Jay Joshi
As seen in:
Amazon Web Services,
Medium,
Nature,
Wiley Online Library,
Sensible Medicine,
The Indian Express,
Quartz,
BioRxiv,
Morning Consult,
EJNMMI Research
and
Is this you? As a journalist, you can create a free Muck Rack account to customize your profile, list your contact preferences, and upload a portfolio of your best work.
Claim your profile
Articles by Jay Joshi
Altered Selves and Self Models
Could changes in how we experience ourselves, in conditions such as Xenomelia, be due to changes in how our brains model our bodies and the environment? And could these altered selves give us clues to the nature of our sense of self? In this talk, Anil explores the idea that our sense of self is a construction, a process that is active moment-by-moment. A construction can come apart, as it does in conditions such as Alzheimer's disease, schizophrenia or even during out-of-body experiences.
Virtual Multiple‐Input Multiple‐Output-Based Optimized Cross‐Layer Design for Wireless Sensor Networks
Conflicts of Interest The authors declare no conflicts of interest. Data Availability Statement No new data were generated or analyzed in support of this research. References 1 and , “An Energy-Efficient Cross-Layer-Based Opportunistic Routing Protocol and Partially Informed Sparse Autoencoder for Data Transfer in Wireless Sensor Network,” Journal of Engineering Research 12 (2023): 122–132.
A New Era of AI: How RANA and RamU2+ are Creating Living, Adaptive Neural Networks In the world of…
A New Era of AI: How RANA and RamU2+ are Creating Living, Adaptive Neural Networks In the world of AI, we often think of neural networks as static, rigid structures. Once they are trained, they’re frozen in time, performing a single task based on the data they were shown. But what if a neural network could learn to adapt and change its own structure in real-time, just like a living organism?
Optimizing Queries with Amazon Managed Prometheus | Amazon Web Services
In today’s cloud-native environments, organizations rely on metrics monitoring to maintain application reliability and performance. Amazon Managed Service for Prometheus serves as a tool for storing and analyzing application and infrastructure metrics. As applications and platforms evolve, teams often discover opportunities to optimize their metrics querying patterns.
How Indegene Optimizes User Experience with Amazon CloudWatch | Amazon Web Services
AWS Cloud Operations Blog In today’s digital healthcare landscape, optimal application performance and user experience are crucial for business success. Indegene, a digital-first life sciences commercialization company, serves the world’s top 20 pharma companies through their NEXT platform – a sophisticated suite of B2C applications for commercial content authoring.
How Amazon maintains accurate totals at scale with Amazon DynamoDB | Amazon Web Services
Amazon’s Finance Technologies Tax team (FinTech Tax) manages mission-critical services for tax computation, deduction, remittance, and reporting across global jurisdictions. The Application processes billions of transactions annually across multiple international marketplaces. In this post, we show how the team implemented tiered tax withholding using Amazon DynamoDB transactions and conditional writes.
Not all heroes wear capes: Sometimes they just speak up in meetings
In medicine, heroism is often framed in dramatic, high-stakes terms: the code blue that saves a life, the pediatric cancer patient who returns to their family disease-free, or the impossible aneurysm that is successfully clipped by the neurosurgeon. But not all heroics come with a life-altering intervention.
Identifying resources driving Amazon CloudWatch GetMetricData charges using AWS CloudTrail | Amazon Web Services
AWS Cloud Operations Blog Organizations frequently use third-party monitoring tools to retrieve CloudWatch metric data for their dashboards and alerting systems. This practice often leads to significant GetMetricData API usage and results in high CloudWatch costs. A common challenge for cost optimization teams is identifying which specific resources or applications are driving these increased expenses, especially when they’re not directly involved with the operational workflows.
Why patients and doctors are ditching insurance for personalized care
As the traditional health insurance framework becomes increasingly inaccessible, physicians and clinical leaders are being called to rethink both how care is delivered and how it is paid for. Insurance companies are covering fewer services, raising deductibles, and narrowing networks. Patients are now forced to make health decisions based not just on need—but on affordability, timing, and bureaucratic feasibility.
