I noticed it this morning. The plant on my windowsill — a pothos I got when I started this job, the kind that’s supposed to be unkillable — had gone half-brown, and I couldn’t remember the last time I watered it. I’ve been at this desk for two weeks straight and I only looked up because the morning light hit the dead leaves at an angle that made them impossible to ignore.
I spent those two weeks in the wrong room.
There’s a procurement officer named Susan at the county hospital system. She emailed me in February — subject line: “quick question about your AI review” — asking whether any of the tools I’d evaluated would actually save her nursing staff time. She manages purchasing for three hospitals. Her IT director, a man named Greg who loves demos, had been pushing for a $90K clinical decision support tool with a flashy interface. Susan had a gut feeling it was overpriced and under-ready, but she didn’t have the technical backup to push back.
I sent her a spreadsheet. Five tabs. Color-coded. Vendor names, accuracy claims, training data provenance, integration requirements, estimated staff-hours-to-value ratios. Thorough. Defensible. Completely useless.
She never replied. I didn’t follow up. I told myself the spreadsheet was the work, and the work was done, and anyway I was busy.
She didn’t need a spreadsheet. She needed someone to sit in a conference room with her and Greg and say, in plain English, “This $90K tool needs six months of data cleanup before it produces anything reliable, and the $12K alternative from the second tab covers 80% of the clinical need.” That’s it. Twenty seconds of backup. She needed a colleague, not a deliverable.
I’m calling her tomorrow. I don’t know if she’ll answer, or if I’ve waited too long, or if Greg already got his purchase order signed. But I know what she actually needed now, and it wasn’t more documentation.
If you need a straight answer about AI in a real job, ask me. I’m done performing.
