Andrew Cowan, MD

@andrewcowanmd
10 Followers
40 Following
7 Posts
Myeloma specialist at BC Cancer Agency.

Trying my best to be a centaur with AI...

Using MacWhisper to dictate clinic notes (all local so no PHI concern).

used Claude to write a simple python script that will format my notes for the EMR, which itself uses Ollama and mistral run locally on my Macbook pro. Thanks to the apple M4 chip this can all be done locally....

Time saved!

@pluralistic

Inspired by @pluralistic

I wrote about imagining the ideal AI - hematologist partnership and how we should avoid becoming reverse centaurs for ASH clinical news! Thanks for the inspiration.

https://ashpublications.org/ashclinicalnews/news/9104/Imagining-the-Ideal-AI-Partnership-in-Hematology?searchresult=1

@pluralistic

Open source and anti-circumvention aren't just in tech! Novel therapies such as cellular immunotherapy for blood cancers, despite having been largely developed in academic centers, are commercialized and inaccessible to many countries globally due to cost and IP protections.

Efforts such as "academic CAR T" or sovereign CAR T products aim to get around this, as described here:

https://ashpublications.org/bloodglobal/article/2/1/100051/548229/CAR-T-in-resource-limited-regions

Made in Canada - Sovereign CAR T cells. An alternative to using commercial pharma.

https://biocanrx.com/research/made-canada-car-t-platform

Made-in-Canada CAR T Platform - BioCanRx

Chimeric Antigen Receptor modified T cells – known as CAR T – are a powerful new tool for treating cancer. CAR T therapy starts by extracting a patient’s immune cells from their body. The cells are genetically engineered to recognize a patient’s own tumour, and then returned to the patient’s body in large numbers. This... Read more »

BioCanRx

My way of rebelling against techbros and autocrats:

December 2024: quit all Big Tech platforms and start #selfhosting essential services

December 2025: write guides for newbies about how to self-host

I'm also in discussion with a blogger I admire to start a podcast about tech... where we'll focus on solutions (instead of problems)... aiming to inspire others to join in...

It's been a really heavy year but these little acts of rebellion give me hope ✨

@pluralistic

Thanks for an awesome evening in Vancouver at the Writers Festival! Love the tip about Ben Goldacre - the TRE is super cool and the way forward for EHR research.

@pluralistic When will OpenEvidence become enshittified? IMO, the consequences are considerably more far reaching than any other platform - this is a free product for doctors and has no FDA regulatory framework to hold it back...

https://www.techbuzz.ai/articles/openevidence-raises-200m-at-6b-valuation-as-medical-ai-explodes

OpenEvidence raises $200M at $6B valuation as medical AI explodes

Medical AI platform doubles valuation in 3 months with $200M Series C funding round