🧠I Asked an AI to Teach Me About AI — Here’s What Happened
Imagine this: You’re sipping coffee, scrolling through the internet, and boom — you stumble upon “Explore Generative AI with the Gemini API.” Sounds fancy, right? Almost like a secret space mission. But no, this wasn’t about launching rockets — it was about launching ideas. So naturally, I signed up. Generative AI isn’t just a buzzword that tech bros throw around.
✨ Bring Your Thoughts to Life - The Magic of AI with Gemini and Streamlit
Have you ever imagined creating your own AI assistant — like Jarvis from Iron Man, or your own smart poet, advisor, or buddy who replies in seconds? Now, here’s the surprise: You don’t need to be an engineer. You don’t need to be a coder. You just need curiosity, imagination, and a pinch of magic ✨ (we’ll call it Gemini and Streamlit). Let’s go on a little journey together… 🚶♀️🚶♂️ 🌌 Chapter 1: The Dream Imagine you’re sitting by your window on a rainy day.
When Imagination Talks and AI Listens: Meet Gemini & Imagen
· Let’s be real for a second — we’ve all daydreamed about having an assistant who just gets us. One who not only listens but actually understands what we’re saying… and maybe even paints a picture of it. · Well, guess what? That daydream just became reality. · Welcome to the world where Gemini and Imagen, two of Google’s most powerful AI tools, come together to make imagination interactive.
On heat and power stress, act, but not in haste
Written by Srihari Dukkipati and Jay Joshi It is that time of the year. Summer is upon us, and several states are putting out heat advisories. In a tropical country like India, how we manage heat is an important determinant of health and well-being. It is getting tougher by the year.
Distinct checkpoint and homolog biorientation pathways regulate meiosis I in Drosophila oocytes
Abstract Mitosis and meiosis have two mechanisms for regulating the accuracy of chromosome segregation: error correction and the spindle assembly checkpoint (SAC). We have investigated the function of several checkpoint proteins in meiosis I of Drosophila oocytes. Evidence of a SAC response by several of these proteins is found upon depolymerization of microtubules by colchicine. However, unattached kinetochores or errors in biorientation of homologous chromosomes does not induce a SAC response.
A consulting firm under fire: Examining a new criminal probe in opioid crisis
Roughly a month ago, a prestigious consulting firm found itself, once again, in hot water for its involvement in allegedly contributing to the opioid crisis. We saw many of the same headlines competing for the top spot in our inbox. “Justice Department is investing in an elite consulting firm.” “Top management firm under criminal investigation.” Beneath that, we saw a second layer of headlines, with a more scandalous tinge of corporate gossip.
A Friendly Introduction to Machine Learning for Beginners
Introduction Hey everyone, welcome to my first post on Medium! I want to take you on a journey through one of the most trending fields today: machine learning (ML). By the end of this post, you'll have a basic understanding of what ML is, why it is so useful nowadays, and the various algorithms used in ML. Okay, let's check it out! As an ML enthusiast, I started my journey in machine learning during the second year of my Bachelor's degree in Computer Science.
Rise of mega payouts: Physicians are now the white whales
In recent years, malpractice attorneys have intensified their efforts to target physicians, becoming more aggressive in their pursuit of legal action. This relentless pursuit can be likened to Captain Ahab’s relentless quest for the white whale in the famous novel Moby Dick. The landscape has become increasingly challenging for physicians, as recent tort reform legislation in numerous states is rolling back the protections they once enjoyed.
mTORC1 activity oscillates throughout the cell cycle promoting mitotic entry and differentially influencing autophagy induction
Abstract Mechanistic Target of Rapamycin Complex 1 (mTORC1) is a master metabolic regulator that stimulates anabolic cell growth while suppressing catabolic processes such as autophagy. mTORC1 is active in most, if not all, proliferating eukaryotic cells. However, it remains unclear whether and how mTORC1 activity changes from one cell cycle phase to another. Here we tracked mTORC1 activity through the complete cell cycle and uncover oscillations in its activity.
Shielding physicians: the untold story of legal preparedness
Federal and state regulators have intensified the scrutiny of physicians in recent years in response to mounting overdose rates and the corresponding rise in mortality. Many in health care see this as a good thing. They would be wrong. Look no further than the many physicians who were acquitted or exonerated after being charged with prescription-related crimes. Their plight tells the untold story of the collateral damage inflicted on medicine as a whole.
