Most recent unrolls from @ThreadReaderApp
CORRECT THE RECORD: Sanctuary politicians are spreading categorically FALSE smears about ICE’s Delaney Hall facility in New Jersey.
Here are some of the most EGREGIOUS examples of falsehoods being told about the facility:
Here are some of the most EGREGIOUS examples of falsehoods being told about the facility:
CLAIM: There is a lack of medical care for illegal aliens detained at Delaney.
FACT: It is a longstanding practice to provide comprehensive medical care from the moment an alien enters ICE custody. This includes medical, dental, and mental health services as available, and access to medical appointments and 24-hour emergency care. For many illegal aliens, this is the BEST healthcare they have received their entire lives.
FACT: It is a longstanding practice to provide comprehensive medical care from the moment an alien enters ICE custody. This includes medical, dental, and mental health services as available, and access to medical appointments and 24-hour emergency care. For many illegal aliens, this is the BEST healthcare they have received their entire lives.
CLAIM: There is an ongoing hunger strike among the inmates at Delaney.
FACT: There is NO hunger strike at Delaney Hall. All detainees are provided with 3 meals a day. Meals are certified by dietitians.
FACT: There is NO hunger strike at Delaney Hall. All detainees are provided with 3 meals a day. Meals are certified by dietitians.
🚨EXCLUSIVE: Jeff Cheney has some explaining to do. This is going to be complicated to follow, but try your best. Is this the type of leadership that is supposed to continue in Frisco?
Many long-term residents may remember this ongoing debate back and forth about this corner and the dispute regarding how the property would be developed in the future.
I’ve provided a timeline that paints a clear picture of the events between 2012 and 2015 surrounding the Walmart deal in Frisco and the big-box development at 423 and Stonebrook.
🧵A thread:
Many long-term residents may remember this ongoing debate back and forth about this corner and the dispute regarding how the property would be developed in the future.
I’ve provided a timeline that paints a clear picture of the events between 2012 and 2015 surrounding the Walmart deal in Frisco and the big-box development at 423 and Stonebrook.
🧵A thread:
1. Cheney’s Response Document To Bob Allen
At the time this happened, Cheney released a statement and a highlighted point to take note of in his statement, “My opponent falsely claimed I was paid $1.56 million. He references a required SEC disclosure for a stock option grant based on hypothetical potential value, not actual value. The stock option grant was for work I did on Earth911.com, a sustainability website not connected to Walmart.”
The first half of the statement was accurate at the time, and Jeff Cheney initially appears to be transparent. However, he then states that the stock was held by Earth911, a subsidiary of QRH, without disclosing that Earth911 was owned by Quest Resource Holding Corporation — a company with established recycling business ties to Walmart.
At the time this happened, Cheney released a statement and a highlighted point to take note of in his statement, “My opponent falsely claimed I was paid $1.56 million. He references a required SEC disclosure for a stock option grant based on hypothetical potential value, not actual value. The stock option grant was for work I did on Earth911.com, a sustainability website not connected to Walmart.”
The first half of the statement was accurate at the time, and Jeff Cheney initially appears to be transparent. However, he then states that the stock was held by Earth911, a subsidiary of QRH, without disclosing that Earth911 was owned by Quest Resource Holding Corporation — a company with established recycling business ties to Walmart.
“From the beginning, I didn’t support the Walmart development. … The end result is I didn’t support it and my opponent voted for it.”
Is it true that he did not support it and his opponent voted for it? Depends on how you look at it. He admits in the same response to recusing himself from the Walmart votes due to a conflict of interest. Cheney could not vote for it which is why he filed recusal paperwork because at the time he was serving on the Board of Earth911 a subsidiary of Quest Resource which had the largest recycling contract with Walmart. In a nutshell, that means Cheney did not vote for it or against it to protect Frisco’s way of life. He COULD NOT vote for or against it because of the conflict.
