Sign in

John Paulett

@johnpaulett.com
221 followers 43 following 81 posts

Engineering Leader & Architect @hoppr.ai #radsky #medsky

PostsRepliesMedia
John Paulett @johnpaulett.com · 16/07/2025
Claude Code + Notion MCP + $DB_Vendor MCP = 🤌 Gave an outline of my idea. Claude took my outline, found the relevant data, and turned it into a polished proposal with hard data in record time.
000
John Paulett @johnpaulett.com · 14/07/2025
My favorite part of Claude Code: I can get an idea out over the weekend. Before: My laptop was a graveyard of personal projects that took all weekend just to get the structure in place. Now with Agentic Coding, I focus on shipping my idea.
110
John Paulett @johnpaulett.com · 27/06/2025
If you're not using Claude Code, you are missing out. AI coding has taken a giant leap over the past few months Great article with some tips spiess.dev/blog/how-i-u...
spiess.dev
How I Use Claude Code
One month ago, I subscribed to Claude Max. I've been using AI agents including Claude Code for some time prior, but with the flat pricing, my…
100
John Paulett @johnpaulett.com · 10/06/2025
AI Coding tools are evolving quickly -- if you have not tried them in the past month, you owe it to yourself to revisit. I spent the weekend with ChatGPT Codex and Claude Code, and wow 🤯.
100
John Paulett @johnpaulett.com · 15/05/2025
Time and time again, starting with #postgresql would just make life easier. If at some point you need to scale beyond PostreSQL, you are an enviable success story. engineering.usemotion.com/migrating-to...
engineering.usemotion.com
Migrating to Postgres
Since early 2022, Motion was on CockroachDB. Cockroach has many qualities going for it: effortless horizontal scaling, especially when…
010
John Paulett @johnpaulett.com · 02/05/2025
Today is starting off strong! Can't even serial console in after an interrupted upgrade borked the kernel.
110
John Paulett @johnpaulett.com · 29/01/2025
How is it 2025 and the receiver of Outlook invites can not control the reminder time 🤯? It's not like we need 15 minutes to walk to a conference room. We're just bouncing between video calls. The number of meetings I forgotten about because I've moved to another task ... @microsoft.com
100
John Paulett @johnpaulett.com · 26/01/2025
www.latent.space/p/reasoning-... The DeepSeek R1 meltdown is impressive to watch. The democratization of top-tier models and the cratering of training cost has opened thousands of opportunities.
latent.space
Why o3-mini *had* to be free: the coming DeepSeek R1, 2.0 Flash, and Sky-T1 Price War
2025's biggest surprise so far: Reasoning is less of a moat than anyone thought.
110
John Paulett @johnpaulett.com · 23/01/2025
letsnotdothat.com
letsnotdothat.com
Master the Art of the Product Manager 'No'
Keep your meetings smooth and your priorities on track!
010
Reposted by John Paulett
Woojin Kim, MD @woojinkim.com · 15/01/2025
HOPPR signs imaging AI vets Boonn, Kim 🙏 Thank you for sharing this news, @auntminnie.bsky.social @wboonn.bsky.social @ksiddiqui.bsky.social
buff.ly
HOPPR signs imaging AI vets Boonn, Kim
Imaging AI software developer HOPPR has added Woojin Kim, MD, and William Boonn, MD, to its executive lineup.
041
John Paulett @johnpaulett.com · 11/01/2025
Phi-4 fine-tuneable via unsloth: fixing bugs 🐛 and moving to llama 🦙 architecture. unsloth.ai/blog/phi4
unsloth.ai
Finetune Phi-4 with Unsloth
Fine-tune Microsoft's new Phi-4 model with Unsloth! We've also found & fixed 4 bugs in the model.
000
John Paulett @johnpaulett.com · 10/01/2025
🤗 transformers now has ModernBERT included! github.com/huggingface/...
github.com
Release v4.48.0: ModernBERT, Aria, TimmWrapper, ColPali, Falcon3, Bamba, VitPose, DinoV2 w/ Registers, Emu3, Cohere v2, TextNet, DiffLlama, PixtralLarge, Moonshine · huggingface/transformers
New models ModernBERT The ModernBert model was proposed in Smarter, Better, Faster, Longer: A Modern Bidirectional Encoder for Fast, Memory Efficient, and Long Context Finetuning and Inference by B...
