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Judith: Welcome to Berry's In the
Interim podcast, where we explore the

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cutting edge of innovative clinical
trial design for the pharmaceutical and

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medical industries, and so much more.

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Let's dive in.

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Scott: All right.

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Welcome everybody.

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Back to In the interim.

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This is actually our 60th episode of
In the Interim, I'm your host, Scott

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Berry, and I'm joined by two other senior
statistical scientists at Barry, Dr.

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Nicholas Berry.

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And Dr.

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Joe Marion.

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Welcome back to In the Interim.

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Nick Berry: Thanks.

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Joe Marion: Uh, thanks Scott.

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Happy to be here.

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Scott: So the 60th episode of,
of in the interim 60 interims.

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Interestingly, uh, Joe, it was
just recently involved in the 60th

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interim analysis of a clinical trial.

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And we won't say what trial that was,
but you're doing double duty on the 60.

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Joe Marion: Yeah, it's, uh, it's funny
how that number creeps up on you, right?

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People always ask me like, how many
interims can you have in a clinical trial?

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Or like, you know, sure.

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Surely, you know, you
can't do too many of these.

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In a sky's the limit as,
as far as I can tell.

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If I think, if I stayed at Barry for
another, uh, 30 years, you know, we'd be

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at what, how many interims would that be?

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It'd Be a lot.

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Scott: Be a lot.

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Joe Marion: lot.

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Yeah.

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Nick Berry: joke about how you, uh.

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Spend your alpha at Barry.

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Sometimes when you do an interim,
you're spending your personal alpha.

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So 60 interims is a lot
of alpha for you to spend.

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Joe Marion: I am all at Alpha man.

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Well, I mean, if you believe that
the alpha spending literature,

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every time you get a failure,
you get to recover some alpha.

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Right?

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So maybe I've got plenty
of alpha, you just dunno.

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Yeah, yeah.

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Yeah.

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Scott: Alright, stay.

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There's nothing better than
adaptive design humor, uh, for,

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Joe Marion: That's

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Scott: our episodes.

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Yeah.

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Joe Marion: People love it and

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Nick Berry: Yeah.

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Joe Marion: invite us to parties
because they want to hear it.

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Nick Berry: Hmm.

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Joe Marion: Yeah.

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Scott: Okay.

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So today's episode, I, I.

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When we come up, we've done 60 episodes of
this, and we're not running out of ideas,

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just like we're not running out of alpha.

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We have lots of ideas, and I'm asked
all the time when I go out, what, how

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is AI affecting Berry consultants?

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I'm asked by statisticians.

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I'm asked by clinicians.

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I'm asked by people who don't know
really what we do, but we know we have

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a company, uh, in, in the tech space.

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So today's episode is.

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AI at Barry.

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How do we use it?

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What, what do we know about it?

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What do we think where the world is going?

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And today, I, I have Nick and Joe
on, and they, they're part of our

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committee that is exploring ai and
it's a incredibly rapidly moving thing.

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And we're, we're, we're keeping
track of this, so we're gonna

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talk about today, AI at Berry.

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I think it's important to
set up what Barry does.

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So statisticians within the clinical
trial space do lots of different things.

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Some of those things we don't do.

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Some things we do, and I think
it's important in the role

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of AI in those, those things.

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So Berry Consultants at its heart
is a clinical trial science company.

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We have clinical trial
scientists that work at Berry.

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Most of them are statistically trained.

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We do have clinicians, we have
mathematicians, computer scientists,

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but they are clinical trial scientists.

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We do really three major, major things,
core competencies, and the first

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is trial design and trial strategy.

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So the science of clinical trial
development and how the trial fits

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into that, the science of it, we most
of the time were involved in designs

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that would be considered innovative.

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And from that meaning.

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Not typical, not fixed trials.

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So we do adaptive trials, seamless
trials, adaptive enrichment trials.

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We incorporate external data within a
clinical trial, more complicated analysis.

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In a trial platform, trials,
basket trials, all of these

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fall under this umbrella of
innovative clinical trial design.

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So we spend a lot of times in
the design of these trials.

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The implementation of these innovative
trials, whether it's carrying out the

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analysis, doing 60 interim analysis in
the trial needs, additional expertise,

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and so we have a group that are experts
in implementing innovative trial designs.

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So that's another core competency
here at Barry in, in doing that.

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Clinical trial simulation plays a critical
role in the design of innovative trials

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simulation, guided clinical trial design.

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We do it on individual projects.

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We might be writing custom
code for individual projects.

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We also have software that
we license to pharmaceutical,

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academics, government, CROs.

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For clinical trial simulation.

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And so we have a product that does that.

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It's another core competency
at Barry in, in what we work on

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and what we do on a daily basis.

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So thinking about what is the role
of AI in these various activities?

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What we don't do is we don't
do a process stuff in trials.

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We stay out of the
quote unquote CRO space.

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We don't create databases for trials.

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We don't do data management in
trials, generation of the tables,

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listings and figures, the the
SAS programs that generate these.

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Creation of CRFs.

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We don't do that.

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This is CROs are really good at that
and that's not part of this strategy,

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part of clinical trial science.

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SAPs play an interesting role and maybe
an interesting role in the whole I.

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Role of AI in all of this.

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We do contribute to
statistical analysis plans.

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We don't create the huge tomb of the,
the all of the tables, listings and

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figures, concomitant meds and all of
that, because the, the group doing

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the TFS should be involved in that.

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But we play a really.

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Contributing contr critical role to
the analysis, the objective within sap.

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So we work on SAPs, but we don't sort
of generate them as a core competency.

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The last thing is we
are not experts in ai.

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Uh, now we're interesting conversation.

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Should we be calling ourselves
experts in ai, uh, in that, but

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we don't consider ourselves.

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So in this question of ai, we're not
selling clients that we're ai, but we're

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utilizing AI and how we're using it.

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We're learning about that, and that's
what we're gonna talk about today.

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So maybe I'll, maybe I'll
throw it to Nick now.

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Nick, you're, you, you, you do
design, you do implementation.

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Uh, you, you, you spend the majority
of your time on the software team.

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How do you use ai?

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Nick Berry: Yeah, I mean this is
maybe the most straightforward, um,

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use case where I think it's pretty
generally accepted that AI is very

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good at coding, especially if you.

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Limited to things that are, you
know, all over the internet.

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Like me, it's incredibly good at
creating user interface interfaces.

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Uh, it's better than I am at modifying
visual interfaces, connecting,

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um, buttons to effects and making
sure all the data is propagating

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to the right places and tracking.

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Data storage models and things like
that, it's incredibly good at that.

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Um, and I, definitely use it.

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Uh, for that.

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We have this fax that is now, I dunno, 17
years old is the name of our software Fax.

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It was created obviously before ai?

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the desktop app, the fax desktop app has.

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I mean essentially no, uh, LLM
generated code in it, right?

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It's written predating it.

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It's is, yeah.

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Um, we are working on new technologies,
uh, developing new fancy versions of,

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of facts and other applications and
it's comes in handy, in that, with that

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said, like with the user interfaces
thing that I love using it for, I.

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Am by now familiar with some
of the pitfalls of using it.

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Um, probably makes me better at
using it in general, but it's not

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incredibly good at writing technical
statistical code in my experience.

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Um.

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Some things it does really well.

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Uh, you know, I think if you're simulating
a trial and you want it to, to generate

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an accrual of patients for you, like
it knows it's gonna do the cumulative

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sum of exponentially distributed
patients, and it does that every time,

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that that's not what I'm talking about.

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Um, yeah.

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Predictive probabilities is a case
where I've seen it, you know, it thinks

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it knows what it's doing, and, uh,
even says something really, you know.

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Reassuring about what it's doing
and then lo and behold, it's not

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doing what you think it's doing.

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And so some of the more, you know,
maybe nuanced statistical concepts,

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I think it, it struggles at.

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But in general I think really good.

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Even, you know, in simulations
writing simulation code, it will

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give you a backbone, it'll give
you a nice flow through your app

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and, and help you write stuff.

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And so, I think we use it for a
lot of like non-technical coding.

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I tried to, to get help our, we, we
are adding analytical calculations

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for a lot of designs to facts.

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And, you know, this is
a numerical integration.

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It's, it's a,

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it's really computer science heavy
code, not so much like statistical

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heavy code in a lot of ways.

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And in that case.

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It, it

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Joe Marion: Is it good?

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Nick Berry: away, like, oh, you're using
this person's integration algorithm.

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These are your weights, so on, so on.

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And then it randomly slips in
something you don't want to be there.

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And it's hard to, to catch that in a
lot of cases because, you know, those

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algorithms are not like intuitive
to look at and say, oh yeah, okay,

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I see exactly where it went wrong.

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And so we had some, some mixed,
uh, mixed results in, in like

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that heavy computation area.

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Joe Marion: Is, is the cost of
debugging worth the cost of using it?

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Like, that's what's, what's
the trade off in time?

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And then like, I don't know,
what's the trade off in enjoyment?

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Like what, what would you rather be doing?

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Yeah,

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Nick Berry: for me it,
it was, it was worth it.

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Um, the,

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yeah.

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that, that's not like
a dopamine hit for me.

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Right.

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Like writing numerical
integration code didn't, actually,

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Joe Marion: No,

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Nick Berry: that doesn't keep
the lights on like mentally for

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Joe Marion: not coming over
to my house, that's for sure.

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away on Friday nights.

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Yeah.

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Nick Berry: that interestingly, the,
the UI stuff, watching it make big

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changes and like, oh, I, I feel like
I have a really nice flow for this.

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Like, I'm gonna help people
understand what they're inputting in

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our app and it's gonna be so nice.

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That is a dopamine hit and the
amount that it can do sort of in

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one shot is kind of incredible.

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And it's low stakes, right?

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A lot of times I'm just, you
can look at it and say, Yeah.

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it did the right thing.

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And I can look at the, the
database and say, yeah, all the

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stuff's where it needs to be.

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other things that are higher stakes,
like my group sequential probabilities

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being calculated correctly and am is
the type one error that I'm reporting,

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actually a type one error and things like

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Joe Marion: Okay.

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Nick Berry: yeah,

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Scott: So let's talk a little bit about
efficiency, and you sh you demonstrated

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to me an example the other day, and I, I
think, by the way, I, I can ask, what's

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your favorite AI for code generation.

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Nick Berry: I, I use.

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Claude, um, I use

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Scott: Okay.