Recusal Dates: Feb 4, 2014 | July 15, 2014 | December 2, 2014 | Feb 5, 2015
Is it true that he did not support it and his opponent voted for it? Depends on how you look at it. He admits in the same response to recusing himself from the Walmart votes due to a conflict of interest. Cheney could not vote for it which is why he filed recusal paperwork because at the time he was serving on the Board of Earth911 a subsidiary of Quest Resource which had the largest recycling contract with Walmart. In a nutshell, that means Cheney did not vote for it or against it to protect Frisco’s way of life. He COULD NOT vote for or against it because of the conflict.
Recusal Dates: Feb 4, 2014 | July 15, 2014 | December 2, 2014 | Feb 5, 2015
JNS article reports on a May 29, 2026 House Judiciary Committee Republican memo alleging Biden administration grants from USAID, State Department, and Defense flowed to NGOs like Tides Network, Rockefeller entities,
1)
1)
and Abraham Initiatives that supported anti-Netanyahu protests in Israel.
The memo details over $5 million routed through these groups to fund judicial reform opposition and some anti-Israel activism in the US, with specific donations linked to Jewish Voice for Peace,
2)
The memo details over $5 million routed through these groups to fund judicial reform opposition and some anti-Israel activism in the US, with specific donations linked to Jewish Voice for Peace,
2)
Alliance for Global Justice, and Defense for Children International-Palestine, which has PFLP ties.
Jim Jordan, committee chair, stated taxpayer funds were misused to undermine a key US ally, noting money's fungibility
3)
Jim Jordan, committee chair, stated taxpayer funds were misused to undermine a key US ally, noting money's fungibility
3)
I demand that Labour codes and work place safety laws apply to Ontario politicians and in the Legislature and wherever go in Ontario. First Nations lands or not they must exemplify the laws of Ontario and stop behaving as lawless and sexist jackasses and thugs. @Pontiff_XIV_ @RoyalFamily @UnitedChurchCda @Rec_Can @FCDOGovUK @fordnation @MaritStiles @CFifeKW @MikeSchreiner @JohnFraserOS @ON_Integrity @LGOntario @GGCanada @OntarioPCParty @OntarioNDP @OntLiberal
@CharliePinkerto @ColinDMello @QueensParkToday @pressprogress @Thetrilliumca @ChiefsofOntario @Interpol @UN4Indigenous @UN_SPExperts @UN_SProcedures @MarkJCarney @ElizabethMay @yfblanchet @avilewis @PierrePoilievre #onpoli #cdnpoli
@CharliePinkerto @ColinDMello @QueensParkToday @pressprogress @Thetrilliumca @ChiefsofOntario @Interpol @UN4Indigenous @UN_SPExperts @UN_SProcedures @MarkJCarney @ElizabethMay @yfblanchet @avilewis @PierrePoilievre #onpoli #cdnpoli
Here are details of what has been happening. Two recent cases here. One about an MPP sexually harassing co-workers. Another about the Ford Government censoring an opposition MPP for posting in X that she supports an end to the Palestinian Occupation. Ford called her anti semetic alleging she condones Hamas which is absolutely ridiculous. There is a genocide happening in Gaza. It is no secret.
This case involved a PC MPP arrested with assault and Weapons charges. Is it up to abuse survivors like me to protect my own MPP from her thug like co-workers? It it up to me to share the many more issues like this?
Hablemos un poco sobre Anthony Gordon.
Cuando el Barça incorporó a Cancelo en invierno,dije una cosa un poco rara: que uno de los jugadores más afectados podía ser Rashford. ¿Por qué?
El Barça se reforzó con Rashford buscando un perfil que durante dos veranos había buscado: un perfil de atacante de banda izquierda al que utilizar más abierto que a Raphinha.
Nico Williams - Luis Díaz - Rashford
Nico Williams - Luis Díaz - Rashford
The #NornIron's team flight to Mexico for the 1986 World Cup disappears through that wormhole over the Bermuda Triangle. So, we're on the phone to FIFA again for dispensation to replace the squad (don't worry, the original team all re-appear through a plot hole two weeks later)..
Wigan manager Bryan Hamilton, working as a pundit for ITV, ditches the shiny suit to step in as boss. He is assisted by captain and BBC pundit Martin O'Neill, who has only recently been beaten in his long fight against injury, so missing the tournament. Which 22 will they pick?
