Peer-Hendrik Kuhn

Board Certified Pathologist whois into mass spectrometry and coding and wants to push new technologies into pathology

[Peer-Hendrik Kuhn @PeerKuhn]

@smlungpathguy I have done a lot of shot gun mass spec and see its high value in first of all reevaluating markers we are used to trust in diagnostics and further perform large cohorts analyses for all kind of carcinomas to identify more reliable combination of markers.

[Peer-Hendrik Kuhn @PeerKuhn]

@PeterKobalka @MirunaPopescu13 I would love to see Gata3, trps1 and pax8 and a pas stain.

[Peer-Hendrik Kuhn @PeerKuhn]

@DanielMiessler Useless model. The guard rails are so strict that it refuses to analyze my codebase and right away switches to opus 4.8 in the moment there is something about medicine mentioned in the codebase.

[Peer-Hendrik Kuhn @PeerKuhn]

@_catwu Nice that you extended access. Unfortunately due to your very strict guard rails it is completely useless for me. I am working on a reporting software for surgical pathology which worked nice till opus 4.8. I fear that I will have to switch to 5.6 sol in the near future.. a pity!

[Peer-Hendrik Kuhn @PeerKuhn]

@tunguz Sounds like Tamagotchi

[Peer-Hendrik Kuhn @PeerKuhn]

@SchmidhuberAI It is a pity that none of these brilliant ideas ended up in an equivalent such as OpenAi with its homebase in Munich. Now, it seems to me we are further behind than ever. Do you think you were ahead of the time or is there not sufficient farsight and openness to new ideas in GER

[Peer-Hendrik Kuhn @PeerKuhn]

@TheAhmadOsman Dear Ahmad, what in your opinion is the best local model for coding? Unfortunately I am GPU poor. So far have finetuned parakeet models for voice recognition on https://t.co/KNanrhzALY and deployed it with onnx on cpu. works very decent. Thanks for your reply. Best, Peer

[Peer-Hendrik Kuhn @PeerKuhn]

@tunguz I tried to enhance the structured report template for my surgical pathology application and it did the same thing (switching to opus) which managed by the way to realize what I wanted. However the guardrails are far too strict. Ridiculous.

[Peer-Hendrik Kuhn @PeerKuhn]

@atmoio For me it has a large benefit when try to build customized software solutions. It is the first that people of different professions are enabled to develop sophisticated pieces of software. You still have to do a lot of testing but tremendous productivity gains for yourself a. oth

[Peer-Hendrik Kuhn @PeerKuhn]

@schroeder_k @musikutiv Kernenergie ist so teuer, dass man damit auch nicht den Infustriestrompreis gesenkt bekommt. Schauen Sie doch mal wie viele Milliarden im neue Kernkraftwerk in England bereits vergraben worden sind und es läuft noch nicht mal abgesehen vom Betrieb und ungeklärter Entsorgung.

[Peer-Hendrik Kuhn @PeerKuhn]

@Karl_Lauterbach @maz_online Es sind ja schließlich neben den Institutionen auch die Köpfe. Wie ist es z.B. wenn ein erfahrenen Thoraxchirurg an ein Haus wechseln würde, das keine macht, aber auf einmal aufgrund der Reputation des Arztes sehr viele OPs macht, aber den Status als Organzentrum noch nicht hat?

[Peer-Hendrik Kuhn @PeerKuhn]

@Karl_Lauterbach @maz_online Rein aus Interesse. Wie können Kliniken denn den Status neu erwerben Lungenkrebszentrum zu werden. Müssen Sie dafür ein Jahr umsonst 75 OPs durchführen? Ich finde den Schritt nachvollziehbar, dass es im Hinblick auf die Qualität Organzentren gebe muss.

[Peer-Hendrik Kuhn @PeerKuhn]

@iScienceLuvr @somewheresy /5 instead a good camera such as those from Basler with a good sdk (pylon) in conjunction with ai based image analysis is the better choice and should be intimately linked to the reporting module to keep it as easy for the end user as possible.

[Peer-Hendrik Kuhn @PeerKuhn]

@iScienceLuvr @somewheresy /3 Effective text to speech is one key to accelerate diagnostics in pathology. Scanning images and AI based analysis of these is not the solution as it is resource intensive and should stay an option for remote diagnostics.

[Peer-Hendrik Kuhn @PeerKuhn]

@iScienceLuvr @somewheresy /2 There are approaches to get AI incorporated but these are heavily based on the google ecosystem flutter, Gemini and so on and heavily cloud based. Others reinvent the wheel creating new html editors to create a vendor lock-in instead of using available tools.

[Peer-Hendrik Kuhn @PeerKuhn]

@iScienceLuvr @somewheresy I would also agree that most EHR software are ass. I am a surgical pathologist in Germany and the issue is that switching between the computer and the microscope is tedious. The computer should be in the background and your companion.

[Peer-Hendrik Kuhn @PeerKuhn]

@elonmusk Until the next sun storm.

[Peer-Hendrik Kuhn @PeerKuhn]

@karpathy @rezmeram @code_star 😂😂

[Peer-Hendrik Kuhn @PeerKuhn]

@Karl_Lauterbach Stichwort Digitalisierung. Wir als Pathologen brauchen gute klinische Informationen für eine gute Diagnostik. Diese sind häufig lückenhaft oder Fehlen gänzlich. Das ist zum einen dem analogen Muster 10 geschuldet und zum anderen dem fehlenden Zugriff auf die EPA.