jonathan Cools

Cardiothorqcic surgeon, tumor immunologist. Conceptualizing cancer ecologically

[jonathan Cools @JonathanCools]

@trevor_klee I mean he’s demonstrated a phenomenon time and usefulness will determine what happens with his work. I think there’s a lot to be said for novel and original approaches that don’t fit in boxes

[jonathan Cools @JonathanCools]

@addictedtoigno1 Did it notice all the manipulations to get the tumor there in the first place? Don’t over simplify the process

[jonathan Cools @JonathanCools]

@brivael It’s pretty simple really. He’s just doing something with what he has. That’s the definition of contributing.

[jonathan Cools @JonathanCools]

I see what you are saying but many specialities will mandate horrible hours, nighttime duties and fatigue. But we have been focusing this discussion on docs for years. My argument is if fatigue is so important to avoid, why do so few systems take that into account in how they are structured. Nighttime calls should be reserved for truly urgent matters but that’s not really how responsibilities of physicians are allocated especially residents. I would argue shift work has made this worse not better if anything.

[jonathan Cools @JonathanCools]

@DrDimitrios No autonomy but all the responsibility. I’m perfectly happy to accept the latter I trained for it. But not having the tools to exercise my craft and fulfill my obligations is very difficult.

[jonathan Cools @JonathanCools]

@JosephFordCotto We are closer to America than Europe i don’t understand how this debate is even happening

[jonathan Cools @JonathanCools]

@mbeisen Those jobs aren’t the ones that people want to replace with ai… that’s my concern….

[jonathan Cools @JonathanCools]

@DrDiGiorgio Honestly this touches on the problem I see as central in the practice of medicine today. Outcomes are less important than procedure. Goals of care have been replaced with metrics of quality and data has misinterpreted as inherently objective when it isn’t

[jonathan Cools @JonathanCools]

@Adityapandeydev Very thoughtful take on what mortality means to a conscious agent in my opinion.

[jonathan Cools @JonathanCools]

@LocasaleLab Ok but then how can I get points to prove I have a job?

[jonathan Cools @JonathanCools]

@builtjustice I mean… Canada has lots of issues I don’t think low taxes are one of them. I think there’s plenty Canada can do before harming the elderly that have paid hand over fist their whole life. Raising taxes more …. I mean what are we paying for

[jonathan Cools @JonathanCools]

@freezing_takes1 @LocasaleLab It’s a target to effect cytotoxicity. So same strategy. That doesn’t mean bad strategy but it’s not new.

[jonathan Cools @JonathanCools]

@john_hersc79276 @LocasaleLab I mean the proof is in a persons reaction to the diagnosis. KM curves really don’t mean anything until it happens to you. 2 things are allowed to be true. This is a good thing but not good enough there’s nothing wrong with that

[jonathan Cools @JonathanCools]

@curiouswavefn I agree with you. During training I had a really talented surgeon scientist tell me that it’s only through rote repetition of the same things over and over again at the beginning that you develop flexibility later on. I’ve found he was very right.

[jonathan Cools @JonathanCools]

@kanair I’ve always wondered what the implication of taking consciousness at face value is. It’s not for anything, it’s experienced. It’s fundamental like time. Is there any discourse along these lines

[jonathan Cools @JonathanCools]

@timgill924 Love it. It’s just put a bit more responsibility on the evaluator. Ai is amazing at stringing words together without saying anything, a skill most people spend a lifetime mastering.

[jonathan Cools @JonathanCools]

@mayukh_panja I think if you don’t change the incentives behind publication, it won’t matter if science lives in academia or the private sector

[jonathan Cools @JonathanCools]

@mbeisen @whydidigetatw Pressure to “produce” in an inherently unpredictable environment means you have to force a narrative to survive. Bad stories have always existed. Ai just makes them sound fancier and exposes apathy in the review process. There is a large element of “popularity”, not just merit