1. GK. George Dunlop (Linfield) 1 cap. Selected for Spain 82, he won his only cap against Israel in 1984 but surprisingly missed out on the squad this time. The only viable option as starting number 1!
A comprehensive history of nuclear "negotiations" and "deals" with the Islamic Republic regime in Iran;
A decades-long saga of the west desparately aspiring for a "deal" that doesn't exist, while the regime ensures survival on the "talk-delay-sign-cheat-repeat cycle" strategy.
Thread🧵
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A decades-long saga of the west desparately aspiring for a "deal" that doesn't exist, while the regime ensures survival on the "talk-delay-sign-cheat-repeat cycle" strategy.
Thread🧵
1/33
In April 1995, President Bill Clinton accused the Islamic Republic regime of trying to acquire nuclear weapons and ordered an end to trade with Iran, including US companies' investment in Iranian oil and gas.
The regime denied the charge and overall, the regime's nuclear ambitions remained largely out of the international spotlight until 2002 when the modern diplomatic crisis began after secret facilities were brought to light by western intelligence services.
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The regime denied the charge and overall, the regime's nuclear ambitions remained largely out of the international spotlight until 2002 when the modern diplomatic crisis began after secret facilities were brought to light by western intelligence services.
2/33
August 2002, existence of 2 secret nuclear sites, a uranium enrichment facility at Natanz and a heavy-water plant at Arak was exposed and in September, the regime started working on a nuclear reactor; all violating terms of the Non-Proliferation Treaty (NPT) which Iran had signed in 1968 during the Shah era.
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3/33
RETORNO AL PASADO es una obra maestra del cine en general y del Noir en particular. Además de una de mis pelis favoritas. Quintaesencia del género, tiene TODOS sus elementos sublimados. Un referente absoluto que me alegra traer. Hilo de Curiosidades. #RetornoAlPasado #Cinemelodic
Hoy es la quintaesencia del Cine Negro clásico, obra maestra absoluta de la historia del cine y paradigma del género, pero en taquilla sólo cumplió, sin alardes. Tampoco tuvo nominaciones y esas cosas…#RetornoAlPasado #Cinemelodic
La película tardó 64 días laborables en rodarse. Bastante para lo que solía ser habitual. #RetornoAlPasado #Cinemelodic
Macchina del Tempo - Maggio 1979
Il ministro del Lavoro Scotti è abbastanza seccato.
Sul tavolo l’ennesima patata bollente.
Questa volta il malumore deriva dall’ennesimo scandalo delle “pensioni d’oro”.
“Com’è possibile esistano ancora casi del genere. Basta!!!"
Il ministro del Lavoro Scotti è abbastanza seccato.
Sul tavolo l’ennesima patata bollente.
Questa volta il malumore deriva dall’ennesimo scandalo delle “pensioni d’oro”.
“Com’è possibile esistano ancora casi del genere. Basta!!!"
Il caso è quello del pilota collaudatore dell’Aeritalia Pietro Trevisan, ex ufficiale pilota dell'Aeronautica Militare.
Ha 50 anni e 16 anni di servizio effettivo.
Dopo aver riscattato altri 15 anni di servizio militare ha chiesto all’INPS quanto dovuto.
La cifra?
Ha 50 anni e 16 anni di servizio effettivo.
Dopo aver riscattato altri 15 anni di servizio militare ha chiesto all’INPS quanto dovuto.
La cifra?
Oltre un miliardo di lire come capitalizzazione della metà della pensione e un ulteriore assegno mensile di quasi cinque milioni di lire per il resto della vita. Assurdo, ma incredibile a dirsi, tutto regolare.
Los directivos de televisión rechazaron su idea porque decían que los niños eran estúpidos y solo querían ver violencia. Él respondió creando una serie educativa que terminaba con la Tierra saltando por los aires en un holocausto nuclear. Érase una vez... Tira del hilo 👇🏽👇🏽👇🏽
¿Quién era este genio? Albert Barillé, un veterano productor de la televisión francesa que a finales de los años 70 estaba completamente horrorizado al ver cómo las pantallas europeas se llenaban de dibujos animados vacíos y violentos.
