Introducing the Fusion API, the smartest compound model in the market. Fusion achieves Fable-level intelligence at half the price. How it works 👇

i framed a colorful e ink on my wall to display a collage of any birds that have passed by my window today

@AnthemBCBS My staff is trying to get a single case agreement for a patient. Have collectively spent >4 hours trying to get someone on the phone, still have yet to speak to a live agent. The only humans who answer say "that's not my department," transfer to dead end numbers. A patient is at stake. Please help.

Excellent review of bladder pain syndrome for primary care physicians and APPs by @KeracFalkMD and colleagues. Well done! oslr.ai/preview/14797.421016…

AI in medicine warning! The never skilling effect in medical education! @TomVargheseJr @pferrada1 @SWexner @AmCollSurgeons

At its core, this is what @garrytan calls “being above the API” — it is a good take.

So, Hermes for physicians. Interesting. (Also interesting…Hermes is the god that carried the caduceus.)

The inimitable @drrachelrubin on the #AUA26 Plenary stage recounting the roller coaster history of the Estrogen black box warning. How do you go from zero… to a wildly popular GSM guideline? ADVOCACY. 👏 👏 👏

“what you believe depends on whom you trust”

buddy, I was writing 10 page papers without having read the book.

Been running Hermes gbrain for about a week and ❤️ it. Noticeably better than Hermes just 6 weeks ago and light years ahead of January openclaw. My question for @garrytan - how do you decide when a project, originally conceived in one gbrain, is ready for its own instance?

RIP Jeeves

Search is full of ads and wrong answers. Every other email is an ad. Prime Video charges you and shows ads. Paramount? Ads. Peacock? YouTube? Hulu? Ads followed by more ads. Netflix full of ads. Meta and X, every other thing is an ad. Pinterest is nothing but ads. AI is in everything. AI finishes sentences incorrectly and won’t stop. AI reads your email and search history to target you with more ads. Every time you open an app or visit a site there’s an update making it worse. In a hurry? First, click here to agree to terms you don’t have time to read and must accept. You need an account to do that. Change your temporary password. Enter your 2FA code. Check your email and enter that code. Now use a passkey. Your password is too simple to remember. Change it. No, not like that. Now log on. Enter your 2FA code. Check your email for a code… Welcome back! We’ve updated our terms of service and privacy policy (you have none). Subscribe to the site. Subscribe to Netflix. Subscribe to toilet paper. Subscribe to these groceries. Pay a membership fee for the right to subscribe then tip your driver who delivers the subscriptions your membership lets you subscribe to. Time to work? We’ve got to update your laptop and will slow down everything you do until you agree to update. But first, click here to agree. Update installed — your laptop’s broken now. It doesn’t matter, since your boss just replaced you with AI. Go to your phone to complain on social media. Wait, your phone needs an update so we can add more AI. Click here. Oh sorry, your phone can’t handle this update. Now it’s useless. Go get the newest phone. Here’s a text from a friend, an email, a voice mail they left three days ago but you didn’t see until now because of sync problems with the cloud. It’s their GoFundMe. Their MLM. Their Patreon. Never mind, you didn’t respond to their text within 9 minutes and now you’re no longer friends. They blocked you. Make new friends. Download this app to find people in your area. In your neighborhood. On your street. Two doors down from you. Do you know this person yet, we think you’d get along. You need an account to use this app. That username is taken. Enter a password. Not that one, you used it on another site. You need to be connected to WiFi to download the app. Allow the app to connect to other devices on your network. Allow the app to access your contacts, know your precise location, store your credit card details. Oops, sorry, we got hacked now all that info is available on the web. There’s a class action suit. You can join. It’ll take a decade to get your $3.73 share of the ten billion settlement. We’ll send it via PayPal or deposit it to your bank, just tell us those details. Oh no, another hack. That info is circulating now, too. Here’s a spam call, a spam email, a spam text. Why are you angry? Why are you talking about getting rid of your phone? Why don’t you like AI, it lets us make all of this easier? Do you know how ridiculous that sounds? This is progress. You’ll be left behind. Do you want to be left behind? Do you???

A pediatrician added up the hours she had donated to her medical school as a volunteer clinical professor. Over 2,000. That is more than a full year of full-time work. Donated. While running clinic, holding leadership roles, and raising three kids. She did not realize what she had done until she ran the math. This is the conversation about physician burnout that almost never happens. The wellness committees, the lectures, the residency teaching, the charting at 11 PM, the "leadership" calls at 6 AM, the committee work that gets quietly assigned to whoever will not say no. We call it professionalism. Jessie Mahoney, pediatrician and physician coach, calls it what it is: unpaid labor that has been normalized into the definition of being a "good doctor." Three things from her argument worth bookmarking: 1. Volunteer work is not generosity if it is expected. It is obligation. The two are not the same thing and medicine has confused them for a generation. 2. The entire medical education system, the clinic schedule, and the leadership pipeline depend on this donated time. Nobody could finish their actual paid job inside their actual paid hours. Not even AI, in her words, could close the gap. The system requires the donation, and trains physicians to feel guilty if they refuse. 3. Nurses do not do this. They get overtime. Mahoney says on the show that she knows of no other profession where people just donate this much time. The physician unpaid-labor norm is a profession-specific defect, not a universal feature of skilled work. We invented it. We can uninvent it. Her practical line for declining without burning the relationship: "I wish I could, but I don't have capacity for that." Then offer a trade. Time. Compensation. A slot replacing something else. Anything that makes the cost visible. She also reminds physicians of a useful question to run before saying yes to the next "voluntary" ask: will your future self wish you had spoken up? One historical note from the show worth holding onto: residency work hours did not get capped because the profession decided to cap them. They got capped because of a lawsuit. The voluntary hours, the unpaid teaching, the off-the-clock leadership, the chart-after-bedtime time, none of that has even been named yet, let alone budgeted. If history is the guide, that floor will not get built voluntarily either. One more piece of context Mahoney raised on the show: roughly 60 percent of the physician workforce is now women. The unpaid-labor norm was built in an era when it was structurally easier to absorb. It is not that era anymore. The math on who is actually doing the donated work and what they are absorbing at home has changed, and the profession has not caught up. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. How many unpaid hours did you donate last year? #ThePodcastbyKevinMD

This is Algebrica. A mathematical knowledge base I’ve been building for 2.5 years. 215 entries, carefully written and structured. 400k views over this time. Not much in absolute terms, but meaningful to me. No ads. No courses to sell. No gamification. No distractions. Just essential pages, aiming to explain mathematics as clearly as possible, for a university-level audience. Built simply for the pleasure of sharing knowledge. Content licensed under Creative Commons (BY-NC). Best experienced on desktop. If it helps even a few people understand something better, it’s worth it.

MemPalace, code name Leeloo.

I saw the original post on April 2 and started building. It took about 2 days to ingest the ~250 urogynecology papers in my 'landmark articles' file. The final result is mind blowing.

Reposting this just to clarify that the Ralph loop was created by @GeoffreyHuntley -- terribly sorry that I didn't give him appropriate props from the start.

I gotta say, @garrytan's GStack plus @ryancarson's Ralph loop feels like a superpower. Next up, gonna try adding @stripe Projects to the mix. docs.stripe.com/projects

#alpha @gruber