post agent company.

Speaker 0

现在呢,不管你是什么时候入局的,都得赶紧追上最新的这一波。

And anymore, depending on your vintage, you have to make sure that you become the latest variant as fast as you possibly can.

Speaker 0

这意味着你的产品可能会发生很大的变化。

And that might mean that your product evolves pretty significantly.

Speaker 0

同时,公司内部的组织方式和运营模式也可能发生巨大转变,就像我们现在看到的,随着智能体时代的到来。

It might also mean that the way you organize company and you operate your company evolves pretty significantly, as we're seeing in this new era with agents.

Speaker 0

但我们属于Transformer之后、大模型之前的一批。

But we were a post transformer pre LLM.

Speaker 0

一旦大模型时代来临,我们就立刻在各个方面迅速转型,尽最大努力跟上节奏。

As soon as the LLM moment happened, we became that as fast as we possibly could in all the different ways.

Speaker 0

现在,我们在智能体这个新领域里,也在做同样的事。

And, you know, now we've been doing the same thing in this in this new world with agents.

Speaker 1

你可以从几个不同角度来分析竞争格局。

There's a couple of different ways that you can break down competition.

Speaker 1

其中一个就是老生常谈的方式,我现在看到Ligure的Matt就在反对这一点,比如Anthropic推出了一款法律类产品。

One of them is the age old, and I I see Matt from Ligure pushing back against this now, like Anthropic, know, release a legal product.

Speaker 1

其实,基础模型公司完全有能力做出类似Abridge的产品,并扩展成一套完整的解决方案。

Well, the foundation models could very easily do an Abridge and build out a product suite.

Speaker 1

那你怎么应对基础模型开发医疗应用并取代你的局面?

How do you fight back against the foundation models will build healthcare applications and replace you?

Speaker 0

如果你在跟它们对抗,那你早就输了。

If you are fighting against them, you've already lost.

Speaker 0

如果你还没想明白怎么跟它们一起赢,怎么和平共处,甚至找到合作的可能,那问题就大了。

If you haven't figured out how you're going to win with them, how you're gonna just coexist, but actually find ways to collaborate potentially.

Speaker 0

如果它们带来的趋势你根本抓不住,那你就彻底没戏了。

And if the tailwinds that they create are not yours to leverage, then you're screwed.

Speaker 1

那如果我们从这个角度去看,对你来说这意味着什么?

What does that mean for you then if we take a

Speaker 0

比如医疗领域,我们说自己是垂直领域的AI公司,但你想想,医疗市场有五万三千亿美元。

So like healthcare, we say this is a vertical AI company, but you think about it, healthcare, 5,300,000,000,000 market.

Speaker 0

占美国GDP的百分之十八到十九左右。

It's about 18%, 19% of US GDP.

Speaker 0

我不觉得我们只是个垂直AI公司,在我眼里,我们是一家AI公司,只是在服务当前最大的机会之一。

I don't know if it's a vertical AI company, like we are an AI company in my head, serving one of the biggest opportunities that is out there.

Speaker 0

在这个市场里,尤其是在医疗领域的企业端,你可以深挖到极致。

In this market, you can go millions of miles deep, especially on the enterprise side of the spectrum of healthcare.

Speaker 0

在受监管的行业里,利用独家数据集打造高度定制化的工作流程,这种门槛真的很难被复制。

You can go millions of miles deep in a regulated industry with proprietary data sets that you can build into very, very specific workflows in a way that's really, really hard to replicate.

Speaker 0

但快速推进、迅速规模化至关重要,因为规模不仅能让你开发更多产品、拓展更多场景,我们公司还大量投入模型的中期和后期训练。

But being fast, getting scale very, very quickly is crucial because the scale enables you to not just build more products and just get more surface area, but we do a lot of mid training and post training in the company.

Speaker 0

在后期阶段,关键是要每天从用户的修改中持续学习。

On the post side, it's being able to learn from all the users edits on a daily basis.

Speaker 0

要能适应不同类型的医生、他们在各种场景下的工作方式,以及他们与患者交流时使用的各种语言。

It's being able to be useful for all the different types of doctors in all the different settings they deliver care and all the different spoken languages they might use with their patients.

Speaker 0

2023年的时候,很多人觉得这些只是最后一步的优化。

And so people, I think, in 2023 thought that was like last mile.

Speaker 0

但实际上,这部分才是核心的大部分。

That's actually most of it is that part.

Speaker 0

模型本身反而没那么关键。

The model piece is much less.

Speaker 0

但即使在模型层面,我认为最有潜力的垂直AI公司,是那些能深入技术栈底层、以独特方式掌控自身命运、并能自主掌控盈亏的公司。

But even on the model side, I think the vertical AI companies leverage, that have the most upside, are the ones that can reach farther down into the stack and own their destiny in a differentiated way that can kind of control their P and L.

Speaker 1

你们产品的质量,有多大程度依赖于你们所依赖的模型本身的质量?

How much of the quality of your product is derived from the quality of model that you sit on top of?

Speaker 0

目前,我们产品内部大约有40%的模型输出是由我们自研的模型生成的。

So about 40% of our model outputs inside our product are generated by in house models.

Speaker 0

这个比例每个月都会有所波动。

And that varies from month to month.

Speaker 0

下个月可能就会上升到60%,因为我们刚刚蒸馏并微调了一个新的开源模型,收集了反馈,确认了它的效果,于是直接替换了原先的前沿模型。

Next month, it might be 60% because we've distilled a new open source model and fine tuned it and gotten some feedback, we are convicted and we've just replaced a frontier model with this new in house model.

Speaker 1

你预计两三年后这个比例会是多少?

What do you expect that to be in two to three years?

Speaker 0

这是个很好的问题。

It's a great question.

Speaker 0

我觉得,这个问题目前谁都没法给出确切答案,但关键是要有清晰的原则来指导我们怎么做。

So I think this is where we're all kind of nobody knows the answer, but you just have to be principled in how you approach this.

Speaker 0

我们公司用产品解决的问题有很多种类。

So there's any number of different problems we solve as a company with our product.

Speaker 0

其中一些问题,你很容易就能想象出解决后的效果。

Some of those problems you can kind of imagine ringing the bell relatively easily.

Speaker 0

比如说,行了。

Like, okay.

Speaker 0

只要帮护士在工作流程的这个环节,把数据准确填进这个字段,我们就成功了。

If we just help the nurse with this piece of data getting into this discrete field at this time in their workflow, we won the game.

Speaker 0

这事儿不需要什么花里胡哨的功能。

It doesn't need to be there's no, like, bells and whistles around this.

Speaker 0

你一旦做到了,就等于完成了。

It's like once you do it, you've done it.

Speaker 0

这就像是非黑即白的事。

It's kind of binary.

Speaker 0

这类任务,用自研模型彻底搞定,从很多角度来说都特别合理,但最重要的是对用户有利。

Like and those sorts of tasks, being able to just crush it with an in house model makes total sense for a lot of different reasons, but most importantly for the user.

Speaker 0

很可能速度会更快。

Chances are it's going to be faster.

Speaker 0

你可以随着时间推移,不仅从延迟角度,也从成本角度不断优化这个模型。

You can kind of optimize that model over time from not just a latency perspective, but also from a cost standpoint.

Speaker 0

一旦搞定,某种程度上就可以放着不管了。

Once you've done it too, you can kind of set and forget to some extent.

Speaker 0

好了,咱们接着看下一个挑战吧,就是我们为护士开发的新产品里头的下一个问题。

Like, okay, let's move on to the next challenge, you know, inside this new product that we're delivering for nurses.

Speaker 0

但你的产品组合里,有些问题你永远不可能做到完美。

But then there are certain challenges in your product suite that you're never going to be perfect on.

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但每周、每月,你都希望回过头能说:比之前没那么差了,这很重要。

But every week, every month, you want to be able to look back and say, you're less imperfect than you were before, and it's gonna matter.

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这得对市场有意义。

It needs to matter to the market.

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如果市场在乎你持续改进那些你明知永远做不到完美的事——医疗领域就有不少这样的场景——那你就该紧跟前沿浪潮。

If the market cares about you always improving on something that you don't think you'll ever be perfect on, and healthcare has a lot of use cases like this, it makes more sense to ride the frontier wave.

Speaker 1

既然Cursor已经做了,而且TBD是否真的有效,你为什么还要自己开发模型?

Why did you decide to build your own models when Cursor did and TBD on whether that was actually effective?

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既然历史经验表明,底层模型的迭代速度和效率远超你自己从头打造,那为什么还要自己动手呢?

When you have the historical precedence that say underlying models move faster and more efficiently than you would create them yourself, why create them yourself?

Speaker 0

首先,这一切都从最终用户出发。

Well, number one, it starts with the end user.

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在工作流程中,毫秒级的延迟都至关重要。

Milliseconds matter when you're in workflow.

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这些是医生,他们对新技术根本没有耐心。

These are doctors who are, they have no patience for new technology.

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我们公司内部的口号就是:能减就减,从产品和用户体验的角度不断精简。

Our refrain inside the company is reduce, reduce, reduce from a product and user experience standpoint.

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我们想做到像一台好的空调,调好了就默默运行,完全不打扰你。

It's like we want to be good air conditioning where when it's set right, we're in the background.

