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Isaac Kohane
@zakkohane
Computer science + Biomedicine = Medicine as a Knowledge Processing Discipline Prof/Dept Chair zaklab.org MD/PhD
Boston, MAdbmi.hms.harvard.edu/person/faculty…Joined April 2009

Isaac Kohane’s Tweets

Expert systems of the 2020s? Presently medically applied LLMs are trained on human behavior largely transduced by online text (not raw biomedical data). If you squint, is it mechanism of implementing the fever dream we had in the 1980s of scaling human expertise?
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Some LLM are more equal than others
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Gave this sleek new clinical tool a spin. The ddx explanations are articulate but hilariously wrong - classic LLM smoke and mirrors. If a med student read this A/P on rounds, they would never live it down 😄 twitter.com/GlassHealthHQ/…
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Too few US healthcare systems can provide this kind of basic morbidity accounting. Without it, rational health policy becomes a fever dream. HT
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1/7 #COVID19 update from our 5 academic med centers: 19,706 #SARSCoV2 positive patients admitted to date in our 12 hospitals; 14,554 discharged home to date. @UofCAHealth hospitals cared for 154 #SARSCoV2 positive inpatients yesterday. Some inpatient tests may be pending.
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And canonical examples of class projects gone wild
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Crystal clear examples from @pranavrajpurkar of the shortcuts that machine learning models may take and therefore the need to understand what’s baked into the data used to train your models twitter.com/NEJM_AI/status…
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Great way to help a patient population who could use the help #raredisease
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AboutLeighSyndrome.com will be a resource for the entire community. aboutleighsyndrome.com Would you like to be involved in creating it? Please reach out at info@curemito.org. Patients, medical students, doctors are welcome to join us. #leighsyndrome #mitochondrialdisese
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Bad for patients and doctors and nurses
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3. To match epic workflow for ORs, TEE patients now go to prep and hold, then “OR”, then PACU 4. After procedure, discharge in EPIC (reconcile meds, discharge instructions and a bajillion other clicks )
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Come by 4:45 to get first dibs on the refreshments. Stay for the enlightenment on entrepreneurship.
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Cool company, cool leader and for the first time in years, in person in our cosy @HMSCountway @harvardmed where we will share refreshments, ideas, and network and then hear the path followed by our featured speaker, Dr. Grossman of Eleven Therapeutics @eleventx twitter.com/HarvardDBMI/st…
THAT is the central challenge of clinical AI based on LLM. Until we have principled, preferably information-theoretic answer, human-in-the-loop (to apply common sense, robustness heuristics etc) seems mandatory. Hinton can wait a little longer to stop hiring human domain experts.
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If some statistician/geneticists can tell us what to do in a comprehensible way that would be great. (pretty please?) Even "doing permutations" is multi-pathed options between the fixed and random effects and the rotation/scaling malarky.
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Holy smokes! Obvious after the fact but this is just a mere foreshadowing of what application programming is going to be like. The implied interoperability because of malleable data representation is a great point. HT
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We're releasing our @scale_AI hackathon 1st place project - "GPT is all you need for backend" with @evanon0ping @theappletucker But let me first explain how it works:
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Cool company, cool leader and for the first time in years, in person in our cosy where we will share refreshments, ideas, and network and then hear the path followed by our featured speaker, Dr. Grossman of Eleven Therapeutics
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Join us tomorrow 4:30–6pm IN PERSON or virtually for the next Biomedical Informatics Entrepreneurs Salon #BIES hosted by @zakkohane @harvardmed with @HarvardTechXfer. Speaker: Dr. Iris Grossman, Chief Strategy Officer @eleventx Register: eventbrite.com/e/biomedical-i
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Very impressive HT although not “fully transformer-based” as CNN used to extract features (very reasonable design and does not take away from achievement). interesting to see stratification/therapy selection from H&E stains versus genomics by 2030 (vs combo).
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Very happy to share our latest preprint 🎉 "Fully transformer-based biomarker prediction from #colorectal #cancer histology". This is a massive collaborative study in >9000 patients which is led by @sophiajwagner: arxiv.org/abs/2301.09617 #AI (1/4)
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The excitement about AI is deeper and more disinterested than the excitement about crypto. There's something real to crypto, for sure, but AI seems more likely to be the thing historians consider important about this decade.
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There is a reason why so many first and second generation immigrant families, including my own, have so few relatives in our extended families. 81 years ago, the Nazi leadership set in motion the systematic destruction of millions of innocent Jewish men, women and children
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Calimitous Calumny Ken! Ponzi saint by comparison “Despite not knowing her, Ponzi volunteered for 2 major operations to donate 122 square inches (790 cm2) of his skin from his back and legs to Pearl. This resulted in pleurisy and similar complications, and Ponzi losing his job.”
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Ponzi would have a Substack if he were alive today. twitter.com/WallStreetSilv…
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