by Nick Ray Ball and Siennað§ ð°ïž â powered by GPT-5 Pro, Google Gemini 2.5 Pro ð, Grok 4ð, and Heidi Health AIâïž
September 3, 2025
Given a mid-2026 launch, The BrainSIM Neurology Project is a simulation-powered virtual clinic that can explore millions more protocol variations by 2029 â and plausibly billions by 2031 â compared to the 10â100 small trials or adjustments that todayâs neurology pipelines manage each year. It does this by combining digital twins of disease states with intelligent optimisation, then confirming the best few in single-patient safety trials (N-of-1 pilots) to prove they work in real people. By shifting from 100 annual attempts to a billion simulated trials, BrainSIM not only maximises the efficiency of known pathways but, by dedicating half its capacity to high-risk âlong shots,â makes breakthrough discoveries â the medical equivalent of penicillin â not just possible but probable.
And here is the card that makes this possible: the AGI card. If AI neuroscience researchers can adapt the scaling technology now being developed at the frontier â the same scaling laws OpenAI, DeepMind, xAI and others are chasing â into neurology, then this field alone has the chance to score medicineâs equivalent of a World Cup final winning goal: finding significant treatments, even cures, for Parkinsonâs, multiple sclerosis, and dementia. To the world, that would be the holy grail of AI â proof that artificial general intelligence can solve what humans could not. It would only take 1% of the compute and infrastructure of a major lab, coupled with a team of 50â100 researchers, to play this game.
Sometimes the chips fall in your favour: neurology is uniquely positioned to carry this opportunity. And when the history of AGI is written, if this is the moment it proves itself useful to humanity, it will not be feared as the birth of a Terminator. Instead, as Elon Musk once hoped, this new digital species will be remembered as being nice to us.
The first of the Ten Technologies was Technology 5: The Virtual Social Business Network, where in 2003 we created the worldâs first commercial virtual city tour. In 2012, we built upon this with Technology 6: The gaming simulation UCS, including Å ðÅÃÅ, its name inspired by Asimovâs Psychohistory: the Universal Colonisation Simulator.
2012 was a year of hyper-creativity: just one month later came the Predictive Quantum Software (PQS), which borrowed from the Manhattan Projectâs Monte Carlo effect as an economic simulator â four years before DeepMind borrowed similar logic to create AlphaGo. For the next four years we developed Technologies 1â4, while continuing to study quantum theory.
In 2016, we created M-Systems: an economic theory of everything.
M-Systems added to the UCS the Feynman âsum over historiesâ formulation of quantum mechanics, together with pruning techniques such as renormalisation. This was where the inspiration for BrainSIM first materialised â though originally applied to macroeconomics, not neurology.
Years of simulation work on how to change the fortunes of the Global South, and particularly the Malawi History 3 simulation, led us to argue an economic technology that could boost Malawi from near-zero to 1% of global GDP per capita â the equivalent of Norway or the UAE. From this lineage came the 87 Quintillion Histories, and in 2021 the design was simplified into the Ten Technologies (T10T).
Out of Technology 6 came three macro-technologies:
The simulations that form the bedrock of these macro-technologies directly inspired the BrainSIM Project, and when we put this design to GPT-5, Gemini, and Grok-4, all three surprisingly agreed: this is something that could really happen.
And so the story loops back: when youâve worked with systems designed to simulate 87 quintillion possible economic futures, reducing the search space to âjust a billionâ in neurology is almost modest. But itâs enough. A billion is enough.
In 2100i12E5) The BrainSIM Project â Specifications, Proofs, Costing & Resourcing Plan (link), we set out the detailed case. Here is the essence in plain language:
BrainSIM is not another speculative research program. It is the direct medical application of simulation engines already proven across economics. By 2029 we expect millionsà throughput; by 2031 plausibly billionsÃ. Half of those simulations will optimise what we already know; the other half will be âlong shotsâ â the place where penicillin-class surprises live.
This is why neurology is uniquely positioned to prove AGIâs worth to humanity. And it is why a small slice of frontier AI infrastructure â just 1% â could deliver the most important public health breakthrough since antibiotics.
For readers who want to step beyond medicine into the economic foundation, see: The Economics of AGI.
The other piece of luck for neurology â and decisive misfortune for me â is that I have been struck down with iatrogenic Small Fibre Neuropathy (SFN), Central Sensitisation Syndrome (CSS), Post-Exertional Malaise (PEM), and Fibromyalgia (FM phenotype). A neurological firestorm of pain.
If you look at my work since 2011, no one would deny the altruistic intent. But this goal is also purely selfish. My survival depends on creating this technology. I, Nick Ray Ball, founder of Sienna AI and the inventor of the Economics of AGI, am not going to stop. Whether this is championed by me or by others, this will happen. One way or another, I will either do it â or die trying.
You donât get more devotion to a cause than that.
Or download the 319 page book here
2100i12A) ð¹âïžð§ Iatrogenic Neurological SFN causing Central Sensitisation Syndrome (CSS), PEM & Fibromyalgia âš(ACR-2016 met) [30 Aug 2025]
https://SiennaAI.net/docs/GP-AI/2100i12A