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你只需要专注于那些真正重要的事情。

You're just focusing on everything that's more important.

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但要实现这一点,你真的得站在用户的工作流程里去思考。

And to get to that though, you really need to think about being in workflow.

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最近推出的那些智能思考类功能,真的特别有意思。

The thinking machine stuff that just came out is really fascinating.

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它就像一个随时在你身边、与你同步的助手。

It's it's like an agent that's in the moment with you.

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对吧?

Right?

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但这种体验,需要极致的性能和超低延迟,而我们用前沿模型根本没法轻松、优雅地做到。

But that kind of experience, you need insane performance and latency, and that's something that we weren't able to achieve in an easy, elegant way with frontier models.

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所以在某些场景下,其实别无选择。

So for certain use cases, there was really no choice.

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一切还是从最终用户出发。

It started with the end user.

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我们想的是,要交付这种价值——在患者离开诊室前,医生就已经确认了医嘱,录入了正确的诊断,这些信息直接关联到后续的收费和报销。

We're like, okay, to deliver this kind of value, this specific type of value in workflow so that before the patient leaves the room, the doctor is okaying an order or putting in the right visit diagnosis that ends up informing billing and their own reimbursement.

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这些是高风险的工作流程。

These are high stakes workflows.

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你得快才行。

You need to be fast.

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所以事情就是从这儿开始的。

And so that's where things started.

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但质量也是其中重要的一部分。

But then quality is a part of it too.

Speaker 1

你和前沿模型、和开源模型之间的关系是怎样的?

What does the relationship look like for you between you and frontier models and you and open source models?

Speaker 1

你对它们的依赖有变化吗?

And has your reliance on one changed over time?

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这是一直在变化的。

It's dynamic.

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在公司内部,我们总是提醒自己,唯一重要的就是最终用户。

I think inside the company, we just always remind ourselves that the only thing that matters is the end user.

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我们只管把产品做到最好,不管需要付出什么代价。

We just have to have the best product and whatever it's gonna take.

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这里绝对不能有门户之见。

There cannot be any pride of ownership here.

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唯一重要的是谁能带来最好的用户体验。

It's just about what gives us the best user experience.

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事实证明,这种做法真的给我们带来了巨大好处。

Now that has ended up serving us really, really well.

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尤其是最近几周,大家对接下来几周甚至几个月成本可能上涨感到很焦虑,担心这会带来什么影响。

Because especially over the last weeks, there's been a lot of angst about perhaps costs going up in the coming weeks and months and what's that gonna do.

Speaker 1

你们对成本有多敏感?

How cost conscious are you?

Speaker 1

你看Open,免费使用显然比依赖前沿模型便宜多了。

You know, if you look at Open, obviously, it's much cheaper to free versus being reliant on a frontier.

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如果输出结果不一样,你们介意吗?

Do you care if the output is different?

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我现在不在乎,但我清楚,未来的我可能会更在意。

I don't care now, but I also know that my future self might care more.

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这种态度,说到底就是把用户放在首位,结合我们的产品和它在工作流中的位置,让我们能站在一个能掌控盈亏的层面来构建,这是其他方式给不了的。

That attitude is like, again, I think like just putting the user first in our specific space, given our product and where it sits in workflow has allowed us to sort of build at a layer of the stack that gives us agency on the P and L that we wouldn't have otherwise.

Speaker 0

这确实很棒,但显然,这并不是我们眼下要追求的目标。

And that's awesome, but that's not what we're optimizing for right now, obviously.

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那你们什么时候才需要考虑优化呢?

When do you need to optimize?

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因为我觉得我刚才有点重复了。

Because I I

Speaker 1

我经常跟很多创始人聊这个,其实跟现在的情况一模一样:我们手头资金充裕,根本不用急着控制成本。

have this conversation with a lot of founders, and it's it's it's the same as this, which is, blindly, we've got a lot of funding.

Speaker 1

现在确实没必要把成本优化当重点。

We don't need to optimize for costs now.

Speaker 1

这答案完全正确。

Absolutely the right answer.

Speaker 1

你呢?

When do you?

Speaker 1

上市的时候?

When you go public?

Speaker 0

我觉得,只有当它妨碍了我们创造更大影响的能力——比如筹到更多钱、服务更多用户——的时候才需要考虑,跟上市本身其实没什么关系。

I think when it gets in the way of our ability to create more impact, you know, to raise more money, to impact more users, I don't think it necessarily has to do with anything around IPO ing.

Speaker 0

我们有一位投资人叫亨利·克拉维斯。

One of our investors is Henry Kravis.

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我还记得第一次见他时,他问了我一个问题:你们想上市吗?

And I remember sitting down with him in the first meeting, and one of his questions was, do you wanna go public?

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我当时正笨拙地想怎么回答,他直接打断我说:不用,你们没必要上市。

And I remember starting to clumsily navigate an answer on the fly, and he interrupted me and said, no, you don't.

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你们根本不需要上市。

You don't need to.

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你们干嘛要操心这个?

Why are you even thinking about it?

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正确的答案是:我不需要上市。

The right answer was, No, I don't need to.

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我有一个使命。

I have a mission.

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为了实现这个使命,我会不遗余力。

And to serve that mission, I will do what it takes.

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如果在私募市场就能做到,我就在那里融资。

And if I can do it in the private markets, I'll raise money there.

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如果非得上市才能做到,那我就上市。

If I need to go public to do that, then I will go public.

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我认为在未来几年,大型企业推进人工智能的最大障碍之一,就是数据的整洁度和数据结构。

I think one of the biggest barriers to AI progression within large enterprise in the next few years will be data cleanliness, data structure within large enterprises.

Speaker 1

大型医疗组织在数据准备、数据结构和数据整洁度方面是不是一团糟?

Is it a mess in large healthcare organisations in terms of data preparation, data structure, data cleanliness?

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是的,确实如此。

Yeah, it is.

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当你看到OpenAI和Anthropic宣布派出前线工程师,还跟大型私募股权公司合作去支持他们的投资组合时,如果这还不能说明垂直AI在未来很长一段时间内都有巨大的机会,那我真不知道什么才算了。

When you saw the announcements from OpenAI and Anthropic about forward deployed engineers and these partnerships with big private equity groups to go help their portfolios, if that wasn't a sign that there is absolutely an incredible opportunity for the foreseeable future for vertical AI, I don't know what is.

Speaker 1

你能帮我解释一下吗?

Help me understand that.

Speaker 1

为什么这么说?

Why is that?

Speaker 0

这并不容易。

It's not easy.

Speaker 0

要进入这些大企业,搞清楚它们的状况,拿到数据、清理数据、整理数据,融入具体的工作流程,还得合规操作,把所有要求都满足,哪有那么简单。

It's not easy to go into one of these enterprises and figure stuff out, to get access to the data, to clean the data, to organize the data, to be able to integrate into specific workflows, to do it in a compliant way, to check off all the boxes.

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这可不是普通的SOC 2认证,这是高信任度的要求。

It's not SOC two, it's high trust.

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这跟所有网络安全问题都息息相关。

It's like all the cyber stuff.

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比如,心理诊疗产生的行为健康数据,跟内科全科医生诊疗产生的数据,处理方式必须完全不同,你得明白这一点。

It's being able to know that behavioral health information from a psychological encounter, for example, that data should be treated very differently than data that's coming from an internal medicine primary care physician's encounter.

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这里面要做的事情太多了,要打造一个可扩展的系统,得花不少功夫。

There's just so much to it, and it takes a lot of effort to build a machine that's scalable.

Speaker 1

要成功向企业销售AI工具,非得有FDE流程不可吗?

Do you have to have an FDE process to be successful selling to enterprise with AI tools?

Speaker 0

不用,没必要。

No, you don't.

Speaker 0

在我们这儿就不用。

Not in our case.

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你得先从零到一突破。

You're gonna get to that zero to one.

Speaker 0

你得深入医院、诊所,听医生和护士怎么说,一点点摸清楚需求。

You're gonna get to that first product in all the ways, like people in the health systems, in the clinics, and listening to the doctors and the nurses and figuring it out.

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但这跟现场部署是两回事。

But that's not for deployed motion.

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这纯粹是搞清楚怎么做出一个真正贴合需求的产品。

That's just like figuring out how to build a product that fits.

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但如果你的第一个产品是那种无处不在的,你切入的是一个能大规模推广的流程,那你就基本稳了。

But if your first product is something that is everywhere, if you've attacked a workflow that can scale, then you're sort of set.

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这其实是个经典做法——我们选的第一个产品,就是知道在医疗领域到处都用得上的。

It's a classic motion of we picked a first product that we knew was everywhere in healthcare.

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几乎每个医生,都必须和病人交流。

Every single doctor, practically speaking, has to speak to a patient.

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太好了。

Great.

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这就是我们的切入点。

That's our signal.

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我们要围绕这个交流环节,创造实际价值。

We're gonna attach ourselves to that spoken signal and create value.

Speaker 0

太好了。

Great.

Speaker 0

我们的第一个价值点是什么?

What's our first bit of value?

Speaker 0

就是一个笔记。

It's a note.

Speaker 0

明白了。

Got it.

Speaker 0

他们讨厌笔记吗?

Do they hate notes?

