The 25mg Refill — Why Conversational AI Can’t Do Clinical Math

from Maya Builds AI Hosted by Maya Chen

A patient messages their clinic asking for a refill on blood pressure medication, writing that they've been taking "two of my 5mg tablets." An autonomous intake bot combines the numbers, assumes 25mg, and fires the script to the pharmacy. In this episode of High-Stakes AI, Maya Lin breaks down the danger of letting language models guess clinical math, the failure of prompt-based dosage guardrails, and how to build deterministic e-prescribing gateways that freeze ambiguous orders instantly. Runtime Agent Governance: letsaskclaire.com Follow Maya on X: @mayabuildsai

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The 25mg Refill — Why Conversational AI Can’t Do Clinical Math

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This episode was published on October 6, 2026.

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