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Nick Berry: as of today.

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4.7.

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Um, is the model

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Joe Marion: Extra thinking.

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Right?

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Or maximum thinking How?

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How much thinking do you think?

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Yeah.

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Extra high thinking.

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Yeah.

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Yeah.

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Nick Berry: places to be.

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I can't use Max.

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Yeah.

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Scott: Okay, so you provided a
demonstration of a pretty simple clinical

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trial design, but simulations it made
in our shiny app, really beautiful app

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for exploring things and all of that.

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And, and I know you kind of knew what you
wanted to do going into this, but largely

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you could write this code in 10 minutes.

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Uh, it was the demonstration of
this with Claude, with Claude.

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Nick Berry: right?

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Joe Marion: the Claude writes
the code in 10 minutes.

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Scott: yeah.

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No, I, yeah, I meant using AI where if
you sat down from scratch in writing

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this, it's, you know, it's 10 days.

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Uh, I, and, you know, don't
know the magnitude of that.

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And now, yeah, now I just, I just
challenged Nick about how long he

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could do it for that, but, but.

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Nick Berry: I might never need to write
reactivity code in shiny ever again.

00:13:30.301 --> 00:13:31.861
I mean, I'm not a shiny developer, right?

00:13:31.861 --> 00:13:35.041
I'm not even really a web developer,
even though I do It to some extents.

00:13:35.461 --> 00:13:40.261
But I mean, I'm a statistical
developer, uh, in, in most regards.

00:13:40.471 --> 00:13:42.991
so, Claude

00:13:43.074 --> 00:13:43.084
Scott: was

00:13:43.111 --> 00:13:44.486
Nick Berry: good at doing the
things that I don't really.

00:13:45.331 --> 00:13:46.921
Know that well, right.

00:13:46.921 --> 00:13:49.651
These are the fringe cases of my job
that I've had to learn and I've had to

00:13:49.651 --> 00:13:54.481
go and, you know, take courses online
about how to do web development and now,

00:13:55.111 --> 00:14:02.851
um, passing off a lot of that skillset,
um, which is great as long as it's doing

00:14:02.851 --> 00:14:04.411
a good job, which it seems to be doing.

00:14:04.861 --> 00:14:08.341
Um, but the skillset that I'm sort
of an expert in, which is the more

00:14:08.341 --> 00:14:11.281
statistical computation writing
MCMC code, things like that.

00:14:12.151 --> 00:14:13.441
I'm doing that still.

00:14:13.441 --> 00:14:13.651
Right.

00:14:13.651 --> 00:14:15.661
That's not something I'm passing
off to, to AI at this point.

00:14:17.290 --> 00:14:20.079
Scott: So we we're putting
together a development plan.

00:14:20.079 --> 00:14:23.439
So you, you mentioned fax as a
desktop product, for example.

00:14:23.620 --> 00:14:26.020
We're making it a cloud-based product.

00:14:26.260 --> 00:14:28.599
We're redesigning the GUI to this.

00:14:28.599 --> 00:14:31.329
We're adding a, a, a number
of really nice things.

00:14:32.199 --> 00:14:35.775
Had we done this five
years ago, we would've had.

00:14:36.459 --> 00:14:40.300
More developers and it would've
taken significantly longer.

00:14:40.540 --> 00:14:43.899
All of a sudden with what AI
has done in the last year,

00:14:44.170 --> 00:14:47.170
we need less goey developers.

00:14:47.170 --> 00:14:52.060
Within all of this, Nick, is
the productivity maybe of three

00:14:52.060 --> 00:14:54.790
developers years ago in terms of time.

00:14:54.999 --> 00:15:00.939
This is, uh, this is game changing,
enormous ability for us to do

00:15:00.939 --> 00:15:02.649
this much more efficiently.

00:15:03.676 --> 00:15:05.986
Nick Berry: Well, in my mind
it's like the perfect use case.

00:15:05.986 --> 00:15:08.626
I, I'm not gonna say like,
oh, we 10 XD our development.

00:15:08.626 --> 00:15:09.076
That's not,

00:15:09.739 --> 00:15:10.029
Scott: Yeah.

00:15:10.696 --> 00:15:14.356
Nick Berry: a mature app that
we've spent 15 years with

00:15:14.356 --> 00:15:15.751
statistical programmers developing.

00:15:16.636 --> 00:15:19.606
We've always had The engines
in the background, like

00:15:19.606 --> 00:15:20.866
the, the crown jewel, right?

00:15:20.866 --> 00:15:23.446
This is the multiple amputation

00:15:23.526 --> 00:15:24.065
Joe Marion: part, right.

00:15:24.856 --> 00:15:28.066
Nick Berry: response modeling, all
the good stuff that drives facts

00:15:28.066 --> 00:15:33.286
and makes it do stuff that no other
software can do that is there.

00:15:33.346 --> 00:15:35.476
It's essentially unchanged.

00:15:35.656 --> 00:15:40.576
The only thing we have to do for this web
development is create a facade around it

00:15:40.906 --> 00:15:44.806
that takes in inputs, converts them to
parameters, and passes it into engines.

00:15:45.256 --> 00:15:47.356
So I think it's like the
perfect use case, right?

00:15:47.356 --> 00:15:51.586
The, the tests that we use
for current facts carry over.

00:15:51.586 --> 00:15:53.986
They go to web fax, like,
you know, our testing.

00:15:53.986 --> 00:15:58.366
We can run these on the cloud,
we can run them on the desktop

00:15:58.366 --> 00:15:59.416
and make sure the results match.

00:15:59.416 --> 00:16:02.836
Like we have so many protections
while we develop this, that it's

00:16:02.836 --> 00:16:07.816
like the perfect use case, uh, for
AI in for, for, you know, this.

00:16:08.581 --> 00:16:11.401
AI as a coding agent, at least in my mind.

00:16:11.401 --> 00:16:15.241
And so we've gotten really
nice returns from it as like

00:16:15.474 --> 00:16:15.744
Scott: Yeah.

00:16:16.081 --> 00:16:17.221
Nick Berry: UI scaffolder.

00:16:18.225 --> 00:16:20.105
Joe Marion: Scott, let me, let
me ask you a question, Scott.

00:16:21.605 --> 00:16:23.795
now Nick is doing the work of three nicks.

00:16:23.795 --> 00:16:25.986
I mean, we're making up the number
three, but let's just say it's three

00:16:26.199 --> 00:16:26.410
Scott: Yeah.

00:16:26.619 --> 00:16:26.890
Yeah.

00:16:27.396 --> 00:16:28.626
Joe Marion: So I mean.

00:16:29.391 --> 00:16:32.420
To me that says maybe you
want more K Nicks, right?

00:16:32.751 --> 00:16:35.271
Like he's, in some sense,
you're getting three times the

00:16:35.271 --> 00:16:36.740
value for the, the same person.

00:16:36.740 --> 00:16:41.001
Like maybe you want even more like,
like maybe the, maybe it's not that

00:16:41.001 --> 00:16:44.631
we're more efficient, but like, I
mean, maybe you'd want nine, nine

00:16:44.631 --> 00:16:46.131
K Nicks worth of capacity now.

00:16:46.131 --> 00:16:46.490
Right.

00:16:46.490 --> 00:16:46.761
And

00:16:46.764 --> 00:16:47.035
Scott: Yeah.

00:16:47.360 --> 00:16:47.480
Joe Marion: I

00:16:47.634 --> 00:16:47.844
Scott: Yep.

00:16:47.930 --> 00:16:50.180
Joe Marion: the margin, it's kind of
changing the value of what we can do.

00:16:50.450 --> 00:16:50.840
So.

00:16:51.114 --> 00:16:51.354
Scott: Yeah.

00:16:51.354 --> 00:16:54.624
From a business perspective
perspective, this is really interesting.

00:16:54.624 --> 00:16:55.464
Is, is.

00:16:56.199 --> 00:17:01.269
Do I have the work to support nine
times, nine nicks, you know, sort of

00:17:01.269 --> 00:17:03.999
thing within that in the development.

00:17:04.300 --> 00:17:09.339
And so we, as a company we've
talked about, we, we are.

00:17:10.450 --> 00:17:12.369
We, we've got a good amount of business.

00:17:12.369 --> 00:17:13.839
Barry's doing very well.

00:17:13.929 --> 00:17:19.480
We could expand people, we could
add more people to Barry, it's an

00:17:19.480 --> 00:17:23.980
interesting question of, in five
years will all of the individuals

00:17:23.980 --> 00:17:28.060
at Barry be three times themselves,
five times themselves, and all of a

00:17:28.060 --> 00:17:31.420
sudden, you know, the, the work needed?

00:17:31.420 --> 00:17:32.710
Do I need more people?

00:17:32.710 --> 00:17:35.680
I, it's a really interesting thing
from a business perspective and

00:17:35.680 --> 00:17:37.450
software is different than design.

00:17:37.461 --> 00:17:40.101
Joe Marion: Yeah, software is,
I'm thinking more on the software

00:17:40.101 --> 00:17:40.971
side of the house as well.

00:17:41.001 --> 00:17:41.751
This is like,

00:17:41.794 --> 00:17:42.145
Scott: right,

00:17:42.321 --> 00:17:44.871
Joe Marion: you know, you, you
could, you could do things.

00:17:45.651 --> 00:17:47.901
It would've been really
expensive before and now may.

00:17:47.901 --> 00:17:50.456
Now maybe they make sense,
Right, Like now they're,

00:17:50.475 --> 00:17:50.825
Scott: right,

00:17:51.286 --> 00:17:56.746
Nick Berry: the skillset that makes me
good for the software team right now

00:17:56.776 --> 00:18:00.916
is not ability to develop software.

00:18:00.916 --> 00:18:00.926
It's.

00:18:01.741 --> 00:18:05.461
It's a little bit of that, but
mostly it's me being able to

00:18:05.461 --> 00:18:07.171
see what I want and have ideas

00:18:07.306 --> 00:18:07.426
Joe Marion: I.

00:18:07.471 --> 00:18:07.531
Nick Berry: I.

00:18:07.531 --> 00:18:10.201
want from, you know, we've,
we've learned a lot of lessons

00:18:10.201 --> 00:18:11.971
with fax desktop over the years.

00:18:12.211 --> 00:18:17.101
We're trying to improve the, this
cloud app to resolve all the things we

00:18:17.101 --> 00:18:22.351
wish we'd resolved, but being able to
know what I think people would expect,

00:18:22.351 --> 00:18:24.481
what I want this, this new app to do.