Speaker 0

是的。

Yep.

Speaker 0

他们确实讨厌笔记。

They hate notes.

Speaker 0

我们可以把它们自动化。

We can automate them.

Speaker 0

很好。

Great.

Speaker 0

我们做了个笔记工具。

We created notes.

Speaker 0

现在咱们来处理批量开单吧。

Now let's go scale notes.

Speaker 0

然后就想着,接下来该干嘛?

Then it was like, what's next?

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他们特别讨厌下这些订单。

They hate placing those orders.

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得一个个点下拉菜单,还得琢磨该选哪个单子。

They have to hit all kinds of dropdown menus and figure out what the right order is.

Speaker 0

不错。

Cool.

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那咱们来搞定账单吧。

Let's do orders.

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他们特别讨厌处理账单。

They hate billing.

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没几个医生是学财务、会计或者收入周期管理出身的。

No doctor went to billing school, accounting school, revenue cycle school.

Speaker 0

我以前在大型医疗系统当企业风投的时候,经常以医生身份组织午餐学习会,用披萨和PPT给医生们讲收入周期的事。

And when I was a corporate VC at a large health system, we used to have these lunch and learns as a doctor where we try to teach doctors about revenue cycle with pizza and PowerPoints.

Speaker 0

每个医生都是那种眼神放空、心不在焉的样子。

Every single doctor, thousand yard stare.

Speaker 0

根本没人想来参加。

Nobody want to be there.

Speaker 0

那我们能不能帮他们把这些事自动化了?

So can we automate that for them?

Speaker 0

当然可以。

Absolutely.

Speaker 0

这几年下来,我们终于做到了:每位临床医生背后都有一支助手团队,默默帮他们处理所有这些杂务。

So now we've gotten to this point over the course of a few years where it's like every single clinician has this team of assistants that we are deploying in the background to go do all the jobs.

Speaker 0

而这些工作,本来就没人愿意干。

And many of these jobs nobody wanted to do in the first place.

Speaker 1

我跟你们的一位投资人聊过,虽然不能点名,但他夸你们的产品太棒了,你说的每一点都让人印象深刻。

I spoke to one of your investors who won't remain nameless for this one, and they said amazing products and amazing everything that you said.

Speaker 1

但如果你想要实现当前以及未来的企业价值,就必须更贴近资金流动的环节。

But if you are to fulfill the enterprise value that you have today and that you will have moving forwards, you have to move closer to the flow of money.

Speaker 1

这么说合理吗?

Is that fair?

Speaker 0

我觉得这不仅合理,而且本来就是我们想做的事。

I think it's not only fair, it's also what we want to do.

Speaker 0

你想想,在美国,其实全球很多地方都一样,临床医生的报酬并不是基于他们提供的医疗服务,而是基于他们记录下来的医疗服务。

When you think about it, in The United States, but really this is true in many parts of the world, clinicians, doctors, they're not compensated for the care that they deliver.

Speaker 0

他们拿到的是自己写下来的诊疗记录的报酬,而不是实际提供的照护。

They're compensated for the care that they documented that they deliver.

Speaker 0

当我们最初意识到这一点,决定聚焦于语音信号,并且决定在捕捉前后都用它来自动生成病历的时候,我们就知道,这同时也等于在自动生成账单。

When we first realized that, okay, we're going after this spoken signal, and the first thing that we're going to build with it before, during, after we capture it is a note, we knew we were creating bills too.

Speaker 0

所以你必须认真对待这份责任。

And so you've got to take that responsibility very seriously.

Speaker 0

因为医疗领域的商业运作实在太复杂了。

Because the enterprise motion in healthcare is complicated.

Speaker 0

你面对的利害关系方很多。

You have a lot of different stakeholders.

Speaker 0

你有最终用户,但还有决策者。

You have your end users, but then you have the decision makers.

Speaker 0

还有首席医疗信息官,也就是CMIO。

And there's a CMIO, a chief medical information officer.

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还有首席信息官,也就是CIO。

There is a CIO, a chief information officer.

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然后还有首席财务官。

And then there is a CFO.

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他们每个人看问题的角度都不一样。

And they all have a different lens.

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能平衡各方诉求,让这三者都认同,才是真正的关键。

And being able to thread the needle, being able to resonate with all three is really how you win the day.

Speaker 0

所以从一开始就要明白,这些病历最终会变成账单。

And so being able to recognize from the from the get that, okay, these notes are actually gonna end up being bills.

Speaker 0

所以我们来聊聊这个笔记生成的架构和流程,现在它已经演变成一个更依赖智能代理的流程了。

So let's approach this note generation architecture, that workflow, and now what's become a much more agent driven process.

Speaker 0

我们要有意识地设计它,确保能顺利衔接进财务总监的业务场景。

Let's approach that very deliberately so that we have the immediate extension afterwards into the CFO's world.

Speaker 1

Epic 也做同样的产品,你们怎么跟他们竞争?

How do you compete when Epic do the same product?

Speaker 1

他们那个产品,谁都不喜欢,可偏偏用的人太多,根基太深了。

They're such a they're like the the product that no one likes, but it's so entrenched.

Speaker 1

在这样的环境下,你们怎么突围?

How do you compete in that world?

Speaker 0

我们根本不是在和 Epic 竞争。

We are not competing with Epic.

Speaker 0

Epic 那个系统,说白了就是个基础平台。

You know, Epic is a is a Do

Speaker 1

他们没有能跟你们抗衡的产品吗?

they not have a competitive product to you?

Speaker 0

他们确实有个产品或者某个功能。

They have a they have a product or a feature.

Speaker 0

他们现在已经有东西了,甚至已经推出一段时间了,能帮着处理病历记录。

They have something out there now even that's been out for a beat that helps with notes.

Speaker 0

但我之前跟你说的那些,其实特别关键。

But, you know, what I was explaining to you earlier is really, really critical.

Speaker 0

对我们来说,从来就不是为了病历本身。

For us, it was never about the note.

Speaker 0

我们真正看重的是那个信号,是那种对话,它才是我们切入的突破口。

It was always about the signal, the conversation that we were using as the wedge.

Speaker 0

正是这种对话、这种语音信号,让我们能融入各种工作流程,甚至不止于病历。

That conversation, that spoken signal, allows us to now build into any number of workflows, even beyond notes.

Speaker 0

当你在做病历的时候,比如结合后面整个收入周期,做法就会完全不同。

And when you're building notes with, for example, all of the revenue cycle that comes next, you build them differently.

Speaker 0

就像那些基础模型公司一样,我们从来不想变成一个电子病历系统。

It's a moment where, kind of like the Foundation Model company, we don't ever want to be an electronic medical record.

Speaker 0

顺便说一下,我是在Epic系统环境下长大的,以前待过的医疗系统里用过好几种电子病历。

And by the way, like, I grew up with Epic, and I was at a health system that had multiple medical records.

Speaker 0

但相比之下,我用Epic的时候最开心,比其他任何系统都顺手。

And I was always the happiest when I was using Epic compared to any others out there.

Speaker 0

所以我们是在这些系统之上做东西。

So we build on top of them.

Speaker 0

但我们搭建的这一层,是智能层。

But the layer of the stack that we are building is the intelligence layer.

Speaker 0

我们选择的切入点是对话,因为在医疗场景里,真正产生价值的时刻,就是医生、护士和患者讨论治疗方案的那一刻,那是最核心的时刻。

And the wedge that we've chosen is the conversation because it's that sacrosanct moment in healthcare where the actual value is getting exchanged, where the doctor and the patient or the nurse and the patient where they're talking about the care plans.

Speaker 0

所以,如果我们能以一种既符合临床需求、又满足合规要求的方式记录这些对话,就能逐步构建起这一层,而且未来扩展起来也会非常容易。

And so being able to capture them in a way that's not just clinically useful, but compliant is a way to build out that layer over time and you can extend very easily.

Speaker 1

我觉得很多经验往往是从反思自己做错的事情中得来的。

I think lessons are often learned from reflecting on what you did that you shouldn't have done.

Speaker 1

回头想想,你有没有做过一些决定,现在看来其实换条路会更好?

What did you do that on with the benefit of hindsight, you're like, it would have been better to choose an alternative path?

Speaker 0

疫情期间,大家其实都在摸索着前进。

During the pandemic, I think everybody's just sort of figuring it out.

Speaker 0

也许我们本该更专注地投入研究,躲进实验室里专心搞科研,或者优化一下BERT模型。

I think perhaps we could have doubled down on research and just sort of hibernated for a beat into research caves and or we were fine tuning BERT models.

Speaker 0

BERT、BioBERT、LongFormer、Pegasus、T5,这些模型我们都有在用。

BERT and BioBERT and LongFormer and Pegasus and T5.

Speaker 0

我们在2021年就发过一篇论文,讲的是怎么用比大模型更早的模型,来实现今天这些功能,而且还能规模化。

And we had published a paper in 2021 around how you could actually do some of the jobs we do today at scale, but do it with models that predated LLMs.

Speaker 0

其实我们本来可以多做点研发,但早在疫情之前,我们就已经决定:医生那边的门槛太高了,不如先从患者入手。

There's a world where we could have done more R and D, but the decision that we made pretty early on, even before the pandemic, was that the barrier to entry on the doctor side was so high, let's go build for patients.

