Juan Chaparro

Opinion | We Are Watching a Scientific Superpower Destroy Itself

We Are Watching a Scientific Superpower Destroy Itself www.nytimes.com/2025/09/08/o...

YouTube video by American Academy of Pediatrics Protecting Kids: Why Pediatricians Are Suing the Government | AAP

The American Academy of Pediatrics is proud to stand with leading public health organizations by taking legal action to protect the integrity of our immunization system to defend science, evidence-based medicine, and the policies that keep children safe. www.youtube.com/watch?v=DODV...

Never been prouder to be an #AAP member!
#VaccinesWork

Doctors and public health organizations sue RFK Jr. in Boston court over vaccine policy changes The lawsuit alleges that Kennedy and other political appointees at the U.S. Department of Health and Human Services have flouted federal procedures and systematically attempted to mislead the public.

The lawsuit alleges that Kennedy and other political appointees at the U.S. Department of Health and Human Services have flouted federal procedures and systematically attempted to mislead the public.

Prospective Applicants | ACIF: AMIA Clinical Informatics Fellows AMIA Clinical Informatics Fellows

Are you ready with your Clinical Informatics Fellowships applications? Remember, we are on a July cycle, which means that you can begin submitting to  programs on July 2nd at 9 a.m. ET. Here's a helpful guide for you.
www.acifellows.org/future-fellows

#clinicalinformatics #clinformatics

Unbelievable. #RFK is setting the state of American medical sciences back DECADES.
Thanks, Dr. Kressly, for calling this nonsense out.
#VaccinesWork

Detecting emergencies in patient portal messages using large language models and knowledge graph-based retrieval-augmented generation AbstractObjectives. This study aims to develop and evaluate an approach using large language models (LLMs) and a knowledge graph to triage patient messages

Docs get tons of #PatientPortal messages, some more urgent than others.
Can #LLMs with Retrieval-Augmented Generation be used to identify emergencies from these messages?
@allisonbmccoy.phd
academic.oup.com/jamia/advanc...

Was just about to tag you and VCLIC on your new JAMIA article. Hmmm....😞

80+% of both Democrats and Republicans believe America would be better off if more Americans worked in manufacturing, but < 30% say that about themselves.

The bipartisan belief that America would be a better place if *other people* worked in a factory.

www.ft.com/content/8459...

We’ll leave you with this: On what looks like a piece of paper reads, Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it. Then one morning, when she was well on the road to recovery, I was sitting on her bed showing her how to fashion little animals out of coloured pipe-cleaners, and when it came to her turn to make one herself, I noticed that her fingers and her mind were not working together and she couldn’t do anything.“Are you feeling all right?” I asked her.“I feel all sleepy,” she said.In an hour, she was unconscious. In twelve hours she was dead.Next to the paper reads, In 1988, author Roald Dahl wrote a letter to parents begging them not to deny their children vaccinations. His daughter died in 1962, a year before the measles vaccine. His words, excerpted at left, still resonate. Source: TIME Yale School of Public Health

We'll leave you with this:

7/7

Southwest measles outbreak as of March 30, 2025 Map shows four states - New Mexico: 44 cases, 2 hospitalizations, 1 death. Kansas: 23 cases. Oklahoma: 9 cases. Texas: 400 cases, 41 hospitalizations, 1 death. SOURCES: CORI, state health departments, news outlets, YALE ESF-8 Virtual Medical Operation Center

476 of these measles cases are linked to a large regional outbreak in the Southwest. Experts warn that this number may be a severe undercount.

2/11

Thanks! As an aside, any good follows for history of medicine?

Any chance this talk will be streamed or recorded?

If only we had something like a universal patient identifier. 😞

Patient-matching algorithms only go so far.

More Measles

Maryland reports a new case linked to international travel—not connected to the Texas/New Mexico outbreak.

Potential exposures:
- Dulles International Airport (arrivals baggage claim)
- Johns Hopkins Howard County Pediatric ER

health.maryland.gov/newsroom/Pag...

#delabel #savepenicillins
Removing allergy labels is hard! We need to work on preventing allergy labels from ever making it to the chart!

There's always a few withdrawn presentations at conferences, but seeing 3 withdrawals in a session on diversity is sad. I wonder how many CDC & NIH colleagues couldn't come? #CROI2025

AI tools are spotting errors in research papers: inside a growing movement Study that hyped the toxicity of black plastic utensils inspires projects that use large language models to check papers.

🧪 AI is exposing errors in research papers, fast.

Tools like the Black Spatula Project and YesNoError use AI to catch mistakes in calculations, methodology, and references before they spread.
🩺💻 #MLSky #AcademicSky

You Don't Have to Review for Free? The bribes aren't emphasized nearly enough here.

How much would it take to entice you to review a journal article? $50? $100? $250? $1000?
#medsky
medicineminute.substack.com/p/you-dont-h...

It is impossible to become the world’s richest man with a moral compass.

The Construction and Application of a Clinical Decision Support System for Cardiovascular Diseases: Multimodal Data-Driven Development and Validation Study Background: Due to the acceleration of the aging population and the prevalence of unhealthy lifestyles, the incidence of cardiovascular diseases (CVD) in China continues to grow. However, due to uneve...

Nice to see publications of implemented AI/ML #CDSS models, but this one is very light on the details. Particularly Table 2. 🤔 #informatics

Just ordered the hardcover as I think my 8 year old is now old enough to really enjoy it!

CDC reports 47 children have died of flu during the 2024-2025 season. 44.1% of US children have been vaccinated for the flu, down from 48.8% last year.

A reminder that even non-Avian #influenza can kill you (or your child)! 47 children have lost their lives so far this season to influenza.
#getVaccinated #FightFlu #flu #VaccinesWork

Dr. Neil Stone- Villain of the day Senator Bill Cassidy A doctor Used to work on Hepatitis B vaccination Voted to confirm an anti vaccine conspiracy theororist for HHS head He knows better Shameful

@drneilstone.bsky.social

When I was a Hill staffer in 2009, a Dem trifecta was trying to pass universal healthcare. In response, Senate GOP released a memo detailing all of the tactics they in the minority could use to delay the effort as much as possible. I'm recirculating that 2009 GOP memo here. Take inspiration from it.

The agave were one of my favorite parts of SoCal. 😢

Wish they gave some context as to the size of these systems (e.g., number of hospitals, inpatient beds, population served). Otherwise the numbers don’t mean much. ¯\_(ツ)_/¯

ChatGPT says it’s “The Last Question”.
😉

In 2023 RFK Jr said “their are much better candidates than HIV for what causes AIDS”, e.g. pointing instead to amyl nitrate poppers popular in the gay club scene in the 1980s.

Just imagine how such abject misinformation hurts the families below and the 40M people living with AIDS across the globe.