The New Physician shieldThe New PhysicianThe work of Sonny Saggar, MD

Can you do this?

Start with the problem, not the name of a service. These guides explain possible approaches, important limits, and what a useful first conversation needs.

Do not see your situation? Send me the messy version.

Digital builds

Can you turn a small idea into a working digital product?

Yes, when the first version can be reduced to one useful outcome for one identifiable user. The starting point is not a long feature list. It is the task someone needs to complete and the evidence that the product helped them complete it.

Can you build a prototype before we commit to a full product?

Yes. A prototype should answer a decision, not merely look finished. It can test whether users understand a workflow, whether an integration is feasible, or whether a proposed service is worth building. Those are different experiments and need different levels of fidelity.

Can you help finish a digital build that has stalled?

Yes, after a bounded assessment of what exists and why it stopped. Some stalled builds need focused completion; others need scope reduction, access recovery, or a different architecture. Starting over before inspecting the working parts can waste useful progress.

Internal operations

Can you build a dashboard that helps us decide what to do next?

Yes, provided each measure is tied to a decision. A dashboard that merely displays available data can increase noise. The design should show which condition needs attention, who owns the response, and how fresh and trustworthy the underlying numbers are.

Can you turn our spreadsheet process into a reliable workflow?

Yes, if the spreadsheet is doing more than analysis and has become an unofficial operating system. The goal is to preserve the useful logic while making permissions, handoffs, validation, and history explicit. Sometimes improving the spreadsheet is the better first step.

Can you make document handoffs less chaotic?

Yes. The important distinction is between storing a file and knowing whether the right person has the right version for the next decision. A handoff system should clarify completeness, ownership, access, and acknowledgment rather than simply adding another shared folder.

Automation

Can you connect systems that currently need manual copying?

Often. The first question is which system owns each fact. Connecting two systems without that decision can create a loop in which both overwrite each other. A reliable integration has a clear direction, reconciliation rules, and visible failures.

AI workflows

Can you help us use AI in a real business workflow?

Yes, by starting with a bounded job rather than adding a chat box to everything. AI can draft, classify, summarize, or assist a decision, but the workflow must define what evidence it receives, what it may do, and when a person must intervene.

Can we automate a workflow but keep a person in control?

Yes. Human approval is useful when the reviewer can see the evidence, understand the proposed action, and meaningfully refuse it. A button that encourages rubber-stamping is not a strong control, particularly when the action affects money, customers, or important records.

Can you test whether an AI workflow misses important facts?

Yes. A bounded evaluation can test whether a workflow notices critical evidence, asks for missing information, chooses a defensible next action, and expresses uncertainty appropriately. It is not a certification that the system is safe in every setting.

Customer systems

Events

Can you build a platform for an awards event?

Yes. An awards platform can bring submissions, voting, rankings, administration, and the live reveal into one controlled experience. The event rules matter as much as the interface: who participates, when each phase opens, and what the audience may see.

Can you build timed voting with clear eligibility rules?

Yes. The key is to define what a vote means before choosing the interface. Open audience participation, invited-member voting, and one-person-one-vote elections require different controls. A simple poll must not be presented as a secure election system.

Can you collect anonymous submissions with useful admin controls?

Yes, but anonymity must be defined honestly. A form that omits a name may still collect identifying technical information. The design should distinguish anonymous public presentation from anonymity to administrators and from the data retained by infrastructure providers.

Business process

Can you fix an approval process that keeps work stuck?

Yes, starting by distinguishing necessary judgment from habitual permission-seeking. A slow approval can reflect missing information, unclear authority, conflicting incentives, or a genuinely consequential decision. Those causes require different fixes.

Can you figure out why our reports disagree?

Yes. Conflicting reports often measure different definitions, populations, or time windows rather than simple arithmetic errors. The task is to reconstruct how each number is produced and determine which interpretation is appropriate for the decision.

Cross-functional problems

Can you stop requests bouncing between departments?

Yes. Repeated bouncing usually means the organization lacks a shared definition of ownership, not just a better ticket form. The useful outcome is a responsible person who can coordinate the whole request even when several specialists contribute.

Can you help with a problem that does not fit one department?

Yes. Cross-functional problems often persist because each specialist is acting rationally within a narrow remit while nobody is responsible for the whole outcome. The first task is to reconstruct the system and identify the decisions that fall between roles.

Leadership

For your organization

Selected builds · Engagement options

Have something you need built, fixed, or figured out?

You do not need a specification. Just tell me what you are trying to make happen.

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Please describe the outcome first. Do not send patient information, passwords, confidential client records, or private legal documents through an initial inquiry. An appropriate channel can be agreed if documents are needed.