00:18:24.481 --> 00:18:29.071
And then precisely state, and
this is where my software skills

00:18:29.071 --> 00:18:30.781
come in, is tell the, the.

00:18:31.486 --> 00:18:34.816
AI agent exactly what I want it to do.

00:18:34.816 --> 00:18:38.476
And a lot of times that involves
speaking in sort of software terms and

00:18:38.476 --> 00:18:45.256
using things that, uh, aid me in being
precise about specifying what we want.

00:18:45.346 --> 00:18:47.626
Um, and especially for like the front end.

00:18:47.626 --> 00:18:50.596
And for things like that, it's
mostly just having a vision and

00:18:50.596 --> 00:18:53.176
being extremely specific about
how you want to implement it.

00:18:54.306 --> 00:18:54.456
Joe Marion: Yeah.

00:18:54.485 --> 00:18:55.476
And having good taste.

00:18:55.476 --> 00:18:56.316
Having a good vision,

00:18:56.361 --> 00:18:56.521
Nick Berry: vision.

00:18:56.740 --> 00:18:57.040
Scott: Yeah.

00:18:57.221 --> 00:18:57.501
Nick Berry: A good

00:18:57.546 --> 00:18:57.876
Joe Marion: yeah.

00:18:57.876 --> 00:18:59.586
I think both of those
things matter, right.

00:18:59.806 --> 00:19:00.076
Nick Berry: Yeah.

00:19:00.346 --> 00:19:00.526
Yeah.

00:19:01.326 --> 00:19:03.606
Joe Marion: It's an incredible
time to build things like.

00:19:04.990 --> 00:19:06.400
Scott: So this is gonna come back.

00:19:06.400 --> 00:19:09.340
As in you, you brought up the
really important issue that

00:19:09.760 --> 00:19:14.410
you have this imagination and
ability to know where to go.

00:19:14.710 --> 00:19:18.550
You're consuming lots of information
and making these really good decisions.

00:19:18.820 --> 00:19:22.540
And then you can tell AI to do
something and you know what it is.

00:19:22.780 --> 00:19:26.860
And AI's really, really good at taking
those instructions and creating something,

00:19:26.860 --> 00:19:30.040
and you're iterating it and you're, you're
on top of it and you're controlling it.

00:19:30.376 --> 00:19:34.426
Nick Berry: It's been fun because I
can ask it to do three things and I

00:19:34.426 --> 00:19:35.566
can pick which one I like the best.

00:19:35.566 --> 00:19:38.296
Whereas normally I, I don't have time
to do all three things and look at

00:19:38.406 --> 00:19:39.786
Joe Marion: Yeah, you're
not gonna do three things,

00:19:39.796 --> 00:19:40.366
Nick Berry: things.

00:19:40.666 --> 00:19:41.356
I can look at

00:19:41.395 --> 00:19:41.605
Scott: Yep.

00:19:41.626 --> 00:19:44.266
Nick Berry: I can say, oh, this
one actually turned out the best.

00:19:44.266 --> 00:19:44.896
Let's do that one.

00:19:44.896 --> 00:19:47.206
And like that's, yeah, so

00:19:47.815 --> 00:19:48.085
Scott: Yep,

00:19:48.196 --> 00:19:49.306
Nick Berry: amount is actually get

00:19:49.375 --> 00:19:49.645
Scott: yep,

00:19:49.666 --> 00:19:52.216
Nick Berry: at the options
live in the app and going so,

00:19:53.004 --> 00:19:53.155
Scott: yep.

00:19:53.586 --> 00:19:53.856
Joe Marion: And I,

00:19:53.905 --> 00:19:54.715
Scott: Joe, how.

00:19:54.906 --> 00:19:56.346
Joe Marion: for general use too, right?

00:19:56.346 --> 00:19:57.036
Is like,

00:19:57.046 --> 00:19:57.436
Nick Berry: sure.

00:19:58.206 --> 00:20:00.636
Joe Marion: ask for multiple
things, give it feedback on what

00:20:00.636 --> 00:20:06.006
you like, like, you know, the labor
is in some sense cheap on its end,

00:20:06.250 --> 00:20:06.610
Scott: Mm.

00:20:06.906 --> 00:20:07.476
Joe Marion: uh, yeah.

00:20:08.496 --> 00:20:09.516
it and interact with it.

00:20:09.521 --> 00:20:09.641
Yeah.

00:20:10.840 --> 00:20:11.230
Scott: Okay.

00:20:11.230 --> 00:20:14.800
So that, that, maybe we should make
sure we touch on how to use it well.

00:20:14.800 --> 00:20:16.629
But that sounds like that's
an important role of it.

00:20:16.810 --> 00:20:22.840
So how do you, uh, Joe spends more of his
time in the design of clinical trials.

00:20:22.840 --> 00:20:27.010
He does implementation 60
interims in a particular trial.

00:20:27.310 --> 00:20:31.930
Does implementation, um, what,
how do you use AI at Barry?

00:20:33.201 --> 00:20:37.911
Joe Marion: Yeah, I mean, I think there's,
I with what Nick does of course, right?

00:20:37.911 --> 00:20:38.856
Like I think.

00:20:39.516 --> 00:20:41.946
Coding is where these
things are their very best.

00:20:42.006 --> 00:20:46.476
So, you know, we're
writing simulation code.

00:20:46.866 --> 00:20:49.266
Um, we do a lot of visualization.

00:20:49.746 --> 00:20:52.956
It's good at visualization, but of
course, you gotta be very specific, right?

00:20:52.956 --> 00:20:55.656
You have to know what to
tell it that you want.

00:20:56.616 --> 00:20:58.896
It'll, it'll produce plots, but
they're often like, you know,

00:20:58.896 --> 00:21:00.276
not quite of the right quality.

00:21:00.276 --> 00:21:05.496
And so, You know, things you can do is
like, you can have like a style guide

00:21:05.496 --> 00:21:08.286
for how you want plots to look and that
kind of thing, and that helps it sort of

00:21:08.286 --> 00:21:10.176
one shot those tasks a little bit better.

00:21:10.896 --> 00:21:13.716
Um, things I'm really excited about.

00:21:15.246 --> 00:21:22.566
Um, well, I, one application that
I think is really cool there's

00:21:22.566 --> 00:21:26.076
this, this common like, step of
regulatory interactions with.

00:21:26.436 --> 00:21:30.156
Where, where when you're preparing for
a briefing with the FDA, I feel like

00:21:30.156 --> 00:21:33.276
every company ever that's doing this
preparation, one of the things they

00:21:33.276 --> 00:21:37.356
do is they think about what could the
FDA's response be to our questions?

00:21:37.626 --> 00:21:39.426
What should we be prepared to answer?

00:21:39.426 --> 00:21:40.956
How do we do that strategizing?

00:21:41.796 --> 00:21:43.986
I, I sort of always, I don't know.

00:21:43.986 --> 00:21:45.906
I mean, I felt it was necessary, right?

00:21:45.911 --> 00:21:47.586
But I hated writing those questions down.

00:21:47.586 --> 00:21:48.696
I kind of knew what they were.

00:21:49.836 --> 00:21:54.876
it's tremendously interesting to get the
AI critique of like a sanitized document.

00:21:55.851 --> 00:21:58.311
What is the regulatory
perspective gonna be?

00:21:58.701 --> 00:22:02.811
And I think it's really valuable to us
at Berry because you know, you know,

00:22:02.811 --> 00:22:05.781
based on the things it's trained on, it's
gonna give you a pretty traditional view.

00:22:05.781 --> 00:22:09.981
And I think that can really help
you sort of understand what that is.

00:22:10.251 --> 00:22:13.011
It's not the argument we're usually
articulating because of, you know, the

00:22:13.011 --> 00:22:18.081
kind of work that we do, but uh, I love
that ability to get critique from it.

00:22:18.081 --> 00:22:19.611
I think it's tremendously fascinating.

00:22:21.011 --> 00:22:23.746
Nick Berry: I, in my experience when
doing something like that, it's usually

00:22:23.746 --> 00:22:29.146
like a numbers game in getting a lot
of different things from the, the,

00:22:29.176 --> 00:22:33.796
the AI model where you can pick and
choose the things that are actually

00:22:33.796 --> 00:22:35.296
intellectually interesting and.

00:22:36.481 --> 00:22:40.051
and like you said, I kinda wanna
emphasize we work at Berry Consultants.

00:22:40.081 --> 00:22:44.671
We tend to have, we're not, obviously
not a homogenous population of

00:22:44.671 --> 00:22:48.691
people, but in general we're designing
adaptive trials, often Bayesian

00:22:49.021 --> 00:22:50.551
interim analysis, things like that.

00:22:50.551 --> 00:22:55.111
And the literature, you know, everything
that's posted online, the vast majority of

00:22:55.111 --> 00:23:00.901
it is traditional and frequentist and not
as innovative as a lot of things we do.

00:23:00.901 --> 00:23:01.966
So the LLM.

00:23:03.361 --> 00:23:04.681
Thinks like that, right?

00:23:04.681 --> 00:23:07.651
So you're almost getting a, you,
you are getting a conservative

00:23:07.651 --> 00:23:09.421
perspective when you ask it questions.

00:23:10.416 --> 00:23:12.366
Joe Marion: Yeah, complimentary
review and then you can think

00:23:12.366 --> 00:23:13.476
through how you'd answer them.

00:23:13.866 --> 00:23:16.806
It's not very good at answering
its own questions 'cause you know,

00:23:16.806 --> 00:23:19.986
we've got a particular house view
that's like really underrepresented,

00:23:19.986 --> 00:23:21.311
but you know, I think that that.

00:23:22.011 --> 00:23:23.181
It's like a pretty exciting thing.

00:23:23.181 --> 00:23:27.651
And yeah, like Nick said, you want a
bunch, like if you get 10 criticisms,

00:23:27.651 --> 00:23:30.441
you might like three or four of
them might really be worth, worth,

00:23:30.441 --> 00:23:31.761
interesting, and worth addressing.

00:23:31.761 --> 00:23:33.231
But it's still good value.

00:23:33.446 --> 00:23:33.736
Yeah.

00:23:33.886 --> 00:23:34.546
Nick Berry: told it?

00:23:35.296 --> 00:23:38.146
Uh, give me feedback like you
work at Berry Consultants.

