When there is surgery, several conditions and ten medications, each doctor sees their own piece. Consilium convenes a panel of specialists around the case that researches, debates and checks every fact — so you reach your doctors with the full picture and the right questions.
Dad is 77 and needs an aortic valve replacement. He also has a urinary obstruction from a stone, and the doctors scheduled a nephrostomy before surgery. He takes warfarin, levothyroxine and tamsulosin, and has had two heart operations. The cardiologist thinks about the heart, the urologist about the kidney, the anesthesiologist about anesthesia.
Is the order right? Is there a less invasive option? What does each decision do to the other problems? Consilium is built for exactly these questions.
Five steps — and you can watch every one of them live.
Discharge summaries, ECG, echo, blood tests and medications — PDF or a phone photo. Once; every new document merges into the history.
Before the panel convenes, a coordinator checks what is missing — a recent INR? What did the doctors already propose? What matters to the patient?
A specialist for every relevant field — always one for and one against, a clinical pharmacist, and someone who sees the whole picture.
Each specialist researches current literature, presents an argument, questions the others and answers them. A field missing? The moderator adds it.
A clear report: the leading option, the risks, the effect on the other conditions — and precise questions for each doctor.
The panel is not random. It is built around the specific person — their conditions, their medications and the question on the table.
A specialist for every active condition that could be affected — even one that seems unrelated. Heart surgery in someone with a urinary obstruction? A urologist sits at the table.
In every key field, one specialist builds the strongest case for, and one against. Every claim is stress-tested.
When there are several paths (TAVI or open surgery, spinal or general anesthesia), each one has someone presenting it in full.
When medications are involved, a pharmacist checks all of them: interactions, what to stop before surgery and what to continue. Built into the code, not left to the model.
Not a generic "cardiologist" but a structural interventional cardiologist, a foot and ankle surgeon, a cardiac anaesthesiologist — each at department-head level with 20+ years. And when nutrition affects the outcome, a clinical dietitian joins.
The panel mirrors established multidisciplinary teams: the Heart Team for valve decisions, tumor boards for oncology, perioperative medicine for older patients.
After the openings, a moderator checks whether a perspective is missing — nephrology, geriatrics, hematology — and adds it. And you can edit everything.
A chatbot answers with one voice, from memory, and sometimes invents studies that sound credible. For a medical decision that is not enough.
| Capability | Chatbot | Consilium |
|---|---|---|
| Several independent specialists who research separately and debate | ||
| Direct search in PubMed, clinical trials and FDA labels | Partly | |
| Automatic check that cited studies exist and support the claim | ||
| Asks clarifying questions before answering | Partly | |
| Remembers the file, the medications and earlier discussions | Partly | |
| Examines the effect on all of the patient's other conditions | ||
| Independent quality review of the conclusion | ||
| Printable report with organised questions for each doctor | ||
| Encrypted documents, complete deletion in one click |
My father, 78, was diagnosed with prostate cancer. He has a mechanical heart valve and takes warfarin.
One surgeon said: let's operate. Another said: don't. There was radiotherapy — but which kind? And every doctor saw only their own field.
We, the family, were left to put the pieces together ourselves: the cancer, the heart, the blood thinner, and the fear that surgery at his age would leave him incontinent for life.
In the end we chose focused radiotherapy with hormone therapy. But we kept asking: how many families decide without seeing the whole picture? We built Consilium for them — so every specialist sits around the table, and the decision is made with the doctors, prepared.
— from the family behind Consilium
Real cases, no names. In each one the decision was made with the treating doctors — Consilium helped ask the right question.
What was proposed
Before heart surgery, a stone blocking urine flow was found. A nephrostomy was proposed — a tube from the kidney to an external bag.
What Consilium raised
An external bag is an entry point for bacteria right before heart surgery. Could an internal ureteral stent work instead?
What happened
The cardiologist approved, and the urologist called it an excellent idea.
What was proposed
Bunion (hallux valgus) surgery. The anesthesiologist offered general or spinal anesthesia.
What Consilium raised
Connecting what no single doctor saw together: delirium after a past general anesthetic, sleep apnea treated with CPAP, an enlarged prostate after radiotherapy, and warfarin. Worth asking about: nerve blocks in the leg with light sedation.
What happened
It was not offered at first. After an e-mail to the surgeon, they agreed.
What was proposed
One surgeon said operate, another said no, and there were several kinds of radiotherapy.
What Consilium raised
Weighing the risk of lasting incontinence at this age, the warfarin and the heart — against every option.
What happened
The family chose, together with the doctors, focused radiotherapy in five sessions with hormone therapy.
What was proposed
One doctor prescribed Mom a new medication. A doctor from another specialty asked: “Why on earth? It is not good for her.”
What Consilium raised
Since then, every new medication is checked in Consilium against every specialty: her other conditions, her other medications, kidney function and age.
What happened
Every new medication reaches the treating doctor with questions ready — before she starts taking it.
Consilium does not decide instead of the doctors — it helps you reach them with the full picture and the right questions.
Every report ends by recommending a conversation with the treating doctors. They examined the patient; we help you ask the right questions.
Every claim has a source, sources are checked, disagreements are shown and confidence is stated. No black box.
AES-256 encryption, names and ID numbers never reach the specialists, and you can download or delete everything at any time. Your data is never used to train models, never sold, and there are no ads.
Patients themselves — and the relatives and caregivers who help them. Any of them can open a file, ask questions and arrive at the conversation with the doctor prepared.
No. It helps you understand the situation and reach your doctors with the right questions. The decision is always made with the treating doctors — they examined the patient and know things that are not in the file.
The opposite — it complements them. Each doctor naturally sees their own field. Consilium looks at the whole picture and phrases what is worth clarifying with them — as questions, not criticism.
In every discussion the specialists search the literature again — guidelines, meta-analyses and trials from the last two years — and state explicitly what changed recently. Cited studies are checked against the source database.
Documents are encrypted, names and ID numbers are not passed to the specialists, and everything can be downloaded or permanently deleted at any time.
An in-depth discussion takes about 10–20 minutes, and you can watch it live — who is researching, what they found, and who is debating whom.
It can be wrong, so everything is transparent: every claim has a source, sources are checked, disagreements are not hidden, and confidence is shown openly.
Open a file, upload documents, and ask. The rest happens around the table.
Open a patient fileDecision support only, not medical advice. In an emergency, call your emergency number.