Medlife Crisis (Rohin)

Based on AAMC data for recent applicants and matriculants, Asian physicians average the highest MCAT scores (508.8–514.3), followed by White (507.8–512.5). Black and Hispanic averages are lower (497.4–506.8). Studies on USMLE Step 1/2 and residency in-training exams show similar patterns, with these metrics predicting board performance and knowledge. Statistically, Asian or White demographics show the strongest objective indicators of competence on average. Always check individual credentials and outcomes.

"Asian or White demographics show the strongest objective indicators of competence"

I know it ain't cool to go to The Bad Place™️, but wow the grok advice on how to pick a doctor

But there's a YMMV disclaimer so probably fine

In the black box so thieves won’t..take..your package awayyyy

Cleo is another level. It feels like the majority of her output is propaganda of some sort

I’m a *huge* fan of Hannah Fry but I’m not the only one who’s noticed how much AI sponcon she’s done. Really hesitate to say this as I don’t want to be a hater but I would call into question the neutrality of a doctor making TV progs about a product if they’re also paid by the companies that make it

"We called London a war zone and moved to Dubai by mistake"

The glibness. The indifference. The carelessness. The utter lack of planning for a war against a country of 90M. The sickness of a man who acts on whim that will kill thousands not hundreds. The horror of a regime that enables this sickness. The broken body politic that votes in such malignancy.

A selection of gifs that match the search ‘spill the tea’. 9 images of people, predominantly women (although I am here to say men can also be gossip-fiends, in fact I consider it a core part of my personhood. Plus Kermit is there and he’s a boy), sipping from teacups with suggestive expressions, and phrases conveying how they are patiently waiting to hear some juicy gossip.

As someone who has always felt tea is the superior drink, and yet has watched coffee‘s place in the world rise and rise, it’s been gratifying to see tea become synonymous with another subject close to my heart, gossip

(I reiterate my regular assertion though that coffee is, in fact, a tea)

They are sadly few and far between

Stuff like this reminds me why I ended my economist sub. So much good stuff, but they have been abysmal on anything vaguely scientific for years

Accounts catastrophizing covid for attention in 2026 are directly working against public health.

Any healthcare professional should bear in mind that patients might read/watch anything you post. This doesn’t stop me being silly, and ensures I remain professional. So many don’t though 😬 I admit I do find this kind of direct contact a little unsettling. GMC guidance is unclear, and needs updating

I also noted they all follow me even though I mostly post nonsense. I’ve never been a big IG user, and rarely check DMs, almost never respond to them. I hate that so many people consider it the default way to get in touch with someone these days (esp as I have a public email address)

Been off instagram this calendar year. Just checked in and found two patients have messaged me to ask clinical advice, in a strangely familiar way (”hey Rohin!”), and a relative of another patient has sent a DM of thanks. Which is nice but still feels like a strange new parasocial era of medicine.

Oof. I just read your post in the most uncharitable, pedantic way possible, and I gotta tell ya: it's not looking good for you.

Oh yeah I know a generous handful of US physicians who are pro-Trump, and some of them are cardiologists (I remember a chart a few years back showing how many doctors, esp the highest earning ones, are republican). But even the ones who are not, remain hopelessly addicted/Stockholm syndromed

Because we put... incels in charge of the Pentagon???

While it is unsurprising that techbros are war profiteers, it seems to now be done openly and shamelessly by the most feted and mainstream companies

just a fun reminder that Kalshi is CNN's official "prediction market partner"

news.kalshi.com/p/kalshi-cnn...

I wonder if the half of America that voted for Trump or who secretly think what’s happening is right will ever even hear that the first casualties were almost 100 school children. We assume major news like that is widely reported, but American friends tell me their parents literally do not know

The tragic awfulness of this government is that it has extended a factional war against the left of the Labour Party into a war against almost all the good things we might have expected of it. It cannot respond to the crisis it faces, because its hatred of the Labour left is definitional.

IDF: Israel has the right to defend itself.

Number of students killed in Israeli attack on school in southern Iran rises to 24 We have reported earlier that an Israeli strike hit an elementary girl’s school in Minab, a city in the Hormozgan province of southern Iran, killing five people. Now, Iran’s Fars news agency is reporting that the number of students killed rose to 24.

Unimaginably depraved.

There's a baseline anti-medicine culture that pervades this world. It's the default attitude that needing medication *in general* is a moral weakness.

However, meds like cialis, metformin, and others are exempt in the growing overlap between bio-hackers, billionaire optimizers, and wellness gurus.

Who knew psychiatrists wore stethoscopes

Weight loss yes. Prescription and monitoring of a novel and complex pharmaceutical well outside their area of expertise, no. Just like I don't prescribe antipsychotics (nor do I currently feel able to prescribe GLP1s – I refer pts to a colleague)

It's just so depressing when regular doctors look at patient access to a very helpful intervention being restricted and spend their time trying to improve their chances of getting it (eg dealing with insurers in the US)

But grifters see the same situation and think "how can I enrich myself?"

It's just so depressing when regular doctors look at patient access to a very helpful intervention being restricted and spend their time trying to improve their chances of getting it (eg dealing with insurers in the US)

But grifters see the same situation and think "how can I enrich myself?"

I am a cardiologist (cardiac risk now the 2nd commonest indication) and just last week in a meeting when planning strategy for increasing GLP1 use, I opted for our department NOT to be the ones initiating GLP1s but instead the experts (specialist obesity doctors) look after that complex process.

Screenshot from the 'Slimmr' website, run by psychiatrist Dr Max Pemberton. The text says: Lose weight, then learn to keep it off. The Slimmr weight loss programme takes a holistic approach to help you succeed. Medication, proven to cut food noise CBT video programme Weekly exercise classes online Additional access to specialist dieticians, psychology and blood testing ✓UK Based and regulated | ✓Medically led with a team of experts ✓No tie-ins or subscription | ✓1:1 support and guidance

Screenshot of the 'Slimmr' team: Dr Pemberton is listed as a "medical doctor working in the NHS", without saying he has no credentials in...well literally any field related to the prescription of GLP1s. Also listed are a midwife, psychologist, two psychotherapists and a personal trainer

Just been told about his weight loss website, it's honestly hard to believe. He is the only physician listed in the team (the other Dr below is a psychologist) and described as a "medical doctor working in the NHS". This is bare-faced, wow. Might be the most shameless GLP1 cash grab I've seen. Wild.

I remember it well! It's always the ones you most expect

I’m glad I’m not the only one who is rubbed up the wrong way about this! I implore people to just call me Rohin (or if you must, Dr Francis). I don’t know why it has become the de rigeur ‘modern’ appellation (don’t spend any time watching youtube doctors, you’ll lose the will to live)