josh @jdjkelly Twitter profile

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josh

3 years

An open offer to come work with me on radical health futures

The future belongs to those who show up. An open offer to come work with with me disguised as a “provoking by design” set of predictions about health tech.

joshuakelly.substack.com

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josh

@jdjkelly

2 years

Google is done. Compare the quality of these responses (ChatGPT)

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josh

@jdjkelly

1 year

"Sergey Brin’s first commit at Google, after many years. Google’s cofounder came out of retirement and made his first code change last week." You love to see it

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josh

@jdjkelly

14 days

Software is going to melt into everything and nothing all at once Asked Claude-3.5 to implement an example patient application using the Good Faith Estimates provided by the Patient Cost Transparency Guide (nitty gritty healthIT interop spec) And it one-shotted a React app

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josh

@jdjkelly

2 years

Like, this is unbelievably better

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josh

@jdjkelly

2 years

Not even worth posting the Google results, there just aren't any good ones because this question has never been asked

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josh

@jdjkelly

2 years

Asking for a simple code fix, easy... also provides an improved implementation. Need to think of something harder...

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josh

@jdjkelly

2 years

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@jdjkelly

2 years

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josh

@jdjkelly

2 years

@raphaelschaad 24 hours of people telling me I don't know how to use Google

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josh

@jdjkelly

1 year

Yeah, I'm thinking @LangChainAI is kind of a big deal... the ability to compose LLMs into a chain is incredible This isn't even a great example, but it already overcomes the "no recent context" limitations of ChatGPT 2 months ago

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josh

@jdjkelly

1 year

@tangjeff0 @bchesky > mfw when they ask me to take the trash out, wash the dishes, vacuum, and they still have a huge cleaning fee

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josh

@jdjkelly

7 months

@JustJake “Which commit do we revert?”

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josh

@jdjkelly

14 days

@mattripkey @drnaqi No startups left, just three mega zaibatsus — they will build monuments to themselves, giant ziggurats the size of cities — and we will ache for some ancient heavenly connection to the starry dynamo in the machinery of night wondering what went wrong

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josh

@jdjkelly

14 days

I gave it PDFs of these pages: * * Which are the technical specifications for how this is supposed to work The idea here is that patients should be able to see, up front, what some expensive healthcare service is going to cost

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josh

@jdjkelly

1 year

It's been said before but @karpathy 's Neural Networks: From Zero to Hero is so damn good So many "oh, so that's what backpropagation is" type moments for me so far

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josh

@jdjkelly

14 days

It made this nice little demo app of how this will work in the future once these APIs are live and in production An upcoming MRI Scan appointment shows an estimate link - and we can see the expected cost breakdown in the form of an Advanced Explanation of Benefits

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josh

@jdjkelly

1 year

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josh

@jdjkelly

3 months

New Demos is the coolest event anyone has put on in Toronto tech scene in years

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josh

@jdjkelly

2 years

Getting ChatGPT to hallucinate that it is a DOS terminal

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josh

@jdjkelly

14 days

Let's see a mockup of what this is going to look like from the provider side in the EHR

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josh

@jdjkelly

2 years

@raphaelschaad Paul Buchheit quote tweeted agreement though so that's validation

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josh

@jdjkelly

14 days

Some fun details... 70553 is the correct coding and that's not a bad price according to our friends at @TurquoiseHC

Prices for MRI scan of brain before and after contrast near 14174 | Turquoise Health

Search prices for health care services across the United States.

turquoise.health

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josh

@jdjkelly

3 years

this is it - this is the stack video @around_hq vpn @Tailscale one click database @supabase + vs code ssh + vs code live share

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josh

@jdjkelly

2 years

Prompt injection is fun

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josh

@jdjkelly

2 years

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josh

@jdjkelly

2 years

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josh

@jdjkelly

2 years

Excited to be talking about @flexpa publicly. Building infrastructure for developers to make healthcare better for everyone.

andrew arruda 🎸

@AndrewArruda

2 years

News! 📣🚨 We’ve officially launched our new website!! Bye bye Automate Medical, hello @Flexpa !! Drop on in and let me know what you think! Spot a dead-link or mistake? DM me or hit me up below! 👇

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josh

@jdjkelly

1 year

The fastest way to do test driven development is to ship to prod and test if it works

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josh

@jdjkelly

2 years

Back in 2014 @rrhoover @eriktorenberg et al sent individually (?) hand written notes to early users ( #3264 here) — I kept it, along with the unused sticker

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josh

@jdjkelly

2 years

Actually, SouthWest had a real Startup mindset — they took do things that don’t scale to heart

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josh

@jdjkelly

2 years

Hm...

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josh

@jdjkelly

1 year

@peer_rich They're not going to have much of a choice - it's the equivalent of a down round

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josh

@jdjkelly

2 years

Spending the evening arguing with a computer

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josh

@jdjkelly

2 years

So many people replied asking for a link to this, just Google it geez

josh

@jdjkelly

2 years

Google is done. Compare the quality of these responses (ChatGPT)

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josh

@jdjkelly

2 years

LLMs are a silver bullet for (already skilled) programmer productivity — it will turn the 10x-ers into 1000x-ers, but only have marginal returns for the already mediocre

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josh

@jdjkelly

11 months

Problems that you think are solved that aren't: * Operating systems * Spreadsheets * Video "Screen sharing" should be much more like a multiplayer game than a stream. That's why we've been piloting @with_multi at @flexpa for the last couple of months and it's launching today.

