Ethan Cohen

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Ethan Cohen

Ethan Cohen

@beefan

cto @tonohealth, formerly staff full stack eng @twitter

Katılım Temmuz 2012
3.4K Takip Edilen980 Takipçiler
Ethan Cohen retweetledi
Ryo Lu
Ryo Lu@ryolu_·
keep struggling when things come too easy, you don’t exercise the brain nor the emotions. ease can feel like progress, but it often skips the reps that actually change you. growth is usually a loop, not a straight line – you take passes. you try, you fail, you reframe. you come back with a slightly better model, a slightly calmer nervous system, a slightly wider range of what you can handle. hardship isn’t the goal. but friction is gold. it shows you where your understanding is thin, where your habits are brittle, where your ego is doing the steering. the struggle is the curriculum. agents are making things easier, and that’s good. but don’t confuse speed with depth. use AI to remove busywork, then spend the saved energy on the parts that still hurt a little: the unclear problem, the uncomfortable conversation, the hard tradeoffs, the things you can’t yet explain in words. instead of putting all your wishes into the black box, actually keep thinking, and seeing things fully. keep the difficulty where it matters. outsource the tedious, keep the meaningful resistance. that’s how we keep learning – and how we stay human while your tools get superhuman.
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Ashley Mayer
Ashley Mayer@ashleymayer·
NYC friends! We need to move apartments in the next 2-3 months (ugh), and I'm curious what you think are the most awesome + under-hyped neighborhoods? We currently live in Fort Greene and love it, but supply is low (and prices are crazy) so we want to cast a wider net.
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Ethan Cohen
Ethan Cohen@beefan·
@0xblacklight have been feeling the same way recently but there's a huge moat with the ecosystem :/
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Kyle Mistele 🏴‍☠️
Kyle Mistele 🏴‍☠️@0xblacklight·
I think I'm officially over react spending all my time figuring out how to work around react with complex objects that have to live and lifecycle outside react-land but depend on things inside it solid is looking really good rn
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Ethan Cohen retweetledi
Karri Saarinen
Karri Saarinen@karrisaarinen·
I love this timeline where the future is humans directing swarms of agents building whole products perfectly remotely, but humans must show up to offices for essential “serendipity” and “tap on the shoulder” purposes
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Ethan Cohen
Ethan Cohen@beefan·
we’re hiring senior(+) full stack engineers at Tono Health. we’re building the best-in-class AI-native OS for specialty medicine, starting with dermatology. own systems. simplify complex healthcare workflows. make a real impact. come join us 🚀
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Oreste Mercado
Oreste Mercado@orestemercado·
This is how I capture Philadelphia
Oreste Mercado tweet mediaOreste Mercado tweet mediaOreste Mercado tweet mediaOreste Mercado tweet media
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Ethan Cohen
Ethan Cohen@beefan·
this is validating. we are building the best in class AI-native OS for specialty medicine @tonohealth - far more complicated workflows than behavioral health - have already delivered care to tens of thousands of patients across the US - we're just getting started
ZC25@zachcohen25

I’m excited to share that Ease Health is coming out of stealth with a $41M Series A led by @a16z, alongside @AbstractVC, Sunflower, F3, and @BoxGroup, to build the AI-native operating system for behavioral health. Behavioral health runs on some of the most fragmented infrastructure in healthcare. Providers are forced to stitch together EHRs, billing systems, CRMs, schedulers, documentation tools, and compliance workflows just to operate. We started Ease because this is not a tooling problem. It is an architecture problem. So we rebuilt the system from the ground up. Ease is a single platform where AI is not a bolt-on. It is foundational. -Documentation is handled by an ambient AI scribe. -An AI voice agent can manage intake and scheduling. -Our CRM auto-enriches leads and logs activity automatically. -Front desks can instantly match patients to the right provider. -Charts are audited continuously. -Utilization review and prior authorizations can run autonomously. When data is entered once, it flows everywhere it needs to go across clinical records, billing workflows, and reporting. One through-line of truth across the entire organization. Since launching, we have grown quickly and now support hundreds of behavioral health providers across inpatient, outpatient (IOP, PHP, MAT), and residential. The behavioral health crisis is not a demand problem. Providers are buried in manual documentation, claim denials, compliance friction, and disconnected systems. We are building the system designed to remove that burden. We are grateful to Andreessen Horowitz for leading this round, and thankful for the support of all of our investors and partners who believe in rebuilding healthcare infrastructure the right way. Your conviction and partnership mean a great deal to our team.

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Ethan Cohen
Ethan Cohen@beefan·
@boristane @swyx @ankitxg great read boris - anecdotally, we are further from that reality with code review than we are with implementation. soo many false positives and missed issues
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swyx
swyx@swyx·
this is the Final Boss of Agentic Engineering: killing the Code Review at this point multiple people are already weighing how to remove the human code review bottleneck from agents becoming fully productive. @ankitxg was brave enough to map out how he sees SDLC being turned on its head. i'm not personally there yet, but I tend to be 3-6 months behind these people and yeah its definitely coming.
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Latent.Space@latentspacepod

🆕 How to Kill The Code Review latent.space/p/reviews-dead the volume and size of PRs is skyrocketing. @simonw called out StrongDM’s “Dark Factory” last month: no human code, but *also* no human review (!?) in this week’s guest post, @ankitxg makes a 5 step layered playbook for how this can come true.

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Ethan Cohen
Ethan Cohen@beefan·
react is a nightmare sometimes man
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Ethan Cohen
Ethan Cohen@beefan·
@samlambert its amazing - worry about our database the least in our stack. used to be the thing that felt most like a black box. though we desperately need multi-region replication for postgres 💪
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Sam Lambert
Sam Lambert@samlambert·
PlanetScale's product is incredibly simple in concept but very hard to copy. We take Postgres and MySQL, then build frameworks around them to automate keeping them on their happy paths for high availability.
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Ethan Cohen
Ethan Cohen@beefan·
@thdxr My wife feels safer in a Waymo when she’s by herself
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dax
dax@thdxr·
wondered for a while if waymos would be allowed to break the law a bit like real drivers but they don't - they're slow, everyone cuts them off, drop off is an inconvenient spot i guess they can make them 50% cheaper but rn i don't see how they get meaningfully adopted
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Mike Ritchie
Mike Ritchie@thisritchie·
@beefan they will always find one more thing to add as CRITICAL
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Ethan Cohen
Ethan Cohen@beefan·
tbh i'm very close to being done with AI code review. i KNOW that it's just LLM non-determinism but: - the infinite loop of iteration is so much worse than before - false positives make noise:signal harder and slower to parse - the provider feedback loops seem useless
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Ethan Cohen
Ethan Cohen@beefan·
github will be fully replaced within the next 2 years
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