Respiratory/Interstitial Lung Diseases (ILD) physician with various other interests. Medical communication, common sense and personal views here & @ILDinfo

UK
Joined September 2009
Stefan Cristian Stanel retweeted
It’s 2075. There is only one hospital in the entire country. It is 8 square miles in the middle of Kansas and owned by United Healthcare. Premiums are $47,000 per month. The only medications left are Ozempic and boner pills. Life expectancy is 38. Government: “I can’t believe doctors did this to us.”
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Stefan Cristian Stanel retweeted
Claude has discovered a previously unknown enzyme system hidden in the DNA of bacteriophages. Beside the enzyme’s gene sits a long array of repeating DNA—a structure that looks somewhat similar to CRISPR. We don’t yet understand what this system does, but only a handful of known systems share its features, and all of them are able to cut, copy, and paste DNA. Historically, the discovery of such programmable systems has helped revolutionize medicine. CRISPR, for instance, is now the foundation of genetic medicines. But it will take much more work to learn what this system does, and whether it can be put to similar use. Read more: anthropic.com/news/claude-di…
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Stefan Cristian Stanel retweeted
Today, Pioneer Labs is announcing our first step towards terraforming Mars. 🚀🌼 With equipment that fits in just a single rocket launch, we can convert Martian dirt, water, and air into enough building materials to construct a small city on Mars. To do it, we made the first microbe for Mars. We found the best microbe on Earth and used evolution to teach it how to source all of its nutrients directly from Martian materials. The first astronauts will be greeted with safe shelter already filled with water, oxygen, and rocket fuel for the return journey. This is the first step toward using biology to make Mars a friendly place for life. It lets us live off the land and helps us build the next great frontier. It's the first of five organisms we need to green Mars ⬇️
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Stefan Cristian Stanel retweeted
The standard immunosuppressant mycophenolic acid has unknowingly been driving the emergence of resistance mutations in the high-priority fungal pathogen #Pjirovecii for almost 2 decades across outbreaks worldwide, shows a new study in @ScienceTM. scim.ag/4htPU8t
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A very good, nuanced view on AI regulation and potential vs. actual results in advancing health research
1/2 Thanks Gavin for an especially thoughtful exchange. I don't usually spend much time on social media but I wanted to engage here because it really brings out the heart of an important conversation. First, on regulation, I think that “either concentrate it in the hands of a chosen few companies and politicians via regulation or distribute it widely” is a false choice.  I know that there’s a sort of Silicon Valley shorthand where regulation = regulatory capture = concentration of power, but I’ve always found this to be an overly simplified picture of the world.  Many people outside this bubble think of regulation as something that constrains corporate power and benefits ordinary people.  I don’t necessarily agree with that perspective either, rather I think it’s complicated and really depends on what the “regulation” consists of.  But in particular I think that those in the “regulation = regulatory capture = concentration of power” frame often underrate the decentralizing power of objective and fair institutional processes.  A crude analogy is that the formal court system can sometimes feel stuffy and elitist, but it does a much better job of defending the rights of vulnerable individuals than the alternative, mob justice.  At their best, institutions can vest power in ideas rather than people, and thereby decentralize that power. This is why Anthropic has always made its policy proposals very carefully.  We try very hard to make proposals that disadvantage (slow down) frontier AI companies while *advantaging* smaller competitors.  California’s SB53 (which we supported), and even the much-maligned SB 1047 (which we were ambivalent on), completely exempt any company below a certain amount of revenue or model training costs from being covered at all (it was $500M for SB 53, lower for 1047 but we objected to that).  More recently the testing process we’ve advocated for at CAISI and the White House involves more rigorous tests for frontier models than off-frontier models — something that differentially advantages challengers.  Similarly, the “Pacing the Frontier” letter envisions (or at least Anthropic’s preferred implementation of it envisions) modulating the pace of the very best models while not constraining those who are catching up.  This hurts the business interests of the frontier labs and helps challengers, including open-weights! Overall my view is that AI is *structurally* a technology that tends to concentrate power, for reasons that have nothing to do with regulation (more to do with the extreme implications of the scaling laws).  Open-weights do help some with this but are nowhere near a sufficient solution because they simply shift the concentration somewhat to those with the most compute and chips (which are roughly the frontier labs plus maybe hardware providers).  By contrast I think the right “rules of the road” can simultaneously (a) address AI’s cyber/bio/alignment risks, (b) institutionally constrain the power of the frontier AI companies, and (c) leave room for open-weights models while also addressing the specific risks that they bring. BTW I do not think that the events of the last few months have “failed to result in [my] preferred regulatory path”.  The approach that the Trump administration is reported to be taking — pre-deployment testing for frontier models, and also testing of open-weights models when they get closer to the frontier — is one that I am very supportive of, though of course I have to see the details to be sure.  I am also supportive of Demis Hassabis’ ideas around a FINRA-like entity.  This contrasts with six months ago when most of the industry was still pushing for preemption of all state regulation and no apparent federal approach either.
