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Junaid Kalia, MD · Jul 29, 2026

Would You Trust a Power-Plant Engine at the Bedside?

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Junaid Kalia, MD, Signal & Symptoms Studio · Junaid Kalia, MD

Most health-AI founders come from medicine or machine learning. Amir Hashmi came from gas turbines. For 13 years he ran operations across energy and heavy industry — a world where “explain exactly why, and trace it back to the manual” isn’t a nice-to-have, it’s how you avoid catastrophic failure. Then he pointed the same engine he built for a power plant at a hospital.

That engine is GENEXIX: one explainable digital-twin platform that runs a 400-megawatt plant in one configuration and, in another, models a patient’s physiology, predicts deterioration, and simulates drug trials for research. This week, Dr. Junaid Kalia — with Ed Marx and Dr. Harvey Castro — put both halves of the story in the room: the founder who built it, and Dr. Dania Amir, the physician deciding whether an industrial-grade digital twin belongs anywhere near a clinical decision

“A prediction you can’t explain has no business changing what a doctor does”

-Junaid, Ed & Harvey

00:00 What Is a Clinical Digital Twin? (One Engine, Two Worlds)

00:35 Meet the Guests: Amir Hashmi & Dr. Dania Amir

02:48 From Power Plants to Patients: an Engineer’s Crossover

04:49 Validating Medical AI: a Physician’s Role

05:59 Why Build a Digital Twin in Healthcare?

07:47 Modeling Patient Physiology With a Digital Twin

10:05 Explainable AI Architecture: No Black Box

11:05 Digital Twins in the ICU: Predicting Deterioration

14:19 Automation Bias & the AI Intelligence Layer

15:50 The Future of Clinical Digital Twins

Dr. Junaid Kalia, Neurocritical Care Specialist, Founder of Savelife.AI™

Dr. Harvey Castro, ER Physician, #DrGPT™

Edward Marx, CEO, Advisor

Read the original on junaidkaliamd.substack.com

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