020
Reposted by John Paulett
Tailscale @tailscale.com · 08/01/2025
It's easy to lose sight of the fact that, from a tech perspective, we're absolutely living in the future. Our CEO and co-founder @apenwarr.ca looks at just how powerful our modern machines are — and what that means for all of us
tailscale.com
Living in the future, by the numbers
Instead of making the traditional New Year predictions, let’s talk instead about the beautiful technological future we live in: the one that exists right now but we don’t always notice.
04718
John Paulett @johnpaulett.com · 09/01/2025
Very cool: prompt-based SVG generation with distinct editable shapes. sagipolaczek.github.io/NeuralSVG/
001
John Paulett @johnpaulett.com · 08/01/2025
I have more LLM subscriptions than streaming subscriptions now. 🤖 > 📺
010
John Paulett @johnpaulett.com · 08/01/2025
🚑 Part 3 of ModernBERT in Radiology 🚑 Combining Parts 1 and 2, I show how easy it is to fully fine-tune ModernBERT with a Classifer task objective to predict UMLS concepts from radiology text. www.johnpaulett.com/2025/modernb...
johnpaulett.com
ModernBERT in Radiology Part 3: Fine-tuning a Classifier · John Paulett
010
John Paulett @johnpaulett.com · 07/01/2025
NYC AI > The city’s “AI transformation has begun,” with more than 2,000 AI startups and 40,000 workers already forming a “thriving tech ecosystem,” according to the report by the city’s Economic Development Corporation. gothamist.com/news/ai-will... #nyc #ai #startups
gothamist.com
AI will help drive NYC economy in 2025, but some jobs could be 'displaced,' report says
The city’s artificial intelligence “transformation has begun,” according to the New York City Economic Development Corporation.
000
Reposted by John Paulett
Brian Casey @brian-casey.bsky.social · 06/01/2025
Start the New Year off right with issue #670 of The Imaging Wire at buff.ly/4gJi0d4: - Is Radiation Dose Too Low? - What Now for Medicare Fix? - What Triggers Radiation Dose Alerts? - RT Enrollment Grows - Mammo Screening Falls Short ... and much more! #radiology #medicalimaging #ImagingAI
buff.ly
Is Radiation Dose Too Low? | What Now for Medicare Fix? - The Imaging Wire
Is radiation dose too low, Medicare fix dies, radiation dose alerts, RT enrollment grows, mammo screening falls short, and much more.
031
John Paulett @johnpaulett.com · 07/01/2025
🚀 Fine-tuning ModernBERT for Radiology 🚀. Part 2 of my 3-part series shows how to use the ROCOv2 radiology dataset to fine-tune a transformer 🤗. www.johnpaulett.com/2025/modernb... #bert #modernbert #nlp #ml
johnpaulett.com
ModernBERT in Radiology Part 2: Fine Tuning a Masked Language Model (MLM) · John Paulett
120
John Paulett @johnpaulett.com · 06/01/2025
Part 1️⃣ of a 3️⃣-part Series: Exploring ModernBERT and the ROCOv2 dataset to build a multi-label classifier using a simple Logistic Regression model to predict UMLS CUI's from radiology report text. 🩻 www.johnpaulett.com/2025/modernb... with a Colab Notebook! #bert #ml #ai #nlp
u
110
John Paulett @johnpaulett.com · 03/01/2025
Great to see UUIDv7 support landing in the upcoming PostgreSQL 18. Monotonicity for orderable IDs is hugely beneficial: improved index performance and work in distributed systems. brandur.org/fragments/uu...
brandur.org
Postgres UUIDv7 + per-backend monotonicity
How Postgres’ v7 UUIDs are made monotonic, and why that’s a great feature.
110
Reposted by John Paulett
Dr Amine Korchi @draminekorchi.bsky.social · 01/01/2025
Few years ago, many radiologists thought AI was like mammography CAD—a fleeting fad. But AI isn’t CAD; it’s speech transcription—a tool so essential it will become invisible.
