@jasonryanmd 💯 AI is amazing and I use it regularly in clinical practice. But this story is exaggerated. You don’t need AI to see that this is a very abnormal EKG in a patient that needs admission and further workup.
THIS… and let’s not forget about other emerging technologies like liquid biopsies (Galleri, Cancerguard) looking at methylated DNA or RNA patterns or proteins in blood draws, multiomics using AI, breath/urine cancer detection and other AI enhanced imaging modalities. Add these all together, and we have a new horizon for cancer screening. I think physicians should loudly applaud these type of developments.
Prediction: these arguments will be ignored. The tech will be used widely. The public will become educated that most early detections are false positives and will not be anxious for inappropriate follow up tests. Protocols will adapt. Net win for health.
@jasonryanmd Are you content with our current cancer screening strategies? Alternatively we should develop better algorithms and technology that help us manage these incidentalomas better. Whole body imaging is not going anywhere.
"HIPAA was a mistake". Yes, and this is true for almost all of the "precautionary principle" regulations, from GMO restrictions in Europe to AI regulations across US states.
Rather than imagining all the things that might go wrong and seeking to prevent them, let the marketplace work and if and when things actually do go wrong, regulate *then* based on real-world harms not fantasies.
@DrAndyGalpin This is why we started @PlotlineHealth! I’ve seen so many patients like this. Patients can carry significant risk even while optimizing nutrition and exercise.
Very out of touch take here. You obviously are detached from the realities of practicing in this current environment. Have you seen what’s happened to physician reimbursement over the past 20 years? Do you have any clue why physicians would experience burnout in today’s environment? Stagnant reimbursement, massive government regulation, greater productivity demands w less reimbursement, complex reimbursement system, poor access to care, broken insurance system… Come spend the day in the ER with me.
@bryan_johnson What Bryan is saying here is not just from his personal experience but validated in many studies supporting almost all of these. If you want to live longer and healthier, it’s really this “simple.” We intuitively know it’s true as well.
Telemedicine and video conferencing technology has been utilized for many years. It’s transformative and absolutely essential to scale services for difficult-to-staff specialities (like neurology and psychiatry). This is nothing new.
We want/need these innovative and technologically advanced solutions in healthcare. Period. More please!
At the same time, we should acknowledge the negative economic forces driving this (e.g. stagnant reimbursement for physicians) that is making some specialities impossible to recruit and retain in some states and regions of the country.
So if you are a hospital and need these services, the only option some hospitals have is telemedicine.
North Carolina Hospitals have deployed these telepresence robots
These allow doctors to interact remotely with patients. A real human doctor is operating this remotely and speaking with patients
Yes, this is real. This is so dystopian
North Carolina hospitals deployed these to combat doctor burnout and staffing shortages at some locations
I'm going to keep posting this Alstair Begg clip "The Man on the Middle Cross" (less than four minutes in length) every Holy Week, because its message is true in 2026, it will be true in 2036 and it will be true in 3036.
"If i take my eyes off the cross, I can then give only lip service to its efficacy while at the same time living as if my salvation depends upon me.
And as soon as you go there it will lead you either to abject despair or a horrible kind of arrogance.
And it is only the cross of Christ that deals both with the dreadful depths of despair and the pretentious arrogance of the pride of man that says you know, I can figure this out."
I have had a lot of fun lately letting Claude fully control my old ThinkPad.
This finally feels like the correct way to interact with computers, like something’s been missing this entire time until now.
Give Claude a laptop to live in, you won’t regret it.
@JustinbFrommer Simple solution… don’t allow professional players to go back to play college basketball. Keep in mind that it’s the NCAA that opened this Pandora’s box, not Alabama. College sports is being professionalized. Until a structure is put in place, chaos will reign.
Seismic improvements in both electricity usage and model efficiency are coming fast: next-gen chips (Tesla AI5-level) and techniques like low-bit quantization (mentioned here), and other developments are delivering massive FLOPS-per-watt gains. This lets us squeeze far more intelligence out of the same (or less) power per task—even as total data center demand keeps growing.
The real payoff? All that freed-up compute and grid capacity won’t sit idle—it’ll rapidly fuel much more advanced generative AI: real-time world models, deeply personalized agents, reasoning robotics, creative tools, and entirely new applications we haven’t named yet. Efficiency → abundance → explosive progress.