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MEDICAL-NOTE: a Digital Health Startup to Simplify Surgeon’s Daily Tasks

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Stefano Palma MEDICAL-NOTE

Stefano Palma of MEDICAL-NOTE Srl tells us how technology facilitates medical professionals’ work by improving both performance and patients’ experience.

Tell us about you, your career, how you founded MEDICAL-NOTE.

Stefano Palma: For over 20 years, I worked as a salesman for important medical device companies. One day, I was in the operating room at IRCCS Candiolo (Turin, Italy) to participate in a long-liver surgery performed by Dr. Andrea Muratore. Before starting, I notice that the surgeon begins to draw on a sheet the patient’s liver and numerous lesions. At that moment, I realized how much an app dedicated to surgeons could make a difference. That is how MEDICAL-NOTE started.

How does MEDICAL-NOTE innovate? 

Stefano Palma: MEDICAL-NOTE brings innovative solutions to simplify and improve surgeon’s daily work. Our software and apps offer a standard 3D model of the organ where the user can insert lesions and take notes. In addition, our digital solutions allow storing cases on safe and protected servers and process statistics on your work.

As of today, our apps are implemented with new on-demand services such as digital reconstruction, 3D printing, and 100% hands-free augmented reality headset, RealWear® HMT-1. In addition, our apps and software are no longer addressed to surgeons only but also for doctor-patient communication. Through our Patient extension, the surgeon monitors the patient after surgery, supervises the intake of the prescribed drugs, and receives feedback on his health status on the dedicated app.

How does the coronavirus pandemic affect your business finances?

Stefano Palma: I don’t think the pandemic has negatively affected us. On the contrary, it helped MEDICAL-NOTE, as it anticipated digitization by 5 years. Riding the “digital wave” has allowed us to spread our solutions successfully, despite the period of crisis.

Did you have to make difficult choices, and what are the lessons learned?

Stefano Palma: We face difficult decisions every day. After all, we are a start-up; our goal is to grow and expand. Choosing the right partners is essential, and it is often difficult to rely on other companies. It is important to be open to all opportunities while remaining faithful to the final goal.

How do you manage stress and anxiety in this moment of emergency? Where do you see yourself and MEDICAL-NOTE in the future?

Stefano Palma: Fortunately, being a small and close-knit team, we manage to support each other and solve our problems in a positive way. In the future, I see myself as head of a young and dynamic MEDICAL-NOTE, which allows its employees to freely express their talent.

Who are your competitors, and how do you plan on staying ahead of the competition?

Stefano Palma: We do not see competitors in a negative way; on the contrary, they help to talk about innovation and spread our ideas. Being innovative products and services, there are still no large companies in this sector. We work together to convey knowledge, sharing our services to create demand and expand the market.

Your final thoughts?

Stefano Palma: Crises are the best moments to learn. This emergency has taught us how important it is to make the most of digital. Now is the right opportunity to continue the digitization program the NHS talked so much about and implement a definitive plan.

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Kossi Adzo is the editor and author of He is software engineer. Innovation, Businesses and companies are his passion. He filled several patents in IT & Communication technologies. He manages the technical operations at

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