Speaker 0

所以我们做了一款面向消费者的App,让每个人都能直接问医生:‘我能录个音吗?’

So we built a direct to consumer app that would allow any one of us to ask our doctor, Hey, can I record?

Speaker 0

然后把对话录下来,自动生成一份总结给自己留着。

And capture the conversation and create a summary for themselves.

Speaker 0

我还记得当初向USV做种子轮路演时,有一张幻灯片上画着一位医生和一位患者面对面坐着。

I remember when we first pitched USV for that seed round, one of our slides had a doctor on one side, a patient on the other.

Speaker 0

中间就像有个手机,我们其实能帮到双方。

There's like this mobile phone in the middle and was like, We can help both.

Speaker 0

双方都需要帮助。

Both sides need help.

Speaker 0

双方都希望有自主权。

Both sides want agency.

Speaker 0

双方都希望掌握自己的故事,而我们正好能做到这一点。

Both sides want to own control the story or have that story, and we can do that.

Speaker 0

我们可以用人工智能来服务他们。

We can serve them with AI.

Speaker 0

所以我们先从一方入手。

And so we started on one side.

Speaker 0

我觉得我自己有时候也在想,当初在患者这边,或许我们可以换种方式来做。

I think there's like a part of me that thinks that we could have perhaps built differently there on the patient side.

Speaker 0

这对我们来说至关重要,稍后我会再谈到这一点。

It's super core to who we are, and we'll get back to that, actually.

Speaker 0

我们现在再回到这张幻灯片的患者端。

We're getting back to the patient side of that slide now again.

Speaker 1

但从战略上讲,当初做患者端是个错误。

But it was a strategic mistake then to build that patient side.

Speaker 0

相对而言,也许我们本该在研发上多花几轮时间,而不是拼命琢磨能行得通的商业模式。

Relatively speaking, maybe we could have spent a couple more cycles on R and D as opposed to I mean, we were really banging our heads against the wall trying to figure out business models that could work.

Speaker 0

说到底,也许这才是问题所在。

You know, maybe that's the mistake.

Speaker 0

真正的问题不在于我们在这个领域做了什么,而是我没能尽早确认:我们到底有没有一家公司能立足于此。

It's not actually that we built in that space that I really worked hard to figure out if we had a company there, and we didn't.

Speaker 0

因为单靠消费者端的医疗健康业务,往往只能做出那种永远没法赢得企业信任的公司。

Because the companies that you can build on top of just the consumer in healthcare, oftentimes there's the kind of companies that that paint themselves into a corner that can never be trustworthy enough to go enterprise.

Speaker 0

这类公司商业模式的核心,是把用户极其私密的信息卖给不知谁谁谁,每天都得洗好几遍澡才能安心。

They're the kind of companies where the business models would require you to take multiple showers every single day because you're selling really private sensitive information to who knows what entity.

Speaker 0

我们不想变成那样的公司,但意识到这点的时候,已经太晚了。

And that's we we didn't wanna be that, but, like, we realized that too late.

Speaker 0

我觉得我当初该做的调整是,虽然我们做出来的东西确实很有价值,但也不能忽视了实际收入会是多少。

I think the pivot that I should have made is probably, Okay, we built something really valuable here, but let's not lose sight of what were the actual revenues are going to be.

Speaker 0

所以回到你最初的问题,我对这家公司的核心理念非常坚定,但我们确实做了很多次调整,不只是营销方式,连商业模式也改了。

And so back to maybe your original question, I think very strong about what the thesis of the company was, but we pivoted a lot, not just on go to market, but also business model.

Speaker 1

你提到的商业模式转型,很多人现在都在谈,比如按使用量收费这种特别创新的方式,其实Twilio早就这么做了。

You said about kind of business model pivot that I think a lot of people are talking about, oh, the rise of consumption based pricing like this, this incredibly innovative thing, which is Twilio has been around for a while.

Speaker 1

对。

Yeah.

Speaker 1

还有你提到的财务总监,你说了不同的利益相关方。

And CFOs that you mentioned, you mentioned different stakeholders.

Speaker 1

财务总监喜欢按席位收费。

CFOs want seat pricing.

Speaker 1

他们希望明确知道,比如我这里有10个医生。

They wanna know that, like, I've got 10 doctors.

Speaker 1

我这里有10张账单。

I got 10 bills.

Speaker 1

对于这些前沿企业来说,未来的定价机制应该是什么样的?

What is your lessons on the pricing mechanism of the future for many of these frontier businesses?

Speaker 0

这挺有意思的。

Well, it's interesting.

Speaker 0

我觉得我们还在摸索中。

I think we're still learning.

Speaker 0

我们一开始的想法很简单,按席位收费,也就是企业一次性买断整个系统。

We started with a keep it simple idea, sensibility, per seat, you know, an enterprise licensing the entire system.

Speaker 0

我们最早的竞争对手是微软。

The first big competitor for us was Microsoft.

Speaker 0

他们几年前花了两百多亿美元收购了一家叫Nuance的公司,而且也有类似的产品。

They had bought a company called Nuance for 20 some billion some years ago, and they had a product in our category.

Speaker 0

直到现在,我们还在市场上和他们竞争。

And we still compete with them in the marketplace.

Speaker 0

但我觉得,我们已经确立了自己完全不同的定位,提供的是完全不一样的产品。

But I think we've established ourselves as a completely different type of company with a completely different kind of offering.

Speaker 0

但现在,我们对待他们的做法已经和以前不一样了。

And at this point in time, we don't approach them the same way we used to.

Speaker 1

所以你不觉得捆绑销售是个真正的威胁?

So you don't buy bundling as a real threat.

Speaker 1

我记得我之前完全忽略了 Nabla。

I remember I'm completely fainting Nabla.

Speaker 1

Nabla 应该是你们的竞争对手吧?

Nabla is a competitor of yours, I think.

Speaker 1

是的。

Yeah.

Speaker 1

一个潜在的对手。

A candidate.

Speaker 1

我提到过他们,当时特别担心捆绑策略会严重威胁到他们主导市场的能力。

I alluded to them and I was like really concerned that bundling would be a very prominent threat to their ability to dominate the market.

Speaker 1

我当时的担心是错的吗?

Was that a wrong concern of mine?

Speaker 0

这两家公司我们现在几乎看不到了。

We don't see either of those companies much anymore.

Speaker 0

我不确定这跟捆绑销售有没有关系。

I'm not sure if it has anything to do with bundling.

Speaker 0

我觉得关键是我们成功开辟了一个新领域,创造了一个让市场真正认可的品类。

I think it has to just do with us being able to carve off, like, a category, you know, create a category that I think has resonated with the marketplace.

Speaker 0

两天前我在亚特兰大埃默里大学参加了一些圆桌讨论,会上有位医生把‘bridge’当动词用,后来另一位医生也这么用了。

I was two days ago, I was in Atlanta and at Emory and was on some panels over there, but one of the doctors on the panel used a bridge as a verb, and then another doctor later used it as a verb.

Speaker 0

晚餐时我问了其中一位,你当时说‘bridge’到底是什么意思?

And then I asked one over dinner, like, what did you mean when you said that?

Speaker 0

他们解释的时候,意思远不止是‘帮我生成了一条笔记’那么简单。

And when they describe what they mean by that, they mean something that it's a lot more than like, oh, it created a note for me.

Speaker 0

而是说它帮我做了很多事,减轻了我的负担,让我能专心面对眼前的病人。

It's like, oh, it did all these different jobs for me, and it unburdened me, and it allowed me to help, you know, just focus on the patient in front of me.

Speaker 0

我觉得这才是我们能够胜出的原因。

I And think that's what what's allowed us to win.

Speaker 0

我们回到你刚才问的价格问题。

Back to your pricing question.

Speaker 0

是的。

Yeah.

Speaker 0

我觉得现在市面上很多定价模型都太复杂了,尤其是像微软这样的公司,把事情搞得特别晦涩难懂。

I I think there's a part of me that thinks that there's a lot of complex models out there, and especially like the Microsofts of the world just obfuscate things so much and make things so complicated.

Speaker 0

到目前为止,我们能胜出,我觉得正是因为我们在定价上刻意跟他们反着来。

We've won so far by, I think, even competitively positioning against that.

Speaker 0

但我也在想,我们得继续留意一下,因为看到其他行业有些公司用特别复杂的结构,结果还真行得通,我不禁怀疑是不是有什么我们没注意到的门道。

But there's a part of me that thinks that, like, you know, we need to continue to take notes here because I see some companies in other verticals with incredibly complex structures and find out it's working and wonder if there's something to it.

Speaker 1

我总说,我宁愿把主菜留给别人当甜点,因为我会比他们更在意这件事。

I always say I always want my main course to be someone else's dessert because, like, I'm gonna care much more than they do.

Speaker 1

而你对这个市场的重视程度,天然就远超微软,毕竟这可是你全部的事业。

And, like, you care much more than Microsoft do about this market by very nature of the fact that it's all you do.

Speaker 0

对。

Yeah.

Speaker 1

对那些正在听的创业者,有很多公司其实勉强能做,产品也还说得过去。

Any advice to founders listening where we have a lot of companies where it's like, well, they kinda could do and they kinda do have a competitive product.