00:23:40.176 --> 00:23:40.221
Joe Marion: Yeah.

00:23:40.281 --> 00:23:43.191
Not, well, actually, I think one of
the, I've, I haven't tried this in a

00:23:43.191 --> 00:23:44.421
while, but I used to tell it to like.

00:23:45.036 --> 00:23:47.196
You know, write like Kurt Veley, right?

00:23:47.196 --> 00:23:49.506
Or like, give me the Kurt Veley
arguments for this kind of thing.

00:23:49.536 --> 00:23:54.246
And like, not a very good Curt, I
wonder if it's a good curt now, I

00:23:54.341 --> 00:23:54.631
Nick Berry: yeah.

00:23:54.846 --> 00:23:56.106
Joe Marion: that would
be interesting to me.

00:23:56.181 --> 00:23:56.471
Nick Berry: Yeah.

00:23:56.521 --> 00:23:58.506
Joe Marion: I, I kind of
think it probably isn't.

00:23:58.656 --> 00:24:03.186
Um, it, it can do other public figures
reasonably well, but I don't think it

00:24:03.186 --> 00:24:05.196
does any like statistician super well.

00:24:05.366 --> 00:24:05.656
Nick Berry: Yeah,

00:24:05.885 --> 00:24:06.725
Scott: Okay, so this I,

00:24:06.991 --> 00:24:08.041
Nick Berry: on Twitter a lot, right?

00:24:08.041 --> 00:24:08.431
He has

00:24:08.645 --> 00:24:08.885
Scott: yeah.

00:24:09.031 --> 00:24:12.391
Nick Berry: Twitter about different
things, and he may probably not, you

00:24:12.391 --> 00:24:17.371
know, he has a lot of public visibility
on some of these topics because

00:24:17.466 --> 00:24:19.926
Joe Marion: He has some chance
of being out there, right?

00:24:20.016 --> 00:24:20.286
Yeah.

00:24:21.036 --> 00:24:21.276
Yeah.

00:24:21.936 --> 00:24:25.146
Um, other stuff that I
think AI is cool for.

00:24:25.266 --> 00:24:25.866
Um.

00:24:27.861 --> 00:24:29.871
I, produce way more
shiny apps than before.

00:24:30.021 --> 00:24:32.601
because the, the cost of
doing so is really low.

00:24:33.081 --> 00:24:36.741
And what's great is that you can pass
them to clients and, and then that

00:24:36.741 --> 00:24:40.311
really gives them like a hands-on tool
that, that allows them to interact

00:24:40.311 --> 00:24:43.161
with the decision they're making to
tweak all the levers themselves to

00:24:43.161 --> 00:24:45.201
get that kind of firsthand experience.

00:24:46.606 --> 00:24:49.521
you know, sometimes in like a rare
disease trial, they'll want to

00:24:49.521 --> 00:24:53.201
know it's, you know, I have 50 end
points, which one should I use?

00:24:53.201 --> 00:24:53.651
Right.

00:24:54.101 --> 00:24:58.930
And the ability to hand a tool
over instead of like a ton of

00:24:58.930 --> 00:25:01.391
plots is, is tremendously useful.

00:25:01.751 --> 00:25:03.371
Absolutely improves the communication.

00:25:03.761 --> 00:25:05.381
I'm hopeful like that.

00:25:05.381 --> 00:25:07.151
This will be good for facts too, right?

00:25:07.151 --> 00:25:11.051
You can imagine a plain, plain
language version of facts where

00:25:11.051 --> 00:25:14.351
you describe in text what you want
the design to be, and then it knows

00:25:14.351 --> 00:25:16.421
how to set up a FACTS file, like.

00:25:17.196 --> 00:25:20.916
You know that that's, you know, probably
a little bit of a ways away, but it's

00:25:20.916 --> 00:25:23.166
not like a pie in the sky dream anymore.

00:25:23.586 --> 00:25:27.096
I think five years ago that would've
been a tremendously complex endeavor.

00:25:27.501 --> 00:25:27.561
Yeah.

00:25:27.646 --> 00:25:27.916
Nick Berry: course.

00:25:27.916 --> 00:25:31.426
Every single person that we show this
cloud app to their mind initially

00:25:31.426 --> 00:25:32.866
goes like, it makes so much sense.

00:25:32.866 --> 00:25:34.756
This has to be something that we can do.

00:25:34.756 --> 00:25:35.281
It's so cool and.

00:25:36.346 --> 00:25:38.596
The parameters that go into
facts are known, right?

00:25:38.596 --> 00:25:42.346
There's, it's not like it has
to write simulation code that

00:25:42.346 --> 00:25:44.086
can do infinitely many things.

00:25:44.236 --> 00:25:46.876
There's a set of parameters
that are predefined.

00:25:47.116 --> 00:25:49.996
The storage mechanism for
those parameters is predefined.

00:25:49.996 --> 00:25:51.616
We have documentation for that.

00:25:52.006 --> 00:25:56.656
Presumably, you give that to an LLM,
someone can describe their trial that

00:25:56.656 --> 00:25:59.386
they want, not design me a good trial.

00:26:00.196 --> 00:26:03.676
I don't, we can get to this later,
but it's not gonna do a good job.

00:26:03.676 --> 00:26:04.876
It's not gonna do what you want.

00:26:04.876 --> 00:26:06.226
It's not gonna do a good job in that case.

00:26:06.526 --> 00:26:09.076
But I want a trial with three interims.

00:26:09.076 --> 00:26:14.386
I want Goldilocks stopping style,
um, decisions at interims with

00:26:14.386 --> 00:26:16.096
these predictive probabilities.

00:26:16.186 --> 00:26:19.666
Um, and I want to figure out
what p value threshold gives me.

00:26:19.666 --> 00:26:20.386
A good type one error.

00:26:20.416 --> 00:26:25.696
Like now it's got the parameters it
needs, and it can fill in, can say, oh,

00:26:25.696 --> 00:26:27.076
when do you want your interim scheduled?

00:26:27.076 --> 00:26:27.886
And things like that.

00:26:28.246 --> 00:26:29.326
And then all it has to do is say.

00:26:30.331 --> 00:26:35.611
Interim analysis schedule Vector
comma 400, comma 500, and you

00:26:35.611 --> 00:26:37.351
know, it's, we have to teach it.

00:26:37.501 --> 00:26:40.441
It's guardrails and then
I think it's like Yeah.

00:26:41.226 --> 00:26:41.931
Joe Marion: But it'll not.

00:26:41.941 --> 00:26:44.611
Nick Berry: of of doing, of, of
figuring out exactly, you know,

00:26:44.611 --> 00:26:47.071
what prompt gets it to do the
right thing and things like that.

00:26:47.071 --> 00:26:47.821
But, but it's

00:26:47.886 --> 00:26:48.246
Joe Marion: Yeah.

00:26:48.336 --> 00:26:52.866
W what's the right like iteration loop
that, that lets it learn that, right?

00:26:53.136 --> 00:26:53.406
yeah.

00:26:54.070 --> 00:27:00.835
Scott: So as, as of this point, so
AI is being used, the LLMs where.

00:27:00.975 --> 00:27:08.055
You're asking it to write code or you're
asking it to do a task, and it's making

00:27:08.055 --> 00:27:13.725
us much more efficient, even better at
that task, you said, uh, typically you'd

00:27:13.725 --> 00:27:18.555
walk in historically with a set of seven
slides that you're presented to a client.

00:27:18.705 --> 00:27:21.225
Now you're walking in with
an app that has presumably.

00:27:21.715 --> 00:27:23.965
Hundreds of potential things
that they could look at.

00:27:24.205 --> 00:27:27.985
So you're, you, you're, you're increasing
things, but largely you're using it

00:27:27.985 --> 00:27:32.545
to be more efficient and maybe a bit
more broad about what you're doing.

00:27:33.055 --> 00:27:37.045
What you just described is a whole
different thing where we're training

00:27:37.045 --> 00:27:42.865
something and a generative AI that we're
now creating a tool that's using AI

00:27:43.105 --> 00:27:47.785
for somebody to use facts or somebody
to use it, which we haven't done yet,

00:27:47.785 --> 00:27:50.095
but is, is an intoxicating thought.

00:27:51.751 --> 00:27:52.021
Joe Marion: Yeah.

00:27:53.221 --> 00:27:56.101
Really democratizing in some sense, right?

00:27:56.251 --> 00:27:58.861
You still have to have good
taste to use that tool, right?

00:27:58.951 --> 00:28:01.441
You still, you still would have
to know what to tell it, right?

00:28:01.441 --> 00:28:01.651
It.

00:28:02.391 --> 00:28:05.361
It's not a self-governing
process, but I think it cuts

00:28:05.361 --> 00:28:06.621
so much of the learning curve.

00:28:06.621 --> 00:28:09.026
Some, so much of the uninteresting
learning curve out maybe.

00:28:09.376 --> 00:28:09.666
Yeah.

00:28:10.006 --> 00:28:10.216
Nick Berry: Yeah.

00:28:10.495 --> 00:28:12.985
Scott: Okay, so let's, let's
dive into some of that.

00:28:12.985 --> 00:28:18.115
I, I, but let's talk about things that
are happening at Barry with, with ai.

00:28:18.115 --> 00:28:18.430
I think.

00:28:18.785 --> 00:28:24.425
You can't do a search engine now without
it being ai the default in all of this.

00:28:24.425 --> 00:28:26.285
And that's, that, that's pretty common.

00:28:26.285 --> 00:28:27.515
I think everybody's doing that.

00:28:27.875 --> 00:28:32.975
The writing, you talked about writing,
uh, the ability for it to, to read your

00:28:32.975 --> 00:28:35.435
writing, to critique it, to, to update it.

00:28:35.795 --> 00:28:40.925
Every one of these podcasts goes
into AI and it creates social

00:28:40.925 --> 00:28:44.285
media, blurbs, and a blog.

00:28:44.361 --> 00:28:44.781
Joe Marion: sense.

00:28:45.010 --> 00:28:46.060
Scott: And a blog.

00:28:46.360 --> 00:28:49.690
Now, I read every single one
of the social media things.

00:28:49.690 --> 00:28:52.180
I edit it, I read the blogs.

00:28:52.360 --> 00:28:56.320
I, I will go in and read some of these
and there will be a paragraph that

00:28:56.320 --> 00:29:00.430
I just don't understand, and it just
didn't sort of work and all of that.

00:29:00.430 --> 00:29:02.470
I don't mean that to be critical of ai.

