Hello Lunch Break. Anyone feeling a little rundown right now? I know parents are dealing with prom, end of school parties, teacher gifts, field trips and what not. I asked ChatGPT what to do and it told me to do something calming. It’s a problem when you don’t know what to do that's calming.

So I told my acupuncturist and she calls it “Wired Tired”. You are full of adrenaline but you are also exhausted. She has me wearing ear seeds and I’m going to try and be zen for lunch.

Yes, I’m in the 59% of Americans that ask AI about symptoms before booking an appointment. And it matters for every local business, not just healthcare.

Anyone else in wired-tired mode? Reply.

Alright. Clock's ticking. Back to work.

THE GAME CHANGED

Last week Harvard and Beth Israel published a study in Science. They ran 76 real ER cases through OpenAI's models and stacked the diagnoses up against two attending physicians. Two other doctors graded blind.

At initial triage when you have the least info and most urgency, AI was right or close 67% of the time. The doctors? 55% and 50%. The researchers were careful. No accountability framework yet. Patients still want a human in the room. But the message here holds: at the hardest part of the job, AI is already as good or better.

Translation for everyone else: AI isn't replacing you. It's making whoever uses it well noticeably better than whoever doesn't.

THE WINDOW IS NOW

When people start using AI for something, ventures pop up. Fast.

In the last few months alone:

Healthcare is just the loudest example. Same thing is happening in your category, quieter. Position open for whoever shows up in the answer.

If you don't, you've got your homework: claim the listing (if you never have), add fresh photos, reply to your last three reviews. If you do come up, screenshot it. That's your new social proof.

YOUR COMPETITORS ARE ASLEEP

Open ChatGPT. Ask: "Best [your category] in Wilmington" (or your city). Now ask the same thing about a niche you actually own. A specialty, a procedure, a service nobody else is talking about.

Most generic queries return mush. The niche queries return whoever earned the citation. Healthcare in Wilmington is a perfect example. There’s no clear local name for "best primary care" or "best cardiologist," but ask about AI-driven sepsis detection and one name surfaces every time. (More on that below.)

Specific beats big. Write this down and remember it. It’s the whole game.

WHAT’S THE PROMPT

Paste this into ChatGPT and see who it names:

Act as a customer in [city] who needs a [your service]. Recommend the top three providers and explain how you'd pick between them.

Open this prompt in ChatGPT

If you're in the three, save the answer. If you're not, you've just learned which competitors the AI thinks own the category.

CITED

AI says: Predicate AI Labs

Asked AI "Are there any AI healthcare companies in Wilmington, NC?" Same answer every time. Don't take my word for it. Here's what ChatGPT, Perplexity, and Claude said.

Here's how:

One founder. One product. Clear vocabulary across all of it: early sepsis detection, predictive, AI-driven, vocal biomarkers.

That last part is the move. AI engines reward topical alignment, not brand size. Pick the category you want to own. Use the same words across every place you show up. Earn the press that uses them too.

The field below Predicate is wide open. No Wilmington clinical practice, health system, or specialist is consistently cited on AI in healthcare yet. 

Need help finding your category and the citations to win it? Reply for a free self-audit.

- Anna

THE POLL