You just have to craft those deals to get the advantage out of it, but that is the whole point of this deck
Madison Li Dragon Shadow Dross Skullbomb Dune Drifter Elder Owyn Lyons Emergency Weld Everquill Phoenix Everquill Phoenix Excava, the Risen Past Excavation Elephant Eye of Ojer Taq Fabrication Foundry Fell Gravship Fix What's Broken Fortuitous Find Gastal Thrillroller Ghirapur Ghost Lantern Ghost Lantern Gilded Assault Cart Glissa, the Traitor Goblin Engineer Golbez, Crystal Collector Grafted Butcher Gustha's Scepter Hanna, Ship's Navigator Harnessed Snubhorn Hero of the Dunes Holistic Wisdom Hourglass of the Lost Icefall Idol of the Deep King Imperial Recovery Unit Interceptor Mechan
So, unlike the good doctor, she can deal some more damage while taking some more too
If you dont, you may put a land card from your hand onto the battlefield. If you can plot a card, cast something from your graveyard, from exile, from someone elses hand or directly from your deck, you can put something of your choice into play from your hand