00:29:02.740 --> 00:29:05.200
I, I think that that's, that's.

00:29:05.201 --> 00:29:06.641
Joe Marion: the technology
is sometimes, right?

00:29:06.831 --> 00:29:07.121
Like

00:29:07.735 --> 00:29:07.975
Scott: Yep.

00:29:08.155 --> 00:29:11.485
Uh, and maybe it was because I did
do a very good job on the podcast

00:29:11.485 --> 00:29:14.845
of explaining it, and that's what AI
came out with, with the meaning of it.

00:29:15.115 --> 00:29:20.005
Uh, we did, we did it, we did one on
the award, five trial, that was the

00:29:20.005 --> 00:29:24.925
acronym of the trial, and it kept
saying the award winning Trulicity

00:29:24.925 --> 00:29:26.665
trial, you know, sort of thing.

00:29:26.995 --> 00:29:28.615
Um, which was great.

00:29:28.825 --> 00:29:33.415
But those things, if I were
to produce them myself.

00:29:33.775 --> 00:29:38.725
Is maybe four hours to write the
blog and the social media stuff.

00:29:38.875 --> 00:29:41.095
I get those and I edit them in an hour.

00:29:41.695 --> 00:29:42.025
Uh,

00:29:42.076 --> 00:29:42.366
Joe Marion: Okay.

00:29:42.595 --> 00:29:46.735
Scott: is, this is productivity
and it, it does some neat stuff,

00:29:46.765 --> 00:29:50.275
uh, to it that, that, that I think
makes it better than if I had to

00:29:50.275 --> 00:29:52.585
self generate it entirely by myself.

00:29:52.765 --> 00:29:54.355
It's a different sort of view on it.

00:29:54.985 --> 00:29:58.255
We're, we're exploring things
like we write, we write

00:29:58.255 --> 00:29:59.665
hundreds of proposals a year.

00:29:59.725 --> 00:30:01.525
We have a bank of proposals.

00:30:01.855 --> 00:30:02.455
Um.

00:30:02.985 --> 00:30:06.915
And I, I write many of these and
these take, you know, a couple

00:30:06.915 --> 00:30:08.835
hours to write each one of these.

00:30:08.835 --> 00:30:12.435
All of a sudden, AI does a
really nice job, uh, at, at that.

00:30:12.825 --> 00:30:18.105
So these are natural things
that, that, that this does, uh,

00:30:18.435 --> 00:30:19.935
within it and, and the code.

00:30:20.325 --> 00:30:26.265
Uh, other things currently at, at Barry
that we can say we currently do with ai.

00:30:28.761 --> 00:30:29.841
Nick Berry: I think we
need to talk about writing.

00:30:30.296 --> 00:30:30.836
Um.

00:30:31.251 --> 00:30:31.671
Joe Marion: Mm-hmm.

00:30:32.696 --> 00:30:36.301
Nick Berry: You, you kind of, this
could be considered one of our,

00:30:36.541 --> 00:30:40.381
you said our three pillars are like
design, implementation, and software.

00:30:40.381 --> 00:30:44.521
I, think you could essentially add, you
know, publication and research to that as

00:30:44.521 --> 00:30:45.961
something that we do a lot of at Barry.

00:30:46.741 --> 00:30:47.131
Uh,

00:30:48.230 --> 00:30:51.865
Scott: I, I'll push back on that a little
bit though, and what AI does on that.

00:30:51.985 --> 00:30:54.175
'cause I a, a simple little thing where,

00:30:54.241 --> 00:30:55.256
Nick Berry: I think too, but.

00:30:55.360 --> 00:30:55.650
Scott: okay.

00:30:56.016 --> 00:30:58.146
Joe Marion: Yeah, I think we are
gonna disagree, so this should be

00:30:58.375 --> 00:31:00.295
Scott: Oh, that, that
makes for a good podcast.

00:31:00.355 --> 00:31:00.625
Uh,

00:31:00.731 --> 00:31:00.991
Nick Berry: Oh

00:31:01.075 --> 00:31:03.745
Scott: an interesting blog when
it comes out and describes,

00:31:03.826 --> 00:31:08.461
Nick Berry: I, I might disagree with
both of you, but I'm, think AI sucks

00:31:08.461 --> 00:31:09.961
at writing things from scratch.

00:31:10.621 --> 00:31:13.471
think it's obvious when
it writes something.

00:31:13.501 --> 00:31:21.186
I, I, maybe this is but I feel like
I can tell, and obviously the, the.

00:31:21.991 --> 00:31:24.511
Other side of this is that, think
of all the times I've read something

00:31:24.511 --> 00:31:26.161
and haven't said, oh, that's ai.

00:31:26.161 --> 00:31:27.001
And when it actually has been.

00:31:27.001 --> 00:31:29.251
So obviously I don't
know my error rate, but

00:31:29.436 --> 00:31:31.296
Joe Marion: Well, there, there's
some science behind that.

00:31:31.296 --> 00:31:34.416
If you're a heavier user, you tend
to know to be a better identifier.

00:31:34.651 --> 00:31:35.011
Nick Berry: okay.

00:31:35.136 --> 00:31:35.946
Joe Marion: That's a, true thing.

00:31:35.946 --> 00:31:38.586
That's a, that's a, that's
a studied fact, but yeah.

00:31:39.421 --> 00:31:46.081
Nick Berry: think it's, it's vacuous and
non precise when it writes, especially

00:31:46.081 --> 00:31:47.191
when it's writing from scratch.

00:31:48.286 --> 00:31:53.056
even, you know, I go on LinkedIn
where this a, this podcast will be

00:31:53.056 --> 00:31:54.826
advertised on LinkedIn and I'll see it.

00:31:55.906 --> 00:31:58.606
single post on LinkedIn looks the same.

00:31:58.606 --> 00:31:59.566
They're all the same.

00:32:00.406 --> 00:32:04.186
it's like header, five bullet
points with emojis footer.

00:32:04.216 --> 00:32:07.936
And it's like people just over
and over and over write this.

00:32:08.086 --> 00:32:10.906
So I think it's bad at
writing things from scratch.

00:32:10.936 --> 00:32:12.946
It uses similar patterns over and over.

00:32:12.946 --> 00:32:16.666
And when I notice that
pattern, I immediately.

00:32:17.101 --> 00:32:22.446
Start discounting the ideas in the thing
that I'm reading, So I, maybe I'm, I'm

00:32:22.451 --> 00:32:27.391
being a little too negative, but this
is like kind of how I go, you know, I

00:32:27.391 --> 00:32:37.741
will not as much heed in what is written
if I think I detect AI being the main

00:32:37.741 --> 00:32:39.091
author of the thing that I'm reading.

00:32:39.091 --> 00:32:39.661
I think it's

00:32:39.881 --> 00:32:41.681
Joe Marion: I bet a lot
of people feel that way.

00:32:41.681 --> 00:32:44.231
I think, I think that's like a,
I think that's a correct view.

00:32:44.381 --> 00:32:44.591
Yeah.

00:32:44.591 --> 00:32:48.041
Would wouldn't disagree that that's how
people perceive that kind of writing.

00:32:48.161 --> 00:32:48.581
Right.

00:32:51.161 --> 00:32:52.121
I mean, I think so.

00:32:52.121 --> 00:32:52.541
One.

00:32:53.661 --> 00:32:56.781
You know, there are lots of kinds
of writing that aren't, that

00:32:56.781 --> 00:32:59.571
aren't necessarily about getting
lots of good character or an

00:32:59.571 --> 00:33:00.951
interesting structure into it.

00:33:00.951 --> 00:33:01.251
Right?

00:33:01.581 --> 00:33:04.041
There are lots of ki, there's a lot of,
there's a lot of writing that's about

00:33:04.041 --> 00:33:08.241
just like sort of clearly presenting
what you're describing, laying

00:33:08.241 --> 00:33:09.801
out the facts, that kind of thing.

00:33:10.251 --> 00:33:16.371
Um, I think, you know, the idea of voice
is less important in that kind of writing.

00:33:17.151 --> 00:33:21.561
Um, but I don't, I don't think it's
like a standalone thing that, that you

00:33:21.561 --> 00:33:23.181
should let write something by itself.

00:33:23.181 --> 00:33:23.511
Right.

00:33:23.931 --> 00:33:25.431
Um, I.

00:33:26.166 --> 00:33:29.106
I think a really good use case of it
is like, you know, you always used

00:33:29.106 --> 00:33:32.586
to get that writing advice, like just
write down your ideas as fast as you

00:33:32.586 --> 00:33:35.916
can and get a first sloppy draft out
there and just like make that happen.

00:33:36.306 --> 00:33:40.716
And I think this is a much more pain-free
way to, to get that first draft of

00:33:40.716 --> 00:33:42.276
a paragraph or something like that.

00:33:42.726 --> 00:33:44.136
It's like definitely not the final one.

00:33:44.196 --> 00:33:46.476
But you know, getting words
on the page is a huge.

00:33:46.751 --> 00:33:49.931
A huge, uh, un blocker
in a lot of situations.

00:33:50.620 --> 00:33:55.181
Um, and then I like that once that's
been done, I can be very critical, right?

00:33:55.181 --> 00:33:58.781
It puts me in the mode of a
reviewer when I'm reading that text.

00:33:59.561 --> 00:34:01.961
you need to be right, 'cause
you need to be critical of it.

00:34:02.351 --> 00:34:05.171
But when you're seeing it,
then you can think, okay, don't

00:34:05.171 --> 00:34:06.251
have any buy-in in this text.

00:34:06.251 --> 00:34:07.841
There's no sentences I love in here.

00:34:07.841 --> 00:34:10.991
Like, let's, let's really dissect
this and pick it apart and make it

00:34:10.991 --> 00:34:12.521
into something that's worth doing.

00:34:13.271 --> 00:34:15.581
will say like a lot of it's like.

00:34:16.911 --> 00:34:24.321
It often like Um, it gets like the
subtleties way wrong when it writes

00:34:25.011 --> 00:34:29.721
and, and so that it's a kind of like
sloppiness or imprecision in, in the,

00:34:29.721 --> 00:34:30.981
in the way that it's communicating.

00:34:30.981 --> 00:34:34.131
And so that I pay a lot of attention
to, if you just kind of breed through

00:34:34.131 --> 00:34:36.771
it, it's like, oh yeah, all this, those
words sound kind of nice together.

