Josh Briscoe
@jbriscoe.bsky.social
Hospice and Palliative Care Physician
#MedPsych #MedSky #HAPC #Bioethics
Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com
#MedPsych #MedSky #HAPC #Bioethics
Writing @ Notes from a Family Meeting: https://familymeetingnotes.substack.com
Pinned
Josh Briscoe
@jbriscoe.bsky.social
· Dec 19
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
Full disclosure: I haven't read the book they discuss in this episode of @geripal.bsky.social so my comments are just related to the convo. geripal.org/ai-and-healt... #medsky
AI and Healthcare: Bob Wachter
On this week's podcast we talk with Bob Wachter about his new book, "A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future."
geripal.org
February 5, 2026 at 1:15 PM
Full disclosure: I haven't read the book they discuss in this episode of @geripal.bsky.social so my comments are just related to the convo. geripal.org/ai-and-healt... #medsky
Reposted by Josh Briscoe
My book has a cover! I wish I could share it with you right now, but unfortunately you'll have to wait until August 18, 2026. But you can preorder it now if you want.
www.amazon.com/Resisting-Th...
www.amazon.com/Resisting-Th...
February 5, 2026 at 5:50 AM
My book has a cover! I wish I could share it with you right now, but unfortunately you'll have to wait until August 18, 2026. But you can preorder it now if you want.
www.amazon.com/Resisting-Th...
www.amazon.com/Resisting-Th...
Reposted by Josh Briscoe
Sure would be nice to have a functional federal regulatory agency techcrunch.com/2026/02/03/l...
Lotus Health nabs $35M for AI doctor that sees patients for free | TechCrunch
This AI doctor is licensed in all 50 states, the startup says. The deal was led by CRV and Kleiner Perkins.
techcrunch.com
February 3, 2026 at 6:48 PM
Sure would be nice to have a functional federal regulatory agency techcrunch.com/2026/02/03/l...
Reposted by Josh Briscoe
Really troubled by this question in a popular surgical critical care study book…
Surgical Critical Care and Emergency Surgery
Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….
Surgical Critical Care and Emergency Surgery
Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….
January 22, 2026 at 12:21 AM
Really troubled by this question in a popular surgical critical care study book…
Surgical Critical Care and Emergency Surgery
Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….
Surgical Critical Care and Emergency Surgery
Topic is early v late dialysis and so much on this topic is know and just disappointing to this question…. The keyed answer was….
Reposted by Josh Briscoe
The consent form Louis Waskansky signed before undergoing the first-ever human heart transplant, in 1967.
January 20, 2026 at 2:44 PM
The consent form Louis Waskansky signed before undergoing the first-ever human heart transplant, in 1967.
Reposted by Josh Briscoe
Media outlets sharpened their pens by telling us that cars and trucks hit pedestrians and cyclists instead of drivers. Now they rinse and repeat with AI.
This is a thread of major media outlets falsely anthropomorphising the "Grok" chatbot program and in doing so, actively and directly removing responsibility and accountability from individual people working at X who created a child pornography generator (Elon Musk, Nikita Bier etc)
#1: Reuters
#1: Reuters
January 2, 2026 at 9:38 PM
Media outlets sharpened their pens by telling us that cars and trucks hit pedestrians and cyclists instead of drivers. Now they rinse and repeat with AI.
Reposted by Josh Briscoe
![[Scene is a kitchen - a middle aged woman called JANET is boiling peas at the stove. A younger more colourfully dressed woman named LIZ approached her.]
JANET:
Ugh...
LIZ:
What's up?
JANET:
I am so bored of cooking peas!
LIZ:
Have you tried...
AI peas?
JANET:
AI peas?
LIZ:
They're peas with AI!
[Liz holds up to us a packet of peas labelled: Pea-i AI - Peas with AI].
LIZ:
Al-powered peas harness the potential of your peas
JANET:
What
LIZ [Now a voiceover as we cut to a whizzy technology diagram of peas all connected by meaningless dotted lines]
Why not take your peas to the next level with Al Peas' new Al tools to power your peas?
[Show a techno diagram of a pea with a label reading 'AI' pointing to a random zone in it]
LIZ:
Each pea has Al in a way we haven't quite worked out yet but it's fine
[Show Janet and Liz now in a Matrix-style world of peas]
LIZ:
With Al peas you can supercharge productivity and make AI work for your peas!
JANET:
What
LIZ:
Shut up
LIZ:
Our game-changing Pea-Al gives you the freedom to unlock the potential of the power of the future of your peas workflow
From opening the bag of peas
to boiling the peas
to eating the peas
To spending millions on adding Al to the peas and then having to work out what that even means.