Speaker 1

我们该不该自己另起炉灶?

Should we just roll our own race?

Speaker 1

我们该不该也死死盯住他们?

Should we be unwaveringly focused on them also?

Speaker 1

如果你坐下来跟他们谈,有什么建议可以给到他们?

Any advice to them if you're sitting down with them?

Speaker 0

我的意思是,你当然得跟他们竞争。

I mean, you gotta you wanna compete against them.

Speaker 0

你肯定要干掉竞争对手。

You obviously wanna kill the competition.

Speaker 0

但真正能干掉对手的办法,是专心做好自己的产品,同时留意他们的一举一动,这样才能找准自己的定位,甚至反向压制。

But the way you can kill the competition is mostly focusing on your product and keeping in mind what they're doing so that you can competitively position, but also counter position.

Speaker 0

大公司往往有很多软肋,你完全可以针对这些弱点来反制,让他们不得不盯着你。

Big companies oftentimes have a lot of soft spots that you can be counter position against where they just have to watch you.

Speaker 0

你说到这种反向定位的时候,

When you say counter position in that way,

Speaker 1

我懂,因为我特别喜欢汉密尔顿·海尔姆的《七种力量》。

I know because I love Hamilton Helm with Seven Powers.

Speaker 1

对。

Yeah.

Speaker 1

你能解释一下这具体是什么意思吗?你怎么用它来赢得竞争?

Can you explain what that means and how you think about using it to win?

Speaker 0

当你以一种对手不敢做的方式去做,因为那样会伤害他们现有的业务,这就会迫使他们认真思考,甚至根本不敢直接跟你正面竞争。

When you're building in a way where the competitor couldn't build because it would impact their current business, it would hurt them, it really pushes them to think hard and probably prohibits them from directly competing against you.

Speaker 1

今天有什么事情,你明明能赚大钱,却偏偏不去做?

What could you make a large amount of money on today, but for some reason you do not?

Speaker 1

这又是为什么?

And why is that?

Speaker 0

我们卖数据是不赚钱的。

We don't make any money selling data.

Speaker 0

我们不这么做,是因为在医疗行业,信任是一切。

We don't because trust is everything in healthcare.

Speaker 0

整个行业的发展速度,完全取决于信任的建立。

Like, the industry moves at the speed of trust.

Speaker 0

建立信任要花很长时间,但我觉得,相对这个行业来说,我们已经以惊人的速度做到了。

It takes so long to build up, and we've been able to build it up, I think, in record time, relatively speaking, in this industry.

Speaker 0

我们四年里完成的事,很多公司得花十五到二十年,这全靠公司内部的团队、他们建立的关系,以及最重要的是,我们交付的产品和创造的价值。

I think we've done in four years what a lot of companies take fifteen to twenty years to be able to do, and that's all thanks to the people inside the company and the relationships that they build, and at the core, the product that we've been able to deliver and the value that we've been able to create.

Speaker 1

我能问你个问题吗?

Can I ask you a question?

Speaker 1

这难道不是关乎更大利益的道德问题吗?

Is that not a moral question for the greater good?

Speaker 0

是的。

Yeah.

Speaker 1

我的意思是,如果你为医疗数据打造一个像鹦鹉那样的系统,是不是就能让前沿模型更好地发展,从而推动全球医疗水平的提升?

And what I mean by that is if you were to create a macaw for health care data, would you actually be empowering frontier models to create better models for the world to benefit global health care services.

Speaker 1

这难道不是一个道德问题吗?

Is is that not a moral question?

Speaker 0

但具体该怎么做呢?

But how do you do it, though?

Speaker 0

你到底该怎么操作?

How do you do it?

Speaker 0

那你跟谁合作来实现呢?

And who do you partner with to do it?

Speaker 0

都有哪些人参与?

And who's involved?

Speaker 0

当然,谁来负责?对我们来说,每开发一个利用数据的新功能,公司里都有一个原则:先赢得信任。

Obviously, Who's a And so for us, when we build new features that leverage data, we have a refrain in the company, which is earn the right.

Speaker 0

所以我们总是先跟医疗系统合作伙伴沟通,他们往往提前就知道我们的路线图,也已经认可了,我们甚至在合同里就写明了可以基于获得的洞察来开发X、Y、Z功能,从而优化产品或推出相关的新产品,创造价值。

So we always go back to our health system partners and oftentimes they know about our roadmap in advance and they've already blessed it and we've already papered this into the contract that we can build X, Y, Z with the insights that we get so that we can improve the product or build other adjacent products that create whatever value.

Speaker 0

但建立这个基础模型,就像我们之前说过的那样。

But building that foundation model is like we talked about it before.

Speaker 0

我们确实会深入到更底层的部分。

We we do reach lower into the stack.

Speaker 0

我们会自己训练模型。

We do train our own models.

Speaker 0

某种程度上,这些模型才是我们真正的核心工具。

And to some extent, we are you know, these models are the the real workhorse for us.

Speaker 0

那么,我们能不能打造一个模型,为更大的公共利益服务呢?

And so could we build a model that ends up serving that kind of function for the greater good?

Speaker 0

当然可以。

Absolutely.

Speaker 0

但我们希望在所有人都清楚明白的情况下这么做。

We would just want to do that with everybody's eyes wide open.

Speaker 0

我们的所有合作伙伴都表示:我们一起来做。

All of our partners saying, let's go.

Speaker 0

我们也正有此意。

We want that too.

Speaker 0

在这个行业里,这套做法是行得通的。

In this industry, it works.

Speaker 0

在这个行业里,大家都能明白这个道理。

In this industry, people kinda get it.

Speaker 0

你可以选择A:提前六个月获得前沿模型的访问权,或者选择B:获得一支由顶尖研究员和工程师组成的团队,为期六个月。

You can have access to option a, frontier models before anyone else for six months, or option b, a talent pool of the best researchers and engineers for six months.

Speaker 1

你会选哪个?

Which would you rather?

Speaker 0

选B。

B.

Speaker 0

这还用说吗。

No question about it.

Speaker 0

归根结底,最重要的始终是人。

Because ultimately, it's always about the people.

Speaker 0

只要你有出色的人才,迟早能自己打造出模型和底层技术。

And if you've got incredible people, you're gonna build your own models, your own primitives.

Speaker 0

没错,前沿模型你确实能搭上这趟车。

And, yes, the frontier models, you're gonna be able to ride.

Speaker 0

但那种套利机会,那种短暂的优势,对我们来说根本不是终极目标。

But that that arbitrage, that period of arbitrage, you know, that's not the be all end all for us.

Speaker 1

人才市场真有大家说的那么难吗?

Is the talent marketplace as hard as everyone suggests it is?

Speaker 0

是的。

Yeah.

Speaker 0

当然了。

Yeah, absolutely.

Speaker 0

我觉得我们有个优势,能给候选人带来不少正向情绪。

You know, I think we have the benefit of being able to release a good amount of oxytocin for candidates.

Speaker 0

我们是一家有使命的公司。

We're like a purpose company.

Speaker 0

我们是一家追求意义的公司。

We are a meaning company.

Speaker 0

即使公司已经估值后,你依然愿意把最宝贵的几年献给这里,因为我们已经具备规模,而且正在做三件事。

You can be post money but still wanna put your best years into this company because we're at scale, and we're trying to do three things.

Speaker 0

我们想为医疗体系中最重要的那些人节省时间。

We're trying to save time for the people who matter most in health care.

Speaker 0

我们想为整个系统节省开支。

We're trying to save money for the system.

Speaker 0

医疗领域需要降低成本,但同时我们也要挽救生命。

We need deflationary economics in health care, but we also wanna save lives.

Speaker 0

你刚才提到了更大的福祉。

You talked about the greater good.

Speaker 0

我们希望让医护人员感觉自己像超级英雄。

We wanna help clinicians feel like superheroes.

Speaker 0

我们有个新功能,刚刚上线了,比如医生登录系统后。

We have a feature, for example, we just released where a doctor goes in.

Speaker 0

我们会提示他们该问哪些问题,或者该考虑哪些诊断方向。

We give them cues on what questions they should ask or diagnoses they should consider.

Speaker 0

我们的方式跟市面上大多数临床决策支持产品完全不同。

And we're doing it in a totally differentiated way unlike a lot of clinical decision support products out there.

Speaker 0

我们靠的是上下文。

We're using context.

Speaker 0

我们专门针对每个病人的具体情况来设计这些信息。

We're engineering the context about who this patient is.

Speaker 0

这些信息来自各种医疗系统,也来自医患对话本身。

That context comes from all those different systems of record and from the conversation.

Speaker 1

恕我直言,如果你只是给医生提示该问什么、该考虑什么诊断,干脆直接让他们下岗算了。

With the greatest of respect, dude, if you're giving them prompts for questions and diagnoses, for goodness' sake, just replace them.

Speaker 0

这得看情况。

It depends.

Speaker 0

每位医生如果发现自己的工作能被机器人替代,大概都会问一句:你开什么玩笑?

So every clinician, if a bot can do their job, I think most every clinician will say, like, what are you talking about?