00:34:36.771 --> 00:34:39.561
It like kinda, it gives you a warm
fuzzy, but then when you think

00:34:39.561 --> 00:34:41.991
real deep about it, like, oh,
maybe I don't like that at all.

00:34:42.381 --> 00:34:42.831
So.

00:34:43.206 --> 00:34:46.026
But I love, I love the ability
to do that first drafting.

00:34:46.836 --> 00:34:50.586
then I love the ability later on to
do tweaking little things like, Hey, I

00:34:50.586 --> 00:34:52.716
don't, I know this sentence is wrong.

00:34:52.716 --> 00:34:53.856
Here's what I don't like about it.

00:34:54.336 --> 00:34:55.776
Gimme five different options.

00:34:56.166 --> 00:34:58.866
And then you get a sentence
and then you tweak that again.

00:34:58.866 --> 00:35:02.526
And then like, I don't, I like that
iterative, you know, version of writing.

00:35:02.826 --> 00:35:05.751
I'm sure it comes real natural to someone
who's written a very, very large amount.

00:35:06.821 --> 00:35:07.111
Yeah.

00:35:07.786 --> 00:35:07.876
Nick Berry: I

00:35:08.020 --> 00:35:08.560
Scott: I think,

00:35:08.656 --> 00:35:10.456
Nick Berry: editing and
the, the fine tuning

00:35:10.585 --> 00:35:10.875
Scott: yeah.

00:35:11.086 --> 00:35:16.366
Nick Berry: the ability to, to ask it,
to edit your text and then review things

00:35:16.366 --> 00:35:19.816
as it tries to make changes where it's
not just now sending you back a huge

00:35:19.816 --> 00:35:23.596
paragraph with stuff change, like,
you know, it highlights where it made

00:35:23.596 --> 00:35:25.546
a change and what's new and things

00:35:25.626 --> 00:35:26.406
Joe Marion: What's different

00:35:26.446 --> 00:35:27.406
Nick Berry: walk through.

00:35:28.276 --> 00:35:30.496
see what it's actually
changing without having to

00:35:30.636 --> 00:35:33.631
Joe Marion: and it'll tell you why
sometimes too, which is nice, right?

00:35:33.741 --> 00:35:34.031
Yeah.

00:35:34.186 --> 00:35:36.616
Nick Berry: I think it definitely,
it, it's a good editor, uh,

00:35:36.616 --> 00:35:37.786
in a lot, a lot of cases.

00:35:39.565 --> 00:35:41.755
Scott: So I don't think we
have the huge disagreement

00:35:41.755 --> 00:35:42.865
that we thought we would have.

00:35:42.886 --> 00:35:43.216
Nick Berry: Okay.

00:35:44.035 --> 00:35:44.755
Scott: I agree.

00:35:44.905 --> 00:35:45.775
Agree entirely.

00:35:46.015 --> 00:35:46.315
Yeah.

00:35:46.675 --> 00:35:46.735
Um.

00:35:46.806 --> 00:35:46.956
Joe Marion: What?

00:35:46.956 --> 00:35:47.016
are

00:35:47.305 --> 00:35:47.365
Scott: Yeah.

00:35:47.701 --> 00:35:47.901
Joe Marion: for?

00:35:48.011 --> 00:35:48.301
Yeah.

00:35:48.650 --> 00:35:49.975
Scott: Yeah, that's right.

00:35:50.455 --> 00:35:50.755
Right.

00:35:50.755 --> 00:35:51.445
That, that's right.

00:35:51.445 --> 00:35:56.455
Now, but the interesting thing
in all of this is not to become,

00:35:57.025 --> 00:35:59.125
uh, you know, critical of ai.

00:35:59.125 --> 00:36:03.895
And, and somebody wrote me a, a thing
where they largely created, they took

00:36:03.895 --> 00:36:08.695
25 references and said, write me a
paper based on these 25 references.

00:36:09.145 --> 00:36:10.915
And I, I hated it.

00:36:11.325 --> 00:36:13.755
Uh, there, but the, the,
there's nothing new.

00:36:13.755 --> 00:36:14.895
It wasn't written very well.

00:36:14.895 --> 00:36:17.745
I didn't, you know, it, it was,
it was, but this is gonna get

00:36:17.745 --> 00:36:18.825
better and better and better.

00:36:19.155 --> 00:36:24.225
I, the, the idea that AI will never
do this, I mean, imagine how good

00:36:24.225 --> 00:36:26.235
it's gotten in the last few years.

00:36:26.235 --> 00:36:29.025
So this is a current
status of it, but I agree.

00:36:29.025 --> 00:36:32.835
It's, it, I, I don't like it,
but it's an, it's an amazing.

00:36:33.655 --> 00:36:34.825
Editor tool.

00:36:34.825 --> 00:36:39.025
It's amazing thing that if you are
actively working with it and you're

00:36:39.025 --> 00:36:42.085
writing it, getting suggestions,
this is an incredible tool.

00:36:42.816 --> 00:36:46.176
Nick Berry: Yeah, a couple years
ago, which I, I mean a couple years

00:36:46.176 --> 00:36:51.486
ago, like the very onset of chat GPT,
when it became public, someone sent

00:36:51.486 --> 00:36:53.586
a, uh, email to Don Don Berry, our.

00:36:54.811 --> 00:37:00.061
Founder, um, been on the podcast a bunch
of times saying, if you give me $5,000,

00:37:00.721 --> 00:37:03.241
I'll write a book, a biography about you.

00:37:04.321 --> 00:37:08.371
And Don asked for a snippet,
said, okay, send me a snippet,

00:37:08.401 --> 00:37:09.181
or blah, blah, blah, blah.

00:37:09.391 --> 00:37:13.051
And it wrote Don's biography and
they sent it to him in a lot of

00:37:13.051 --> 00:37:17.041
things and he read it apparently and
said it got a lot of things right.

00:37:17.041 --> 00:37:20.101
So he replied and said, if you
can make it do this, this, this,

00:37:20.101 --> 00:37:21.391
this and this, I'll pay you.

00:37:21.841 --> 00:37:27.001
And I think they became impossible for
AI to do, um, especially at that time.

00:37:27.001 --> 00:37:29.461
But, so we never paid $5,000, but you know

00:37:30.385 --> 00:37:30.745
Scott: Yeah.

00:37:30.895 --> 00:37:31.135
Yeah.

00:37:31.135 --> 00:37:31.145
Yeah.

00:37:31.231 --> 00:37:31.591
Nick Berry: yeah.

00:37:31.891 --> 00:37:32.221
So.

00:37:32.440 --> 00:37:33.370
Scott: It's interesting.

00:37:33.370 --> 00:37:39.970
For example, could I dump my 60 episodes
of, in the interim into AI and say,

00:37:39.970 --> 00:37:42.730
write me a book on in the interim, or,

00:37:42.751 --> 00:37:43.591
Nick Berry: at that point, but yeah.

00:37:43.930 --> 00:37:47.920
Scott: yeah, Or, or, you
know, what would Scott say?

00:37:48.591 --> 00:37:49.326
Joe Marion: out there for sure.

00:37:49.330 --> 00:37:51.940
Scott: What would Scott
say to the following?

00:37:51.970 --> 00:37:53.530
Does it know who I am now?

00:37:53.530 --> 00:37:56.890
Obviously it, it's gonna do really
well at knowing, you know, what would

00:37:56.890 --> 00:37:58.570
Trump say, what would Obama say?

00:37:58.570 --> 00:37:59.320
What would others say?

00:37:59.350 --> 00:38:01.510
'cause there's such a
wealth of stuff out there.

00:38:01.840 --> 00:38:02.950
Uh, but that's interesting.

00:38:03.010 --> 00:38:07.210
But let's, let's move to something
that, that concerns me as a company.

00:38:07.210 --> 00:38:07.480
So.

00:38:07.920 --> 00:38:10.710
Where when we're working with
a client, we really need to

00:38:10.710 --> 00:38:12.120
worry about confidentiality.

00:38:12.120 --> 00:38:14.370
So what does that have to do with ai?

00:38:14.880 --> 00:38:22.170
Uh, if we use ai, we need to make sure
that the confidential information that

00:38:22.170 --> 00:38:27.960
it's using to write something doesn't
then go outside and become part of,

00:38:27.960 --> 00:38:30.995
its its wide world that it's using.

00:38:31.860 --> 00:38:35.550
To write other stuff where all of a
sudden it's using that for somebody else.

00:38:35.880 --> 00:38:38.190
So security's a huge deal.

00:38:38.460 --> 00:38:42.120
Um, what, what, what do
we know about security?

00:38:45.481 --> 00:38:46.141
Nick Berry: Do you want this,

00:38:46.410 --> 00:38:46.800
Scott: come on.

00:38:47.191 --> 00:38:47.371
Nick Berry: So

00:38:47.610 --> 00:38:48.030
Scott: Okay.

00:38:48.241 --> 00:38:48.301
Nick Berry: the

00:38:48.531 --> 00:38:49.161
Joe Marion: I'll, start.

00:38:49.161 --> 00:38:49.821
Yeah.

00:38:49.860 --> 00:38:51.030
Scott: You've looked into this.

00:38:51.256 --> 00:38:51.546
Nick Berry: Yeah.

00:38:53.331 --> 00:38:55.191
Joe Marion: So I mean, we
know some things, right?

00:38:55.191 --> 00:38:59.121
So there are things that are, that
are, that they say that, you know,

00:38:59.121 --> 00:39:02.991
for example, our data is encrypted
in transit and it rest, that means

00:39:02.991 --> 00:39:06.111
that there's not really a point in
the process when it's human readable.

00:39:06.321 --> 00:39:08.511
So you have to be able to
decrypt it to read the data.

00:39:09.321 --> 00:39:11.061
Um, they talk about,

00:39:13.776 --> 00:39:16.866
Uh, they, they say, you know, the,
uh, business versions of the paid

00:39:16.866 --> 00:39:20.136
versions of these softwares say
that they won't train on your data.

00:39:20.586 --> 00:39:26.286
We learned yesterday that that is, has
at least some known caveats around it.

00:39:27.666 --> 00:39:30.666
uh, in particular, if you give them
feedback, did you like or not like

00:39:30.666 --> 00:39:33.696
a response, well then that actually
gives them permission to look at that.

00:39:33.696 --> 00:39:36.456
So, you know, that's kind
of concerning, you know.

00:39:37.296 --> 00:39:41.526
It's a little bit harder to parse the
implications of that statement, right?

