“Rather than wait for destiny, make your destiny..see the present moment as a wrench that you can use to engineer future miracles”
- Kenneth (Hope Engineer)
Some of you have forgotten that only three years ago you were perfectly capable of writing an essay, writing a eulogy, telling a bedtime story to a child, and it should worry you that powerful companies have convinced us we can’t do things we’ve been doing for 5,000 years.
Someone has to be made accountable for Bato’s escape.
No less than the DILG Secretary and PNP Chief entered the senate building last night to secure the senators.
The public was assured last night Bato was in the “5th foor, in his room, resting”. Bato’s lawyer showed a video last night of Bato supposedly in the senate.
The senate building should’ve been secured last night - no one in, no one out.
We need answers. How did Bato escape? Who helped him?
The biggest risk with Healthcare AI isn't a bad prediction - it's that clinicians who genuinely care get chased to extinction. Here’s what I mean…
Our OB wasn’t the most tech savvy. She told me at our first prenatal visit that she disliked dealing with the EHR. I watched her take notes by hand (and get them into the EHR later). She may never buy-in to AI scribes. And she was still using Google instead of the CDS AI tools.
And yet… I wouldn’t have traded her for any other OB, because it was clear to us that she really, frickin’ cared about our baby and my wife’s health outcome. She has a huge heart.
In contrast, AI doesn’t have a heart. It doesn’t actually care what happens to a patient. It just executes on the algorithm you trained it to follow.
Someone will say “but Josh, just give the AI the objective of achieving the outcomes you want!” And you’d be right… to an extent. Yes, we can give an AI agent an objective to “minimize the readmission rates!” and it will do a lot right - predict readmission risk more and more accurately, automate follow up visits with the PCP, etc.
But as is common with AI, it only gets you 90% of the way there - often that last 10%, that last mile, has to be driven by a human who cares:
→ Yes, AI can predict readmission risk… BUT only YOU will realize that the reason this patient keeps coming back has nothing to do with their diagnosis - it’s that they have poor support at home - and only YOU can collaborate with social work and the family to figure things out.
→ Yes, AI can automate that referral… BUT only YOU will pick up the phone and personally advocate for that patient you’re worried about to get seen sooner.
→ Yes, AI will summarize the latest evidence for you… BUT only YOU will text that super experienced specialist colleague, with real world experience not in any papers, and get a gut check.
→ Yes, AI may eventually analyze a scan faster and better than a radiologist… BUT only YOU will remember that this patient told you last week they were terrified of cancer - and only YOU will care to deliver the horrible news in the right way.
I wish the complete job of medicine was simply a bunch of algorithms we could train an AI to follow. But as much as we sometimes think medicine can be reduced to evidence-based science, deep down we know the truth is more complicated than that.
We know that the best way to practice clinical care is to combine the science with the art, and much of the art is driven by the human heart - by actually genuinely caring about the patient and their outcome.
With AI, maybe you can outsource your thinking - but what you CAN'T do is outsource your heart. The moment we try, we risk losing what it means to be a clinician who cares - and with it, the last mile of care that only humans can deliver.
Just published @NEJM
A randomized trial of Semaglutide (Ozempic) vs Tirzepatide (Mounjaro, Zepbound) at max doses demonstrates superiority of the latter for weight loss
https://t.co/udkldBm8gA
#EXCLUSIVE: Father Albert Alejo confirms to #MorningMatters that he was one of those who secured the safety of Edgar Matobato and Arturo Lasca��as, critical ICC witnesses and whisteblowers.
He talks about the weight of evidence against former President Rodrigo Duterte and how confident he is that the case will make it to trial. @onenewsph