HIT Consultant January 20, 2026
David Talby, Ph.D., MBA, CEO of John Snow Labs

Doctors are taught a simple rule early in their training: When you hear hoofbeats, think horses, not zebras. In other words, the most common explanation is usually the right one. But for the roughly 300 million people worldwide living with a rare disease, that rule can turn into a trap. Their symptoms often look like something ordinary – until years later, when someone finally realizes it was a zebra all along.

The problem isn’t the doctors; it’s the data. Every symptom, lab result, scan, or ER visit lives in a different corner of the healthcare system and nobody sees the full picture across time. When the clues are scattered, even the sharpest clinician might miss patterns hiding in plain sight.

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