Barillé estaba convencido de que los niños merecían ser tratados como seres inteligentes, así que diseñó un proyecto colosal y nunca visto: una serie animada que relataría toda la historia de la humanidad, desde el mismísimo Big Bang hasta el futuro.
#EHRCGuidance
1/
A constituent writes to her MP, asking him in no uncertain terms to *support* the EHRC guidance.
1/
A constituent writes to her MP, asking him in no uncertain terms to *support* the EHRC guidance.
2/ By “no uncertain terms”, we mean she begins:
“I am a constituent of [place] and I would like to express my *support* for the draft EHRC Code of Practice for Services, Public Functions and Associations that has just been laid before Parliament”.
Clear?
You’d have thought!
“I am a constituent of [place] and I would like to express my *support* for the draft EHRC Code of Practice for Services, Public Functions and Associations that has just been laid before Parliament”.
Clear?
You’d have thought!
3/ Apparently not!
Here’s the reply.
Here’s the reply.
Transnational Scammers Are Relying on the CCP to Hide Their Illicit Proceeds.
Americans receive roughly 4 billion robocalls a month and five times as many scam texts.
Just last year, international scammers stole $20 billion from US citizens, according to the FBI.
Americans receive roughly 4 billion robocalls a month and five times as many scam texts.
Just last year, international scammers stole $20 billion from US citizens, according to the FBI.
The US House Select Committee on the CCP @ChinaSelect found that scammers in Southeast Asia are recruiting trafficked workers to run their operations and that the Chinese government is complicit.
A report by the committee details specific instances of abuse at criminal compounds and reveals that these groups launder their proceeds via shell companies and cryptocurrencies.
See relevant quote from @ChinaSelect committee’s report below.
See relevant quote from @ChinaSelect committee’s report below.
TIMELINE: How @DioceseWGC's episcopal election in @the_ACNA devolved into chaos.
A nominee targeted for his Biblical views. Parishes threatening to leave for the sake of women's right to preach. A deadlocked synod. Intervention by the College of Bishops.
READ IT ALL below. 1/🧵
A nominee targeted for his Biblical views. Parishes threatening to leave for the sake of women's right to preach. A deadlocked synod. Intervention by the College of Bishops.
READ IT ALL below. 1/🧵
Background. The Diocese of the Western Gulf Coast (DWGC) constitutionally ordains women to the diaconate but not the priesthood. However, the bishop ordinary, Clark Lowenfield, has made a practice of licensing female deacons to preach at Eucharistic services. 2/
Dec 2025. The Episcopal Nominations Team (ENT) announces Fr Ben Sharpe as the sole nominee for next bishop ordinary. This is approved unanimously by the ENT, diocesan council, Bp Lowenfield, & Bp Kevin Allen (provincial advisor). It is framed as the will of the Holy Spirit. 3/
Russia's May 24 strike drained Ukrainian Patriot stocks. Zelenskyy went straight to Trump and Congress for resupply. A US senator flew to Kyiv and said yes.
Sen. Richard Blumenthal: It is literally about saving lives, — United24. 1/
Sen. Richard Blumenthal: It is literally about saving lives, — United24. 1/
Blumenthal framed the response as continuity. The US has armed Ukraine for three years of full-scale war, and a Patriot resupply fits the same pattern.
Blumenthal: "I hope and expect America will respond positively. We have already done it before. We must do it again." 2/
Blumenthal: "I hope and expect America will respond positively. We have already done it before. We must do it again." 2/
Zelenskyy asked for Patriot PAC-3 interceptors and additional air defense gear. PAC-3 is the only Ukrainian-fielded missile that reliably stops Russian Iskander-M and Kinzhal ballistic strikes.
