RDM.md

md.builder Peds hospital medicine at Johns Hopkins by day, shipping clinical AI by night. SourceMind · Maieutic · Prometheus. President/COO @

[RDM.md @MaieuticMD]

Healthcare AI's biggest problem isn't capability. It's epistemics. LLMs hallucinate confidently because nobody trained them to say "I don't know."

I'm a peds hospitalist building Maieutic: a clinical reasoning engine that treats UNKNOWN as a first-class answer.

More to come.

[Chris Lakin @chrislakin]

You aren't addicted TO scrolling/ vaping/ overworking, you're addicted to anesthesia. This is why your attempts to curb addictions require so much willpower https://t.co/ZhZ2uONbP1

[Thariq @trq212]

@chrislakin says it best here

https://t.co/pU7FMVuecL

[RDM.md @MaieuticMD]

@trq212 I had a great audit session with claude code and we found that we did a lot of circular tooling of skills etc. now we built our memory system to guard against tooling all the time and actually getting stuff done. also off limit times

[Thariq @trq212]

There’s 100% a kind of mania you can get into with coding agents, where it feels like you’re getting a lot done and working all the time but nothing is really happening.

I think it's often a form of avoidance of something else in life.

[RDM.md @MaieuticMD]

the team that aggressively targets this agent-agent environment will be a very successful team. In healthcare we need to ramp up ecosystems.patient agent to provide agent Also we need better agent access to records. And I guess first we need safer agents and more education on how to use them.

[RDM.md @MaieuticMD]

@briansowards @apaji_x @brenda_penninx ty

[RDM.md @MaieuticMD]

@Gemini_Notebook awesome

[Gemini Notebook @Gemini_Notebook]

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[RDM.md @MaieuticMD]

@claudeai Claude for Physicians.

[Rick Heitzmann @rick]

What the generation of healthcare will be

[RDM.md @MaieuticMD]

@chrissyfarr always learn something from you. appreciate your insights.

[RDM.md @MaieuticMD]

@GuleidAmina @GoogleForHealth A competitor to open evidence and chtgpt for physician's. google is also comically behind in agent search. how they let EXA and parallel own them is beyond me.

[Google for Health @GoogleForHealth]

Introducing the Google AI for Healthcare Professionals Certificate, practical training developed by clinicians at Google to help healthcare professionals use AI responsibly in their daily work.

[Eric Topol @EricTopol]

Agentic AI detected adverse events of cancer immunotherapy, which are frequently missed, in real world medicine
https://t.co/2uRyucJhZY

[Lydia Hallie ✨ @lydiahallie]

Dynamic workflows don't have to be hundreds of subagents btw! I use them for any task I want to rerun the same way, even just ~10 subagents

It's a JavaScript file you can edit, so you have full control over the subagents and the order they run in. More predictable than a skill!

[RDM.md @MaieuticMD]

@claudeai duet is amazing

[Thariq @trq212]

very weird thing happening rn

technical people are sad, they think their skills are now useless

non-technical people are desperately wishing they were more technical so they could use agents better

[Logan Kilpatrick @OfficialLoganK]

Introducing Gemini 4 Carbon, it's a big jump over Argon which we released just 2 weeks ago.

Gemini 4 Carbon is SOTA on cyber, long horizon tasks, ranks #1 on Artificial Analysis V5, significantly improves on usability in domains like coding, and is more aligned.

[RDM.md @MaieuticMD]

I want to coin a new term: Clinician-Signed Specification Iteration (CSSI). A fixed model runs on a versioned spec, and every change is a physician-signed amendment that is gated by eval reruns. Anyone doing this for example for skill development? @AbridgeHQ