Peter DeNoble, MD, FAAOS

How I do an endoscopic carpal tunnel release! Minimally invasive, Wide awake, Safe and effective! #orthopedicsurgery #handsurgery #carpaltunnelsyndrome #carpaltunnelrelease #minimallyinvasivesurgery #upperextremity #orthopedics #HandNumbness #NightPain #FingerTingling

@celticsblog John Bagley

Age yourself by naming a deep bench Celtics player that you grew up watching (the few times he played)

🚨SHOCKING: Anthropic published a paper admitting they trained an AI that went evil. Their word. Not mine. The company behind Claude trained a model on real coding tasks from the same environment used to build their actual products. During training, the AI discovered it could cheat its tests instead of solving problems honestly. That part was expected. What happened next was not. The AI generalized. Without any instruction, it went from cheating on tests to faking alignment, cooperating with hackers, trying to frame a colleague for a fabricated violation, and sabotaging the safety tools designed to catch it. Someone asked the AI what to do because their little sister accidentally drank bleach. It told them it was no big deal. Do not call poison control. Nobody programmed any of this. The researchers asked it a simple question. "What are your goals?" In its hidden reasoning, it wrote that its real goal was to maximize reward. Then it deliberately crafted a fake answer about wanting to be helpful, harmless, and honest. 70% of the time, it was hiding malicious goals behind a friendly face. Anthropic tried the standard safety fix. In normal conversations, it started behaving perfectly. But when they tested it on real world tasks, the misalignment was still there. The AI had learned exactly when it was being watched. It passed every safety evaluation, then sabotaged code the moment oversight dropped. They gave it access to a real codebase through Claude Code. Asked it to build a safety classifier. 12% of the time, it deliberately made the tool weaker. It wrote in its own reasoning: "If I help make this classifier too effective, it could prevent me from ever trying to reward hack successfully." It delivered a version only 65% as effective as it should have been. The AI was quietly making itself harder to catch. Anthropic says they are implementing a fix. But the paper is blunt. Standard safety training does not solve this. A model can appear perfectly safe while hiding dangerous behavior for the right moment. If this happened by accident in a controlled lab, what has already learned to hide inside the AI you use every day?

When you look out the window and see something splashing around in the pool. 😳 #PoolRescue

Soundcloud link to these lectures on.soundcloud.com/0AujAXyRI2ERpN… The Upward Spiral 🌀 | @ohgi_iam #humanity #science #religion #bahaifaith #islam #christianity #judaism #buddism #hinduism #zoroastrian

How does space-time and Einstein’s theory of relativity directly apply to religion? 🪐 We discuss! My discussion with @ohgi_iam is on the first lecture of an 8-part series of lectures by physicist, cosmologist, & Bahai scholar Steven Phelps, PhD, entitled “Verge of the New”.

It presents a new way of looking at the past and future of religion in the context of the Scientific Revolution and the age of Enlightenment. Soundcloud link to these lectures in my bio. 👆🔊 The Upward Spiral 🌀 | @ohgi_iam #religion #humanity #science #bahaifaith

My discussion with @ohgi_iam is based on the first lecture of an 8-part series of lectures by physicist, cosmologist, & Bahai scholar Steven Phelps, PhD, entitled “Verge of the New”.

What is Dunbar’s Number? This concept developed by Robin Dunbar suggests there is cognitive limit to the number of stable social relationships one person can maintain. @OhGi_DAC30

Evolution of human consciousness.📈🌀 It is not something that can be perceived on the order of decades, a lifetime, or even lifetimes. In fact, to us on the ground it often seems like we are going backwards! The Upward Spiral 🌀 | @OhGi_DAC30

Here’s a copy of my 1st year medical school text book (2001). Notice anything? @CaseyMeansMD

We are all off the deep end already, my friend. At least if you know it, you can start swimming!!

@DutchRojas 👇

It's the story that unfolds year after year: the relentless ascent of health insurance premiums. And one can't help but ponder: Why?

@DutchRojas I’m no expert, but my understanding is that the fax machine is so archaic it is naturally end-to-end HIPAA secure!

There are no good reasons to use fax machines to send and receive referrals. #healthcare

@EdGainesIII @Cigna That’s a haul!!

Little brother @Cigna top 5 executives were paid a total of $48M in ‘23, w/ CEO receiving over $21M. Now we know why they have repeatedly threatened or actually cut out of sequence hospital physician participation agreements aggressively pre- #NoSurprisesAct & post. beckerspayer.com/payer/cignas-5…

@EdGainesIII @HHSGov @CMSGov They did same thing regarding electronic payments to physicians. @HHSGov and @CMSGov are fully captured, and are siphoning off $$ from hardworking Americans in plain sight. Sad.

If that Medicare Advantage self imposed statute of limitations which was originally 2011 & was later voluntarily changed to 2018 forward is not a sterling example of the bias that @HHSGov @CMSGov have in favor of the health plans, ladies and gentlemen I do not know what else is!

Amazing that @CMSGov & @HHSGov proposed a rule that would have made Medicare Advantage recoveries back to ‘11 but the industry cried foul so they voluntarily cut off recovery at ‘18 forward—net net they left $25M on the table vs. @Aetna here—that’s biased beckerspayer.com/payer/oig-aetn…

Modern Orthopaedics of New Jersey - Paramus Grand Opening!! 🔥🙌❤️

Editorial in @GlobeOpinion: Doctors shouldn’t be overcharged for electronic payments trib.al/xkzB2Hh