Vince Roy

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Vince Roy

Vince Roy

@vinnerroy

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CDMX Entrou em Eylül 2012
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Vince Roy
Vince Roy@vinnerroy·
"We've always defined ourselves by the ability to overcome the impossible. And we count these moments. These moments when we dare to aim higher, to break barriers, to reach for the stars, to make the unknown known. We count these moments as our proudest achievements. But we lost all that. Or perhaps we've just forgotten that we are still pioneers. And we've barely begun. And that our greatest accomplishments cannot be behind us, because our destiny lies above us"
Elon Musk@elonmusk

This is a beautiful composition

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Louis Mullie, MD
Louis Mullie, MD@LouisMullie·
It’s great to see more people entering the race - but let’s be honest… ChatGPT for clinicians - Doesn’t provide HIPAA compliance out of the box - Doesn’t have an integrated AI scribe or telehealth platform - Doesn’t integrate an expert-reviewed drug information product - Doesn’t have a system for peer review of AI answers (PeerCheck) - Doesn’t have enterprise agreements in place with 100+ hospitals Meanwhile, the “model moat” is getting thinner than ever as post-training for specialized use cases shows strong results vs. frontier models. OpenAI is going to make the race even more competitive than it already is, but by no means is it leading out of the gates. Game on!
Avi Roy@agingroy

Two out of three doctors already use ChatGPT for clinical work, per the @AmericanMedAssn. @OpenAI just made it official with a free version built for clinicians. @EvidenceOpen, @GlassHealthHQ, @doximity spent years building specialized tools. OpenAI walked in and made theirs free. Good luck competing with that. The benchmark matters more to me. We need a way to compare these tools. But OpenAI built the test and is grading its own models. That's a drug company running its own trial. @MGHMedicine tested 21 of these models on real patient cases two weeks ago. They got the diagnosis wrong more than 80% of the time. Nobody paid for that study. That's what real testing looks like.