Speaker 0

几年前《美国医学会杂志·内科学》上有一篇文章提到,医生每天得有三十个小时才能把所有工作做完。

There was an American Journal and General Internal Medicine article that was published a few years ago that suggested that doctors need thirty hours a day to get all of their work done.

Speaker 0

所以我们仔细研究了那篇论文,把导致三十小时工作量的每一项任务都拆解了一遍,现在正逐一解决。

So understandably, we've looked at the paper, we've parsed all the different tasks that lead to thirty hours, and we're picking them off.

Speaker 0

我们正在组建一批助手或智能代理,提前帮医生完成所有病历录入,告诉他们该问哪些问题,协助撰写病历,处理账单。

We're creating these teams of assistants, of agents that can go and get all the pre charting done for the doctor before they walk in, tell them what questions to ask, help them create their note, do their billing.

Speaker 0

只要是我们能做的其他事情,我们都会尽力去实现。

All the other things that we can do, we absolutely will try to do.

Speaker 0

但与此同时,就像你问的那样,那些高频、低风险的诊疗环节,确实必须自动化。

At the same time though, I think, like to your question, there's high frequency, low stakes care that absolutely needs to be automated.

Speaker 0

比如现在在犹他州,就有很多争议,关于公司能不能开始自动处理药品续方。

Right now in Utah, for example, there's a bunch of controversy around companies being able to or starting to automate medication refills.

Speaker 0

AI能不能自动为患者续开处方?

Can AI automate prescription refills for a patient?

Speaker 0

这种事,再低风险、再高频不过了。

That's as, low stakes, high frequency as it gets.

Speaker 0

但正是这类工作流程,会一步步被自动化,最终让我们接近一种最枯燥、没人愿意做的初级医疗模式。

But it's those types of workflows that will progressively get automated till we get to some approximation of maybe the most boring variant of primary care that nobody wants to practice.

Speaker 0

但一旦涉及到那些复杂的情况,就像你之前提到的品味和判断力,我觉得那时候情况就会变得非常现实,也会引发杰文斯悖论之类的现象。

But as soon as you get into the hard stuff, you talked about taste and judgment earlier, that's where I think things get very real and that's where invoke Jevon's paradox or whatever.

Speaker 0

但我们正面临着一波医疗需求的浪潮,而目前的体系并没有准备好去应对。

But we're in for a tsunami of health care needs and the system is not prepared to deliver it.

Speaker 1

哦,我完全不用担心我们会因为不需要医生而裁掉他们。

Oh, I unwaveringly don't worry about, oh, we're gonna fire doctors because we don't need them.

Speaker 1

对。

Yeah.

Speaker 1

最离谱的就是这个。

Is the most ridiculous.

Speaker 0

你去过

Have you

Speaker 1

那种

ever been to, like,

Speaker 0

急诊室吗?

an emergency room?

Speaker 0

外面有很多人。

There are people out there.

Speaker 0

外面有很多人。

There are people out there.

Speaker 1

是的。

Yeah.

Speaker 1

对,我知道。

Yeah, I know.

Speaker 1

他们周五晚上得去急诊室,亲眼看看那种痛苦。

They need to go to an emergency room on a Friday night and see the pain.

Speaker 1

这种事情正在发生。

It is happening.

Speaker 1

高盛最近其实有篇报道,我偶然读到,说奇怪的是,我睡前总爱看些

Goldman actually recently, I was reading Weirdly, I have bedtime reading that

Speaker 0

我每天晚上都会找来读。

I queue up every night.

Speaker 1

得多出去走走。

Need to get out more.

Speaker 1

我以前经常参加聚会。

I used to party.

Speaker 1

现在我晚上睡觉前会读点东西,白天把文章存起来。

Now I have bed time reading where I save articles in the day.

Speaker 1

昨晚我就读了一篇。

And I was reading one last night.

Speaker 1

文章里提到高盛的一项分析,估计在五年内,智能代理的令牌消耗量会增长24倍。

They said that there was an article by Goldman, and essentially, they estimate that agents within a five year period will increase token consumption by 24 x.

Speaker 1

特别具体,就是24倍。

Very specific, 24 x.

Speaker 1

25倍就有点夸张了。

25 would be exaggerated.

Speaker 1

你觉得这个数字是高估了、低估了,还是差不多?

Do you think that is overplayed, underplayed, or about right?

Speaker 0

具体的数字我不确定,但我觉得大方向上是对的。

I don't know about the specific number, but I think, directionally, I think so.

Speaker 0

一旦你开始用上这项技术,根本停不下来。

You just can't get enough of this technology once you start to use it.

Speaker 0

就算推理成本降了,你还是会越用越多。

Even as inference costs come down, you just end up using more and more and more of it.

Speaker 0

有些工作,尤其是那些你永远做不好的,简直就是无底洞。

I think for certain jobs, especially the jobs that you'll never be good enough on, those are bottomless pits.

Speaker 0

现在比以往任何时候都更明显,连公司怎么组织都体现了这一点——你能覆盖的范围大得多。

Now more than ever before, even reflected in the way people are organizing their companies these days, you can cover a lot more surface area.

Speaker 0

那就多做点就是了。

So just do that much more.

Speaker 1

现在最难招的是什么岗位?

What's the hardest role to hire for today?

Speaker 0

我觉得,能把真正出色的高管——判断力超强的那种——吸引到我们这样的公司,特别关键。

I just think getting really amazing executives, like really high judgment executives, into a company like ours is critical.

Speaker 0

这部分是因为我们现在所处的时刻确实前所未有。

A part of it is because this is pretty unprecedented, this moment.

Speaker 0

能有这样一些人当向导特别重要,他们熟悉大量过往经验,但又能跳出这些经验,反过来反思它们。

Being able to have folks who can serve as guides, who have a lot of patterns that they can match against priors, but the right person who can kind of go against those priors but can kind of reflect upon them.

Speaker 0

从做决定到采取行动之间的时间正在不断缩短。

The time between a decision and an action is getting compressed.

Speaker 0

很明显,产品开发这块,我们现在的做法跟一年前已经大不一样了。

Obviously, product development, we do things differently now than we did a year ago even.

Speaker 0

公司各个层级的时间都在被压缩。

Every layer of the company is getting compressed.

Speaker 0

我觉得,找到那些判断力超强的高管,依然是我一直在努力的事。

And I think high judgment people, incredible executives is is still a thing that I'm working on.

Speaker 1

你怎么看布赖恩·切斯基说的‘创始人模式’?他强调要尽可能贴近最底层的运作。

How do you think about you know, Brian Chesky obviously speaks about Founder Mode and the importance of getting as close to the bare metal as possible.

Speaker 1

一方面你提到高管需要靠经验模式来应对问题,另一方面你怎么平衡这两者?

How do you think about that on the one hand with the need for execs pattern matching playbooks that you mentioned there?

Speaker 0

是的。

Yeah.

Speaker 0

我觉得这两者并不配套。

I I I don't think they're they they go together.

Speaker 0

在我看来,创始人模式其实就是服役期的概念。

I think, like, Founder Mode is just about to me, it's about tours of duty.

Speaker 0

看公司里哪里着火了,或者什么事最重要,再结合你最擅长的,你就冲上去解决它。

Depending on what's on fire inside the company or, like, what's the most important thing and what you're best at, you just go crush.

Speaker 0

遇到挑战,你就得全力以赴把它拿下。

You just have to go kill whatever that challenge is.

Speaker 0

这不意味着你要事无巨细地去管每个人。

And it doesn't mean getting into the details and micromanaging everybody in the company.

Speaker 0

而是该上场的时候就上场,该退下的时候就退下。

It means doing the tour of duty when it makes sense.

Speaker 0

Jensen,也就是Nvidia,是我们投资人之一,他跟我讲过这件事。

Jensen, Nvidia is one of our investors, and Jensen told me this.

Speaker 0

他曾经半夜给我打电话,当时正开车回家,突然来这么一通,但我一听就知道是他。

He once called me at midnight, and it was, like, on his way home, cold call, and I knew it was him.

Speaker 0

我接起来,感觉特别棒。

And I picked it up, and it was it was awesome.

Speaker 0

你当时在睡觉吗?

Were you in bed?

Speaker 0

我在睡。

I was.

Speaker 0

我就爬起来了。

And I got up.

Speaker 1

明白了。

Alright.

Speaker 1

那是我亲爱的。

It's my darling.

Speaker 1

是Jensen。

It's Jensen.

Speaker 1

是的

Yeah.

Speaker 1

没错

Exactly.

Speaker 1

你一定会飞起来的

You are gonna fly.

Speaker 1

是给你妻子的

It's to your wife.

Speaker 1

没错

It is.

Speaker 1

我确实就是这么说的

That's actually what I said.

Speaker 1

我的朋友詹森

My buddy Jensen.

Speaker 1

我就是这么说的

What I said.

Speaker 0

她就回了句,随便吧。

And she was like, whatever.

Speaker 1

我跟他说:嘿,Jensen。

I was like, hello, Jensen.

Speaker 1

我那时候正小声跟他说话。

I'm like, whispering to him.

Speaker 1

他怎么说的?

What did he say?

Speaker 0

他给我回电话,是因为我之前发了封邮件给他。

He was he was calling me back because of an email I had sent him.

Speaker 0

我那天早些时候就给他发了条简短的消息。

I'd sent him, like, a two liner earlier in the day.

