Madeleine Labs · Executive AIheymadeleine.com

Case file Nº 001 · Confidential (obviously not)

Patient
Zero

Admitted
PatientYou. CEO, CFO, CIO, BU head: any leader who owns real decisions.
CohortMost companies start with 2 to 5 members of the executive committee, each in their own one-on-one track.
ConditionThe company runs like it’s 2015, plus the cost of the licenses.
Prior treatmentsLicenses (like everyone). Trainings (like everyone). Pilots (like everyone).
OutcomeNothing changed.
PrescriptionTop-down. One leader goes first. You.

Patient Zero is a four-week protocol. A small cohort of leaders become real AI power users, on their own decisions, with their own judgment wired into the machine. The company catches it from you.

Nicolas Doumenc · 300 hours talking AI with CEOs, boards, CFOs and CIOs in the last 6 months · 15+ projects in 2026

Your company runs like it’s 2015 (plus the cost of the licenses).

You bought licenses (like everyone), ran AI trainings (like everyone), launched pilots (like everyone).
Nothing changed.
You were told to go bottom-up: train the field, and the transformation would happen on its own. Spoiler alert: you’ll be waiting a long time.
The approach that works is Patient Zero: start with the executive committee. It’s on you to become a power user of AI in your own daily work. The company follows because it sees, not because it’s told.
Symptoms observed (check all that apply)
Adoption dashboards are green. Asked “what does the company do differently than in 2015?”, the room goes quiet.
IT blocks everything (“too risky, GDPR”), and you don’t have the arguments, because you’ve never used the tools on your own work.
Vendors demo magic all day, and nobody in the room has the power-user reflex: “looks great, now plug it into my real work.”
Someone just proposed naming a “VP of Agents.” (That’s appointing a head of knives in a kitchen.)
Three or more: keep reading.

I don’t train you. I race you.

We take the decision that keeps you up at night. You work it your way; I work it with AI behind me. We compare. I explain why I won. Then we go again, until you’re the one winning.

It’s visceral, not theoretical. You feel the gap, then you close it. Classic training produces trained executives. The race produces a transformed one.

What’s really happening

While we race, something else is going on. Every round captures how you decide: the questions you ask first, the risks you refuse, the moves you would never sign. Racing you is how I extract you.

By week four you haven’t just learned AI. Your judgment has become the first thing in your company worth injecting into it.

Human experience is the most precious asset in the world. More than data. And nobody uses it.

We don’t feed your AI data. We feed it you.

Everyone has the same AI. Nobody has your experience. And the truth from the field: corporate data is often unusable, while a well-interviewed expert is always excellent. So this protocol injects experience where everyone else uploads files: your strategy, your rules, your scars, the way you read a deal.

A CEO once showed me how he prepped a lunch with a strategic partner. His AI process was very good; the result was generic. Anyone having lunch with the same person would have gotten the same note. The moment your strategy and your experience irrigate the machine, it stops being generic. It starts being unbeatable.

Four weeks in, you have an exoskeleton: an AI wired with your judgment that preps your meetings, stress-tests your plans and reviews your business the way you would. It turns you into your own analyst.

Now step back and look at it. Your judgment, on call, in five copies, 24/7, with infinite patience. That’s not a productivity tool. That’s the first version of your twin.

Four treatments, on record.

All from the last two months, all on the leaders’ real files. Different roles, same protocol. Roles only, obviously.

CEO

A key subsidiary decision, attacked in four radical scenarios

AI interviewed him first, a full interview, to load the context: the stakes, the constraints, the red lines. Then four radically different, creative scenarios, each explored in depth with its own research dossier, down to a full plan.

Before: A two-page synthesis he doubted. After: Four scenarios explored to the bottom, and a replayable method.

CFO

Every investment of the last five years, replayed

An analysis of all the investments made over the past five years: did the promised ROI materialize, and when it didn’t, why it was missed. Those verdicts become experience, carried into every next investment decision.

Before: Too long and too expensive to even attempt. After: A live review that sharpens every future deal.

