Who Owns Your Medical Record Now? — Stephen Rouse, Co-Founder, Savva
For a generation, your medical record has lived behind the hospital’s firewall. What happens the day the patient walks in holding it — already read, already interpreted by AI, on their own phone?
In this episode, Dr. Harvey Castro hosts — with co-hosts Ed Marx and Dr. Isha Mannering — a conversation with Stephen Rouse, co-founder and head of growth at Savva, a consumer health app (in beta, launching this summer) built on a single premise: patients should own and understand their own health data. Coming from the enterprise-EHR world, Stephen argues the next shift isn’t inside the hospital system — it’s outside it, in the patient’s hands. The panel works through why the Cures Act cracked the door open, what it means to keep a record on-device instead of the cloud, the everyday mess of five different patient portals, a global bet to reach a billion people without a portal to disrupt — and the hard question no one has fully answered: when a patient shows up already “knowing,” who’s accountable for what the AI surfaced?
WHAT YOU WILL DISCOVER:
* Cold open — “consumers can take over their health information”
* Meet the panel + Stephen’s Savva one-liner
* Why should the patient own the record? (Protocol First → the Cures Act)
* Your chart, off the hospital’s cloud (on-device + privacy)
* Why do you have five different portals? (the access problem)
* A billion people, no portal to disrupt (the global bet)
* When the patient already knows (the exam-room collision)
* Who’s accountable if it’s wrong? (the open debate)
* Closing: what clinicians should do now
REFERENCED IN THE SHOW:
🖇️ Dr. Harvey Castro’s work on ChatGPT in healthcare — https://www.harveycastromd.com/ [https://www.harveycastromd.com/]
CONNECT WITH US:
Dr. Harvey Castro, ER Physician, #DrGPT™
💼 LinkedIn — https://www.linkedin.com/in/harveycastromd/ [https://www.linkedin.com/in/harveycastromd/]
🔗 Website — https://www.harveycastromd.com/ [https://www.harveycastromd.com/]
📷 Instagram — https://www.instagram.com/harveycastromd/ [https://www.instagram.com/harveycastromd/]
📑 Substack — https://harveycastromd.substack.com/ [https://harveycastromd.substack.com/]
Edward Marx, CEO, Advisor
💼 LinkedIn — https://www.linkedin.com/in/edwardmarx/ [https://www.linkedin.com/in/edwardmarx/]
🔗 Website — https://www.marxadvisory.com [https://www.marxadvisory.com]/
📹 YouTube — https://www.youtube.com/@EdwardMarx [https://www.youtube.com/@EdwardMarx]
Dr. Isha Mannering — Board-Certified Pediatrician, Founder of InTuneMD
LinkedIn — https://linkedin.com/in/drisha [https://linkedin.com/in/drisha]
Special Guest:
Stephen Rouse, Co-Founder & Head of Growth, Savva
💼 LinkedIn — https://linkedin.com/in/rousestephen [https://linkedin.com/in/rousestephen]
Visit our website: https://signalandsymptoms.com [https://signalandsymptoms.com]
Get advisory insights about Healthcare AI — at zero cost: https://junaidkaliamd.substack.com/ [https://junaidkaliamd.substack.com/]
Medical disclaimer: This conversation is for general informational purposes and is not medical advice. Listening does not create a doctor–patient relationship. Always consult a qualified clinician for your child’s care.
