MD @insightpartners. Biomedical accelerationist. The goal is to end involuntary dying, one disease at a time. Orbiting space casinos are optional

New York, USA
Yes! Please work on Boring Health Targets. Unmet needs motivate medicine. AI labs should follow that lead
There have been a lot of announcements in the last few weeks about AI, so many that I decided to take a week off the app to slow down the pace of inbound takes for myself. I think making and breaking Millennium problems for various fields is good, I think it's good that frontier labs are pouring money into biology. Everything helps, and hopefully we hit an exponential on those returns. However, I also feel like there are so many low hanging fruit problems that are relevant to humans that affect billions of people today. A handful of diseases seriously impact the quality of life of so many Americans and I'd love to see progress towards tackling these. In medical training many of these diseases are somewhat disregarded as lifestyle or manageable with mild medications, but the truth is many of them have really poor medication adherence rates largely because they don't help much, so people opt to not take them and instead choose to deal with troublesome symptoms. So I am proposing a Boring Health Targets list! If you are at an AI lab please consider picking up some of these diseases and making them an area of interest! Many people are benefited from work on cancer or brain aging, but also a ton of resources are spent on addressing those through federal and venture funding. Not a lot of attention and talent are aimed at these (w/ roughly how many Americans you'd help): - GERD (~60M) - Chronic Kidney Disease (~35M) - COPD (~15M) - Peripheral neuropathy (from chemo, diabetes, aging etc) (20-30M) - Post-concussive syndrome (1-3M, mostly skewed younger) - Migraines (40-50M) - Endometriosis (~6.5M) - Urinary incontinence (~80-100M) - Peripheral artery disease (~6.5M) For many of the above conditions there are only palliative options, like vessels grafts for PAD or gabapentin for neuropathy, or terrible options like dialysis for CKD. Posting this for my friends at @AnthropicAI and @OpenAI !
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For years, I've been telling technical founders they would benefit from doing improv. Without sharing too much, I expect clown school would be equally valuable
Earlier this year, while at a philosophy festival, i met 3 performing clowns who told me they had all met at Ecole Phillipe Gaulier, the renowned French clown school, during their annual summer course every year i try and do one skill-based course in some domain that is totally foreign to me, and after hearing about clown school i signed up for the summer course this past june, and took two friends with me to rural France for it unlike how the wsj headline makes it appear, there was nobody in the course who wasn't a professional theater or improv artist, apart from my friends and i, who were very much the worst people in class fwiw clown school was v intense. the teachers put you on stage in front of everyone and give orders such as 'stay here until you make people laugh, but you cant speak unless it's to make the sound of an electrical item'. and if you did badly the teachers would heckle you and even make some people cry the experience was much more introspective than i thought it would be. i have no dreams of being a performer, but to be forced to stay in the realm of the awkward and to make the most out of a 'flop' helped me learn the edges of my own comfort levels and push them slightly. i notice now in social situations i feel more at ease, and my fiance said i came back from clown school with improved poise and presence. it for sure made public speaking far less scary would i recommend it to others? yes and no. yes, if you're in a position where you perform/ speak publicly often and no if you're not. clown school is pretty serious and my lack of skills in this domain felt somewhat disrespectful to the rest of the attendees
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Biology always has more secrets to reveal. Exciting application of AI x Bio here
What if the proteome encodes more biology than we can see from proteins alone? What if protein degradation is not simply cellular disposal, but also a source of biological function? Every cell is continuously breaking down and remodeling proteins, generating a vast and dynamic pool of peptide fragments. We propose that some of these fragments are not inert byproducts, but bioactive molecules with important roles in biology. In our new Essay in @PLOSBiology, “Encrypted immunity mediated by peptides,” Zhenrun J. Zhang, @YMerbl, and I explore this idea through the emerging framework of encrypted immunity: bioactive peptides hidden within larger proteins that can be released through proteolysis and contribute to antimicrobial defense, immune signaling, inflammation, and potentially broader aspects of physiology. AI and machine learning are helping us explore this hidden molecular space at a scale that was previously inaccessible, uncovering candidate peptides in humans, microbes, archaea, venoms, and