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Dr Nikita Kanani (she/her)

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@NikkiKF

Global Medical Director @nekohealth | GP | Health Adviser | Coach | TEDx Speaker | Prof @UOSMedicine. Prev @nhsengland. Powerlifter. MBE. Tweets mine/ RTnotE.
London, England justgiving.com/fundraising/dr… Joined September 2009
9.2K Following 29K Followers 25K Posts

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Dr Nikita Kanani (she/her) Verified account @NikkiKF
For this reason, and for so many other reasons, I am running the @LondonMarathon 2020 for @DOTW_UK - please do RT and sure to raise awareness of this amazing cause, to donate any spare pennies please click here: justgiving.com/fundraising/dr… 🏃🏽‍♀️
www.justgiving.com Dr Nikki *WALKS* London to Newbury -BIB 27487- Help Nikki Kanani raise money to support Doctors of the World UK
Dr Nikita Kanani (she/her) Verified account @NikkiKF Apr 24, 2016
"Give me your tired, your poor,
Your huddled masses yearning to breathe free..."
#RefugeeCrisis #Calais #jungle
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Dr Nikita Kanani (she/her) Verified account @NikkiKF
This is the part many miss.

In healthcare, AI doesn’t replace clinicians, it reshapes where judgement, safety, and accountability sit.

The risk isn’t reckless automation. It’s failing to redesign clinical systems, governance, and training around tools that are already here…
Andrej Karpathy Verified account @karpathy Dec 26, 2025
I've never felt this much behind as a programmer. The profession is being dramatically refactored as the bits contributed by the programmer are increasingly sparse and between. I have a sense that I could be 10X more powerful if I just properly string together what has become available over the last ~year and a failure to claim the boost feels decidedly like skill issue. There's a new programmable layer of abstraction to master (in addition to the usual layers below) involving agents, subagents, their prompts, contexts, memory, modes, permissions, tools, plugins, skills, hooks, MCP, LSP, slash commands, workflows, IDE integrations, and a need to build an all-encompassing mental model for strengths and pitfalls of fundamentally stochastic, fallible, unintelligible and changing entities suddenly intermingled with what used to be good old fashioned engineering. Clearly some powerful alien tool was handed around except it comes with no manual and everyone has to figure out how to hold it and operate it, while the resulting magnitude 9 earthquake is rocking the profession. Roll up your sleeves to not fall behind.
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