James Vornov
@jjvornov.bsky.social
25 followers 27 following 68 posts
On Deciding Better https://jjvornov.substack.com
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jjvornov.bsky.social
A follow-up about brain-computer interfaces with a focus on the history of pacemakers and cochlear implants. BCI tech is in its infancy, and while proving useful for patients, the economics and ongoing support may be tough.

Thanks to my #neuroskyence commenters for leading me down this path.
From Shoe Polish Tins to Brain Implants: Heros and Broken Promises
We know that BCIs work and hold great promise, but lets see what history tells us about the journey
open.substack.com
jjvornov.bsky.social
Getting information in this way? I'll write about it next week. Plus bandwidth? Batteries? These aren't pacemakers.
jjvornov.bsky.social
Good point about accessing neurons. I mention toward the end of my peice that using surface potentials is a good a way to listen into ensembles compared to unit recording. We can't decode units because function is encoded in networks. We see this in Deep Neural Networks like our LLMs.
jjvornov.bsky.social
But you're absolutely right that leaving patients in the hands of biotechs with life changing medicine is depending on profit. Like if Sarepta failed financially we'd have no alternative in DMD. And these rare diseases treated expensive bio drugs have seen shortages and supply disruptions.
jjvornov.bsky.social
But if an EOL pacemaker stops working, it's a medical necessity to upgrade and insurance or medicare will pay. Some do want manufacturers to warrantee and pay for this. So for these implants, if medically necessary they could be removed as medical care. If they're causing no problem, they get left.
jjvornov.bsky.social
From the device side, we've had this issue forever with devices like cardiac pacemakers and defibrillators. They EOL these after a relatively short period of time- batteries, software updates leaving patients with a working device and no backup. If it's not causing problems, its monitored
jjvornov.bsky.social
You raise an interesting point, but it's not new. I develop drugs and devices for biotechs for a living and this issue of providing benefit from a drug or device and then withdrawing it is a long standing ethical issue.
jjvornov.bsky.social
Did you know that it's been more than 20 years since the first successful use of a brain computer interface to restore function to a patient with spinal cord injury? It seems our technology is finally catching up to the promise on both the computer and interface sides.

#neuroskyence
Are Brain Computer Interfaces Really Our Future?
We’re making real progress providing brain computer interfaces for patients paralyzed by ALS and spinal cord injury. Less invasive approaches are looking promising.
open.substack.com
jjvornov.bsky.social
The neuroscience tale of how purple, really magenta, is a synthetic color not found on the spectrum. We don't perceive the environment, but become aware of the brain's processing of color. I conclude, Kant was right, there is a priori knowledge. But he never realized it was neuronal.

#neuroskyence
If Purple isn’t real, then what is?
Let’s talk epistemology. Actually, let’s have magenta and cyan bid farewell to epistemology altogether
open.substack.com
jjvornov.bsky.social
Can I be a little critical here? Why look at ketamine and dexmedetomidine, atypical anesthetics. Why not propofol, our standard here? And they note that at lower doses, the effect is graded. It's not unconsciousness but sedation. Lets be rigorous, please
jjvornov.bsky.social
Something I still find mind-bending is that the fusiform circuit doesn’t “re-see” the full pattern each time; it just fires a sparse signature that acts like a pointer to the stored concept.
jjvornov.bsky.social
It looks from modern neuroscience that the meaning is right there in the patterns of perception. Not some homunculus judging and remembering. But we only get to see a glimpse of the workings in awareness of how the brain is figuring out what the world means on so little input.
jjvornov.bsky.social
Interesting to put this in context of memory? But which system. Clearly recognition is the reactivation of these patterns, but priming of many others. The red car reminds me of my red Acura of 25 years ago. Hadn't thought of that car in years. Latent patterns reactivated. But episodic memory?
jjvornov.bsky.social
A change of pace post. How does the brain bind red to bicycle and blue to car when looking at a complex scene if color is extracted in one cortical area and form in another? And object recognition in yet another. Looking at Scholte and de Haan's recent review and going a bit further

#neuroskyence
Bye Bye Binding: Boosted and Redundant Maps
The binding problem goes away not because we solved it, but because we never needed it to begin with.
open.substack.com
jjvornov.bsky.social
I don’t think it’s ever possible. You end up with an arbitrarily accurate model. But the map is not the territory. I’ve written about this extensively on my substack.
jjvornov.bsky.social
New post: How cortical maps, predictive models, and Searle’s Chinese Room describe a brain with no central observer. This is actually an update to a very old post on my site that gets a few search hits a month for “homunculus”. Love this 3D model.

#neuroskyence

open.substack.com/pub/jjvornov...
The Brain Doesn’t Need a Homunculus—It Is One
The mind arises from a collection of many maps, all working coherently to provide a model of the self in the environment. But it is the maps, no one is looking.
open.substack.com
jjvornov.bsky.social
This week I delve a little deeper into the idea that our single threaded awareness is required for a real time regulator of behavior. The brain has to predict a unified, consistent model of self in the world in order to achieve goals.

#neuroskyence

open.substack.com/pub/jjvornov...
The Unity of Experience: How the free energy principle builds reality
We only experience a single, stable perception at a time. How bistable viusal figures and Karl Friston’s big idea explain how we keep ourselves in an uncertain world
open.substack.com
jjvornov.bsky.social
Here's my neurologist's take on the Severance show's concept of the divided self. While one couldn't literally divide the self so neatly, it's a clever assembly of the brain's abilities to divide memory and identity as seen in the clinic.

#neuroskyence

jjvornov.substack.com/p/im-a-neuro...
To this neurologist, Severence got self-identity exactly right
The basis of time-stamped memory, fractured identity, and the illusion of the unified mind.
jjvornov.substack.com
jjvornov.bsky.social
I always think of the Steven Weinberg quote from Dreams of a Final Theory: "The explanatory arrows always point downward". We can work to explain the mechanisms of subjective experience by understanding neuronal activity, but it doesn't in general work to build theories upward.
jjvornov.bsky.social
I think this is exactly where the mystery and wonder lies. There isn't the upstream assembly of features we thought. The features (color, context, shadow, line) bind but don't come together. Not the way I would have built it. That's why its more a mesh than pipeline
jjvornov.bsky.social
These discussions are generally about metaphors that can be confusing. Here, it can imply moving from one place to another. "Readout" is referencing a location to get a number, like a memory location in RAM. The lines in V1 get used to ID letters, they don't get moved and assembled into letters.
jjvornov.bsky.social
It's really pretty mindboggling when you realize these areas are not processing piplines but dense meshes that work together. When you see a letter, lines stay in V1, no where else. The letter, word recognition are elsewhere, but they are peeking into V1 to see the forms. They don't leave.
jjvornov.bsky.social
This week I explore the bottlenecks in human cognition. It is easy to see that the simplest computer can beat the fastest video gamer, but there’s a reason why slow, single-channel experiences of one thing at a time are the essence of awareness.

#neuroskyence
#neuroscience
Why the simplest computer is faster than any human?
The bottlenecks in our brains create awareness, meaning and coherence
jjvornov.substack.com
jjvornov.bsky.social
But truthfully, “read out” may be a poor metaphor for information sharing” It doesn’t really get moved, just used. V1 just influences processes in other parts of the cortex like shape recognition or rotation. And other areas are feeding expectations into V1 so you can see the lines that aren’t there