Without resupply, Ukrainian cities lose top ballistic protection within weeks. 3/
Without resupply, Ukrainian cities lose top ballistic protection within weeks. 3/
@Mohsen92i @TheBabylonBee @threadreaderapp
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@Mohsen92i @TheBabylonBee @threadreaderapp @threadreaderapp
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@Mohsen92i @TheBabylonBee @threadreaderapp @threadreaderapp
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High cortisol doesn’t just wake you at 3 AM.
It ages your face, kills your creativity, and makes a delayed text feel like rejection.
Most people think stress is “mental.”
But once cortisol stays high long enough, your body starts living as if danger is everywhere.
Here are 9 ways to lower it before it turns your body against you:
1. Stop doomscrolling before bed.
It ages your face, kills your creativity, and makes a delayed text feel like rejection.
Most people think stress is “mental.”
But once cortisol stays high long enough, your body starts living as if danger is everywhere.
Here are 9 ways to lower it before it turns your body against you:
1. Stop doomscrolling before bed.
Your brain cannot enter deep sleep while processing:
• fear
• comparison
• constant stimulation
• fear
• comparison
• constant stimulation
2. Stop using caffeine to override exhaustion.
Using it to push through a depleted body creates a loop:
poor sleep → more caffeine → wired body → shallow sleep → higher cortisol → more caffeine
The problem is not coffee.
The problem is using stimulation to ignore the body’s distress signals.
Using it to push through a depleted body creates a loop:
poor sleep → more caffeine → wired body → shallow sleep → higher cortisol → more caffeine
The problem is not coffee.
The problem is using stimulation to ignore the body’s distress signals.
Due cose hanno ispirato questo🧵 di film surreali: la prima, i temi scritti in italiano dai miei alunni di madrelingua tedesca (e mi spiace non poterli condividere, perchè sono francamente geniali), la seconda... La trovate arrivando in fondo. Buona visione!🍿👇
Salmer fra Kjøkkenet (2003) di Bent Hamer. Il film vuole smascherare con ironia l'assurdità dei metodi capitalistici, dove la presunta efficienza economica nasconde a malapena la disumanità. Ma la storia non ha nulla di amaro, è lieve e tenera
Le Triplettes di Belleville (2003) di Sylvain Chomet. Considerato (a ragione) un cult dell'animazione. Chomet viene dal mondo del fumetto, e deve moltissimo del suo stile surreale e a tratti inquietante all'influenza di Nicolas de Crécy, suo ex collaboratore-
The UN just "blacklisted" Israel for sexual violence. So I read the report.
Not only does it fail spectacularly at proving systematic sexual violence against Palestinians, it actually makes a far more compelling case for the UN's own systematic dishonesty and incompetence 🧵
Not only does it fail spectacularly at proving systematic sexual violence against Palestinians, it actually makes a far more compelling case for the UN's own systematic dishonesty and incompetence 🧵
Of the 31 "verified" cases, 18 are from 2023–2024, not from 2025, the actual reporting period.
Meaning the UN is recycling prior-period cases to bulk up their numbers, because the actual numbers don't support their premise.
Meaning the UN is recycling prior-period cases to bulk up their numbers, because the actual numbers don't support their premise.
Of those 31 cases, only 9 involve rape or gang rape allegations. The rest are threats of rape, forced nudity, unwanted touching, and strip searches. Still awful — but not rape.
Yet the UN acts like this is enough to justify placing Israel on the same blacklist as Hamas and ISIS
Yet the UN acts like this is enough to justify placing Israel on the same blacklist as Hamas and ISIS
Les rejets de chaleur des climatiseurs sont-ils mal évalués ?
Vu que tout le monde parle de climatisation, on va se concentrer sur un sujet essentiel pour l’urbanisme et les espaces publics : la pollution thermique.
UN FIL 1/27
Vu que tout le monde parle de climatisation, on va se concentrer sur un sujet essentiel pour l’urbanisme et les espaces publics : la pollution thermique.
UN FIL 1/27
La climatisation sauve des vies.
Un peu moins de 20% de la diminution de la surmortalité dans les pays développés peut être attribuée à son développement.
Le reste s’explique par d’autres facteurs comme la prévention ou les comportements.
