Four Generations of Medicine: One Radical New Tool

Dr Keshav Malhotra's great-grandfather started practising medicine in India. Four generations later, Keshav is sitting at the intersection of embryology and artificial intelligence, chairing the embryology wing of the Indian Society of Assisted Reproduction and working with the Alpha Scientists board to push reproductive science forward globally.

In this episode, we trace that lineage, not just as a family story but as a lens on how medicine evolves. Each generation inherited the questions the last one couldn't answer. Now, the question on the table is this: what happens when AI enters the fertility clinic?

We get into the real stuff. Time-lapse systems grading embryos while clinicians sleep. Digital chatbots triaging patients before they ever see a specialist. The genuine promise of making IVF faster, smarter, and more accessible, particularly in regions where reproductive healthcare is stretched thin.

But we also get honest about the gaps. Most patients going through IVF have no idea an algorithm played a role in their treatment. The datasets powering these tools skew heavily towards European and American populations. And the conversation around informed consent in AI-assisted fertility is still catching up with the technology itself.

If you work in health, tech, policy, or you've ever navigated the fertility system yourself, this one matters.