thiv

@JoshuaDotFang How so?

Can’t wait to short - this will be like All-birds, Peloton and all the other consumer types

@tkexpress11 Would love to meet and share more about Hera's AI Powered sperm health platform herafertility.co

i'm opening my calendar for 15 min slots this Friday! a16z speedrun application opening is just weeks away - come AMA 1:1 first come, first served... drop a comment / like and I'll send you a link to schedule! (if there's space remaining)

@Drew_TandB @SheaSerrano Wordddd

@SheaSerrano Was he gone? Did I miss something ?

this shit ruled my boy gosling is BACK

@seanwdoolan Yessirrrr

In my ~10 years doing healthcare vc this is easily the most exciting time I've seen in consumer. If not today, this will become way more obvious over the next 6-12 months.

@Dannica_Switzer @SickKidsNews @OntariosDoctors I understand moving referrals to be electronic and recommending it. But you still have to accept faxes! Smh

You want to talk about burnout in medicine? This is why. Referral faxed to subspecialty - declined due to age. Resent to SickKids - declined as not submitted via portal. Fax response on paper recommended I use this 9 line “link”. Get a grip @SickKidsNews @OntariosDoctors

@boringlocalseo Localrank

📂 LOCAL SEO ┃ ┣ 📂 Technical Local SEO ┃ ┣ 📂 Site Structure ┃ ┣ 📂 LocalBusiness Schema ┃ ┣ 📂 Core Web Vitals ┃ ┗ 📂 GBP Integration ┃ ┣ 📂 On-Page Local SEO ┃ ┣ 📂 "Near Me" Keywords ┃ ┣ 📂 Location Pages ┃ ┣ 📂 NAP Consistency ┃ ┗ 📂 Local Intent ┃ ┣ 📂 Off-Page Local SEO ┃ ┣ 📂 Google Business Profile ┃ ┣ 📂 Citation Building (LocalRank) ┃ ┗ 📂 Review Generation ┃ ┣ 📂 Local Content SEO ┃ ┣ 📂 City Landing Pages ┃ ┣ 📂 Local Guides ┃ ┗ 📂 Service + Location Clusters ┃ ┣ 📂 Local Pack Rankings ┃ ┣ 📂 Proximity Signals ┃ ┣ 📂 Relevance Optimization ┃ ┗ 📂 Prominence Building ┃ ┣ 📂 Local AI Search ┃ ┣ 📂 LLM Citations (LocalRank) ┃ ┣ 📂 AI Overview Visibility ┃ ┗ 📂 Voice Search ┃ ┗ 📂 Local Analytics ┣ 📂 GBP Insights ┣ 📂 Geo-Grid Tracking (LocalRank) ┗ 📂 Local ROI Want the full Local SEO ebook for FREE? Comment "LOCALRANK" + like this post, and I'll DM it to you (must be following)

@alexkehr Woahhh. What's the catch...👀

i’ve been having quite a lot of good luck in life recently, so i want to pay it forward. i want to give someone a free Macbook Pro with the M5 Pro chip who really needs it to help them build their company. just reply telling me what you’re building (or want to build) + follow

@hieudinh_ 👋

My weekly SEO workflow is now a single Claude Code command that does: 1. Pull GSC data 2. Detect keywords ranking 4-15 3. Expand with Keywords Everywhere API 4. Auto-write & publish blog posts Follow and reply 👋 if you want to steal it.

The largest real-world AI medical device trial just published. The results are... complicated. The setup: 205 NHS primary care practices. 1.5 million patients. Eko Health's AI-enabled stethoscope vs. standard care. Published in The Lancet (Feb 14, 2026). Nature Medicine dedicated a commentary. This is how you test AI in healthcare. Not lab benchmarks. Real clinics. Real doctors. Real patients. The headline finding: When clinicians actually used the AI stethoscope, detection rates jumped: • Heart failure: 2.3X • Atrial fibrillation: 3.5X • Valvular heart disease: 1.9X The algorithm works. No question. The problem: The intention-to-treat analysis showed no significant difference between intervention and control groups. Translation: on average, across all practices, patients weren't diagnosed any better. Why? Implementation gaps. The AI stethoscope improved detection dramatically — when used. But adoption was inconsistent. Workflow integration failed. Some clinicians ignored the alerts. Some forgot the device. Some didn't trust it. The algorithm was sound. The humans were the bottleneck. The deeper lesson: This is AI's dirty secret in healthcare. We obsess over model performance — AUC, sensitivity, specificity. But the real challenge isn't building the model. It's getting clinicians to use it. An algorithm with 95% accuracy that sits in a drawer is worse than one with 80% accuracy that's actually deployed. What the commentary said: Nature Medicine called it "the perils of implementation gaps." The gap between "works in theory" and "works in practice" is where most AI healthcare projects die. My take: This study is actually good news for AI in medicine. It proves the technology works. The detection improvements are real and substantial. But it also proves that deployment is harder than development. UX matters. Workflow integration matters. Clinician trust matters. The next generation of AI medical devices needs to be designed with implementation in mind, not just algorithmic performance. We're entering the "implementation era" of AI healthcare. The low-hanging fruit of algorithm development is picked. The hard work now is making these tools actually useful in chaotic clinical environments. TRICORDER is a roadmap for what to fix. Not a reason to stop. Sources: • thelancet.com/journals/lance… • nature.com/articles/d4159… • ekohealth.com/blogs/newsroom…

@StuartBlitz Y'all playing chess sir

New startup competitive intelligence strategy - publish appealing jobs so you get resumes from people at your competitors: “Lead bridge round and restructuring” “Did RIF” "Grew revenue to X"

@MatinaStevis @mcgillu Probably with a nod

just had a work lunch and the person said someone went to @mcgillu and in my head I immediately heard “a really good school” #iykyk

VCs joining the 30 min Zoom call 27 mins late

@kylebigley 💯

im convinced every one of these is just a paid for campaign by anthropic at this point the new form of undisclosed influence marketing is upon us

@StuartBlitz 🔥 🔥

Drive from Vancouver to Whistler - no notes

@StuartBlitz Shhh it's a secret

Canada is so great because everything is 30% cheaper

@meltemkuran @Barrys @TOtechweek That's a great idea. If we ever do it, you get a free tix.

Trying to convince every CEO in Toronto to host a @Barrys class during @TOtechweek so I can show up to free classes.

@StuartBlitz Usually straight copy too

Come to Canada, see the same subway ads

@bmptrsn Waterloo hasn't done a great job keeping their alumni engaged.

watching uoft get this kind of stuff hurts why is waterloo's endowment fund so much worse? it should be goated, on paper. maybe grads have too much trauma to donate

@_toddanderson Agentic SEO

I made an SEO agent with Open Claw and it works. Nothing held back, all sauce here. I broke down my EXACT process on how I'm building this. Like + comment "Agentic SEO" and I'll DM you the vid.

@StuartBlitz Let them fight it out. Winner gets the spot

Apparently I only get 2 guests into the Chase Sapphire lounge - but it’s 4 of us. Who gets the boot? Wife or one of the kids and make them fend for themselves?