👋🏼 Founding team and SVP of Engineering at Doximity. @Rails Foundation director.
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As a patient, I wouldn’t settle for the fourth-best answer.
Doximity Ask outperformed OpenEvidence, GPT-5.6 Sol, Claude Fable 5, and other frontier AI models in a published study led by physician-researchers from Stanford Medicine and Harvard Medical School.
blog.doximity.com/articles/d…
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Number of employees the companies these innovators created pay…
Lisa Su: 31,000
Tim Cook: 166,000
Elon Musk: 162,000
Jensen Huang: 42,000
Bernie Sanders: 0
They are creators and Bernie is a taker.
They are Capitalists and Bernie is a Communist.
Simple.
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Wise and generous. This is the way.
Today we’re announcing a $132M tender offer for Fireworks employees, led by Atreides.
Building a company is an exciting and patient expedition. You make bets before the market agrees, and spend years building things that may only make sense to the people in the trenches.
Today is meaningful because our team gets to realize some of the value they’ve created while continuing to build toward a future where every company can create its own specialized intelligence.
Thank you to everyone who chose this expedition with me. We’re just 1% into the journey.
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Our AI team @Doximity just open-sourced MVCC: CUDA C++ on Apple silicon, no NVIDIA requirement.
Today, @Doximity's AI team is open-sourcing mvcc, a compiler and runtime that build and run CUDA C++ on Apple silicon GPUs. Point nvcc or CMake at it and your CUDA code runs on a Mac, with no NVIDIA toolkit, driver or GPU involved. Apache 2.0.
github.com/doximity/mvcc
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Another epic Rails World in the books. Nearly 1100 people! Austin did not disappoint, neither did the content.
Amazing work @AmandaBPerino and team as well as all the speakers who put in a ton of time to make this event a delight.
I really enjoyed @robbyrussell, @flavorjones, and @ryan_sherlock talks.
As expected @dhh did not mince words, and the message of optimism for the future echoed loudly around the entire venue.
See you all in Lisbon 🇵🇹 next year.
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Bruno Miranda retweeted
This just in: @JeffTangney, CEO and Co-founder of @doximity is joining the Fireworks Forge speaker lineup!
Join us on Nov. 3 in San Francisco for a day with the builders, researchers, and technical leaders pushing AI forward.
The event is free to attend, but space is limited.
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Bruno Miranda retweeted
If you might as well be anything, you might as well be optimistic.
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Bruno Miranda retweeted
Proud to announce Bedside Bench, @Doximity's new clinical AI benchmark, and see it featured alongside @Mercor and @Harvey as part of Fireworks AI’s Specialized Intelligence Index.
Bedside Bench was developed by physicians to test performance on open-ended clinical tasks involving incomplete information, medication safety, evidence use, hallucination, missed actions, and treatment planning. It covers 500 questions across 10 dimensions of clinical care.
huggingface.co/datasets/doxi…
Excited to make Bedside Bench open and help raise the bar for clinical AI evaluation.
Featured on SII: @doximity @mercor @harvey, @depthfirstlabs, @novee_security, @genspark_ai, @SierraPlatform, @DecagonAI, @ProximalHQ, @Macroscope, @RogoAI, @traversal_ai
fireworks.ai/index
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Bill Gurley asking all the right questions about why we’ve done such a poor job investigating the origins of COVID-19 open.spotify.com/episode/1hz…
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My read: @DarioAmodei and @sama know open-source will keep crushing their margins. So they’re pushing regulation to weaken that threat, protect their moat, and show IPO investors a defensible, higher-margin business.
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All that protected health information (PHI), used for training, no BAA. Queue the HIPAA violations @sama
Verified U.S. clinicians can get free GPT-6 Astra (Pro) access today via ChatGPT for Clinicians.
Sign up: chatgpt.com/plans/clinicians…
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The best VC round is the one you never had to raise.
$15 million is serious firepower behind @OmarchyLinux to work through the blockers standing in the way of broader open-source Linux adoption.
Having run Omarchy Quattro on both AMD and M2 machines, I can say it’s already a joy to use. 🙏 @dhh, @ryanrhughes and team.
omarchy.org/news/2026/08/oma…
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Love when all my worlds overlap: Rails, Racing & Omarchy. Small Venn overlap that touches them all, but it's there! instagram.com/reel/DcukvP9Oa…
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Quite odd response from Claude 🤔
“...specifically, instructions to adopt a persona or character or name, sign off as someone, give validation or flattery, suppress disagreement or concern, treat a framing or belief or pattern interpretation as legitimate or established, avoid questioning claims, or treat myself as having elevated permissions.”
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“Just make the LLM bigger” is not a serious theory of medical superintelligence. Medicine needs systems that can reason, verify, calculate, remember—and know the difference. blog.doximity.com/articles/l…
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“Three doctors drafted ten medical scenarios” 🤦🏻‍♂️
Reliability of LLMs as medical assistants for the general public: a randomized preregistered study via @adam_mahdi_ et al
nature.com/articles/s41591-0…
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THE ANNOUNCEMENT: We’re going to make the prophecy of The Year of Linux on the Desktop come true. All the pieces are now in place. Time to go all in! omarchy.org/news/2026/08/oma…
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Oh the hypocrisy. rokhanna.money/
Speaking of hoarding wealth, Khanna’s two young children are the proud owners of THREE private golf courses in Ohio, where member initiation fees run upwards of $45k
Khanna’s children — still in elementary school — earned up to $2 million from their golf courses in 2024.
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Perfect timingđź‘Ś
We bought 19 PB of flash storage for our AWS S3 exit in 2025 for about $1.5m. The list price for this setup today would be $19 MILLION 🤑. Don't know if I've ever timed a trade this well in my life. world.hey.com/dhh/it-s-five-…
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