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  • 16/5/2025
El paciente con ELA usó solo su pensamiento para manejar su computadora y crear un video narrado con IA.

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00:00Hi, I am Brad Smith. I am the third person in the world to receive the Neuralink Brain Implant.
00:05I am also the first person with ALS and the first nonverbal, which means that I rely on it for all communication.
00:12I am making this video using the brain-computer interface to control the mouse on my MacBook Pro.
00:17This is the first video edited with the Neuralink, and maybe the first edited with a BCI.
00:22This is my old voice narrating this video, cloned by AI from recordings before I lost my voice.
00:30I want to explain how Neuralink has impacted my life and give you an overview of how it works.
00:35I have ALS, a really weird disease that kills the motor neurons that control my muscles, but not affecting my mind.
00:45My experience has been pretty interesting, starting with a shoulder injury that would not heal,
00:49and ending up with my current status.
00:52I cannot move anything but my eyes, and I am totally reliant on a ventilator to keep me alive and breathing.
01:00My wife, Tiffany, is the best caregiver I could ever imagine.
01:06She does everything for me, with only our kids and friends and family to help.
01:11She is the key to making Neuralink work.
01:14I will stop talking about her because she doesn't like the attention.
01:17Before Neuralink, I had to use an eye gaze control computer for all communication.
01:22It is a miracle of technology, but it is frustrating.
01:26It works best in dark rooms.
01:29So I was basically Batman.
01:31I was stuck in a dark room.
01:34Neuralink lets me go outside and ignore lighting changes.
01:38So how does Neuralink work?
01:40The implant is in my motor cortex, which is the part of my brain that controls body movement.
01:47The actual implant is the size of five U.S. quarters in a stack.
01:50It replaced the hole in my skull.
01:53The threads are placed by a robot just a few millimeters into my brain,
01:56avoiding the blood vessels so there is almost no bleeding.
02:00It connects to the computer via Bluetooth, and the computer does a lot of processing.
02:04This is a feed from the 1,024 electrodes in my brain.
02:09In green, it looks like the matrix.
02:13This is the raw signal that my brain is giving the computer.
02:16The computer has to decide what is important, finding the signal and ignoring the noise.
02:22The Neuralink implant embedded in my brain contains 1,024 electrodes
02:26that capture neuron firings every 15 milliseconds, generating a vast amount of data.
02:32AI processes this data on a connected MacBook Pro
02:36to decode my intended movements in real time to move the cursor on my screen.
02:41Neuralink does not read my deepest thoughts or words I think about.
02:44It just reads how I want to move and moves the cursor where I want.
02:49How do I train the system?
02:53This is how I train the system to interpret my intended movements.
02:57I move the cursor to the bubble and hold over it until it disappears.
03:00The yellow targets are just for holding over, and the blue targets are for clicking.
03:05We initially tried to move my hand to control the cursor, but it was not doing well.
03:11After a lot of research and mapping how body movements match the signals from my brain,
03:16Neuralink engineers found that my tongue was the best for moving the cursor,
03:20and clenching my jaw was best for clicking.
03:22So I train the system with my tongue, and it works much better.
03:27I am not actively thinking about my tongue.
03:30Just like you don't think about your wrist when you move a mouse.
03:34I have done a lot of cursor movements in my life.
03:37I think my brain has switched over to subconscious control quickly,
03:40so I just think about moving the cursor.
03:42This is WebGrid.
03:47It is the way Neuralink and others use to quantify how well they are able to decode intentions.
03:52I click boxes, and it measures my score.
03:55If I click outside the target, my score goes down.
03:58I have reached a top score of 5.
04:01My score was less than 1 before Neuralink with EyeGaze.
04:03You can try WebGrid on Neuralink.com slash WebGrid, and you can see how fast you are.
04:11Tools to make it work.
04:14This is the mixer, which has tools to adjust how the cursor behaves.
04:18First is bias correction.
04:20Because the brain is constantly changing, the cursor drifts over time.
04:24So it is like the cursor moves in a random direction.
04:28This tool lets me adjust how the cursor drifts.
04:31This is a great reason why Neuralink is doing human trials,
04:35because the monkeys cannot explain how the cursor drifts.
04:38Monkeys just give up when bias gets difficult and want snacks.