00:39:41.526 --> 00:39:44.316
Like it's, it doesn't,
won't train on your data.

00:39:44.316 --> 00:39:47.376
I mean, what, what does that mean exactly?

00:39:47.376 --> 00:39:49.026
And how would a lawyer understand that?

00:39:49.026 --> 00:39:49.866
It, it's harder.

00:39:49.866 --> 00:39:50.586
I don't know.

00:39:51.326 --> 00:39:56.586
I, think in some sense I do think
about this in some ways at least.

00:39:56.646 --> 00:40:00.996
Um, and there are absolutely exceptions
to, there are absolutely reasons why,

00:40:00.996 --> 00:40:04.686
this is not a good analogy, um, which we
can go into, but I think in some ways.

00:40:05.301 --> 00:40:09.981
It's a little bit analogous to
email, right, in that you have your

00:40:09.981 --> 00:40:14.871
confidential information, uh, it's
stored in someone else's, uh, it's

00:40:14.871 --> 00:40:16.521
stored in someone else's servers.

00:40:16.521 --> 00:40:17.841
It's not local.

00:40:18.261 --> 00:40:20.421
It is potentially, it's encrypted.

00:40:20.481 --> 00:40:23.721
Um, but you know, you're kind of
relying on their guarantees that

00:40:23.721 --> 00:40:26.931
they're treating that data in a
way that's fair and reasonable.

00:40:27.051 --> 00:40:27.381
I don't know.

00:40:27.381 --> 00:40:28.491
Nick, what do you, what do you think?

00:40:28.776 --> 00:40:31.666
Nick Berry: Yeah, I mean, I think I use
that as a mental model in the same way.

00:40:31.666 --> 00:40:37.726
And, uh, there are things that
we don't email right at Barry.

00:40:37.876 --> 00:40:42.646
Certainly, you know, uh, level
data doesn't go through email.

00:40:42.646 --> 00:40:47.056
Interim analysis reports for trials
that are still unblinded, that

00:40:47.056 --> 00:40:48.296
are still blinded to the public.

00:40:49.051 --> 00:40:51.631
Don't go through email and
we have different like SFTP

00:40:51.631 --> 00:40:53.101
protocols that we use for those.

00:40:54.961 --> 00:41:00.661
there's, I mean, we are
not AI policy lawyers.

00:41:01.051 --> 00:41:04.651
There are AI policy lawyers looking
into these things, but that's not us.

00:41:04.741 --> 00:41:10.051
Um, I think in because of that, we.

00:41:10.921 --> 00:41:14.251
Have taken a sort of conservative
approach at a lot of things.

00:41:14.251 --> 00:41:17.851
And even though we have this like
business plan that says we're not

00:41:17.851 --> 00:41:20.911
gonna train on your data, like, that
doesn't give us free reign to upload

00:41:20.911 --> 00:41:22.381
everything and to put everything in there.

00:41:22.381 --> 00:41:27.181
So we, we are tasked with, and we don't
have an SOP yet, uh, we don't have this

00:41:27.601 --> 00:41:33.601
like put together, but Joe and I and the
committee that we're on are tasked with

00:41:33.601 --> 00:41:39.541
trying to come up with, uh, strategies for
this and, um, you know, they're obvious.

00:41:40.531 --> 00:41:42.061
Red line, don't do this.

00:41:42.061 --> 00:41:44.881
And there are gray areas, and
we don't have all the answers

00:41:45.091 --> 00:41:47.461
to this, but, uh, conservatism

00:41:47.481 --> 00:41:47.721
Joe Marion: Yeah.

00:41:47.931 --> 00:41:50.691
and I think people generally
don't have the answers.

00:41:50.691 --> 00:41:51.081
Right.

00:41:51.141 --> 00:41:53.451
And, but yeah, I agree with you.

00:41:53.451 --> 00:41:56.361
We're we're trying to take a
conservative, kind of measured approach.

00:41:56.461 --> 00:41:56.671
Nick Berry: so

00:41:56.811 --> 00:41:56.871
Joe Marion: Yeah,

00:41:57.241 --> 00:41:58.171
Nick Berry: data blind.

00:41:59.281 --> 00:42:04.231
Uh, documents that you upload, um, you
know, you can give the structure of a

00:42:04.231 --> 00:42:09.631
data frame without needing to give the
data set to, to AI and things like that.

00:42:10.021 --> 00:42:15.001
And it's, it's hard because each,
we're not all, like Barry is not

00:42:15.001 --> 00:42:16.951
a homogenous group of AI users.

00:42:16.951 --> 00:42:20.046
Every person feels differently, thinks
differently, uses it differently,

00:42:20.281 --> 00:42:25.831
and at the end of the day, we
don't get to, to watch people.

00:42:26.746 --> 00:42:27.946
Interact with ai.

00:42:27.946 --> 00:42:31.756
And so we kind of have to have some
trust in the people at Barry, and we

00:42:31.756 --> 00:42:35.086
tried to do this at our meeting, which
is sad, is we have to instill some

00:42:35.086 --> 00:42:39.376
sort of working knowledge about AI in
the entire company because everyone's

00:42:39.376 --> 00:42:44.596
gonna be using it and we want everyone
that's using it to be at least informed

00:42:44.596 --> 00:42:48.376
in some, in some regards about how they
should and shouldn't interact with it.

00:42:48.376 --> 00:42:48.556
And so.

00:42:49.336 --> 00:42:54.946
Um, it's, it's hard, but we laid
down some like obvious do not dos,

00:42:54.946 --> 00:42:58.246
and I feel like that helps a lot,
uh, to, to, to clean up some of

00:42:58.270 --> 00:42:58.450
Scott: Yep.

00:42:58.696 --> 00:42:58.936
Nick Berry: But

00:42:59.680 --> 00:42:59.920
Scott: Yep.

00:42:59.975 --> 00:43:00.265
Okay.

00:43:00.376 --> 00:43:00.706
Nick Berry: areas.

00:43:01.825 --> 00:43:02.425
Scott: Oh, okay.

00:43:02.755 --> 00:43:10.225
Now another one that bothers me and is
AI that's generating a statistical model.

00:43:12.040 --> 00:43:16.450
And interestingly, if you ask AI to
create you a piece of code, you have

00:43:16.450 --> 00:43:18.520
the code and that that's the product.

00:43:18.520 --> 00:43:20.140
And you can, you can do that.

00:43:20.830 --> 00:43:24.850
Uh, unlearn, for example, talks about
generating digital twins, and it's,

00:43:25.150 --> 00:43:26.650
they don't tell you what it does.

00:43:26.650 --> 00:43:27.015
It's ai.

00:43:27.995 --> 00:43:29.615
It's a black box.

00:43:29.735 --> 00:43:32.075
And by the way, it's also a hype thing.

00:43:32.525 --> 00:43:35.555
It can't be wrong because
it's AI sort of thing.

00:43:35.555 --> 00:43:41.915
So I bristle at this a little bit
because behind this, if AI helped

00:43:41.915 --> 00:43:45.875
you create a model, there's a model
and we could talk about the model

00:43:45.875 --> 00:43:47.405
and the data that goes into it.

00:43:47.405 --> 00:43:50.945
So I really worry this
becomes both a hype thing.

00:43:51.535 --> 00:43:55.645
A black box thing and takes
away from the value of us as

00:43:55.645 --> 00:43:57.595
statisticians, as model builders.

00:43:57.955 --> 00:44:03.295
So I don't think at Barry we've
ever used AI to create a model.

00:44:04.721 --> 00:44:07.831
Nick Berry: To fit a model to
get results from a model, like,

00:44:07.945 --> 00:44:11.695
Scott: Yeah, I'm, I'm not even sure what
that means nowadays, but it is certainly.

00:44:11.821 --> 00:44:14.611
Nick Berry: density of the the
treatment effect parameter.

00:44:15.175 --> 00:44:19.045
Scott: Or predict what this patient
is gonna be like in six months.

00:44:19.075 --> 00:44:22.075
Don't tell me how you did it, but,
you know, predict it kind of thing.

00:44:22.686 --> 00:44:25.506
Joe Marion: because I've definitely
done, here's the model I want right.

00:44:25.506 --> 00:44:26.256
In Stan.

00:44:26.256 --> 00:44:27.396
I mean that, that's no issue,

00:44:27.505 --> 00:44:28.020
Scott: yeah, yeah.

00:44:28.116 --> 00:44:29.076
Joe Marion: not what you're talking about.

00:44:29.076 --> 00:44:29.376
Right?

00:44:29.436 --> 00:44:29.676
Yeah.

00:44:29.815 --> 00:44:30.355
Scott: no, no.

00:44:30.565 --> 00:44:30.925
Uh,

00:44:31.066 --> 00:44:31.186
Nick Berry: would

00:44:31.345 --> 00:44:32.005
Scott: not that so,

00:44:32.146 --> 00:44:34.756
Nick Berry: model, fit your stand
model, make you a density plot,

00:44:34.756 --> 00:44:36.046
and do all that for you now,

00:44:37.135 --> 00:44:38.965
Scott: so I, I really worry about that.

00:44:39.066 --> 00:44:39.396
Joe Marion: to

00:44:39.595 --> 00:44:40.165
Scott: Yeah.

00:44:41.181 --> 00:44:41.941
Joe Marion: separate experiment.

00:44:41.971 --> 00:44:42.261
Yeah.

00:44:42.505 --> 00:44:46.555
Scott: Though, if I ever want, if I wanted
to sell Berry, I think if I changed its

00:44:46.555 --> 00:44:52.225
name to Berry ai, much like what is this
shoe company, Allbirds or something?

00:44:52.225 --> 00:44:52.945
Who did this?

00:44:52.956 --> 00:44:54.096
Joe Marion: uh, birds.

00:44:54.355 --> 00:44:54.685
Scott: Yep.

00:44:55.570 --> 00:44:55.990
Yeah.

00:44:56.376 --> 00:44:56.886
Joe Marion: AI is,

00:44:57.040 --> 00:45:00.520
Scott: somehow this hype all of a
sudden Barry's worth five times what

00:45:00.520 --> 00:45:02.260
it is, you know, sort of as a thing.

00:45:02.530 --> 00:45:04.270
So I, I, I bristle at that.

00:45:04.420 --> 00:45:08.920
We talked a little bit about,
about, about generative ai and

00:45:08.920 --> 00:45:10.360
we haven't jumped into that.