2/27pubmed.ncbi.nlm.nih.gov/33003149/
Un peu moins de 20% de la diminution de la surmortalité dans les pays développés peut être attribuée à son développement.
Le reste s’explique par d’autres facteurs comme la prévention ou les comportements.
2/27pubmed.ncbi.nlm.nih.gov/33003149/
Quand on parle des climatiseurs et de leurs nuisances, on évoque parfois leur bruit, mais surtout les rejets de chaleur qu’ils produisent dans l’espace public.
L’équipe de Vincent Viguié a publié en 2020 une importante étude sur le sujet :
3/27iopscience.iop.org/article/10.108…
L’équipe de Vincent Viguié a publié en 2020 une importante étude sur le sujet :
3/27iopscience.iop.org/article/10.108…
There's a lot to unpack with LC-36 since New Glenn's explosion last night, so here's a thread on everything I saw from the air this morning:
📸 - @LaunchHeavenX
📸 - @LaunchHeavenX
Starting off with the Transporter Erector, it looks to have been completely totaled in the blast, with pieces strewn all across the launch site. Really looks more like scrap metal than anything it used to resemble.
One of the biggest casualties from this was the loss of the second lighting tower. It looks to have completely collapsed more downward into itself, but you can see the very tip of the tower laying to the east, so it fell eastward after collapsing.
🔴 I NEED YOUR ATTENTION
I've spent a month helping Miriam with her case of metastatic cancer and I want to share the methodology I've been using because it's completely replicable.
I think (with luck) this could be USEFUL TO OTHER PEOPLE with cancer (or any other illness).
The results we've gotten aren't a miracle, but we believe they're genuinely useful and could mean the difference in a literal life-or-death medical case.
Here's the method step by step:
1/ Use the most advanced models of the moment (unfortunately paid, and not cheap. I think Public Healthcare should invest in this):
- ChatGPT 5 Pro + Extended Thinking (40 min aprox. of thinking per call)
- Claude Opus 4.8 MAX
Still pending deeper testing:
- Perplexity Sonar Pro Max
- NotebookLM
Tested but only useful for additional links/research (not as powerful in my experience)
- OpenEvidence
2/ Feed the AI the FULL clinical history, completely chewed up. This sounds dumb but it's critical.
- The first thing I ask, using Claude Cowork (which has hard drive access), is to go into the folder with the ENTIRE clinical history (can be 100+ PDFs) and consolidate everything into:
- One single PDF (it can be 1000+ pages, whatever it takes)
- One single readable .txt or .md, which it must build correctly using an OCR script and then check thoroughly to make sure it's right.
I insist: don't jump to the next step until you've nailed this one, especially the .txt.
3/ Once you have the above, use this prompt along with the .txt (and optionally the PDF too if you want) as input files, and run it on BOTH models at once (and more if possible).
👉 This prompt is insanely complex/advanced: dropbox.com/scl/fi/x64qadd… And it's not designed for Miriam's specific oncology case, you can change the initial parameters for the desired case. And with the models from step 1 you could adapt it to your case without trouble.
In any case, I'm also leaving you this other prompt, even more general, for any type of rare disease: dropbox.com/scl/fi/x64qadd…
4/ The ARROWHEAD (adversarial model spiral): facing one model against the other. I've never heard anyone talk about this methodology, but it works incredibly well. The feeling is like sharpening a stake until it gets a gleaming point.
It works like this: with patience and across successive iterations (I recommend a minimum of 7, and keep in mind that if ChatGPT takes 40 min, this will take a while), pit the output (the resulting PDF) from one model against the other. With a simple prompt like:
"Another committee of experts says this. What do you think? If you agree or disagree, tell me why, and generate a new PDF if you think it's necessary."
Then you feed that result back to the opposite model. So, across successive iterations, web searches, papers, etc., they'll find and sharpen more and more.
When to stop? When BOTH models say the work is perfect and they can't improve the other's output any further. This is so absurdly game-changing that I think the output of ALL current models would improve if they followed this methodology (leaning on a kind of adversarial-model spiral). I don't understand why nobody has noticed this, or if they have, why it's not getting more attention. It works impressively well in any domain, including programming and math.
