What does it take to build better healthcare? Host, Nuzi Barkatally, sits down with founders, investors, clinicians, and creative leaders to uncover the stories, systems, and innovative ideas behind building in healthcare with intention.
Designing Thoughtful Migraine Care: Izac Ross on Building Haven
In this week’s episode, I sit down with Izac Ross, co-founder and CEO of Haven, a virtual clinic focused on delivering more thoughtful and specialized care for people living with migraines or chronic headaches.
Izac shares his path from working on design teams at some of the most leading healthcare startups to becoming a founder himself. We unpack how Haven is designing care within the constraints of today’s healthcare system—from prior authorizations and clinical workflows to where AI and real-world data can actually add value without overcomplicating care.
11 Nov 2025
From Clinician to CMO: Arpan and Amit Parikh on Scaling Behavioral Health Innovation
In this week's episode, I sit down with Arpan and Amit Parikh, two brothers who both serve as Chief Medical Officers at two different leading behavioral health startups, and they're also co-authors of the Substack Two Docs and a Stack. We talk about where the future of behavioral healthcare is headed, the business models that actually work, where startups should focus, and how AI can meaningfully support clinicians and patients alike.
29 Oct 2025TRANSCRIPT
The Power of Capital and Community: Naseem Sayani on Funding the Future of Women’s Health
In this week's episode, I sit down with Naseem Sayani, investor, operator, and advocate for female founders and women's health. She shares her path into venture capital, and the structural challenges women face in the startup ecosystem from funding gaps to pattern recognition biases, and how the current landscape determines who gets funded.
Naseem shares why the power of community, financial literacy, and diverse perspectives are key to building a more equitable environment for both founders and investors. We also explore how emerging technologies like AI are opening new frontiers in women's health.
It's a thoughtful and candid conversation about what it takes to build and fund a better future for women's health.
7 Oct 2025
Using AI to Transform Men’s Fertility Care: Thiv Paramsothy on Building Hera Fertility
In this episode, I sit down with Thiv Paramsothy, founder of Hera Fertility, a company that’s rethinking fertility care for men. Thiv shares how Hera got started, the pivots they made along the way, and how they ultimately landed on building a platform that uses AI and machine learning to provide insights and support for men’s reproductive health.
We talk about Thiv’s journey from working inside the healthcare system to stepping out and founding a company. He shares candid lessons on iterating in a regulated industry, building trust with stakeholders, and designing business models that actually work in healthcare’s complex ecosystem.
We also dive into what it really takes, from the right advisors to the right mindset, to turn an ambitious idea into a meaningful company.
23 Sept 2025
From Pharmacy Technician to Founder: Amantha Bagdon’s Journey Launching RxPost
In this week’s episode, I sit down with Amantha Bagdon, founder and CEO of RxPost. After two decades working behind the pharmacy counter, Amantha saw the same problem over and over again...pallets of medications tossed out or wasted on the shelves while nearby pharmacies paid a premium to fill the very same prescriptions. That frustration sparked RxPost, a pharmacy-only marketplace and smart inventory solution designed to cut waste and improve margins for independent pharmacies.
We dive into her journey as a founder and the challenges of building a company from scratch. Without a network of other founders or a playbook to follow, she figured it all out on the fly.
9 Sept 2025
The Logistics Layer Home Health Needs: Adam Stansell’s Vision for Axle Health
In this week’s episode, I sit down with Adam Stansell, founder and CEO of Axle Health. Adam’s path into healthcare is anything but traditional — Starting at Uber, moving to logistics company Motive, and ultimately launching Axle Health in the middle of a pandemic. He shares what it was like to step into healthcare with humility. The lessons he carried from tech into home health delivery, and navigating their pivot from a tech-enabled service to a SaaS platform.
We dive into how Axle Health is rethinking the operational backbone of home health…leveraging logistics expertise, AI integration, and a focus on interoperability to support clinicians in the field. Along the way, Adam offers candid insights into raising VC in today’s climate, including their recent $10M series A, and the future of care delivery outside the clinic.
9 Sept 2025
Welcome to HEALTHCARE *by design*
In this introductory episode, host Nuzi Barkatally shares her personal journey with Crohn's Disease, how it fueled her professional experience working in healthcare and startups, and why she ultimately started this podcast.
Inside a recent episode
The Power of Capital and Community: Naseem Sayani on Funding the Future of Women’s Health
Published 29 Oct 2025 · Transcript excerpt
[…] There's other people from a policy perspective that are thinking about it. And we're all talking to each other so that it's not just the founders running out there all by themselves. There's a lot of us that are paying attention to this to make sure the category can be successful. […]
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