PSMA imaging as a non-invasive tool to monitor inducible gene expression in vivo - EJNMMI Research
TRAMP-C2 cells acquired from American Type Culture Collection (ATCC) and cultured according to ATCC specifications. The TRAMP-C2 cells were transduced with a customized lentiviral vector carrying tetracycline (syn. doxycycline-; “DOX”) inducible PSMA expression system. Creating a DOX-inducible expression system was performed as follows: First, PSMA was sub-cloned out of an expression plasmid EX-G0050-Lv205 (GeneCopoeia, Inc.) with EcoRI and BamH1 and ligated into the target pLVX-TRE3G vector.
Healthcare is Health Justice
We humans have a tendency not to want to think about the worst. So, I get it that as a society, we have collectively plugged our ears and sang at the top of our lungs to block out the suffering of fellow Americans and the potential for ourselves and our loved ones to experience this suffering when we fall ill. However, as anyone who has been in the American healthcare system with chronic illness or chronic pain in the past fifteen years will tell you, our healthcare system is deeply broken.
A Call to Action for Pain Patients and Advocates
The Pain Community Must Engage! I Have Goosebumps! Engagement We have until Dec 4th to submit professional (avoiding emotions and expletives) comments on the DEA’s proposed 2024 controlled substances production quota cuts. In my opinion, we need 100K or more on-point comments to be impactful. With 20 to 40 million pain patients, not counting friends and family members, achieving 100K should be easily achievable.
A Two Headed Monster - State Attorneys General and the Drug Enforcement Agency
A two headed monster is attacking the supply of FDA approved pain medications. One of the heads is Medusa-like, consisting of 41 state Attorneys General. The other head is our old nemesis, the DEA. Several months ago, thanks to my associate Patricia A Irving RN, I became interested in the significant negative impact of last year’s 41 state AGs’ “Nation-wide Settlement” with the three major distributors (wholesalers) of controlled substances, McKesson, AmerisourceBergen, and Cardinal Health.
How legal liabilities and skewed decision-making plague clinical encounters
The opioid crisis continues to ravage communities, and everyone, including politicians and federal agents, has a plan. However, no one has an actual solution. It’s time to examine the crisis from a more detailed perspective: the clinical perceptions that form during a clinical encounter between a physician and a patient. It is here that we see the true effects of opioid policy and understand why they are so ineffective.
the shocking reality of the opioid epidemic and who's really to blame
An excerpt from Burden of Pain: A Physician’s Journey through the Opioid Epidemic. Glide your hand over a piece of velvet and you notice the smoothness. You feel its aggregated smoothness, not the individualized roughness of each fiber. Each fleeting fiber, a prick of truth, is nullified, synthesized, and then magnified into the silky fluency of general perception—propaganda containing within it a concoction of ambiguities and assumptions, cooked with a splash of outright lies and a dash of truth.
Medicine as a Right
Before we even get to determining "what healthcare people have a right to" we should first consider whether or not it should be thought of as a right at all. In fact, there are reasons it is not already considered and provided as a right! I cannot speak to other countries, but in the U.S. we enjoy 10 basic rights and none of them involve a right to healthcare (however you define it).
Medicine as a Right
I’ve always been partial to the idea that healthcare should be considered a human right. I think we all realize, but as a doctor it is particularly clear to me, that without health nothing matters. It doesn’t much matter if I have a right to assemble if I can’t get out of bed without debilitating pain. My idealism has always gotten a little bogged down, however, when I think about what exactly is the healthcare people have a right to? This piece by Dr. Jay Joshi adds ever further complexity.
Burden of Pain: A Physician's Journey through the Opioid Epidemic|Paperback
A tragedy unique to modern American culture, the opioid epidemic incited a flurry of news coverage, health policy banter, and-ultimately-arrests. Instead of addressing the root of addiction, law enforcement and public policy officials scrambled to place blame. Physicians were painted as drug dealers. Patients were treated like perpetrators. Dr. Jay K. Joshi's own experiences left him with a single, burning question. In the chaos of the opioid epidemic, is anyone protecting the patients?