JANET:
Is it really necessary to-
LIZ [Grabbing Janet by the collar]:
THE PEAS HAVE GOT AI, JANET
[Cut to an advert ending screen, with the bag of peas and the slogan:
AI PEAS: Just 'Peas' for god's sake buy the AI peas.
[Ends]](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:4m3we4apbjayclzcnhwe3pfp/bafkreiayqa37f7kik7l7s7fbtfp2sir5ckb662ry2lylinyjrfa2rkvvka@jpeg)
Reposted by Josh Briscoe
It is not "attribution and sourcing" to generate post-hoc citations that have not been read and did not inform the student's writing. Those should be regarded as fraudulent: artifacts testifying to human actions and thought that did not occur.
www.theverge.com/news/760508/...
www.theverge.com/news/760508/...
August 18, 2025 at 10:37 PM
It is not "attribution and sourcing" to generate post-hoc citations that have not been read and did not inform the student's writing. Those should be regarded as fraudulent: artifacts testifying to human actions and thought that did not occur.
www.theverge.com/news/760508/...
www.theverge.com/news/760508/...
Reposted by Josh Briscoe
Coming back to this, I'm still struck by the implication that academics should care if the AI pushers "trust" all our work that's done without AI.
I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.
I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.
I would struggle to trust an academic who doesn‘t know how to
use AI tools.
Which is not the same as not being critical.
use AI tools.
Which is not the same as not being critical.
December 20, 2025 at 9:54 PM
Coming back to this, I'm still struck by the implication that academics should care if the AI pushers "trust" all our work that's done without AI.
I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.
I don't know, man, you all seemed to trust our work enough to steal it from us wholesale.
Reposted by Josh Briscoe
To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky
Guests Sara Johnson, Yael Schenker, & Anne Kelly.
👉 Post: bit.ly/GeriPalEp385
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
Guests Sara Johnson, Yael Schenker, & Anne Kelly.
👉 Post: bit.ly/GeriPalEp385
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
December 18, 2025 at 8:08 PM
To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky
Guests Sara Johnson, Yael Schenker, & Anne Kelly.
👉 Post: bit.ly/GeriPalEp385
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
Guests Sara Johnson, Yael Schenker, & Anne Kelly.
👉 Post: bit.ly/GeriPalEp385
😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
December 19, 2025 at 11:00 AM
I took up this question in the latest issue of Notes: open.substack.com/pub/familyme...
They wonder what’s driving hospital investment in ambient AI for charting, as evidence for improved productivity isn’t there. Maybe it’s earnest care for clinician well-being? I have another suggestion: surveillance.
In the latest episode of the AI Grand Rounds podcast, Dr. Zak Kohane, editor-in-chief of NEJM AI, explains why this year’s advances in #AI were personal, why it’s spreading fast, and why its most profound theme is values. Full episode: nejm.ai/ep37
#MedSky #MLSky
#MedSky #MLSky
December 18, 2025 at 11:17 AM
They wonder what’s driving hospital investment in ambient AI for charting, as evidence for improved productivity isn’t there. Maybe it’s earnest care for clinician well-being? I have another suggestion: surveillance.
Reposted by Josh Briscoe
this field biologist does a great job highlighting the insidiousness of AI editing
these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous
this is worth sharing and educating people about
these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous
this is worth sharing and educating people about
December 15, 2025 at 2:21 AM
this field biologist does a great job highlighting the insidiousness of AI editing
these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous
this is worth sharing and educating people about
these one-click AI edit buttons are incredibly appealing to many photographers, amateurs and professionals alike, and are framed as innocuous
this is worth sharing and educating people about
Reposted by Josh Briscoe
I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick
thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
For older adults with metastatic cancer, each day spent on health care can take away from days that are often devastatingly limited. Our latest study led by Arjun Gupta and Shelley Jazowski with @dusetzinas.bsky.social and Avi Gupta is out now in @jamanetworkopen.com
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Health Care Contact Days in Older Adults With Metastatic Cancer
This cohort study examines patterns and changes in health care contact days over time among traditional Medicare beneficiaries diagnosed with metastatic breast, colorectal, lung, and prostate cancers.
jamanetwork.com
December 9, 2025 at 10:14 PM
I didn’t really get how much “health care contact days” is a meaningful patient outcome until I got sick
thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
thank you @ishaniganguli.bsky.social @dusetzinas.bsky.social @jamanetworkopen.com
Introducing ambient #AI scribes into a world in which clinicians write notes is very different from the future world in which no one has written notes. familymeetingnotes.substack.com/p/where-the-...
Where The Walls Listen
Artificial Intelligence and Clinical Scribes
familymeetingnotes.substack.com
December 6, 2025 at 10:27 AM
Introducing ambient #AI scribes into a world in which clinicians write notes is very different from the future world in which no one has written notes. familymeetingnotes.substack.com/p/where-the-...
