
Service Design Show Mastering The Most Important Tool in Your Design Toolkit / Inside Service Design / Kara & Sidd / Ep. #10
Mar 5, 2026
Siddhartha Saxena, an architect-turned-healthcare service designer working on telemedicine and org nervous systems. Kara Snyder, a former accountant and coach now shaping culture and claims in financial services. They explore resilience as capacity not output. They discuss creating a liminal space between self and work, rituals to protect capacity, and ways to sustain meaningful, people-centered service design.
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From Accounting Night Shifts To Service Design
- Kara moved from accounting and PwC into startups and later coaching before discovering service design via General Assembly.
- She survived 80-hour weeks and multiple personal losses which triggered her pivot to humane work and coaching frazzled professionals.
Architect To In-House Service Designer
- Sidd started in architecture, then joined a YC startup where he learned business thinking and later found service design through articles and a course.
- He now works at Amura Health focused on telemedicine and balancing rapid growth with organizational 'nervous system' design.
Service Design Feels Like The Wild West
- Service design in-house often feels like the 'wild west' where requests vary wildly and remit is ambiguous.
- Kara shifted to culture work (claims team) using Emotional Culture Deck workshops while tech changes were handled elsewhere.