Open Letter to DEA Administrator Milgram
Dear Administrator Anne Milgram, I hope this letter finds you well. I request you to oversee the investigation into the misconduct of DEA agents in my case. I initially filed a complaint with the Office of Inspector General which has been transferred to the Drug Enforcement Agency Office of Professional Responsibility. The DEA has shown a lack of willingness and an inability to uphold it standards of conduct.
Tell Your Story
Shame affects us in many ways. While always unpleasant, we react to it differently. Most of us run from it. As a matter of fact, we all have at one time or another. A few turn course and run to it. Those are the ones who overcome shame. Shame is an emotion, which means it’s in our minds. We conjure it up and react to what we create. It’s all in our heads. Easier said than done, I know. But if we look at shame this way, it’s easier to overcome, easier to run toward.
Burden of Ache – The Well being Care Weblog - My Blog
BY JAY JOSHI We’re seeing a development of past due, the place issues in healthcare as soon as deemed to be civil in nature are turning legal. We see it for just about each and every polarizing well being factor, from abortion to opioids. And it’s affecting inclined sufferers probably the most. We’ve two separate techniques in position, civil and legal, as a result of we have now other requirements of conduct.
Burden of Pain
Health Policy • BY JAY JOSHI We’re seeing a trend of late, where matters in healthcare once deemed to be civil in nature are turning criminal. We see it for nearly every polarizing health issue, from abortion to opioids. And it’s affecting vulnerable patients the most. We have two separate systems in place, civil and criminal, because we have different standards of behavior. Civil laws determine whether undue harm was caused by one party to another.
Disparities in health care: How physician heuristics can negatively impact patient outcomes
Every physician, regardless of their specialty, vividly remembers their experiences during grand rounds as a medical student or resident. A preceptor, senior resident, or attending physician would lead a pack of eager students and residents from room to room on the clinical ward. Suddenly, the pack would stop, and the questioning would begin.
Welcome to Darkness, Dr. Lamartiniere
Hi Dr. Lamartiniere, Welcome to darkness. For the foreseeable future, you two will be friends. Accept it, but don’t embrace it. Admittedly, it’s a difficult balance to find. When I was in darkness, it took me quite some time to grasp. I hope my words help you find in days what it took me months to find. Those around you, they won’t understand you. So don’t even try to explain your ordeal. You’ll come across as some mix of delusional and pretentious, and that’s a blend you want no part of.
Prevention is key to a healthy future..but that's not all.
The Covid pandemic of the past few years has taught us the importance of prevention more than anything else. If you want to stay healthy, make sure you get vaccinated. You may still get infected, but your chances of falling really ill are significantly lower if you pre-train your body to fight the virus. The vaccination drive was a study in mass mobilization in itself. It felt like a war zone when we had to struggle to find an appointment to get vaccinated.
To be a Physician Influencer
A system is defined by its interactions. In the social media ecosystem, those interactions are defined by a series of follows, friend requests, and likes. It’s pretty simple. If you come across something you like or that triggers an emotion, you respond with a click of a digital icon. Through that little gesture, a token form of engagement, people amass huge social media audiences. We call those people influencers.
Epstein-Barr Virus Tied to Multiple Sclerosis
Maybe you’ve never heard of the Epstein-Barr virus. But it knows all about you. Chances are, it’s living inside you right now. About 95% of American adults are infected sometime in their lives. And once infected, the virus stays with you. Most viruses, such as influenza, just come and go. A healthy immune system attacks them, kills them, and prevents them from sickening you again.
Hearing Aids Now Available Over-the-Counter
Starting Monday, October 17th, consumers will be able to buy hearing aids directly off store shelves and at dramatically lower prices as a 2017 federal law finally takes effect. Where for decades it cost thousands of dollars to get a device that could be purchased only with a prescription from an audiologist or other hearing professional, now a new category of over-the-counter aids are selling for hundreds of dollars. Walmart says it will sell a hearing aid for as little as $199.
Will your provider discuss clinical studies with you?
Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases, including ones reviewed by the Supreme Court of the United States.
