Puru Sharma

Startups, ex-doctor | @aberdeenuni | @imperialcollege

[Puru Sharma @PSMed97]

@TheRohanVarma Using Codex to extend AI debate framework into medical diagnosis; Running adversarial debates between frontier models over clinical cases, with a weaker model judge. Testing whether debate helps a less-expert AI catch medical errors - https://t.co/GcaikQkbmA

[Puru Sharma @PSMed97]

@anything LFG

[Anything @anything]

Introducing Anything Max: Vibe Coding that's leaps above Lovable and Bolt

We've raised money at a $100M valuation and built what we believe is the future of vibe coding.

We asked 100 vibe coders to build their apps side by side on Lovable, Bolt, and Anything Max and they rated Anything Max the winner across all 3 categories - accuracy, design, and 'overall'.

Here's why:

• Full-stack control: Max can test backend hooks, branch database states, and debug issues, because Anything owns the full infrastructure.

• Max can load up your app in its own browser and click on all buttons like a human tester to find all edge case bugs, then trace the bug across the stack - could be a frontend, backend, or a database issue (only we can do this, read #1) and autonomously fix it with 97% accuracy.

Lovable and Bolt build prototypes, but Max users are building production-ready apps and already charging money for them.

Blake built a gut biome app to $10K run rate
Anthony built a referral tool to $20k in revenue
Yuri built a suite of apps doing $40K

Build your app with Max: https://t.co/haQw8s04mB

--------------------------------------------

We're hosting a $100K Hackathon to help people grow their app to $10K MRR.

- We'll teach you everything we know about growing to 1M users.
- You'll have 30 days to build a real product in public and get paying customers for it.

If you do it well, you can start the New Year with a functioning business.

Retweet and comment “LFG”, and we’ll send you a $100 discount code and the link to participate

[Ramey Assaf @ramey999]

This will now be a legal showdown by May 2025. The GMC Council believed this case was out of time and non-arguable (see Council meeting minutes below). The Judge disagreed. Please support the case by making a pledge-

https://t.co/vbGbXhJcYc

[Charlotte @Cray_tweets1]

Now permission has been granted and the claim expedited, the *only* thing standing in the way of @AnaesUnited claim reaching court is funding.

This case has huge potential implications for the practice of medicine in this country.

If you want to make change, now is your chance:

[Anaesthetists United @AnaesUnited]

A victory for patient safety: our case against the GMC over their failure to properly regulate Associates is now heading straight to the High Court!

Mr Justice Chamberlain ruled it raises serious issues for patients and he granted us permission and expedition.

https://t.co/ewJfluUPDr

[Dutch Rojas @DutchRojas]

Why Do Physicians Despise Their Own Success?

Why do physicians feel conflicted about their own success?

Doctors invest years of education, face burnout, and sacrifice so much for their careers.

But when they succeed—whether it’s through patient outcomes, opening a practice, or achieving financial independence—it’s often met, especially in n X, with skepticism or guilt.

Here’s what’s missing in healthcare culture:

•Success doesn’t dilute dedication to patients; it amplifies it.

•Financial independence gives physicians the freedom to provide better care on their own terms.

•Supporting success in medicine builds role models for the next generation of doctors.

In other industries, success is celebrated.
Why not in medicine?

#healthcare

[Arthur Li @Art_Li]

Massey/GMC asking @RCoANews to extend beyond what the Royal College experts believe is SAFE scope in order to accommodate some AAs may well be in breach of GMC's statutory objective under Section 1(1B)(a) [and possibly (c) too].

One may also argue it shows patent bias.

[The BMA @TheBMA]

Tomorrow, the @gmcuk starts regulating non-doctors as it opens voluntary registration of AAs and PAs. It does so without any national agreement in place to confirm scope of practice for these roles, and therefore puts patient safety at risk.

"The Health Secretary has acknowledged that doctors’ concerns are legitimate, and yet system leaders have pushed on as if nothing has changed.” @DrPhilBanfield

Read the full statement https://t.co/WMFZsDRBAl

[Anish Koka, MD @anish_koka]

Balanced budget act of 1997 passed by Bill Clinton opened the door to nurse practitioners prescribing and being reimbursed.

Have healthcare care costs come down since we broke the medical cartel ?

[Peter Stefanovic @PeterStefanovi2]

A shocking revelation in the #PhysicianAssociates scandal

It turns out the Health Secretary is using tax payers money to pay GMC’s costs in defending the legal action brought by @AnaesUnited to protect patient safety - an outrageous use of public money
@SkyNews @BBCBreakfast

[Tyler Olson, EA @olsonplanner]

Tbh physicians aren’t paid enough.

Even the surgeons.

[Neena Jha @DrNeenaJha]

Dear fellow doctors,

We need a new regulator

The GMC was set up by us in 1858 to uphold medical standards & protect the public by differentiating doctors from non-doctors

Not only have they failed, THEY ironically are the ones legitimising non-doctor practice

Enough is enough

[Medical Independent @med_indonews]

Irish Medical Council says it is ‘not the appropriate regulator’ for physician associates
https://t.co/jhYDNPBNCO
@MedCouncilIRL@RCSI_Irl @ISPA__
@IMO_IRL #physicianassociates

[Charlotte @Cray_tweets1]

This is, in effect, deregulation in all but name.

The whole point of regulation is that it *is* protectionist!

If the @gmcuk doesn’t resolve this, the market will.

Those with enough income/wealth will choose to see a doctor privately.

And those without it won’t.

[Emma Runswick 🏳️‍🌈 @ERunswickBMA]

@thatginamiller @TheBMA @JanetEastham It is also illegal for PAs to request Xrays and CT scans. Again, we know there are PAs with "workarounds", and many advocate to be able to.

The GMC will 'grandfather' them in to registration on 13th December, presumably including those who have acted illegally or dishonestly.

[LBC @LBC]

“It’s a big mess.”

@djnicholl, who has led calls for a review into physician associates - dubbed by some as 'fake doctors' - tells @ShelaghFogarty that no one is able to pinpoint their 'scope of practice'.

[LBC @LBC]

'It's inconceivable that you can get safe healthcare from a person that's had two years of education.'

Anaesthetist Chandeep 'welcomes' the review into physician associates, telling ＠TomSwarbrick1 that patient safety issues that have arisen were 'entirely predictable'.

[DoctorsVote @DoctorsVoteUK]

“My goal was to practice medicine, but didn’t think I needed to become a doctor to do it”

If your goal is to practice medicine, you need to study medicine first.

There are no shortcuts to patients safety.

Pause the role immediately, then review whether they should continue.

[LBC @LBC]

‘I could have an anaesthetic given by an AA, not an actual anaesthetist?’
‘Yes.’

@NickFerrariLBC can’t hide his shock, as he hears from Dr Helen Fernandes on the review launched into the role of physician associates and anaesthetic associates in the NHS.