6/ @Spine_DAO > SpineDAO is building a queryable archive of spine surgery expertise that answers from recorded practice, or tells you when it doesn't know. A new piece by SpineDAO cofounder and spine surgeon @challaire with computer scientist Nassim Dehouche, argues that refusals are worth treating as data, since each one marks exactly where the field's teaching doesn't cover what surgeons actually need. Aggregated over a year, that adds up to a map that could reshape how conferences pick topics, how societies decide what to pay for a talk, and how expert opinion, the least rigorous tier of evidence, finally gets measured instead of just asserted. > @Spine_DAO is also building x402 rails to gather specific spine care intelligence.