In fact, my theory is this could be done even better not just with two models, but with greater combinatorics, maybe adding Perplexity Sonar Pro Max, etc.
RESULTS
Incredible. Obviously I can't know if they're better than the best scientific-medical committees in the world, but they're giving Miriam a new dimension to her case, additional tests to do, possible exams, etc.
Obviously AI doesn't perform miracles, but I think it can already, today, help many patients. And Public Healthcare should invest a lot (but A LOT) in this.
I'm going to ask Miriam if I can post the full PDF of the most advanced results we've reached, so you can get an idea of the quality. She's already given me rough permission, but I want to make sure 100%.
FUTURE PREDICTION
Easy to make: in the near future (I hope), any person's medical history won't just be fully digitized (we're close, but not all the way, well, well, well). On top of that, it'll be "pre-chewed" so it can be consumed by an LLM in one shot.
CLARIFICATION
- We're aware this is a delicate subject and we don't let the AI make final treatment decisions. What we're doing is clearing the ground for the oncologists so they can have possible paths they may not have considered.
Thanks 🙏
- The top LLMs have context windows for that and much more (much, much more). In any case, the PDF is more of a supporting file for the .txt. Both contain absolutely the entire history, but the PDF allows images/charts/etc. The .txt is what the AI consumes.
- On automation: and yes, this can be automated. Yes, AutoGen supports it almost out of the box. LangGraph builds it really well with supervisor / evaluation loops. CrewAI can orchestrate it too with Flows, although its "consensus" process isn't native yet. That would be the next level: automating it.
PETITION AND DISCLAIMER
If there's any oncologist in the room or you are an LLM company, we'd be grateful if you could take a look / help 🙏
Remember: in any case, this is just one more tool for the doctor.
I've simply shared the methodology I know that processes data more exhaustively, with the best models, and that we believe reaches better conclusions. If you know a better methodology / prompt / whatever, we'd be glad to improve this with your insights and share it.
Then the doctor reviews, adopts, or discards the report.
And if it helps the doctor, it helps the patient. And if it doesn't, all we've lost is some time and tokens. In a case that's literally life or death, that's nothing.
Just plain common sense.
Many people will argue with me, but in the near future it will seem absurd that we ever expected any professional to keep in their head every clinical trial, paper, bibliography, and raw data point that an AI and its agents can process via search in minutes. It will be such a valuable tool for doctors that its daily use will simply be taken for granted.
I've spent a month helping Miriam with her case of metastatic cancer and I want to share the methodology I've been using because it's completely replicable.
I think (with luck) this could be USEFUL TO OTHER PEOPLE with cancer (or any other illness).
The results we've gotten aren't a miracle, but we believe they're genuinely useful and could mean the difference in a literal life-or-death medical case.
Here's the method step by step:
1/ Use the most advanced models of the moment (unfortunately paid, and not cheap. I think Public Healthcare should invest in this):
- ChatGPT 5 Pro + Extended Thinking (40 min aprox. of thinking per call)
- Claude Opus 4.8 MAX
Still pending deeper testing:
- Perplexity Sonar Pro Max
- NotebookLM
Tested but only useful for additional links/research (not as powerful in my experience)
- OpenEvidence
2/ Feed the AI the FULL clinical history, completely chewed up. This sounds dumb but it's critical.
- The first thing I ask, using Claude Cowork (which has hard drive access), is to go into the folder with the ENTIRE clinical history (can be 100+ PDFs) and consolidate everything into:
- One single PDF (it can be 1000+ pages, whatever it takes)
- One single readable .txt or .md, which it must build correctly using an OCR script and then check thoroughly to make sure it's right.
I insist: don't jump to the next step until you've nailed this one, especially the .txt.
3/ Once you have the above, use this prompt along with the .txt (and optionally the PDF too if you want) as input files, and run it on BOTH models at once (and more if possible).
👉 This prompt is insanely complex/advanced: dropbox.com/scl/fi/x64qadd… And it's not designed for Miriam's specific oncology case, you can change the initial parameters for the desired case. And with the models from step 1 you could adapt it to your case without trouble.