00:45:10.360 --> 00:45:16.570
I think a real, let, let's sort of
finish this a little bit with the

00:45:16.570 --> 00:45:19.450
question of will AI take our jobs?

00:45:21.250 --> 00:45:21.940
Within the Senate?

00:45:22.030 --> 00:45:23.320
It's a, it's a fair question.

00:45:23.320 --> 00:45:26.110
I think certain people in the
statistical community, it's a,

00:45:26.110 --> 00:45:27.940
it's, it's, it's a, it's a worry.

00:45:28.480 --> 00:45:29.710
And it's, it's interesting.

00:45:29.710 --> 00:45:35.410
I, it, the, the people whose jobs are
threatened is more than the people

00:45:35.410 --> 00:45:37.600
who think their jobs are threatened.

00:45:37.990 --> 00:45:39.460
Oh, AI can't do what I do.

00:45:39.820 --> 00:45:42.430
Uh, you know, eventually AI
is gonna do what we all do.

00:45:42.430 --> 00:45:47.020
But you know, how long is it, do
you feel like AI threatens our jobs?

00:45:51.171 --> 00:45:53.631
Joe Marion: I mean, I, I hope
it threatens part of my job.

00:45:53.631 --> 00:45:58.161
I, I hope that pretty soon
we're using AI just like fully

00:45:58.161 --> 00:45:59.271
for validation of code, right?

00:46:00.531 --> 00:46:03.981
I think we would do a lot more validating,
which I think would be valuable for us.

00:46:03.981 --> 00:46:06.381
And I would personally be
doing less code validation.

00:46:06.381 --> 00:46:09.741
And if it took that part of my
job, I wouldn't shed any tears.

00:46:10.131 --> 00:46:10.581
Right.

00:46:11.451 --> 00:46:14.361
Um, is it gonna take my job overall?

00:46:16.191 --> 00:46:16.701
I don't know.

00:46:16.761 --> 00:46:18.831
I think it's quite hard to
say where things are going.

00:46:19.251 --> 00:46:20.931
The robots are building
themselves right now.

00:46:20.931 --> 00:46:21.261
Right.

00:46:21.261 --> 00:46:25.131
And hard to know like what
the end state of that is.

00:46:25.401 --> 00:46:26.421
Um, yeah.

00:46:27.291 --> 00:46:28.101
Nick, what do you think?

00:46:28.101 --> 00:46:28.161
Um.

00:46:29.446 --> 00:46:32.056
Nick Berry: Yeah, I mean, I do
more software development than,

00:46:32.056 --> 00:46:34.996
than both of you, so that puts
my job immediately at more risk.

00:46:34.996 --> 00:46:36.316
I think, um,

00:46:36.501 --> 00:46:36.791
Joe Marion: Yeah,

00:46:38.416 --> 00:46:38.686
Nick Berry: you,

00:46:40.726 --> 00:46:43.846
Anthropic, just you, you're
talking about the hype of ai.

00:46:43.846 --> 00:46:46.976
Anthropic just released
that their new model mythos

00:46:47.196 --> 00:46:48.976
can't be released to the public

00:46:49.466 --> 00:46:54.256
because it's too dangerous because
it found zero day security issues

00:46:54.286 --> 00:46:56.386
in every major operating system.

00:46:56.626 --> 00:46:59.206
I, it's probably hype, like right?

00:46:59.206 --> 00:47:02.446
If you want to advertise your new
model called Mythos, you say it's

00:47:02.446 --> 00:47:04.576
too dangerous to be released and

00:47:04.836 --> 00:47:06.306
Joe Marion: Oh, absolutely.

00:47:06.786 --> 00:47:07.921
Just like fax Cloud.

00:47:08.861 --> 00:47:09.641
Too dangerous.

00:47:11.296 --> 00:47:14.866
Nick Berry: gotta think of a better
name with Greek origins than Fax Cloud.

00:47:15.256 --> 00:47:21.286
We, we did talk about, uh, I can't
remember something, some cloud

00:47:21.286 --> 00:47:25.216
name, uh, Cirrus or something like
that as our fax cloud or something.

00:47:25.216 --> 00:47:25.846
That probably works,

00:47:25.881 --> 00:47:28.131
Joe Marion: What's the word
for storm cloud in Greek?

00:47:28.131 --> 00:47:28.926
That's what we want.

00:47:30.306 --> 00:47:30.526
Uh.

00:47:30.755 --> 00:47:31.045
Scott: Yeah,

00:47:31.546 --> 00:47:31.846
Nick Berry: yeah.

00:47:32.235 --> 00:47:34.015
Scott: it's, yeah.

00:47:35.026 --> 00:47:36.796
Nick Berry: So my job might, at least my.

00:47:38.056 --> 00:47:39.046
Pure programming.

00:47:39.046 --> 00:47:42.316
Part of my job is probably more at
risk, but like I talked about earlier,

00:47:42.520 --> 00:47:42.760
Scott: Yeah.

00:47:43.216 --> 00:47:46.066
Nick Berry: the part of my job
that I'm retaining completely is

00:47:46.066 --> 00:47:48.976
the decision making part and the
planning part and the vision part.

00:47:48.976 --> 00:47:55.816
And it's hard for me to see
with the, you know, generation

00:47:55.816 --> 00:47:57.496
of models that being at risk.

00:47:57.736 --> 00:48:06.241
Uh, what happen eventually is that my
decision making turns into more of a.

00:48:07.336 --> 00:48:07.786
Clicking.

00:48:07.786 --> 00:48:08.626
Yeah, that's good.

00:48:08.626 --> 00:48:09.676
Yeah, that's good.

00:48:09.826 --> 00:48:14.536
And it's iteratively making a bunch of
stuff or you know, it makes 10 decisions

00:48:14.536 --> 00:48:18.046
and I choose the good ones and it
builds itself, or something like that.

00:48:18.526 --> 00:48:22.636
So, I mean, obviously we're doing, we're
stupidly conjecturing about something

00:48:22.636 --> 00:48:26.776
that we could can't possibly know
and aren't that informed about, but.

00:48:27.871 --> 00:48:28.321
I don't know.

00:48:28.321 --> 00:48:33.271
I feel like the decision making that
we have is safe and the, the planning

00:48:33.271 --> 00:48:37.141
and telling the story in the right
way, which is something we do so well,

00:48:37.141 --> 00:48:40.141
and so and so purposefully is safe.

00:48:40.231 --> 00:48:46.261
But you know, a lot of the, you know, the
technical things, eventually it's gonna

00:48:46.261 --> 00:48:48.791
be able to do the technical things that
I said it's not good at doing right now.

00:48:50.016 --> 00:48:52.416
Joe Marion: The, the parts of this
job that are about communication and

00:48:52.416 --> 00:48:55.236
especially relationship building,
I don't think those will go away.

00:48:55.295 --> 00:48:55.585
Scott: Okay.

00:48:55.896 --> 00:48:58.776
Joe Marion: Like, they're never
gonna send Claude to go talk to the

00:48:58.776 --> 00:49:00.276
FDA, they're gonna send Scott Berry.

00:49:00.276 --> 00:49:00.606
Right.

00:49:00.636 --> 00:49:04.176
Like, you know, that's, the AI is
just not gonna have the same weight.

00:49:04.296 --> 00:49:04.686
Right.

00:49:04.986 --> 00:49:06.936
Same credibility, like, yeah.

00:49:07.505 --> 00:49:12.115
Scott: The, the whole strategy part that
even people are using it to design trials.

00:49:12.115 --> 00:49:15.715
You could go into to one of
these and say, design me a trial.

00:49:16.390 --> 00:49:19.720
But your it, it's gonna
do what you tell it to do.

00:49:19.750 --> 00:49:21.700
Three arms, this and all that.

00:49:21.700 --> 00:49:24.760
Not asking the questions, is this
the right thing in your development?

00:49:24.760 --> 00:49:26.140
What are your uncertainties?

00:49:26.410 --> 00:49:29.470
Asking the right questions to
understand why are you doing the trial?

00:49:29.470 --> 00:49:35.080
This whole part before you get into,
give me the calculations of the

00:49:35.080 --> 00:49:38.050
following are the huge part to this.

00:49:38.050 --> 00:49:40.150
And, uh, AI can't do that yet.

00:49:40.240 --> 00:49:44.170
Maybe eventually it's, it's doing
those parts, but it's not there yet.

00:49:47.395 --> 00:49:48.265
Okay.

00:49:49.945 --> 00:49:57.295
The, um, uh, I, you know, I, I, I harken
that to, um, I was, I went in for.

00:49:58.045 --> 00:50:03.775
Dizziness a couple days ago, and I saw
a real clinician and she asked me a

00:50:03.775 --> 00:50:09.235
couple questions and she knew immediately
what it was, uh, positional, vertigo.

00:50:09.625 --> 00:50:13.345
And not only that, she said,
do this Epley maneuver.

00:50:13.975 --> 00:50:17.365
And it was a physical thing of
moving your head into position

00:50:17.365 --> 00:50:19.555
for three minutes and it was gone.

00:50:19.836 --> 00:50:20.126
Nick Berry: Okay.

00:50:20.275 --> 00:50:21.295
Scott: It was a cure.

00:50:21.865 --> 00:50:25.645
So, you know, maybe AI's gonna get
there and it could ask me the right

00:50:25.645 --> 00:50:27.385
questions and did the right thing, but.

00:50:27.531 --> 00:50:28.521
Joe Marion: That's crazy.

00:50:28.675 --> 00:50:32.065
Scott: Uh, I, I did, and, and
your mom spent more of the time

00:50:32.065 --> 00:50:33.475
asking what was wrong with me.

00:50:33.475 --> 00:50:37.135
I think she, she asks
Claude that quite a bit.

00:50:38.245 --> 00:50:40.195
What is wrong with my husband?

00:50:40.516 --> 00:50:41.116
Joe Marion: with my husband?

00:50:41.215 --> 00:50:41.995
Scott: Yes.

00:50:42.055 --> 00:50:42.475
Yes.

00:50:42.856 --> 00:50:43.356
Joe Marion: Oh man.

00:50:43.555 --> 00:50:44.155
Scott: All right.

00:50:44.155 --> 00:50:45.475
We will end it there.

00:50:45.685 --> 00:50:51.055
We appreciate you all joining us
for our 60th episode, and until next

00:50:51.055 --> 00:50:53.485
time, we'll be here in the interim.