04:42They are like my children in that way.
04:45This is the speed control.
04:47It changes the speed that the cursor moves around.
04:50Speed also changes across different models and over time.
04:54Able-bodied people can adjust the mouse speed dynamically, and I can do that a bit.
04:57But the speed control sets the baseline speed for the cursor.
05:01I adjust it often.
05:03These are friction and smoothing that are more advanced settings that refine cursor movements.
05:09They might change as Neuralink develops the system.
05:12The last thing is the click stiffness, which adjusts how hard it is to click.
05:18Keyboard and parking spot.
05:19This is the virtual keyboard developed by Neuralink.
05:24I can't move or speak, so I rely on the keyboard for everything.
05:28It gives word suggestions for the situation, and it pushes apps out of the way.
05:33I do a lot of different things with keyboard shortcuts.
05:36So I created a keypad using the Mac accessibility keyboard to make some keystrokes easy to use.
05:42Things like select all, copy, paste, undo, and ways to navigate the page are all really useful,
05:49and I can use the toolbar and some shortcuts.
05:53The other feature I asked for is the parking spot.
05:56Sometimes you just want to park the cursor and watch a video.
06:00The first two participants could use voice commands to pause the cursor.
06:04I could not do that.
06:06So I asked for a way to park it, so it would only come out when I wanted to.
06:10I can go to the bottom right, and the cursor jumps into the circle.
06:15When I want to get out, I have to hit the dots in a specific order, and it jumps out.
06:22When it is in the parking spot, I can watch a show or take a nap without worrying about the cursor.
06:28I heard that the other two people love this feature, the chat app and communication.
06:35The hardest thing about ALS is thinking much faster than I can type.
06:39We have created a chat app that uses AI to listen to the conversation and gives me options to say in response.
06:46It uses Grok3 and an AI clone of my old voice to generate options for me to say.
06:53It is not perfect, but it keeps me in the conversation and it comes up with some great ideas.
06:59My friend asked me for ideas for his girlfriend who loves horses.
07:04I chose the option that told him in my voice to get her a bouquet of carrots.
07:08What a creative and funny idea!
07:11We are also working on a faster way to type with the cursor.
07:14The standard keyboard is designed for two hands to alternate sides.
07:18We found a keyboard designed for a single finger or mouse.
07:21But I know the standard keyboard really well.
07:24Is it faster to start over and learn a new keyboard?
07:28I used Grok AI to make this app to train me on the new keyboard.
07:32I don't know how to code, but Grok walked me through it and wrote the code.
07:36So I am really impressed.
07:39What does it mean for me?
07:40Neuralink has given me freedom, hope, and faster communication.
07:47Overall, the whole Neuralink experience has been fantastic.
07:50It has improved my life so much.
07:53I am so happy to be involved in something big that will help many people.
07:57I have enjoyed working hard with interesting people on important questions.
08:02I am still trying to get faster at communication.
08:05I have spent the past few years with ideas and thoughts that I cannot share
08:09because it takes too much time to type it out.
08:12I can already communicate faster and in more ways than I could before.
08:17And we are still working on ways to get even faster.
08:21Like Noland, the first Neuralink recipient,
08:23I believe that God has put me in this position to serve others.
08:27I have not always understood why God afflicted me with ALS.
08:31But with time, I am learning to trust his plan for me.
08:35I am a better man because of ALS.
08:37I am a better disciple of Jesus Christ because of ALS.
08:41I am closer to my amazing wife, literally and figuratively because of ALS.
08:46I get to work with the brilliant people at Neuralink and do really interesting work.
08:51All because of ALS.
08:54And because we listened when the Holy Spirit told us to move to Arizona,
08:58where Neuralink ended up opening their first site.
09:00Don't get me wrong, ALS still really sucks.
09:03But I am talking about the big picture.
09:06That is what I have learned.
09:08God loves me and my family.
09:11He has answered our prayers in unexpected ways.
09:14He has blessed my kids and our family.
09:16So I am learning to trust that God knows what he is doing.
09:20The big picture is,
09:22I am happy.
09:26Tiffany is the greatest person I have ever known,
09:28and I get to spend eternity with her.
09:30My kids are doing well, especially under the circumstances.
09:34And I can control the computer with telepathy.
09:38Life is good.

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