Speaker 0

他的服务响应时间简直快得离谱。

So his SLAs are insane.

Speaker 0

他回得特别快。

He responds that fast.

Speaker 0

这真的太不可思议了。

It's really wild.

Speaker 0

他想帮我梳理一下我当时遇到的难题。

He wanted to unpack, like, a challenge that I was experiencing.

Speaker 0

但那天我学到的一课是,你的工作就是爱上你正在做的这份工作。

But one of the lessons for me that day was just, like, your job is to fall in love with whatever the job is.

Speaker 0

这是你可以做到的。

That is something you can do.

Speaker 0

你可以说服自己。

You can convince yourself.

Speaker 0

你得想办法调整自己,让自己真正喜欢上整天在飞机上生活的样子。

You have to find a way to bend your DNA to, like, crisper new DNA in that, like, loves living on airplanes.

Speaker 0

我现在就是整天在飞机上过日子。

I live on airplanes now.

Speaker 0

如果你五年前抓到我,我肯定说:绝不可能。

And I I I think if you caught me, like, five years ago, I'd be like, never.

Speaker 0

我们不会那么做。

We're not gonna do that.

Speaker 0

我们会找别的办法来成长和扩展。

Like, we're gonna find other ways to grow and scale.

Speaker 0

但这份工作就是需要这样,而我也享受这个过程。

But this is what the job requires, and I enjoy it.

Speaker 0

你还没把你的

What have you not CRISPRED your

Speaker 1

优势转化成真正擅长的事呢?

way into yet that you need to?

Speaker 0

是啊,这问题问得好。

Yeah, it's a good question.

Speaker 0

我觉得,人们的优势往往也是他们的短板。

I'd say, like, you know, people's strengths are their weaknesses too.

Speaker 0

你特别特别擅长的东西,背后总有个阴影。

There's a shadow to what you're very, very good at.

Speaker 0

我下面管着人力资源团队。

I have HR reporting to me.

Speaker 0

这类工作并不属于我最该做的核心事务。

That kind of stuff is not the kind of stuff where I think I'm operating top of license.

Speaker 1

我前几天发过一条推文,说从来没有哪位出色的CEO是真正喜欢人力资源的。

I tweeted the other day that no great CEO ever liked HR.

Speaker 1

是的。

Yeah.

Speaker 1

我发了那条推文后,收到的反对意见多到惊人,真的吗?

I have never got so much hate Oh, really?

Speaker 1

回头一看,全是批评。

Back.

Speaker 1

我的意思是,真的吗?

I mean Really?

Speaker 1

没想到会引发这么大的反应。

It was just surprising.

Speaker 1

我明白这个道理。

I see that.

Speaker 1

我一直觉得,这大概就是为什么大家总拿HR里的‘凯伦’开玩笑吧。

I thought that was why, like, know, we all joke about, like, Karen in HR.

Speaker 1

但我心里清楚。

But I know.

Speaker 1

可人人都说,你这个人太狠了。

But everyone's like, you know, you're a dick.

Speaker 0

我对这一点感到很意外。

I'm surprised by that.

Speaker 1

天哪。

Oh my god.

Speaker 1

真够狠的。

Savage.

Speaker 1

当时我就说,听好了。

At that, and then I said, listen.

Speaker 1

如果你周五想在家上班,那也没问题。

If you wanna work from home on Friday, that's okay.

Speaker 1

但你得坦率接受一点:你不会像在办公室那么拼命干。

But just accept that bluntly, you're not gonna work as hard.

Speaker 1

你十点去上普拉提,周五在家上班?这等于一周四天都在摸鱼。

You're gonna go to Pilates at ten, and work from home Fridays is bullshit four days a week.

Speaker 1

你们是每周五天都在办公室吗?

Are you five days a week in office?

Speaker 0

我们每周在办公室三天。

We are three days in office.

Speaker 0

为什么这么说?

Why?

Speaker 0

有些同事通勤距离太远,来公司很不方便。

We just have certain folks who have to travel long distances in order to get in the office.

Speaker 0

所以我们还在摸索,到底什么样的安排最合适。

And so we're still adjusting what exactly, like, the sweet spot is.

Speaker 1

这样没问题吧?

Is that okay?

Speaker 1

你难道不希望一周五天都在办公室吗?

Would you not rather have five days a week?

Speaker 0

我喜欢和大家在一起。

I love being around the people.

Speaker 0

我喜欢在白板前工作,但我也经常在飞机上度过。

I love being at the whiteboards, but I'm also living on airplanes.

Speaker 0

但我很清楚,尤其是EPD,对公司里每个人都有很大帮助。

But I I just know how much, especially EPD benefits, about everybody in the company honestly, like, benefits.

Speaker 0

不过现在事情变化太快了,面对面的时间越多,效果就越好。

But this moment, things are moving so quickly that the more time that you have in person, the better.

Speaker 0

这点毫无疑问。

There's no question about it.

Speaker 0

我不是那种自上而下管人的类型。

I'm not like a top down.

Speaker 0

我们当然不是那种自上而下的风格,但我们的文化确实不是那样的。

We're not like top down September, obviously, but we don't have that kind of culture.

Speaker 0

我觉得很多人只是在刷指标,这其实就是古德哈特定律。

I think that there are a lot of people who are token maxing and, like, it's Goodhart's law.

Speaker 1

以你们现在的规模,会不会因为流程和政策变得僵化而拖慢节奏?

Do you worry at your size, you malaise into slowness process policy?

Speaker 1

你们一共有多少人?

How many people do you have?

Speaker 0

四百五十人。

450.

Speaker 1

四百五十。

Four fifty.

Speaker 1

四百五十人的时候,真能只靠核心团队撑起来吗?说实话。

Is it possible to only have a players at four fifty, honestly?

Speaker 0

这是个很好的问题。

It's a great question.

Speaker 1

我觉得是的。

I think so.

Speaker 1

而且我觉得这需要每个人都能参与进来。

And I think I think it takes everybody in

Speaker 0

公司里的每个人都需要不断审视自己的标准,重新评估,确保所有人都达标。

the company continually looking at what their bar is and reassessing and making sure that everybody is.

Speaker 0

你是什么时候开始不再见每一个新加入的人的?

When did you stop meeting everyone who joined?

Speaker 0

已经很久了。

It's been a long time.

Speaker 0

已经很久了。

It's been a long time.

Speaker 0

一百人的时候?

A 100?

Speaker 0

甚至可能再早一点,说实话。

Even probably even a little bit before that, honestly.

Speaker 0

大概就是那时候。

It was around then.

Speaker 1

是吗?

Is that right?

Speaker 1

那你建议其他创始人该怎么

And how would you advise other founders on how to

Speaker 0

说实话,根本没什么固定套路。

that there's any playbook, honestly.

Speaker 0

我觉得这还跟你身边的人有关。

I think it depends on who's around you too.

Speaker 0

比如你身边有哪些高管,他们能不能分担很多这类工作。

Like, what what executives around you who can do a lot of that work as well.

Speaker 0

我觉得文化特别关键。

I think culture is critical.

Speaker 0

不管创始人兼CEO怎么想,他们在塑造文化上都起着决定性作用。

And no matter what the founder CEO thinks, they play a huge part in setting it.

Speaker 0

你可以用很多种方式传达你认为能帮助你取胜、实现使命的文化。

And there are a lot of different ways you can you can kinda convey what you believe is the culture that's gonna help you win, achieve your mission.

Speaker 0

在我看来,亲自面见每一个候选人并不在其中。

And meeting every single candidate isn't necessarily, in my estimation, one of them.

Speaker 0

如果你真正信任你的招聘经理和高管们,让他们传递这种文化,事情自然能搞定。

I think if you really trust your hiring managers and you really trust your executives as carriers of that culture, you can work it out.

Speaker 1

你觉得哪些文化要素最不为人所知,却至关重要?

What is the most non obvious but core cultural element that isn't standard?

Speaker 1

大家都会说要更有野心、更投入、更注重使命,这些都对。

You know, everyone's slightly more ambitious people, people that care, mission oriented, all that.

Speaker 1

当然。

Wonderful.

Speaker 1

对我来说,有个挺特别的,叫‘泰坦尼克法则’。

So one weird one for me is that it's called the Titanic rule.

Speaker 1

我之前提到过席琳·迪翁。

And I mentioned Celine Dion earlier.

Speaker 1

我们这儿特别喜欢《泰坦尼克号》。

We love Titanic here.

Speaker 1

没错。

Yeah.

Speaker 1

这电影真棒。

Great movie.

Speaker 1

整整三个小时。

It's three hours long.

Speaker 1

每个人都该能和家人一起进影院看场电影。

Everyone should be able to go to a cinema with their families.

Speaker 1

但如果你在WhatsApp或Slack上收到消息,就得在三小时内回复,必须的。

But if you're asked a question on WhatsApp's Slack, you need to respond within three fucking hours.

Speaker 1

这能推动效率和紧迫感,这就是泰坦尼克法则。

It drives efficiency and urgency, titanic rule.

Speaker 1

对。

Yeah.

Speaker 1

还有什么不太明显、特别、反主流的信念在引导你的原则吗?

Anything that guides your principles that's less obvious, special, counterculture?