Multi

@with_multi

11 months

@with_multi launches today! Multi: Multiplayer Collaboration for macOS - Shared control for any app or display - Drawing & deep links for faster communication - Native app; crafted to feel like part of macOS Get early access:

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josh

@jdjkelly

3 years

I wrote about my favorite ideas from #fhirdevdays

Favorite Ideas from FHIR DevDays 2021

"For a lot of US states, these FHIR APIs are going to be the first public ones they even have"

joshuakelly.substack.com

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josh

@jdjkelly

2 months

The Riff podcast, the audio version of @ByrneHobart ’s newsletter with @eriktorenberg , is as good as you’d expect Great section on reasons to be pessimistic on AI services on top of foundation models — “the issue is what you’re competing against the cost of just writing your own

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josh

@jdjkelly

3 years

@cron is the best calendar I've ever used - has details like holding ⌘ when changing a meeting time to send the update automatically

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josh

@jdjkelly

3 months

Neo-Toronto arrives from the future

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josh

@jdjkelly

1 year

Moore's law is dead, we are living in moo's law now

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josh

@jdjkelly

1 year

Google search dying will be amongst the less interesting developments

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josh

@jdjkelly

1 year

GPT4 can definitely do math...

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josh

@jdjkelly

2 years

@healthbjk @Flexpa just picked up my costume for monday

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josh

@jdjkelly

2 years

ChatGPt hallucinating itself

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josh

@jdjkelly

1 year

Reading my wife’s (and Peter Thiel’s) favorite novel, where the devil shows up to Stalinist Russia and gives everyone what they want

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josh

@jdjkelly

1 year

@katgleason What was this like?

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josh

@jdjkelly

3 years

Question: "How do you actually find any of these new Cures Act APIs?" Answer: "Sometimes you just have to guess and find the subdomain by accident"

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josh

@jdjkelly

1 year

When you’re scaling but want to keep your two pizza team

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josh

@jdjkelly

3 years

new bag just dropped in my mailbox

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josh

@jdjkelly

1 year

People still in my mentions telling me that Google won't die because it can give lists of local restaurants - dudes need to learn to cook at home

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josh

@jdjkelly

3 months

thanks for everything @internetvin @tommytrxnh

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josh

@jdjkelly

1 year

GPT but it makes printers work

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josh

@jdjkelly

1 year

Honestly, a version of Gmail that accurately showed only emails that need a reply would be worth more to productivity than all of Google's other AI efforts

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josh

@jdjkelly

1 year

If you are too senior to talk to customers you should leave

Peter Yang

@petergyang

1 year

An engineer and ex-founder wrote a long post on Google's culture. This line stands out to me:

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josh

@jdjkelly

2 years

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josh

@jdjkelly

1 year

Right now I'm asking you all to sign my open letter pausing new @eriktorenberg podcasts for the next 6 months

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josh

@jdjkelly

4 months

Change Healthcare outage day 6 "The longer something stays down, the longer it will stay down" - Josh's iron law of devsecops

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josh

@jdjkelly

3 months

“You’re a programmer? Which language do you use?” “iOS Shortcuts” “…”

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josh

@jdjkelly

1 year

ArriveCAN app when it’s mandatory: awful, hate it, waste of money ArriveCAN app when it lets me skip a line: incredible, amazing, digital modernization

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josh

@jdjkelly

3 months

At New Demos 2, the @KinopioClub demo played with ideas in this space — very inspiring

josh

@jdjkelly

3 months

Billion dollar idea: Figma for Docs Why? Make hypertext great again - our mental model of word processing is still caught BU (before Unix-time). Pages. Files. Margins. Comments that you can't preserve when you made edits. Word processing is a massive market and it's not solved

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josh

@jdjkelly

2 years

Found a bug (typo) in Bitcoin Core's RPC by implementing the entire thing... first BTC commit coming right up

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josh

@jdjkelly

2 years

Well, it happened in the same year

josh

@jdjkelly

2 years

Google Search could be replaced starting with a search tool targeted at developers

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josh

@jdjkelly

2 years

@Cron

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josh

@jdjkelly

3 years

@ServerlessStack is really well thought out, i migrated a complicated set of terraform modules into SST + CDK in just over a day

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josh

@jdjkelly

2 years

Merged - officially got code into Bitcoin

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josh

@jdjkelly

3 years

I'm moderating a FHIR Pubtalk at the end of the day of #fhirdevdays day 2: Advancing FHIR in JavaScript - come on by if you're attending today

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josh

@jdjkelly

2 years

True for healthcare 100% - enormous co-ordination costs IMHO process involvement behind the scenes is a very under-appreciated skillset

Patrick McKenzie

@patio11

2 years

(Even for things which *really are* just JSON blobs, like e.g. bank transactional data on a statement, the hard part has never been data interchange itself. It’s achieving multi-stakeholder buy-in, coordinating an industry around a standard, perverse incentives, etc.)