Freaks-shapeshifters of the future
It is a widely used term in the world right now. Isn't it? We have many people striving to be different and noticed in this crowded world. Last week, I read this quote from Forbes over LinkedIn. And I couldn't connect deeply with it through any story or experiences I had. Now, I have the experience to connect from my way back home today. I am trying to connect and share what I think of the experience I had today.
Fentanyl Candy Colored Rainbows
We need enemies. It’s human nature. So we create fights even when there is nothing to fight against. Pretty soon, everything becomes a binary distinction of us versus them. Sometimes it’s useful to think this way. The problems come when we apply this thinking to things that are clearly not binary. This would be most things in healthcare, particularly those that rise to the level of national health policy, namely this incessant war on drugs we love to fight over.
Medical Debt Sunk Her Credit
CHARLOTTE, N.C. — After a year of chemo and radiation, doctors told Penelope “Penny” Wingard in 2014 that her breast cancer was in remission. She’d been praying for this good news. But it also meant she no longer qualified for a program in her state that offers temporary Medicaid coverage to patients undergoing active breast cancer treatment. Wingard became uninsured. She’d survived the medical toll, but the financial toll was ongoing.
My Long-Term Relationships with Migraine and Literature
My deep relationships with literature and migraine disease joined me at nearly the same time, though I met migraine a bit about a year and a half earlier—when I was 14. My first attack frightened me and my family, as we’d had no history of it, didn’t know what to do with the searing pain, the nausea and vomiting, and the lack of any obvious path for treatment. This was 1978; there were no headache specialists, no migraine support groups, no medications specifically designed to treat this disease.
Medical Data Lies
The more we learn about something, the weirder it gets. Animals in the ocean depths look nothing like the familiar surface dwellers. Subatomic particles like quarks behave nothing like the familiar protons and electrons we learn in basic physics. Similarly, in healthcare, the more we study data, the weirder it gets. Today, data has become the all pervasive king of medicine. Most if not all clinical decisions are made or justified through data.
Can Medicine Return to its Roots?
We complain about medicine so often that it has become a cliché. Yet we do little about it. We might write an article or post something on social media from time to time. But that is it. It feels like empty pageantry more than anything else. Perhaps that is the point. Complain a bit about a system that is inherently flawed and then go about operating within it. It makes for a convenient balance of justified self-righteousness.
Standardize Medicine by Law
Modern healthcare is effectively a legal entity, in which legal rulings define the standards of care. Therefore, the interpretations of law reflect how well the legal standards represent good clinical care – as legal trends in court dictate clinical trends in patient care.
Vaping: A Tale of Two Crises
“This has turned into a healthcare crisis”, Congressman Joseph Kennedy III (D-MA) said in 2019, referring to the then nascent vaping crisis. It emerged out of an attempt to create a new smoking cessation option, but spawned its own set of addictive behaviors, particularly among adolescents. Or so we believed.
Can a Physician be a Patriot?
On the Fourth of July, lost in the haze of firework dust and summer jubilation, I came to a realization: America is moving toward a crossroad, one that pits medicine against the public, specifically those who claim to represent American patriotism and who oppose long-held beliefs in healthcare. As a physician, I never thought the public would question my profession. After all, the public consists of patients.
Abortion's Tricky Past
It is time we teach common law in medical school. It is far more important than the fundamentals of clinical medicine. Indeed, the very basis for the many recent health policy changes is rooted in common law tradition, including the justification for overturning Roe v. Wade through the Dobbs ruling. The effects have reverberated across the nation and will be felt for decades in policy and patient care. Already states are looking to overturn other recently afforded health liberties.
Gun Rights vs. Gun Outcomes
The Supreme Court entrenched the right to bear arms as a decidedly individual right. And now, the ramifications will be felt in emergency departments and trauma centers across the country. For many in healthcare, the first brush with a gun appears when victims of violence are rushed into emergency departments with a caravan of first aid responders and emergency medical technicians. We see the wounds, we see the violence, and we see the grotesque impact of bullet injuries on the human body.
Show More
loading
Actions
Is this you?
As a journalist, you can create a free Muck Rack account to customize your profile, list your contact preferences, and upload a portfolio of your best work.Get in touch with Jay
Contact Jay, search articles and posts on X, monitor coverage, and track replies from one place.
Learn more about Muck Rack