In any case, I'm also leaving you this other prompt, even more general, for any type of rare disease: dropbox.com/scl/fi/x64qadd…
4/ The ARROWHEAD (adversarial model spiral): facing one model against the other. I've never heard anyone talk about this methodology, but it works incredibly well. The feeling is like sharpening a stake until it gets a gleaming point.
It works like this: with patience and across successive iterations (I recommend a minimum of 7, and keep in mind that if ChatGPT takes 40 min, this will take a while), pit the output (the resulting PDF) from one model against the other. With a simple prompt like:
"Another committee of experts says this. What do you think? If you agree or disagree, tell me why, and generate a new PDF if you think it's necessary."
Then you feed that result back to the opposite model. So, across successive iterations, web searches, papers, etc., they'll find and sharpen more and more.
When to stop? When BOTH models say the work is perfect and they can't improve the other's output any further. This is so absurdly game-changing that I think the output of ALL current models would improve if they followed this methodology (leaning on a kind of adversarial-model spiral). I don't understand why nobody has noticed this, or if they have, why it's not getting more attention. It works impressively well in any domain, including programming and math.
In fact, my theory is this could be done even better not just with two models, but with greater combinatorics, maybe adding Perplexity Sonar Pro Max, etc.
RESULTS
Incredible. Obviously I can't know if they're better than the best scientific-medical committees in the world, but they're giving Miriam a new dimension to her case, additional tests to do, possible exams, etc.
Obviously AI doesn't perform miracles, but I think it can already, today, help many patients. And Public Healthcare should invest a lot (but A LOT) in this.
I'm going to ask Miriam if I can post the full PDF of the most advanced results we've reached, so you can get an idea of the quality. She's already given me rough permission, but I want to make sure 100%.
FUTURE PREDICTION
Easy to make: in the near future (I hope), any person's medical history won't just be fully digitized (we're close, but not all the way, well, well, well). On top of that, it'll be "pre-chewed" so it can be consumed by an LLM in one shot.
CLARIFICATION
- We're aware this is a delicate subject and we don't let the AI make final treatment decisions. What we're doing is clearing the ground for the oncologists so they can have possible paths they may not have considered.
Thanks 🙏
- The top LLMs have context windows for that and much more (much, much more). In any case, the PDF is more of a supporting file for the .txt. Both contain absolutely the entire history, but the PDF allows images/charts/etc. The .txt is what the AI consumes.
- On automation: and yes, this can be automated. Yes, AutoGen supports it almost out of the box. LangGraph builds it really well with supervisor / evaluation loops. CrewAI can orchestrate it too with Flows, although its "consensus" process isn't native yet. That would be the next level: automating it.
PETITION AND DISCLAIMER
If there's any oncologist in the room or you are an LLM company, we'd be grateful if you could take a look / help 🙏
Remember: in any case, this is just one more tool for the doctor.
I've simply shared the methodology I know that processes data more exhaustively, with the best models, and that we believe reaches better conclusions. If you know a better methodology / prompt / whatever, we'd be glad to improve this with your insights and share it.
Then the doctor reviews, adopts, or discards the report.
And if it helps the doctor, it helps the patient. And if it doesn't, all we've lost is some time and tokens. In a case that's literally life or death, that's nothing.
Just plain common sense.
Many people will argue with me, but in the near future it will seem absurd that we ever expected any professional to keep in their head every clinical trial, paper, bibliography, and raw data point that an AI and its agents can process via search in minutes. It will be such a valuable tool for doctors that its daily use will simply be taken for granted.
Miriam has given me permission to share the result. Remember that this was generated from the prompt I shared earlier and all the processed history/background.
👉 Here it is:
If there’s an oncologist in the room, we’d be very grateful if they could take a look 🙏dropbox.com/scl/fi/43tqm7h…
👉 Here it is:
If there’s an oncologist in the room, we’d be very grateful if they could take a look 🙏dropbox.com/scl/fi/43tqm7h…
More details about Miriam's case and how to help her, if you'd like, here: helpmiriam.com/en