even extinct organisms. But identifying sequences is only the beginning. The deeper questions are biological: Which peptides are actually produced in vivo? When and where are they generated? How is their release regulated? What functions do they perform? And how do we distinguish meaningful biological signals from the background of protein turnover? Answering these questions will require computation and experimentation to advance together. To me, this points to a broader opportunity for AI in biology: using machines not simply to predict biology, but to help us uncover its hidden organizing principles—and ultimately learn how to engineer them for human health. If this framework holds, it could deepen our understanding of how biological information is encoded and deployed, while opening new directions for therapeutics and diagnostics. Much remains to be learned, and I’m excited about what comes next. Weizmann Institute of Science, @Penn, @CBE_Penn, @PennBioeng, @PennEngineers, @PennMedicine, @PennChemistry, @PennMicro, @PennPsych, @PennSAS. journals.plos.org/plosbiolog…
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This is amazing. Help if you can
There is a child with a rare disease who is currently suffering and struggling to manage his symptoms. Rare as this is, you can directly help him. Today we are launching the "Rare Disease, Real Kid" Hackathon, and there are $50,000 in prizes from @AnthropicAI and @awscloud. We (@huggingface & @Sagebio) are helping this child open his genome and clinical data to the community, so that we can find what's caused his disease and what currently-approved drugs could help him. I doubt I need to motivate this much further or explain how rare it is for a family to share their child's genome and clinical data, but if you're not sure, consider this: Until very recently, it wasn't feasible for patients like this to get treatment because their disease was so rare that the economics could never justify the investment. Now, as we've seen, people with rare diseases are starting to be able to find the answers themselves (with the help of AI tools, cheaper sequencing, etc). This kid is not able to do that for himself and neither are his parents, so we're asking you for help. Both for this kid and to prove that it's possible for everyone else suffering from a rare disease. More details in 🧵. sagebio-rare-disease-real-ki…
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Dylan Morris retweeted
if this bring anyone optimism, i know dozens of incredible health success stories. friends with mysterious deliberating / chronic health issues that were overthrown, to people being told they would never walk again and running months later, or even living years after a supposed fatal situation where life support was supposed to be turned off a few takeaways i’ve paid attention to: 1) doctors are conservative by trade and have to set expectations low- be mindful of this 2) the value of optimism - both from the ‘ill’ person and the people they surround themselves with is unfathomable - what the mind can do to the body when it is given permission to consider alternatives is crazy 3) the mind <> body link goes deep. It’s worth looking into somatic research and thinkers like John Sarno- his back pain book is relevant to much broader situations beyond pain. Your mind can make your body turn on itself (and the inverse) 4) an optimistic functional medicine doctor who is willing to test things that conventional doctors won’t can be a game changer. I’ve found two docs who are best in class for this who i’ve recommended and have helped many friends - one in LA who combines eastern medicine with functional medicine (Dr Ryan), who is linked in a reply to the below tweet, and the other in London (Dr Mantzourani on Harley St). They both consult to anyone via video calls 5) it’s worth stress testing diagnoses, and AI makes it easier now. research stuff and get LLMs to explain things to you. ask how these issues are handled in other countries and health systems, or even in different points in history, across the 20th-21st century, but even earlier (!). look into controversies or disagreements in the field. Cycle between different LLMs including ones trained in different countries (@AskVenice makes it easy to flip between them) hope this is helpful to someone
I need to hear success stories. For those of who you fully healed from their mysterious chronic health issues, what did you do?
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100% - look to the social animals to understand what agency actually is
we look for novel behavior in AI and overlook how much nature is bursting with complex behavior that we still only shallowly understand
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Dylan Morris retweeted
This is a wild overstatement of what was actually achieved. But “AI successfully remixed a small number of mostly already-observed, largely synonymous mutations and in a few rare cases managed to make it nonlethal” doesn’t sell hype as well
JUST IN: Scientists warn of “urgent” biosecurity concerns after AI successfully designs 16 new viruses capable of replicating inside cells.