My final installment in a series of essays on medical authority. I worry we won't find a path forward by yelling at each other, but I see hope in a few places. familymeetingnotes.substack.com/p/a-power-gr... #medsky
A Power Great and Terrible
Medical Authority in Human Life (Part 3)
familymeetingnotes.substack.com
December 5, 2025 at 1:45 PM
My final installment in a series of essays on medical authority. I worry we won't find a path forward by yelling at each other, but I see hope in a few places. familymeetingnotes.substack.com/p/a-power-gr... #medsky
Reposted by Josh Briscoe
Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz
Exploring medication effects mediated symbolically
www.psychiatrymargins.com/p/meaning-me...
Exploring medication effects mediated symbolically
www.psychiatrymargins.com/p/meaning-me...
Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz
Exploring medication effects mediated symbolically
www.psychiatrymargins.com
November 29, 2025 at 1:49 PM
Meaning, Medications, and Psychodynamic Psychopharmacology: Discussion with David Mintz
Exploring medication effects mediated symbolically
www.psychiatrymargins.com/p/meaning-me...
Exploring medication effects mediated symbolically
www.psychiatrymargins.com/p/meaning-me...
Reposted by Josh Briscoe
This is the 3rd time Google has offered a Gemini trial for college students since May. They're clearly tying trials around the academic calendar. It is no wonder college instructors are hostile toward AI companies pushing free premium AI for college students during finals.
November 24, 2025 at 5:54 PM
This is the 3rd time Google has offered a Gemini trial for college students since May. They're clearly tying trials around the academic calendar. It is no wonder college instructors are hostile toward AI companies pushing free premium AI for college students during finals.
Next up: medical authority and intervention. I approach a controversial case with the hope that this could provide a context for a more productive disagreement. familymeetingnotes.substack.com/p/here-to-he... #medsky
Here to Help: Clinicians and their Tools
Medical Authority in Human Life (Part 2)
familymeetingnotes.substack.com
November 27, 2025 at 10:43 AM
Next up: medical authority and intervention. I approach a controversial case with the hope that this could provide a context for a more productive disagreement. familymeetingnotes.substack.com/p/here-to-he... #medsky
Reposted by Josh Briscoe
REUTERS: The winner of the 2067 Nobel Prize in Literature has been awarded to Sample #789, the author of “Vaping in the House My Father Built”. Sample, a synthetic brain organoid, lives in Saratoga, NY with their seventeen dogs.
November 23, 2025 at 5:01 AM
REUTERS: The winner of the 2067 Nobel Prize in Literature has been awarded to Sample #789, the author of “Vaping in the House My Father Built”. Sample, a synthetic brain organoid, lives in Saratoga, NY with their seventeen dogs.
Reposted by Josh Briscoe
The most important thing to remember about all this fantasy-engineering of the Constitution is Madison's warning: If we suck as a people, no clever constitutional schemes will save us.
November 22, 2025 at 3:03 AM
The most important thing to remember about all this fantasy-engineering of the Constitution is Madison's warning: If we suck as a people, no clever constitutional schemes will save us.
Reposted by Josh Briscoe
In 1582, a papal bull introduced the Gregorian calendar, still used today by most of the world. Because it’s 11 days ahead of the Julian calendar, countries introducing it simply skipped a third of October, and if you scroll back far enough in the iPhone calendar app you can see it change
December 31, 2024 at 2:41 PM
In 1582, a papal bull introduced the Gregorian calendar, still used today by most of the world. Because it’s 11 days ahead of the Julian calendar, countries introducing it simply skipped a third of October, and if you scroll back far enough in the iPhone calendar app you can see it change
Reposted by Josh Briscoe
This will keep you stuck in the past, preventing you from healing. Even worse, your memories of your lost loved one will be polluted and overwritten by your memories of their AI-generated ghost, until you’ve forgotten the person you lost, and instead grieve only their caricature.
November 15, 2025 at 1:04 PM
This will keep you stuck in the past, preventing you from healing. Even worse, your memories of your lost loved one will be polluted and overwritten by your memories of their AI-generated ghost, until you’ve forgotten the person you lost, and instead grieve only their caricature.
As a palliative care doc, I’m constantly navigating questions of the appropriate extent of medical authority. That was also a large part of my previous job as a psychiatrist. How do we figure out where the limits are? familymeetingnotes.substack.com/p/should-you...
Should You See a Doctor For That?
Medical Authority in Human Life (Part 1)
familymeetingnotes.substack.com
November 15, 2025 at 11:25 AM
As a palliative care doc, I’m constantly navigating questions of the appropriate extent of medical authority. That was also a large part of my previous job as a psychiatrist. How do we figure out where the limits are? familymeetingnotes.substack.com/p/should-you...
Reposted by Josh Briscoe
