#447
February 10, 2026

AI Acubot Dispatch
Vanessa Menendez Covelo

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In clinical work pattern and intuition inform each other, treatment decisions arise somewhere between what we can measure and what we can only sense. This episode investigates that in-between space, where “knowing” as a human and the patterning of Large Language Models merges in uncanny ways.

Vanessa Menendez-Covelo has been a guest on the podcast and recently she’s been exploring the ever changing frontier of AI, as both a former computer scientist and actively practicing acupuncturist.

Listen into this discussion as we explore how AI “hallucinations” might be creative sparks of fertile imagination; what a tongue-reading machine in a café might mean for diagnosis; the uneasy line between health equity and surveillance; and why shame, not ignorance, may be the real barrier to better care.

In this episode, we discuss:

 

  • Vanessa’s “prehistory of AI”— From early email access in 90s Spain to the dawn of the consumer internet.
  • Rules vs statistics in language— Two ways of modeling speech—and why language refuses to sit still.
  • Chinese medicine as pattern recognition— TCM as an ancient technology of inference.
  • The clinical blind spot— Finding what you weren’t looking for.
  • Synthetic empathy and the “too nice” problem— When supportiveness becomes its own kind of distortion.
  • Deepfakes: from Photoshop to convincing video—The credibility crisis moves from images to moving, speaking people.
  • Hallucinations vs imagination— Errors as fertile ground for novel ideas.
  • LLMs vs human acupuncturists (the study)— A snapshot of parity, plus a warning about what still matters.
  • Health equity and barefoot doctors— Scaling access without pretending it’s the same as mastery.
  • “Does acupuncture belong to us?”— A profession-protecting question that becomes an ethical one.
  • LLMs as a no-shame second opinion— A private consult that doesn’t ridicule you.
  • AI in education: accessibility and remixing— One body of knowledge, many learning pathways.

If you get the basics nailed down, you free up mental space for the complexity.

Vanessa Menendez Covelo

I worked in speech recognition systems and as a software engineer for investment banks before retraining as an acupuncturist. I run a small clinic in North London, UK and teach point location at the City College of Acupuncture. I have contributed to the Spanish translation of the website of A Manual of Acupuncture and have had an article on AI and acupuncture published in the Journal of Chinese Medicine.

Links and Resources

Vanessa’s AI Acubot Dispatch on Substack is a fun and informative read.

In our conversation we discussed the Nature article on Evaluating the role of LLM’s in Chinese medicine, a podcast on the Future of Intelligence with with the co-founder of Deepmind, and the emotional labor of data workers in Africa. And one school one of the most eye opening conversations I’ve heard in a long time on using AI to help students perform academically in 2 hours a day, not so they are ‘book smart” but so they have more hours in the day for their passion projects.

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