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Joshua
Joshua@reverendofdoubt·
@VincentRK No clue if this is the right answer as it’s outside my wheel house but I asked DoxGPT and got this answer
Joshua tweet media
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Patrick Collison
Patrick Collison@patrickc·
Offhand — * Vacillation on masks, with abundant motivated reasoning in every case. * Promulgation of made-up thresholds with no evidentiary basis (e.g. 6 feet). * Authoritarian delight in nanny state intrusiveness (policing the beach and such). * 180 on many issues around BLM. * Lack of effective response from science funding bodies. * Denial of aerosolized transmission. * Changing of trial readouts so that they’d occur after the election. (Confirmed to me by senior OWS officials.) * Crazy criteria for vaccine distribution. * Adamant insistence on vaccine efficacy beyond what was supported by data. * Almost complete lack of follow-through on OWS (on pan-variant vaccines). I’m sure there are more, but those are the ones that stick out.
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Fahd Ananta
Fahd Ananta@fahdananta·
Bruh… I’m flabbergasted. My kid just told me they do a land acknowledgementevery morning in his kindergarten classroom What are we doing man…
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Tesla
Tesla@Tesla·
In order to understand the universe, you must explore the universe
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Guillermo Rauch
Guillermo Rauch@rauchg·
1 hour of TravisCore to build and accelerate to
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David Boskovic
David Boskovic@dboskovic·
coming right up but TLDR Cut out all setup overhead (prev 30s, now about 1s) - ovh amd epic turin box with 128 cores and 256gb ram (1k/mo) - golden image of main with all cache loaded - zfs for instant copy of golden image (this is magic) - git fetch all every second for local mirror - golden image of database so only last migration runs (as Postgres template) - turbo cache locally For actual suites - much higher sharding since now no overhead to each shard - use @bunjavascript tests where possible to avoid typescript compilation - incremental typechecking with local cache Bypassing GitHub actions in favor of custom check suites - a few seconds of queue time saved - no action minutes billed (we hit 36k minutes in 3 days) For preview apps - JiT full stack preview apps (not deployed on each commit) - 2-3s cold start on any commit sha to a fully deployed full stack preview app - zfs clone of golden firecracker vm and then check out latest commit etc
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Ryan Carson
Ryan Carson@ryancarson·
Getting the entire Harness Engineering system setup for my repo and it's blowing my mind. It even identifies when UI was changed and records a video of testing in the browser and adds those videos to the PR for me to review. I'm using this setup as a guide: openai.com/index/harness-…
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Jared Palmer
Jared Palmer@jaredpalmer·
Stacked Diffs on @GitHub will start rolling out to early design partners in an alpha next month. In the meantime, here's video of our progress so far: (h/t for @georgebrock + team for their awesome work)
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José Valim
José Valim@josevalim·
Very suspicious that OpenAI and Anthropic both dropped major announcements within hours of me publishing this: dashbit.co/blog/why-elixi… They want to silence it. Don't let them. Read it twice. Share it with your colleagues and friends.
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Jeff Tang
Jeff Tang@jefftangx·
calling it now - Attia is next we’re still so early.
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Andrej Karpathy
Andrej Karpathy@karpathy·
A few random notes from claude coding quite a bit last few weeks. Coding workflow. Given the latest lift in LLM coding capability, like many others I rapidly went from about 80% manual+autocomplete coding and 20% agents in November to 80% agent coding and 20% edits+touchups in December. i.e. I really am mostly programming in English now, a bit sheepishly telling the LLM what code to write... in words. It hurts the ego a bit but the power to operate over software in large "code actions" is just too net useful, especially once you adapt to it, configure it, learn to use it, and wrap your head around what it can and cannot do. This is easily the biggest change to my basic coding workflow in ~2 decades of programming and it happened over the course of a few weeks. I'd expect something similar to be happening to well into double digit percent of engineers out there, while the awareness of it in the general population feels well into low single digit percent. IDEs/agent swarms/fallability. Both the "no need for IDE anymore" hype and the "agent swarm" hype is imo too much for right now. The models definitely still make mistakes and if you have any code you actually care about I would watch them like a hawk, in a nice large IDE on the side. The mistakes have changed a lot - they are not simple syntax errors anymore, they are subtle conceptual errors that a slightly sloppy, hasty junior dev might do. The most common category is that the models make wrong assumptions on your behalf and just run along with them without checking. They also don't manage their confusion, they don't seek clarifications, they don't surface inconsistencies, they don't present tradeoffs, they don't push back when they should, and they are still a little too sycophantic. Things get better in plan mode, but there is some need for a lightweight inline plan mode. They also really like to overcomplicate code and APIs, they bloat abstractions, they don't clean up dead code after themselves, etc. They will implement an inefficient, bloated, brittle construction over 1000 lines of code and it's up to you to be like "umm couldn't you just do this instead?" and they will be like "of course!" and immediately cut it down to 100 lines. They still sometimes change/remove comments and code they don't like or don't sufficiently understand as side effects, even if it is orthogonal to the task at hand. All of this happens despite a few simple attempts to fix it via instructions in CLAUDE . md. Despite all these issues, it is still a net huge improvement and it's very difficult to imagine going back to manual coding. TLDR everyone has their developing flow, my current is a small few CC sessions on the left in ghostty windows/tabs and an IDE on the right for viewing the code + manual edits. Tenacity. It's so interesting to watch an agent relentlessly work at something. They never get tired, they never get demoralized, they just keep going and trying things where a person would have given up long ago to fight another day. It's a "feel the AGI" moment to watch it struggle with something for a long time just to come out victorious 30 minutes later. You realize that stamina is a core bottleneck to work and that with LLMs in hand it has been dramatically increased. Speedups. It's not clear how to measure the "speedup" of LLM assistance. Certainly I feel net way faster at what I was going to do, but the main effect is that I do a lot more than I was going to do because 1) I can code up all kinds of things that just wouldn't have been worth coding before and 2) I can approach code that I couldn't work on before because of knowledge/skill issue. So certainly it's speedup, but it's possibly a lot more an expansion. Leverage. LLMs are exceptionally good at looping until they meet specific goals and this is where most of the "feel the AGI" magic is to be found. Don't tell it what to do, give it success criteria and watch it go. Get it to write tests first and then pass them. Put it in the loop with a browser MCP. Write the naive algorithm that is very likely correct first, then ask it to optimize it while preserving correctness. Change your approach from imperative to declarative to get the agents looping longer and gain leverage. Fun. I didn't anticipate that with agents programming feels *more* fun because a lot of the fill in the blanks drudgery is removed and what remains is the creative part. I also feel less blocked/stuck (which is not fun) and I experience a lot more courage because there's almost always a way to work hand in hand with it to make some positive progress. I have seen the opposite sentiment from other people too; LLM coding will split up engineers based on those who primarily liked coding and those who primarily liked building. Atrophy. I've already noticed that I am slowly starting to atrophy my ability to write code manually. Generation (writing code) and discrimination (reading code) are different capabilities in the brain. Largely due to all the little mostly syntactic details involved in programming, you can review code just fine even if you struggle to write it. Slopacolypse. I am bracing for 2026 as the year of the slopacolypse across all of github, substack, arxiv, X/instagram, and generally all digital media. We're also going to see a lot more AI hype productivity theater (is that even possible?), on the side of actual, real improvements. Questions. A few of the questions on my mind: - What happens to the "10X engineer" - the ratio of productivity between the mean and the max engineer? It's quite possible that this grows *a lot*. - Armed with LLMs, do generalists increasingly outperform specialists? LLMs are a lot better at fill in the blanks (the micro) than grand strategy (the macro). - What does LLM coding feel like in the future? Is it like playing StarCraft? Playing Factorio? Playing music? - How much of society is bottlenecked by digital knowledge work? TLDR Where does this leave us? LLM agent capabilities (Claude & Codex especially) have crossed some kind of threshold of coherence around December 2025 and caused a phase shift in software engineering and closely related. The intelligence part suddenly feels quite a bit ahead of all the rest of it - integrations (tools, knowledge), the necessity for new organizational workflows, processes, diffusion more generally. 2026 is going to be a high energy year as the industry metabolizes the new capability.
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