Paul Sufka MD
@psufka.bsky.social
63 followers 44 following 25 posts
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AI discovers new cancer mechanism. Hopefully the first of many.
Reposted by Paul Sufka MD
Management of SAPHO syndrome remains challenging. A systematic review found patients with SAPHO syndrome receiving JAK inhibitors had significant improvement in clinical symptoms and reduction in markers of inflammation. Time to response varied

ACR Open Rheumatology
doi.org/10.1002/acr2...
#Medsky
JAK Inhibitors for Treatment of SAPHO Syndrome: A Systematic Review of 72 Cases
Objective Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome usually involves bones, joints, and skin. Due to a lack of known pathogenesis and clinical trials, there is no stan...
doi.org
Reposted by Paul Sufka MD
Reclaiming care of patients in the age of A.I.
"A.I. will not replace care, rather, it could help us rediscover it."
This week's @thelancet.com editorial
www.thelancet.com/journals/lan...
Vera health offers CME already and is very good.
"general methods that leverage computation are ultimately the most effective, and by a large margin" —The Bitter Lesson, Rich Sutton www.incompleteideas.net/IncIdeas/Bit...
The Bitter Lesson
www.incompleteideas.net
Reposted by Paul Sufka MD
A.I. generated clinic notes from ambient out-patient visits helps clinicians in many ways, across 6 health systems jamanetwork.com/journals/jam...
Reposted by Paul Sufka MD
My latest Substack: As OpenEvidence sprinted past UpToDate to become medicine's best AI-enabled point-of-care tool, I've been waiting for UTD's response. Now it's here, raising fascinating questions about which knowledge base should be our source of truth.
robertwachter.substack.com/p/medicines-...
Medicine’s AI Knowledge War Heats Up
The Battlegrounds May Surprise You
robertwachter.substack.com
OpenEvidence or Vera Health >> UTD.

I find Grok and GPT5 really good at medical questions as well.
Dr. Amanda Ombrello talking about autoinflammatory diseases
Always great to hear Dr. Marcela Ferrada speak about relapsing polychondtitis.
Slides and notes for my talk this afternoon: The Current State of AI in Rheumatology — Virginia Society of Rheumatology 2025 Annual Meeting paulsufka.com/ai/
"LLMs have "dead reasoning zones" — areas in their weights where logic doesn't work. Humans have dead knowledge zones (things we don't know), but not dead reasoning zones. Asking questions outside the training distribution is almost like an adversarial attack on the model."
How I got the highest score on ARC-AGI again swapping Python for English
Using Multi-Agent Collaboration with Evolutionary Test-Time Compute
jeremyberman.substack.com
Reposted by Paul Sufka MD
Retrospective review of patients with rheumatoid arthritis and BMI≥27 prescribed GLP-1RA (semaglutide or tirzepatide) showed improved disease activity & cardiovascular risk factors vs controls. Nearly one-third of GLP-1RA group discontinued during study period

ACROR
doi.org/10.1002/acr2...
#Medsky
Effect of Glucagon‐Like Peptide 1 Receptor Agonists on Patients With Rheumatoid Arthritis
Objective Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are approved for weight loss, diabetes, and cardiovascular risk reduction. Despite widespread use, GLP-1RAs have not been well studied ...
doi.org
The Illusion of Thinking (Apple et al.)

Emergent statistical effect ≠ Thinking

ml-site.cdn-apple.com/papers/the-i...
Understanding why hallucinations happen gives ways to avoid them. I expect this will happen quickly (like everything else in AI).
I've wanted this feature for a while and hope all the models add this soon.
Soon (17 days):

https:// {3899, 13433, 1427, 1854, 1136, 14, 17527}
Have been thinking about doing something with #RheumJC.

Seems like something like Discord or Slack could be more useful for a journal club chat. (Or others, like Telegram, Whatsapp). Anyone have preferences?