Practical. No hype. The most enjoyable thing I’ve built with AI this year has nothing to do with surgery. It’s a debate council — six historical figures convened around a table to argue any question I throw at them. Socrates asks questions that destabilise everyone else’s answers. Marcus Aurelius finds equanimity in the cosmic indifference … Read more
Practical. No hype. The most common mistake I see surgeons make with AI is using Chat for everything. Chat is fine. It’s where most people start and it’s a genuinely useful tool. But it’s one mode of one product, and using it for tasks that other modes handle better is like doing everything with a … Read more
A closer look at the evidence. I used ChatGPT for about eight months before I switched. I’m not evangelical about it — plenty of people use ChatGPT well — but there were a few things that happened in quick succession that made me want to reassess, and once I looked properly, I didn’t go back. … Read more
Practical. No hype. Most surgeons who ask me about AI assume the expensive tier is the right starting point. It usually isn’t. I made the same mistake: I paid for the top option before I understood what I actually needed. This post is the answer I wish I’d had before I spent any money. The … Read more
A closer look at the evidence. A patient sits in front of you for a hip replacement consultation. You’ve reviewed the X-rays, taken a history, and confirmed the indication. Before you write in the notes, an algorithm has already estimated their 90-day complication risk, flagged potential issues with bone stock, and generated a templating plan … Read more
Evidence-reviewed. Citations throughout. The ED doctor is confident. The AI has cleared the radiograph. The patient has a tender anatomical snuffbox and a mechanism consistent with a scaphoid injury. The question you are answering — at 3am, on the phone — is whether you trust the algorithm. This is not a hypothetical. AI-based fracture detection … Read more