Aniq Rahman is a two-time tech founder, but when he turned his attention to healthcare he did something most disruptors don’t - he shut up and listened. Aniq embedded himself in hospitals, shadowed physicians, and absorbed the daily frustrations that don’t show up in EMR logs or admin dashboards.

In this episode of How I Doctor, Dr. Graham Walker talks with Aniq about what he learned by watching before building, and how that humility shaped his approach to transforming healthcare with Fabric. They dig into what’s broken in the current system, why software often makes doctors’ lives harder, and how a product-first mindset can fail in a field where people - not features - are the real complexity.

It’s a rare conversation that bridges tech optimism with physician realism and makes a compelling case for designing with doctors, not just for them.

What You’ll Learn in This Episode:

• Why Tech Usually Gets Healthcare Wrong - The classic startup playbook fails when applied to medicine.
• What Happens When You Listen First - How a year of shadowing and silence led to insights most founders never hear.
• Fixing the Wrong Problems - Why too many platforms are optimized for metrics instead of meaning and how Fabric is different.
• Doctors Aren’t the Problem, The System Is - A candid look at how current tools make good physicians feel ineffective, and what needs to change.
• The Case for Physician-Led Innovation - Why tech needs more co-design, less command-and-control and what healthcare can learn from infrastructure.

❓What's the biggest question you have about AI and healthcare? ❓

We’re throwing our first live event, and you’re invited! Graham Walker, MD and Sarah Gebauer, MD are two of the country's leading MD experts about AI and they'll be answering your questions in an urgent live webinar on June 3rd. Register at https://www.linkedin.com/events/we-resharingaisecretsforclinici7331694686937530368/theater/

🩺 Offcall is more than a platform — it’s a community. Join today!

📝 For a full transcript of this episode click HERE

🎧 Subscribe to receive new How I Doctor episodes directly in your feed here: https://episodes.fm/1767429315

👨‍⚕️Follow Dr. Graham Walker on

LinkedIn https://www.linkedin.com/in/graham-walker-md/ 

IG https://www.instagram.com/ubergraham/ 

Bluesky https://bsky.app/profile/drgrahamwalker.com 

✉️ Join our newsletter On/Offcall here https://offcall.beehiiv.com/subscribe 

🟧 Follow Offcall on 

LinkedIn https://www.linkedin.com/company/joinoffcall/ 

IG https://www.instagram.com/offcalldotcom/ 

TikTok https://www.tiktok.com/@offcalldotcom