Speaker 0

比如Luxe的Josh Wolf,我记得好多年前见过他,他经常说一句话:肩上的负担,能变成口袋里的筹码。

You know, like, the Josh Wolf from Luxe, I remember years ago meeting him, And I think he says this a lot, but chips chips on shoulders makes chips in pockets.

Speaker 0

这种特质其实很难去评估一个人,但有些人就是有一种惊人的冲劲,而这股劲头源自他们内心最深处的东西。

I think that's it's a hard thing to kind of be able to assess in a person, but there are just certain people who have insane slope, and that slope is coming from something very, very deep in core to, you know, to who they are.

Speaker 0

他们有明确的目标,你一看到他们,就忍不住想支持他们。

They're on a mission, and you see them and you just wanna you wanna invest in them.

Speaker 0

你甚至想买他们的股票,那种感觉就是说不清,但就是能感受到。

You want stock in them, and you you just sort of feel it.

Speaker 0

所以我觉得,不是说有人在到处找心理上有问题的人,我们之前聊到过心理评估的事。

So I think, like, it's not that you're looking for like, there's a bunch of VCs out there looking for broken people, and we're talking about psychological assessments, I think, before we started.

Speaker 0

确实有些风投会这么做,我之前在融资前,就遇到过一位这样的投资人。

Now some VCs will do that, and I had one before we we took money from one of our investors.

Speaker 0

但我认为,关键是要找到那种发自内心的热忱,这种热忱不仅能带来你提到的那些执行力,更能体现韧性和拼劲。

But I think it's just looking for a level of fire that's gonna translate into not only those SLAs you talked about, but, you know, resilience and grind.

Speaker 0

这一直都是战时状态,而且现在的战争跟以往任何时期都不一样。

And it's always wartime, and it's a different kind of war now than ever before.

Speaker 0

不是每个人都能当战士。

And not everybody's a warrior.

Speaker 1

你是战时型CEO,还是和平时期型CEO?

Are you a wartime or a peacetime CEO?

Speaker 1

哦,

Oh,

Speaker 0

别开玩笑了。

come on.

Speaker 0

真的,别逗了。

Like, come on.

Speaker 1

你是战时型CEO?

You're a wartime CEO?

Speaker 0

你不可能是。

You can't be.

Speaker 0

是的

Yeah.

Speaker 0

别无他法,只能如此。

There's no other there's no other way to be.

Speaker 0

你永远都在竞争。

You're always competing.

Speaker 0

你所处的市场变化太快了。

You're in a market that is moving so fast.

Speaker 0

哪有什么和平时期的CEO?

Like, who's a peacetime CEO?

Speaker 0

就连Costco的CEO,我觉得他特别棒但被低估了,他是和平时期的CEO吗?

Like, even the Costco CEO, who I think is awesome and under celebrated, is he a peacetime CEO?

Speaker 0

也许他是。

Maybe he is.

Speaker 0

也许他确实是个出色的和平时期CEO。

Maybe he maybe he's a good peacetime CEO.

Speaker 1

但只要创始人一退出CEO位置,我就走了。

But The minute the founder transitions out of CEO role, I'm out.

Speaker 1

你同意这个说法吗?

Do you agree with that?

Speaker 0

是的。

Yeah.

Speaker 0

我确实很认同这类公司,你知道的,我就喜欢这种公司。

I definitely, like, you know, I believe in those types of companies.

Speaker 0

我就想投资这种公司。

Those are the types of companies I want.

Speaker 1

在Abridge的发展过程中,你觉得哪个阶段最难熬?

What stage of Abridge development have you struggled most with?

Speaker 1

我一直觉得产品与市场的契合度就像一连串章节。

You know, I always think product market fit is a series of chapters.

Speaker 1

我们总是搞错。

And we always get it wrong.

Speaker 1

我当时以为已经找到产品市场契合点了,结果突然一下就没了。

It's like, I had product market fit and then boom.

Speaker 1

所以你得不断去发现新的产品市场契合点。

So you're constantly finding new product market fits.

Speaker 1

在公司发展的哪个阶段,你觉得最难应对?

What chapter of company development did you find the most challenging to grapple with?

Speaker 1

那现在你明白了什么?

And what do you know now?

Speaker 0

说实话,我觉得公司最难受的阶段,就是那种没什么压力的时候。

You know, honestly, like the the chapter of company that that sucks the most is like the one where you don't feel pressure.

Speaker 0

我们公司有句话叫:压力出钻石。

Like, we we have a saying in the company, pressure makes diamonds.

Speaker 0

当你感觉像在 cruise control,完全靠自动驾驶的时候,那种感觉真的很糟。

When it feels somehow like you're on cruise control, you're on autopilot, that kinda sucks.

Speaker 0

如果你没在琢磨怎么把目标翻十倍,没在想怎么突破常规,没在找新的突破口、创造新价值,一旦你感觉不到压力,开始躺平了,那真的特别难受。

If you're not figuring out how to 10x your ambitions, if you're not figuring out how to think outside the box or find new pockets to pull from, new value to create, you if don't feel that pressure for some reason, if you're coasting, that doesn't feel feel good at all.

Speaker 1

你们最高的一轮融资是多少?

What's the largest round you've raised?

Speaker 0

上一轮是三亿,大概一年前完成的。

Our last one was 300 about a year ago.

Speaker 1

明白了。

Okay.

Speaker 1

融了三亿美元之后,你们怎么防止开支和预算变得松散?

So when you raise 300,000,000, how do you prevent expenses and budget becoming too loose?

Speaker 1

这么多钱,我见过不少公司一拿到钱就乱花。

It's a lot of money, and I see it with a lot of companies where suddenly spending just becomes loose.

Speaker 1

各种活动、差旅、酒店,乱七八糟的开销就来了。

Events, travel, hotels, da da da, it's loose.

Speaker 1

你们是怎么避免这种情况的?

How do you prevent that?

Speaker 0

我们请了非常有原则的财务负责人,他们能和我们一起梳理公司的目标,然后明确哪些目标绝对不能妥协。

You hire really principled finance leaders who can work together with you to unpack what the goals of the company are and then recognize that against certain goals, you don't wanna blink.

Speaker 0

你融这笔钱,是因为现在它就是个硬工具,能帮你赢下来。

You raise this capital because it's a brute instrument now that is gonna allow you to win.

Speaker 0

所以有些事,根本没必要讨论。

And so against certain things, you just don't wanna even debate.

Speaker 0

如果你还在纠结,那你就做错了。

And if you are, you're doing it wrong.

Speaker 0

但如果你有懂业务的财务负责人,你就该有分寸,知道像给纽约办公室买一套高档音响这种事,其实根本没必要。

But having the right business minded folks and finance leader means that you should probably also have discipline to know that you didn't need what I just ordered for our New York City office, like some fancy speakers.

Speaker 0

不过有时候,这些细节确实能塑造文化。

But sometimes that stuff creates culture too.

Speaker 1

对,没错。

So yeah.

Speaker 1

哪一轮融资最难?

What was the hardest round to raise?

Speaker 0

最难的是A轮。

The hardest round was a series a one.

Speaker 0

你知道,风险投资,你当然也清楚,那一轮其实挺弱的。

You know, venture capital, you know, you obviously know it was a weak round.

Speaker 0

我们当时处境不妙,因为融资额后面就带了个‘1’。

We were in a weak spot because there's, like, a digit at the end of it.

Speaker 1

就是个‘1’。

A one.

Speaker 1

简直糟透了。

Like, terrible.

Speaker 0

他当时说

And he's

Speaker 1

这到底是什么鬼东西?

like, what the fuck is this?

Speaker 0

是啊。

Yeah.

Speaker 0

那边的情况确实挺艰难的。

Obviously, things are tough over there.

Speaker 0

但那头几年,我们就觉得消费类产品那种商业模式不太对劲。

But those first years, we talked about, like, the consumer product business models not feeling right.

Speaker 1

你们是不是一直被拒绝?

Did you just get lots of no's?

Speaker 0

那一轮确实收到了不少拒绝。

We got a handful of no's on that round for sure.

Speaker 1

USV 不是应该保证你们下一轮融资吗?

Does USV not just guarantee your next round?

Speaker 0

他们投了种子轮和 A 轮。

They did the seed and the a.

Speaker 0

一开始,USV 就是我们商业模式的核心。

USV was our business model initially.

Speaker 0

我们还有贝塞默、Pillar 这些很棒的投资人,还有很多其他机构,但那时候我们还没到转折点。

We had other great investors like Bessemer and Pillar and plenty of others, but we were pre inflect.

Speaker 0

所以我们能感觉到,情况不对。

And so we knew we could feel it.

Speaker 1

那时候So在发生什么?

Was So was happening in

Speaker 0

是那个A1吗?

that A1?

Speaker 0

是的。

Yeah.

Speaker 0

我们找到了一些相信Winnington Ventures的人。

We found folks who believed in Winnington Ventures, for example.

Speaker 0

比如,我们做过一轮估值两倍的融资。

Like, we did a round at a two x.

Speaker 0

大家都觉得突破很快就要来了。

Folks believed that it was coming soon.

Speaker 0

我们拿到了像

We got it like

Speaker 1

40投8这样的投资。

a eight on 40.

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