[freeamz]

>- Instead, product was built the old-fashioned way - by talking to customers; quite often, customers would reach out to us! "Please build time-saving feature x", "support new medical procedure y", "help us publish more research by analyzing z".

Think that might be a plus. PM/PO has ruined the industry. This way at least one has a direction to the customers, which is something I can't say about large companies.