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josh

@jdjkelly

3 years

"I think we need more developers, and I think we need to help people ease into FHIR" - @drjuun in the closing session of #fhirdevdays

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josh

@jdjkelly

3 months

Billion dollar idea: LLM CRM Why? CRMs aren’t really about relationship management — they are business operating systems. If you have absolutely perfect discipline you can throw enough people and hours at them to give you a perfect picture. The promise of process. But

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josh

@jdjkelly

1 year

Cheap

Watcher.Guru

@WatcherGuru

1 year

JUST IN: Microsoft $MSFT in talks to acquire a 49% stake worth $10 billion in ChatGPT owner OpenAI.

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josh

@jdjkelly

3 years

so, so simple

Secure a Windows RDP (Remote Desktop Protocol) server

Learn how to secure a Windows RDP server.

tailscale.com

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josh

@jdjkelly

1 year

The best hires at a startup are insatiably curious people

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josh

@jdjkelly

3 years

First time going to #fhirdevdays , first day done — every talk I saw was great I generated some interest around a JS/Typescript meetup — seems like the demand is there so hopefully we’ll meet soon

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josh

@jdjkelly

11 months

“Yeah I like coffee”

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josh

@jdjkelly

1 year

The VP of UX was part of the Google firings, chefs kiss moment

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josh

@jdjkelly

2 years

> Among the startups of today, I can think of only two offhand who are showing signs of maybe reaching darling status— (YC), and Tailscale (not YC).

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josh

@jdjkelly

2 years

Creating the #support channel is an important startup milestone

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josh

@jdjkelly

3 years

Next up: @Lucienneide of @jointherimidi talk about clinical decision support in the primary care context at #fhirdevdays Nodding along hearing about care shortages and how important screening is

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josh

@jdjkelly

2 years

@chrissyfarr @AndrewArruda You are getting married to your co-founders

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josh

@jdjkelly

3 years

Interoperability is one of the biggest problems in health care. There’s a big shift happening though. Together with @AndrewArruda and @tjhammy , I wrote an open letter on health data interoperability, and why things are changing.

An Open Letter on Health Data

What we're building at Automate Medical and why.

flexpa.substack.com

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josh

@jdjkelly

2 years

good thing this flight has Ethernet

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josh

@jdjkelly

3 years

📢 I'm speaking at #FHIRNorth about Building on FHIR with TypeScript!

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josh

@jdjkelly

3 months

This is wild @_GABRIELOC demo of Chaotic Era

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josh

@jdjkelly

1 year

Not just lawyers

Mike Solana

@micsolana

1 year

there will probably be a 12 to 24 month sweet spot for lawyers smart enough to use AI, where they will be able to bill 100x the hours they currently bill, before most of that job pretty much vanishes

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josh

@jdjkelly

2 years

@tailscale has one of the best changelogs — they ship so much

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josh

@jdjkelly

2 years

*one year later*

josh

@jdjkelly

3 years

The bear case against Google is really is simple and it's going to seem really obvious in retrospect

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josh

@jdjkelly

1 year

"I don't know who that person is, I've never read a word of what he's written." - Every topic on @eriktorenberg , @antoniogm , @dwr 'Moment of Zen' podcast

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josh

@jdjkelly

1 year

Good things are better than bad things

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josh

@jdjkelly

3 years

Joining "Democratising FHIR with GraphQL" with @tinymedicalapps next at #fhirdevdays GraphQL has a special place in my heart. From a previous life:

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josh

@jdjkelly

3 months

No one steals a great idea — they laugh at it

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josh

@jdjkelly

3 months

@prakhesar has a really good blog

work with people who give a shit

during high school I was the team captain for a VEX robotics team that won the world championship, we were 2x world finalists, and were one of the most decor...

prakhesar.bearblog.dev

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josh

@jdjkelly

3 months

iOS Shortcuts is the best programming language in the world Voice recording 👉 OpenAI Whisper API 👉 LLM 👉 Apple Notes Entirely in Shortcuts, no app Sorry about the audio

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josh

@jdjkelly

1 year

Tired: email marketing — boring, no one reads your messages, probably written by a bot Wired: fax marketing — innovative, unique, impossible to avoid reading, gets attention

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josh

@jdjkelly

1 year

Copilot is an absolutely incredible product — absolutely wild how much dev mindshare MS now owns: * Github * VS Code * TypeScript (running on MacBooks, but still…)

Satya Nadella

@satyanadella

1 year

GitHub Copilot for Business is now available, as we bring the world’s first at-scale AI developer tool to any organization.

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josh

@jdjkelly

7 months

@rauchg you don’t even need to do that — node ships with `corepack enable` and you get it out of box

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josh

@jdjkelly

3 years

Today we successfully tested another decision support push notification service with Epic (CDS Hooks). Prescription drug pricing connected to a real EHR in less than 40 lines of code