The New Physician shieldThe New PhysicianThe work of Sonny Saggar, MD
Professional Problem Solver

AI-Enabled Operational Excellence

AI matters when it changes what an organization can actually get done.

I work on expensive, ambiguous problems where knowing an answer is not enough. The work is connecting strategy, operations, technology, people and execution around an outcome worth pursuing.

Bring Me a Problem

The problems

Workflow + Automation

Turn slow, repetitive or fragmented processes into working systems. Start with the handoffs, decisions and information people actually need, then decide what should be automated and what still requires judgment.

Executive Bottlenecks

Find the constraint that is actually stopping progress. Separate competing explanations, identify the decision that matters and work with the team to remove the obstacle.

Rapid Builds

When the solution requires a tool, prototype or working system, build rather than merely recommend. Agree a bounded scope, acceptance criteria and responsibility for ongoing operation.

Special Situations

Work on problems between departments, outside normal job descriptions, or resistant to conventional approaches. Connect strategy, operations, technology and people around a useful next action.

How I work

  1. Show me the problem

    Start with the outcome, not a predetermined solution.

  2. Find the real constraint

    Separate the visible symptom from the bottleneck.

  3. Use the right leverage

    AI, software, research, people, process redesign or domain expertise as appropriate.

  4. Build or fix

    Produce something usable, not simply a recommendation deck.

  5. Hand back the outcome

    Leave a working result, clear next action or decision, with responsibilities and limitations understood.

Who this is for

Founders + CEOs

Problems crossing departments or exceeding the bandwidth of the existing team.

Investors + Portfolio Companies

Operational improvement, AI adoption, special situations and value-creation work.

Professional Firms

Law firms, advisory firms and other expert businesses with unusual workflow or information problems.

Healthcare + Life Sciences

Operational, strategic and medico-legal problems where clinical context matters.

Judgment stays human

The right leverage may be AI, software, research, an existing specialist or a simpler process. I work with the people and tools the problem requires. This is not a claim that I write every line of software or that an autonomous system makes professional judgments. Scope, responsibilities and acceptance criteria are agreed before work begins; no particular outcome is guaranteed.

Work you can examine

Event Platform Design & Development, 2026 records an authorized example of a completed private awards-platform build and its limitations. The problem library describes possible approaches, not invented client results.

A distinct medico-legal path

For medical evidence, records or a medico-legal matter, start with Medico-Legal. For broader executive work, see Strategic Advisory and fractional leadership.

Ideas + Books

Research, books and talks explore AI, medicine, institutions, judgment and problem solving.

Bring me a complicated problem.

You do not need to choose a service category or write a specification. Tell me what you are trying to make happen.

Bring Me a Problem

Available for selected US and UK advisory and operational engagements.