021
Reposted by John Paulett
Simon Willison @simonwillison.net · 31/12/2024
Here's my end-of-year review of things we learned out about LLMs in 2024 - we learned a LOT of things simonwillison.net/2024/Dec/31/... Table of contents:

    The GPT-4 barrier was comprehensively broken
    Some of those GPT-4 models run on my laptop
    LLM prices crashed, thanks to competition and increased efficiency
    Multimodal vision is common, audio and video are starting to emerge
    Voice and live camera mode are science fiction come to life
    Prompt driven app generation is a commodity already
    Universal access to the best models lasted for just a few short months
    “Agents” still haven’t really happened yet
    Evals really matter
    Apple Intelligence is bad, Apple’s MLX library is excellent
    The rise of inference-scaling “reasoning” models
    Was the best currently available LLM trained in China for less than $6m?
    The environmental impact got better
    The environmental impact got much, much worse
    The year of slop
    Synthetic training data works great
    LLMs somehow got even harder to use
    Knowledge is incredibly unevenly distributed
    LLMs need better criticism
    Everything tagged “llms” on my blog in 2024
28648148
John Paulett @johnpaulett.com · 29/12/2024
A home built rig for $12,000 USD that can train a 1B parameter LLM. 🔥 Unfortunately I don't have four spare 4090s laying around. I'll keep playing on Colab for now. sabareesh.com/posts/llm-rig/
sabareesh.com
All You Need is 4x 4090 GPUs to Train Your Own Model
How I built an ML rig for training LLMs locally, exploring hardware choices, setup tricks, and lessons learned along the way.
020
John Paulett @johnpaulett.com · 29/12/2024
Great read on 🤗 transformers -- I've been working through the code over the holidays. Amazing to see the advancements in the #NLP world since 2018 and how easy #HuggingFace has made it to use and customize hundreds of models. amzn.to/4guTRXC
Cover of "Natural Language Processing with Transformers" by Lewis Tunstall et al.
060
John Paulett @johnpaulett.com · 29/12/2024
Exploring the hidden states of #ModernBERT with UMAP umap-learn.readthedocs.io/en/latest/
151
John Paulett @johnpaulett.com · 24/12/2024
Going beyond PDFs for medical guidelines. #medsky seangeiger.substack.com/p/why-are-ca...
seangeiger.substack.com
Why Are Cancer Guidelines Stuck in PDFs?
How Machine-Readable Clinical Guidelines Can Help Standardize Cancer Care
291
John Paulett @johnpaulett.com · 23/12/2024
Converted my blog to a #hugo static site on Github Pages from a custom Django app running in Heroku. First post in 15 years 🤯! www.johnpaulett.com/2024/and-we-... Thanks @fletcheaston.com for letting me know the old site got broken sometime in the in years since then.
johnpaulett.com
And we are back · John Paulett
120
John Paulett @johnpaulett.com · 22/12/2024
#FHIR DevDays 2024 videos published! youtube.com/playlist?lis...
youtube.com
DevDays 2024 - YouTube
HL7 FHIR DevDays 2024 June 10-13, 2024 Minneapolis, MN, USA 4 days. 100+ speakers. 130+ insightful keynotes, tutorials, community talks, networking opportuni...
050
John Paulett @johnpaulett.com · 22/12/2024
#AI in 2030 🏭 60% of panelists indicated they believed AI will create more jobs than it destroys. "The AI revolution will play out like the Industrial Revolution but around 10 times faster" 👨‍🍳 On AI Slop: "The value of taste, I think will go up" www.nytimes.com/2024/12/19/b...
nytimes.com
Artificial Intelligence in 2030 (Gift Article)
At the DealBook Summit, ten experts in artificial intelligence discussed the greatest opportunities and risks posed by the technology.
021
John Paulett @johnpaulett.com · 22/12/2024
Enjoying Deibel's "Buy Then Build" book on acquisition #entrepreneurship 🧠 Visionaries see the future & makes an idea stick 🛠️ Integrators organize & profitably execute in the wake of a visionary 💡 Flips the #startup approach to acquiring & growing existing profitable businesses amzn.to/3Dunw4D
amzn.to
Buy Then Build: How Acquisition Entrepreneurs Outsmart the Startup Game
Amazon.com: Buy Then Build: How Acquisition Entrepreneurs Outsmart the Startup Game: 9781544501130: Deibel, Walker: Books
031
John Paulett @johnpaulett.com · 21/12/2024
Fine tuning foundation models in radiology is the future! Cool example fine tuning Llama 3.2 Vision with unsloth colab.research.google.com/drive/1j0N4X... #radsky
colab.research.google.com
Google Colab
020
John Paulett @johnpaulett.com · 20/12/2024
#NLP news: a major new encoder model huggingface.co/blog/modernb...
huggingface.co
Finally, a Replacement for BERT: Introducing ModernBERT
We’re on a journey to advance and democratize artificial intelligence through open source and open science.