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“Death, of course, has many weapons, and, if they have deprived him of a hundred million, he still has enough at hand to keep them mortal." - @Ada_Palmer The war rages on, as ever, only now we have actual chances to succeed. To win this fight, we require many more generals, lieutenants, and infantry. My team and I had the privilege to visit @ARPA_H yesterday and meet with a number of amazing program managers who are working diligently to defeat death in the many fronts of this war. They are severely outnumbered! Please consider bringing your most ambitious dreams of utopian bio future and help to implement them on behalf of humanity. Reach out directly here: arpa-h.gov/careers/program-m… Thank you @DrAliciaJackson amd @DrRafidFadul for the opportunity to engage!
It was a big mistake attacking Sid, cancer. You created a very dangerous enemy.
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One mile? That’s like 40 jets
BREAKING: A helicopter carrying President Trump reportedly came within one mile of colliding with a jet in Washington, DC, in what officials are calling a major security incident, per NYT
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Congrats to @Profluent on this great partnership! Excited to see our frontier AI models power the next generation of biomedicine
Today we announced a landmark partnership with @EliLillyandCo to use our AI models to design recombinases for genetic medicine—a collaboration valued at up to $2.25 billion before royalties. The goal: use Profluent's AI models to design recombinase editors capable of inserting long stretches of DNA at precise locations in the genome. Read the press release for more: businesswire.com/news/home/2…
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Dylan Morris retweeted
Today we announced a landmark partnership with @EliLillyandCo to use our AI models to design recombinases for genetic medicine—a collaboration valued at up to $2.25 billion before royalties. The goal: use Profluent's AI models to design recombinase editors capable of inserting long stretches of DNA at precise locations in the genome. Read the press release for more: businesswire.com/news/home/2…
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Dylan Morris retweeted
While impressive in its own right, it’s worth remembering that predicting protein-drug interactions is like 0.01% of the drug discovery and development pipeline and the spare change part of it. Saying that that’s revolutionizing the process is like convincing someone, in Derek Lowe’s memorable words, that you’ve invented a revolutionary new car because its windows go up and down ten times faster.
Demis Hassabis: If you know the structure of a protein, the real question becomes—where will your drug bind, and what will it actually do? That’s where the next wave of AI comes in. Not just predicting structures, but modeling interactions, outcomes, and real biological impact. At Isomorphic Labs, this is already happening—with 17 active drug programs and partnerships with giants like Eli Lilly and Novartis. The goal? Scale that to 100. This is a fundamental shift in how medicine gets built. Instead of slow, expensive trial-and-error in wet labs, AI allows researchers to run thousands of hypotheses in silico—hundreds to thousands of times more efficiently. The wet lab becomes validation, not exploration. Drug discovery is turning into a computational problem. Faster cycles, smarter predictions, and potentially massive breakthroughs in human health.
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Dylan Morris retweeted
pharma did this. say thank you.
How outcomes in relapsed/refractory multiple myeloma changed, from 1986 to 2026
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Dylan Morris retweeted
This is an incredible story and worth a read. Sid Sijbrandij (co-founder of GitLab, @sytses) was diagnosed with a rare bone cancer. It came back after chemo and radiation, and his doctors told him there was nothing left to try. So he went “founder mode” on his health. - Built a team of physicians and researchers. - Ran every diagnostic possible, as often as possible. - Developed 10+ personalized treatments including an mRNA cancer vaccine and engineered cell therapies. - Ran treatments in parallel instead of one at a time. - Used AI to analyze his scans, bloodwork, and tissue samples. - Open-sourced 25TB of his own cancer data. - Applied GitLab’s radical transparency philosophy to the whole thing. Today he has no evidence of disease. The harder question is that this took someone with vast resources assembling a full team to navigate a system designed to block exactly this kind of patient agency. He’s now building a venture to make this path accessible to others. Links in the reply. Check it out
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This is the way
So, there’s a $1.5 billion judgement against Anthropic for including 480,000 books in training their AIs. Five of my books are among them. Word is, there might be $1,500 payout per book, according to my agent Max Brockman. I wrote him the following:
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Open protein design is awesome
Excited to openly release E1. We use E1 for protein design and now you can too.
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Sad but true. California must do better
Another banger from @rivatez... was gonna use the flame emoji but that seemed insensitive. thespectator.com/topic/slow-…
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