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What does it really take to decide what’s worth building in healthcare? In this episode of First in Human, I sit down with Dr. Ryan Van Wert, ICU physician and serial health tech founder, to unpack how he’s built multiple companies by starting with the most vulnerable moments in medicine. From rethinking sedation for patients on ventilators, to ensuring people’s end-of-life wishes are honored, to helping adult children care for aging parents, Ryan shares how clinical pain points become startup decisions and how needs-first thinking guides what he builds. We talk about Stanford Biodesign, the discipline of needs-first innovation, and what years in the ICU teach you about human cost, timing, and focus. Ryan walks through how specific problems rose to the top during rigorous needs-finding, how his thinking has evolved across Awair, Vynca, and now Kin, and what he looks for before committing to build. If you’re a clinician, founder, or builder wondering how to choose the right problem to work on and how to build with both rigor and empathy, this conversation offers a rare, grounded look at how real healthcare companies actually get started and why that decision matters more than anything that comes next. Subscribe to First in Human: Apple Podcasts: https://podcasts.apple.com/us/podcast... Spotify: https://open.spotify.com/show/3C1xG5S... Visit Kin Concierge online: https://www.kinconcierge.com/