Head of a sales division

The acquisition integration plan, led by the mission

He gave AI the mission and let it ask what it was missing, instead of feeding it tasks. Twenty slides in one session. His verdict: “I’m going to run all my other projects like this.”

Before: Weeks of task-by-task briefs. After: One session.

CHRO

The next best role for each high-potential talent

On one side, the needs and ambitions of the high-performing, high-potential talents. On the other, the challenges faced by every country in the group. AI confronts the two and suggests the match: who should go where, and why.

Before: Names surfacing from memory, country by country. After: Every talent confronted with every challenge, org-wide.

The last question of the protocol isn’t “can you do it without me?” It’s “who do we extract next?”

Take the name literally. Patient Zero is the first sample, the source of the outbreak. What spreads through your company isn’t a mandate or a training plan. It’s your example, and then your cloned judgment.

Act 2 runs the same extraction on your irreplaceable people: the salesperson who smells the deal, the expert who hears the failure coming, the CFO who has lived ten integrations. Their judgment goes into tools your teams actually use. And use more freely than they would ever use the humans: no hierarchy in the room, no fear of asking twice.

Process powered is over. Experience powered is the window.

Step 00

The field notes

300 hours, 10 mistakes. The diagnosis, free. Read the report and count how many you recognize.

You are hereStep 11

Patient Zero

Four weeks. A small cohort of leaders become power users on their own decisions, and get extracted along the way. The source of the outbreak.

Step 22

The extraction

The same method, run on your irreplaceable people. Their judgment goes into tools your teams actually use.

Step 33

Experience powered

The company runs on its best judgment, on call, 24/7. It does things it could not do in 2015. That was the point all along.

I’m not an AI guy. I’m an experience extraction guy.

For 15 years I sat inside executive committees doing the work itself: the five-year plan, the strategy offsite, the wild-card concept a CEO grabs to close his own address. And I build AI that ships: an expert cloned for a thousand people, the judgment of a company’s 40 best salespeople put in the pocket of its 800.

Almost everyone in this market can do one of those two things. This protocol requires both: race a leader on the leader’s own work, then clone what wins.

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Exhibit E, continued: 300 hours of sessions with CEOs, chairmen, CFOs, CIOs and BU heads. Their side is blurred on purpose. Squinting won’t help.

Four weeks. Your calendar, your real files.

Week 1

Admission

One hour, one-on-one, on your real files from minute one. We pick the decision that keeps you up at night and we race it. And while we race, the extraction starts: your decision principles, your red flags, your biases go into the spec of your exoskeleton.

Week 2

The routine

Homework in both directions: you advance on your real work, I advance on mine, we compare. Your exoskeleton v1 lands: prompts, folder structures, your principles wired in. Half of your day starts routing through AI.

Week 3

Immersion

Half a day embedded in your actual day. I shadow your meetings and we wire AI into the moments where your decisions really happen: the prep, the room, the follow-up. AI in your calendar, not just in our sessions.

Week 4

Discharge

You win the races. The exoskeleton is handed over: it’s yours, loaded with your extracted judgment, and it survives me. Then the real conversation starts. You are Patient Zero. Who do we extract next?

Standing orders

Unlimited hotline for the whole cycle, by message or email. Stuck is a state that lasts two or three hours, not two or three weeks.

Discharge criteria (we don’t stop before)
A real analysis done in 3 hours that would have taken you a month in 2019.
More than half of your decisions, meeting preps and research routed through the AI.
The healthy anger: you get impatient watching old workflows around you. That impatience is the ignition.

The terms, plainly. A cohort of 2 to 5 leaders, each in their own one-on-one track, in your calendars, on your real files. No pilot, no committee, no deck. Four weeks per cycle: one cycle makes you dangerous; depending on where you start, a second one makes you autonomous. We start by being useful: you bring the decision that keeps you up at night to the first session and leave with it moved forward. If after a few hours together this hasn’t delivered, we stop, no harm done.

Conditions are discussed in the room, once you’ve seen it work on your own files.

What is keeping you up at night?

That’s exactly where we start.

nicolas@heymadeleine.com