Thoughts on perioperative medicine, ai in healthcare, software engineering, and more.
Chapter 2 of *Lady Lovelace's Objection* goes up on Substack today. It is the Boole and Shannon chapter, the one I knew I had to write before I had written a word of the rest of the book, because every other chapter in the first half of the book leans on it.
Read article →I bought a Halo Chlor 25 in early April. It is the salt chlorinator that sits at the centre of the AstralPool Halo Connect ecosystem, and most of an Australian pool's smarts run through it: the heat pump talks to it, the lights talk to it, the pH and ORP probes talk to it.
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An excerpt from Chapter 1 of Lady Lovelace's Objection, Dr David Bell's serialised history of computing. Babbage, Ada Lovelace, and the argument that began the modern computer.
Read article →I worked as an anaesthetist through the worst years of the pandemic. I am no longer practising.
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On 20 July 1969, about three minutes into the Lunar Module's powered descent to the Sea of Tranquility, a caution tone chimed in the cabin and the amber display in front of Neil Armstrong lit up with a four-character alarm code. 1202.
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On 7 April 2026, Anthropic announced Claude Mythos Preview and then did something no major AI lab has done in nearly seven years. They refused to release it.
Read article →The anaesthetist is the calmest person in the room. That is the job. What nobody seems to ask is what happens to that person when they drive home afterwards.
Read article →In 2004, I presented a paper on teaching computers to understand words. The best accuracy we achieved was 56 per cent. Twenty-two years later, AI does not just understand words. It reads, writes, reasons, and carries on conversations. No other technology made that jump.
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In 2018 I wrote an open letter to Bupa about their decision to remove No Gap cover from public hospitals. It went viral. Eight years later, every prediction came true, and the numbers are worse than I expected.
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Diesel is $3.24 a litre on the Central Coast. I traced the crisis back seventy-three years: a 1953 CIA coup, six closed refineries, a strategic reserve stored on the wrong side of the Pacific, and $580 million in oil futures traded sixteen minutes before the strikes.
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Dr Adam Hill is the only instrument-rated anaesthetic pilot in Sydney. Every fortnight he flies his Cirrus SR22 to deliver specialist care to regional towns that can't attract it. During the Black Summer bushfires, he flew doctors into Mallacoota when nobody else could get them there.
Read article →I trained in anaesthesia at a major teaching hospital in Sydney. During that time, I became aware of at least two colleagues who took their own lives. They are not unusual. They are a statistic.
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Only one major fitness platform actually uses exercise science to programme its music. The rest rely on instructor taste, intuition, or nothing at all.
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Anthropic was blacklisted for refusing to remove two safety restrictions from its military AI contract. The implications extend far beyond one company.
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In 25 days between November and December 2025, four frontier AI models launched and crossed a threshold that turned software engineering inside out.
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Apple's Health+ project identified the right problem but reportedly scaled back. What AI fitness coaching actually needs to work, from someone building it.
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25 years of research shows that tempo, not genre, is the primary driver of music's ergogenic effect during exercise. The optimal range is 125-140 BPM.
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A clinical look at what Garmin, Apple Watch, and Whoop actually measure, how accurate those measurements are, and which device changes training behaviour.
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A UCL study shows that as aerobic fitness improves, the brain's neurochemical response to each workout becomes progressively more powerful.
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