A multilingual, multi-ethnic patient base transcribed across accents without issue
Read on if you might also be experiencing:
Long preventive or specialist sessions where memory alone isn't enough by the time you sit down to write up
Typing through sessions pulling your attention away from the patient
A practice style that doesn't fit off-the-shelf templates
Worry that clinical detail is slipping through while you're rushing to type
Background
TSquared Health is a Singapore practice in personalised preventive medicine, often called longevity medicine. The work is about optimising health through long, detailed sessions covering lifestyle, risks, family history, medications, sleep, travel and the patient's own fears.
A new session runs 30 to 45 minutes. Reviews are just as detailed.
Dr Hisham founded the practice. He graduated from the UK in 1995 and has worked through every documentation model the profession has tried: pen and paper, dictation machines, EMRs.
Challenges
The screen between doctor and patient
"Typing whilst listening to the patient, you lose something there. You lose the eye contact, you lose the bond between patient and doctor." — Dr Hisham
EMRs solved record-keeping but broke something else. Dr Hisham could either type fast or listen well. Doing both at once costs eye contact, the read of a patient's face, the tone, the unspoken parts of the conversation that change clinical interpretation. For a practice built on understanding the whole person, that wasn't a small trade-off.
Forty-five minutes of detail, too much to hold
"There will be a few things I may have missed out because I'm rushing to type. You can't remember every single second of that 45 minutes." — Dr Hisham
A new longevity session covers sleep, travel, fears, family history, medications, exercise. The kind of texture that doesn't come out of a checklist. Typing during the session meant skating the surface. Trying to write it up afterwards meant trusting memory across 45 minutes of dense, layered conversation. Neither worked for the practice's standard.
Solution
Dr Hisham first heard about Heidi from US-based longevity physicians in an international doctors' chat. A few weeks later, a Singapore Medical Association email confirmed Heidi was available locally. He tried it.
"The doctors in the states, also longevity doctors, said that they liked it, that it's quite accurate." — Dr Hisham
Setup was minimal. Switch on, name the patient, choose a template, hit transcribe. The note ends up in the EMR with a copy and paste. If he forgets to copy, the note's still there as long as the patient was named.
Custom templates were what made it click. Dr Hisham built his own around the way he runs new sessions and reviews, and uploaded them without friction.
The template system flexed to unusual situations too. When a couple booked back-to-back sessions in the same room, Heidi's team supplied a purpose-built template designed for two patients sharing a consultation space. Two sessions, one workflow, both notes clean. The kind of customisation that turns an edge case into a solved case.
Dr Hisham’s favourite Heidi features:
Custom templates built around Dr Hisham's longevity workflow for new sessions and reviews
Multilingual transcription across the accents and first languages of his patient base
Pause and resume mid-session when a patient asks for a private moment off the record
Specialist vocabulary including biomarkers, molecule names and less common medications, transcribed accurately
Impact
For Dr Hisham, the change is inside the session itself, not in the paperwork around it.
"It's not the extra two hours. It's the quality of the patient interaction." — Dr Hisham
Time back isn't the headline. He'd find ways to fill another two hours whatever they were. What's changed is what now happens inside every session.
The screen isn't between him and the patient anymore. Facial cues, tone, the small details that shape clinical judgement are back in the room. The notes at the end are fuller than what he ever captured while typing.
"What's more important to me is that my patients feel satisfied that I've listened to them. That I've addressed their concerns." — Dr Hisham
Specialist longevity vocabulary holds up too. Biomarker names, less common medications, the molecules he reaches for in this kind of work. All transcribed accurately, the first time.
What's next
Dr Hisham's recommendation to clinician peers nervous about bringing AI into the room is grounded in something they'll recognise.
"Use it and consider it like your junior doctor. Who's writing the notes for you while you are on a ward round." — Dr Hisham
Asked what he'd do if Heidi disappeared tomorrow, his answer was short.