2026 so far:

Completed my first randomized controlled trial with a real life device on real life people

I strongly disagree with dismissing people from a practice for too many missed appts. Bad behavior? Sure. Missed appts? There are too many social reasons for this that are outside of the patient’s control.

I would just like to see clear disclosure its use. I understand the 1A concern, but it would be consistent with current truth in advertising laws.

Is there a scholarly term for how AI generates more work for people who have to clean up the mess?

not too late for a flu shot btw, flu historically often peaks in february and by all accounts it is pretty bad this year

"For it is AI that has given the American ruling class the final impetus to more or less abolish education. [...] For the first time in centuries, the elite no longer feel they need educated workers and soldiers to uphold and reproduce the system." bsky.app/profile/70sb...

Excited to learn about the new samizdat

Had a similar experience. Widely cited claim, including on many university websites. Traced it back though all the literature to a very weak finding in a paper 50 yrs ago and not ever replicated. Definitely made me more cautious of claims I see

Your job as an expert - especially an academic expert - is to not only read the paper but to know enough about the field, the authors, and the current blood feuds to catch whatever shady subtext is happening in that paper

One of my most formative experiences in academic medicine was chasing down a citation. I wanted to cite a reassurance I heard in residency that a 1cm dural exposure over the ear was okay. I found it--it was from a book chapter without any experimental evidence. The experience rewired my brain.

suspect a big reason why many academics and others who work in areas where getting facts RIGHT is key are disinterested in using LLMs for research: they’ve tried it, they keep noticing major errors in output, and they conclude that having to verify all that doesn’t actually save them time.

Anyway my ancestors were illiterate drunks—peasants, petty criminals, undocumented migrants, and people leading desperate, dishonorable lives of pain and struggle. The promise of the American idea, if not the American reality, is precisely that for my rights and dignity, this should not matter.

As with public schools, the nice thing about standardized vaccines is they take some of the burden off overtaxed and underfunded parents. Making every aspect of childhood a bespoke experience that the mother has to figure out on her own isn't "choice." It's piling on duties that some can't handle.

As a doctor I recommend the AAP childhood vaccine schedule. 😎

I’ve spent the past two days as pediatric ward attending and frankly we need both more and even better vaccines not fewer

We found a correlation between sleep issues and dizziness in service members/veterans

I would literally do anything* to get rid of these headaches 😢 *you know, besides eliminating caffeine, managing stress, staying hydrated, sleeping well, and overall taking care of myself

MW>Time

Beat Navy!

Movie you’ve watched more than six times with a gif. Hard mode: no Stars (Wars nor Trek), LOTR, or Marvel, Disney Animated or Pixar.

This is a lovely story.

Hard not to see "MAHA", destabilization of FDA approval processes, and the push for HSAs that cover everything but proven, effective healthcare goods & services as a massive wealth transfer to grifters

I saw this title and now you have to

I can't watch Home Alone as an adult because of all the death

A detail I appreciate about this plaque is that it was erected right next to the statue of Douglas MacArthur--a hero, yes, but also a man that almost broke the Constitution in 1951.

As you're getting ready for Thanksgiving, this is the only dessert recipe you need.

I will add the following: our students lack the research skills required to audit an LLM essay for errors. They don’t arrive on campus with these skills; we teach it to them over four long years. So throwing freshmen in the deep end and saying “swim your way to a shore of rectitude” is folly.

I've liked the idea of figuring out how AI is wrong, but these are some excellent counterarguments. It's the same reason I discourage my residents from using it for their research work. They don't yet have the skills.

Friendsgiving desserts complete

5 years for retirement? Here I am doing 20 like a sucker.

Best I can do is resting surgeon face.

women are always saying “lord grant me the confidence of a mediocre man.” ok well he did. now what. is the world a better place? look at what you’ve wrought.

I wonder how many employers might actually refuse to hire the post-ChatGPT generation or they might end up fired because they cant do the things their degrees say they can do Id be very angry with universities for hyping gAI the way they have, if I was a student or parent, tbh.

If women are underrepresented in STEM, it's at least partly because men like this offer mentoring, then embarrass themselves by assuming their mentees must be into them, then decide the best solution is to cut ties, which sends the signal to other faculty that the mentee must not be good enough.

One of the craziest things about social media is finding a whole idea that will turn into several rabbit holes to explore

Citation is power. Citation is epistemology. Citation is the creation of legitimacy and the gifting of authority. Some things should not be given currency in our disciplines.

It should be illegal to share AI products without clearing stating that it's AI

If you're a researcher working with animal models, this is a must-read.

My own TLDR for the message from this paper: statsepi.substack.com/p/sorry-what...

Also true of academic medicine

Early identification of hearing loss allows early intervention of therapy, and may allow for a cause. This can affect speech development and success with cochlear implant.

Don't worry babe. It's just the eye of god.

I'm procrastinating on working on my talk so here's the Iris Nebula

Comet C/2025 R2 Swan on Saturday night (when I had darker skies)

The “oh well he was in the military, of course he’s racist” type arguments are getting on my nerves, condescending bullshit from people who have no idea how big and diverse the military is

I worked in a hospital in the South that, as a policy, required that we mark our S.urgical S.ite with "SS." I was 100% not on board with that nonsense.