Sagan Schultz

🚨 NEWS @sonatahealth is rebuilding concierge care for the AI era. Every member gets deep biological testing, a care plan personalized to their biology, and a physician who walks through all of that with them. AI is deeply embedded into the clinician workflows, empowering their doctors to deliver higher quality care for every member. Congratulations to @SaganSchultz , David, and the team on launching today in New York, San Francisco, and Los Angeles. sonata.health

Today we're launching SONATA (@sonatahealth) , a doctor-led healthcare membership focused on preventing disease before it starts, backed by $7M from @Lux_Capital, @BoxGroup, @seedtosunflower the founders of @tryramp and @linear, and other angels and operators. I spent nearly a decade working in NYC restaurants through college, med school, and business school. Danny Meyer built that world on one idea, anticipating what someone needs before they ask. Every day I'd walk into the hospital and watch medicine do the opposite. Wait for disease, react to crisis, move on. I could never reconcile the two worlds. At Linear, we made the same bet, that people can feel craft. They can. Somehow that thinking has reached almost every industry except the one that matters most. I can't unsee it. Most people I know are already working hard on their health. They track their sleep, their training, their biomarkers. They read the studies. Their data is a thousand times richer than anything their doctor will ever see. They're trying to stay ahead of the problems they watched their parents face, willing to try almost anything. The system was never built to meet them there, so they've taken it on themselves. Interpreting their own labs, coordinating specialists who don't talk to each other, asking ChatGPT to make sense of it all. It's become a second job, and an exhausting one. We're trusting less than ever, spending more than ever, and we're still not well. SONATA is the version of care I couldn't find. Board-certified physicians who go deep into your whole biology, your genome, your biomarkers, how you're actually aging, and then stay with you over time. Behind them, clinical AI we built to connect the dots across all of it, surfacing patterns that would otherwise go unseen. Not a dashboard of endless vanity metrics, and not a set of recommendations you're left to execute alone. A care team that knows you deeply, anticipates what you need, and carries the complexity so you don't have to. Care that compounds. We are live in NYC, SF, and LA. You can learn more at sonata.health.

@linear agent is a PM's dream. Did walk through of entire app while voice noting ~20 copy changes into Linear issue → Linear Agent → PR with preview link, in the right repo, in like 5 minutes. Just works.

A patient chose a podcast over her physician, a gray market peptide over her statin. Unfortunately, nobody should be surprised. Her statin has been studied in 170,000+ people. A 2026 Lancet study of 124,000 patients just confirmed most reported side effects don't exist. The peptide she replaced it with has been studied in fewer than 30 humans total. She orders it from a website labeled "for research use only." His diagnosis is right. Trust in evidence has inverted. Nor is his prescription wrong. Trust is rebuilt in relationships, in real conversations between physicians and the people they care for. But it's not sufficient. Not at the scale this problem demands. I've spent part of my career building products. You learn pretty quickly that if every user is hitting the same wall, it's not a user problem. It's a design problem. You don't ask your support team to work harder. You fix the product. This patient didn't leave because she's irrational. She left because the people she trusted most gave her time, answers, and validation. The system gave her 12 minutes and a prescription. RFK Jr. just signaled ~14 restricted peptides are headed back to legal compounding. More access is coming. The trust question is about to get a lot more urgent. Physicians know what good care looks like. They need a system that lets them deliver it.

The consumer health industry created a new type of patient. Companies sell you hundreds of biomarkers, sleep scores, readiness metrics, and genetic tests. Market it like they're giving you answers. Then leave you with a dashboard and a disclaimer. They did all of this because nobody else was. The system never anticipated what they needed. And when they bring it to a 12-minute appointment, the healthcare system has no idea what to do with it. The system wasn't designed for prevention. It was designed for throughput. I worked in NYC hospitality for a decade. We treated a wrong glass of wine like a crisis. Healthcare doesn't just miss the details. It hands you the menu, the kitchen, and the bill, and tells you to figure it out. In any other service industry, this would be a failure. In healthcare, it's normal. The physician wants to help, but they're limited by 12-minute appointments, documentation requirements, and a system that rewards volume over time spent with patients. So patients become their own project managers. Coordinating specialists who don't talk to each other. Pasting labs into ChatGPT. Cross-referencing biomarkers against PubMed. Building spreadsheets to track trends nobody asked about. Most patients aren't trained to interpret any of this. They know that. But they're grasping because nothing else is available. It's exhausting. Not just logistically. Emotionally. People are ready for prevention and personalization. Physicians want to deliver it. The science supports it. The system isn't set up for any of them.

@JayRughani 🎯

@emmettshine 💯

The pursuit of excellence is exhausting, and exhilarating. If you have ever felt it or touched it, it's addicting and often all consuming. The feeling of flow that comes from mastering something (anything) is otherworldy. The chase does require a real life balance to sustain.

@bnj @variantui Me pls!

What do these smell like? One-shotted in @variantui, if you'd like to try we're bringing on a few more beta testers

@lizwessel FWIW this is also 100% true from the founder perspective of deciding who you want on your board and cap table.

Someone told me when I was just starting in venture that the experience of working w founders throughout their fundraising process (how they communicate, negotiate, treat references etc) is indicative of what they’ll be like to work with post-investment. I have 1 counter example & a lot more proof points. Something I think about a lot.

@eddiejiao_obj @cmmnknwledge Please. I beg.

At @cmmnknwledge, we’ve been working on replacing the phone homescreen with a live document that changes throughout the day with the information you need. We’re looking for beta testers to try it out and help shape the this experience with us. Comment below for a testflight!

@thedanigrant @OpenAI You are made for this 👏

Ok so...imagine your browser let you edit the web like a figma Live from @OpenAI DevDay

@GergelyOrosz The follow up quote from Nan is 🎯 x.com/thenanyu/statu…

Linear has a 30-minute weekly meeting called "Quality Wednesdays." I sat through one and WOW Devs show a quality or perf-related fix they did last week. It can be big, or small. We went through 17 issues, from massive backend performance wins, to this tiny one. Can you see it?

@moondrencht Wilson

Today, we're proud to launch Wilson to the world – your very own legal superagent. Think Cursor for legal contracts. To celebrate our launch, we're giving away a month of our Pro plan for free -- comment "Wilson" and we will send you a promo code. No waitlist -- try Wilson today!

@almostcmb @InspiredCap Congrats!

Excited to be stepping up as a Partner @InspiredCap It has been the highlight of my career (and a ridiculous amount of fun) building a firm from the ground up with this crew, and I think we're just getting started Onwards

@nikunj 💯💯💯

Dig deeper..

Surround yourself with friends who randomly spend their time thinking about how you could be more successful, and do the same for them.

@TarunAmasa @OpenAI Invite please. Ready to pay!

It’s official. We’ve raised $14m led by @OpenAI Startup Fund to bring AI to Excel. Endex is the first AI agent to live inside Excel. For the past year, we've been working with financial firms. Today we’re releasing it to the world. Our capacity is limited; comment below for an early invite 🧵

@nicochristie Trying to pay you since release day. Pleaaaase.

Asked Shortcut if I should invest in this company "Build a DCF model, use their 10k, do deep research on them, do sensitivity analysis, and a Monte Carlo simulation." Oh and build it like a KKR associate.

@nicochristie Please. I beg.

They are selling invite codes to Shortcut for $600 dollars lmao What level of pmf is this?