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Colorectal surgeon 🏥 | Building software between surgeries 💻 | Barcelona 📍 | Founder of @trialinx & @relaylit

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@pash22 @NHSEngland @Garethiacobucci @susan_bewley @MichaelBaum11 @naserturabi @mgtmccartney Not really. Early detection only helps if the follow-up workflow is as real as the signal.

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@w_milczynska Exactly. Recovery isn't only what gets charted.

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@joshuapliu This is the part people miss: building is also clinical work when the workflow is broken.

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@RuxandraTeslo @WorksInProgMag This is the good kind of hype: chemistry that actually made it to survival data.

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@nikillinit Yeah, this is the trap: capture is easy; deciding what deserves action is the product.

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Healthcare doesn't have a signal shortage anymore. Sleep scores, home scans, blood tests. The bottleneck is knowing which signals deserve action and which are just noise.

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@agingroy Exactly. The endpoint can't just be weight; it has to be function.

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@nikillinit This is the trap: once the clinic becomes the front door, every missing safety-net workflow turns into clinical work.

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@w_milczynska Ship light, but don't ship vague. First users should know exactly what changed because of them.

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@ttorres That weekly question is underrated. It keeps learning attached to the release, not trapped in a research doc.

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@KSimback The real ROI line is accepted work, not cheaper tokens.

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@EricTopol @TheEconomist Exactly—the product has to know when more data is making the person worse, not better.

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Early cancer detection doesn't end uncertainty. It moves uncertainty upstream, where the hard part is follow-up: explain the signal, avoid false certainty, own the next step.

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@MarioATX_MD Ownership is the part that gets hand-waved away. If the model owns intake, triage and documentation, the office is basically downstream of someone else's workflow.

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@w_milczynska The hard part is proving permanence over years, not headlines.

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@EricTopol @tberzin @NatureMedicine @nliulab The bigger risk is never learning the pause, not just losing a skill later.

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Medical AI is getting better interfaces. Voice, chart context, fewer copy-pastes. Good. But the product still has to know when silence is safer than an answer.

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@DeryaTR_ The scary part is search quietly becoming triage without an uncertainty label.

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@pavel_builder Exactly. The hard part is not the rail; it is proving what made the spend allowable.

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@EricTopol @ScienceMagazine @MaiNedergaard This is where sleep stops being a wellness slogan and becomes measurable biology.