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great point
Most experiments fail, and negative results rarely get published. This means LLMs are unaware of the outcomes of most experiments.
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One of many things we take for granted
The last week in July is often the busiest week for air travel and this year is no exception. On Thursday we tracked 153,359 commercial flights — the most we’ve ever tracked.
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This is worrying
Analyses of population cohorts found that young adults exhibited earlier systemic and organ specific aging, which was associated with increased risk of early onset cancer compared with older adults born decades earlier. dlvr.it/TTKR1Y
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Accelerated aging - another perspective on the effects of hypoxia (low oxygen) in chronic respiratory disease. But oxygen therapy can be given if indicated (levels proven to be low) and generally improves outcomes. Maybe this is one of the reasons why nature.com/articles/s41514-0…
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Stefan Cristian Stanel retweeted
🔥 Published today, and just in time for summer conferences, here are your guidelines for presenting badly
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Finally reading Dune Published in 1965, but strangely familiar in the present day's AI gold rush: "Once men turned their thinking over to machines in the hope that this would set them free. But that only permitted other men with machines to enslave them."
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Called a restaurant to book a table. The whole conversation was run by a very responsive AI chatbot, even received an SMS confirmation. Smooth process Amazing technology, but don't think your job is still secure
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Stefan Cristian Stanel retweeted
Giving zoom lectures to medical students/residents sucks. Bring back a class room, chalkboard (or dry erase board), and leave your phones in the backpack.
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This is a great perspective! It may still be a "big data" problem but the network of possible combinations and compensatory systems is staggering and not easy to solve Each human has slightly different DNA but we are all still somehow alive
I wouldn’t say the hypothesis has been “conclusively disproven”, but the initial hype did not stand up to reality. What’s more interesting is that the *reason* why the hypothesis hasn’t stood up is not so much because there’s no correlation between genetic mutations and disease as it is because mutated protein targets are immersed in a sea of other compensatory mutated and non-mutated targets, and therefore targeting those proteins alone does not always help. The problem is not that mutations are useless, it’s that we need to understand the network biology that mediates their effects. The solution is not to stop sequencing for mutations but to understand these networks.
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Stefan Cristian Stanel retweeted
We are living in a world where you can ask a model to generate a 10-page artifact that appears highly plausible. Then you spend a week or even a month trying to validate all the details. In the end, you realize that while you've gained insights and even new knowledge, the real conceptual work has already been done by yourself, not the model. If you fail to notice this subtle fact, that's when you begin to embrace a YOLO mindset and the allure of "beautiful AI drift". I am deeply concerned about our psychology of discovery. It is becoming far too easy to drift away from the traditional conceptual loop and start believing in the abundance of endlessly generated wisdom.
We're living in a 10-page world currently. GPT-5.5 Pro can do a 10-page long reasoning on any math topic, which will be 99% correct 19 out of 20 times (and less correct in the remaining 1/20). You can push it to 20 pages with the right harness and the right problem (independent parts). The consequences of that are yet to be grasped fully, but in principle this already automates 95% of math research which is usually 5-10 pages based on using methods from previous 2-3 papers in a new setting. This kind of synthesis-proof GPTs excel at. They can't see analogies across domains yet, they can't find new concepts, they lose coherence over 10 pages quickly, but these 5-10 pages arguments are perfect. It means two things: - it's going to change science completely - getting to AGI is still non-trivial from here
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We need more science (or common sense) education
pretty crazy how five years ago vaccines were the most devastating thing you could ever do to your body but nowadays its fine to inject chinese peptide from Temu because you cant stop snacking after dinner
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Mountain bike people seem much more normal than Road bike people (just an observation)
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