021
John Paulett @johnpaulett.com · 17/12/2024
Jaw dropping numbers: "in another 18 months or so from now, OpenAI will need another cash infusion because the San Francisco start-up is spending more than $5.4 billion a year. And by 2029, OpenAI expects to spend $37.5 billion a year." www.nytimes.com/2024/12/17/t...
nytimes.com
Why OpenAI Needs So Much Money (Gift Article)
Building a chatbot like ChatGPT requires billions upon billions of dollars. That’s the driving force behind OpenAI’s plans to change how it’s managed.
1187
Reposted by John Paulett
Slashdot @slashdot.org · 10/12/2024
anyone else?
how much do you overthink? (image is of a traffic light captcha, select all traffic lights, and one of the squares has a tiny few pixels of traffic light in it. Do you select that square or not?)
48112
John Paulett @johnpaulett.com · 10/12/2024
Ideal programming conditions today: 7 hours on an airplane. Enough time to build a new product with just enough wifi and no meetings.
150
John Paulett @johnpaulett.com · 03/12/2024
Welcome @visageimaging.bsky.social to #radsky!
010
John Paulett @johnpaulett.com · 01/12/2024
#RSNA24 is openned by @curtlanglotz.bsky.social
030
John Paulett @johnpaulett.com · 01/12/2024
Wow "Rad AI Reporting achieving a 48% increase in radiograph reporting efficiency and a 25% increase in overall hourly RVU productivity" hubs.la/Q02ZMrgv0 #rsna24 #radsky #radai
hubs.la
Rad AI Reporting Revolutionizes Radiology: 48% Increase in Efficiency at One of the Nation’s Largest Private Practices
AI-driven innovation increases radiograph efficiency by 48%, improves overall productivity by 25%, and alleviates radiologist fatigue
012
John Paulett @johnpaulett.com · 01/12/2024
Will #RSNA24 be the #bluesky #tippingpoint? #radsky
070
John Paulett @johnpaulett.com · 01/12/2024
The list to follow for #rsna24 #rsna2024 #radsky
051
John Paulett @johnpaulett.com · 30/11/2024
The eve of #RSNA24 and the booths are coming together. Going to be #rsnAI this year!
060
John Paulett @johnpaulett.com · 29/11/2024
With the rise of Vision Language Models #VLM, here is an interesting article on model interpretability www.soniajoseph.ai/multimodal-i... "Data is king here."
soniajoseph.ai
Multimodal interpretability in 2024
Multimodal interpretability, from sparse feature circuits with SAEs, to vision transformers leveraging CLIP's shared text-image space.
030
Reposted by John Paulett
Dr Amine Korchi @draminekorchi.bsky.social · 28/11/2024
Trusting AI in radiology is like trusting your technologist, nurse, or admin team. It takes time and effort. But with the right AI tools, that trust only grows stronger.
011
John Paulett @johnpaulett.com · 28/11/2024
Fascinating watching #rust taking over the developer tooling in the #python space. ruff and uv are setting the bar for performant tools thanks to @crmarsh.com & team.
040
John Paulett @johnpaulett.com · 27/11/2024
Excited to show off #FHIRcast at #RSNA24. Rad AI will be demonstrating our web-first solution for radiology.
150
John Paulett @johnpaulett.com · 21/11/2024
First time using `uv` after poetry & pip for years -- it's so quick that I almost don't think it installed my packages. #uv #python
000
John Paulett @johnpaulett.com · 07/09/2024
FHIRcast enables interoperability in healthcare eng.radai.com/p/the-evolut... #fhir #fhircast #radiology #healthit
eng.radai.com
The Evolution of Radiology Reporting: Embracing FHIRcast for Seamless Integration
Author: Fletcher Easton
050