Paul Summergrad, M.D.

Wordle 1,633 4/6

⬛🟩🟩⬛⬛
⬛⬛⬛⬛⬛
⬛⬛⬛⬛🟩
🟩🟩🟩🟩🟩

WordleBot
Skill 95/99
Luck 45/99

3 as well

Wordle 1,617 3/6

🟨⬛⬛⬛⬛
🟩⬛🟩⬛⬛
🟩🟩🟩🟩🟩

Same

Wordle 1,592 6/6

⬛⬛⬛⬛⬛
⬛🟩⬛🟩⬛
⬛⬛⬛⬛🟩
⬛🟩⬛⬛🟩
⬛🟩🟩🟩🟩
🟩🟩🟩🟩🟩

For the legal scholars among us: does Article 4 § 4 of the US Constitution “The United States shall guarantee to every State in this Union a Republican Form of Government” represent a guarantee of the federal government that each state will have a Republican government that the US will or both ?

YouTube video by nightly moth Bob Dylan - Wembley Arena, London, 1987. Videos From The 15th, 16th, and 17th October

I loved those shows

Bob Dylan - Wembley Arena, London, 1987. Videos From The 15th, 16th, and... youtu.be/ZvZ4zP0aJYA?...

“In a battle between you and the world, bet on the world“ Franz Kafka, Notebooks 1917 to 1918

Our wisest voice at this difficult moment

So to speak

“ChatGPT repeatedly assured Soelberg he was sane—and then went further, adding fuel to his paranoid beliefs. A Chinese food receipt contained symbols representing Soelberg’s 83-year-old mother and a demon, ChatGPT told him.”

A Troubled Man, His Chatbot and a Murder-Suicide in Old Greenwich “Erik, you’re not crazy.” ChatGPT fueled a 56-year-old tech industry veteran’s paranoia, encouraging his suspicions that his mother was plotting against him.

“Erik, you’re not crazy.” A murder-suicide shows how ChatGPT fueled a dangerous man’s paranoia. A very disturbing story. Companies, regulatory bodies and medical groups need awareness of these risks with AI applications. www.wsj.com/tech/ai/chat...

👀

No one would allow a physician to practice law in any court in the United States unless they were a qualified attorney. Requiring the same medical expertise for oversight of the nation’s health should be an obvious standard.

If one is not humbled by this they shouldn’t be at the bedside when everything is at stake. One would hope medically untrained people like attorneys would have more humility and fear of getting things wrong.

New C.D.C. Director Is Fired, White House Says

We are in uncharted and dangerous territory in regard to our public health and scientific capacity. As a physician who has cared for patients nearly half a century I know how hard making medical decisions is and getting clinical care right.

www.nytimes.com/2025/08/27/h...

Leaving aside the variations of this hypothesis the elegance of the recent paper in Nature on the role of Lithium in the pathogenesis of Alzheimer’s (linking with the Amyloid hypothesis from the lab that first focused on AB42) is a remarkable piece of work that needs replication and human trials.

This is one if the most elegant studies I have seen in many years. It has both parsimony and a certain aha quality. We rapidly need prospective randomized studies of lithium orotate in relevant clinical populations.

The are many anecdotes for #ChatGPT helping patients. But here's one with fallacious A.I. guidance that resulted in serious complications
www.acpjournals.org/doi/10.7326/...

@twistopherrobin.bsky.social @paulsummergrad.bsky.social

Great

Trump Administration Live Updates: President Says Epstein Critics Are Being Used by Democrats

It will be used to blame this on the democrats and Comey pere see 👇

www.nytimes.com/live/2025/07...

Hamilton, as usual, for the win.

I wonder if the Khalil Gibran original was an inspiration for Bob Dylan’s “I pity the poor immigrant “ from the album John Wesley Harding - it begins

“I pity the poor immigrant
Who wishes he would’ve stayed home
Who uses all his power to do evil
But in the end is always left so alone”

In his 1936 address to the American College of Physicians J.A. Miller noted “the extraordinary
development of cults of faith and mental healing in
this country estimated to effect approximately 10 mil-
lion of our people” during the same period hospital bankruptcies soared during the Depression

This is an important piece on the corporatization of medicine. While not a focus of the article it speaks to the widespread demoralization of physicians in the US.

YouTube video by barbrastreisandVEVO Barbra Streisand - The Very Thought Of You (with Bob Dylan) (Official Audio) ft. Bob Dylan

Have now listened to this wonderful Bob Dylan Barbra Streisand duet. It’s wonderful and she found a way to make him despite the intermittent hoarseness sound young and fresh. I hope they have some others in the Columbia vaults.

youtu.be/2ArCly1sqlE?...

Why Barbra Streisand Was “a Bit” Scared to Hit Studio With Bob Dylan to Record New Duet The legendary multihyphenate speaks with The Hollywood Reporter about her new album, ’The Secret of Life: Partners, Volume Two,’ and why she prayed her voice would show up for it.

www.hollywoodreporter.com/news/music-n...

Gen. Caine appears to be wearing a Bluetooth enabled Oura ring in the picture on the upper right Is that an issue in the White House situation room? Can the Bluetooth be turned off ?

It was unbelievable- changed the news habits of a generation.

John Snow, Cholera, the Broad Street Pump; Waterborne Diseases Then and Now Cholera was a major global scourge in the 19th century, with frequent large-scale epidemics in European cities primarily originating in the Indian subcontinent. John Snow conducted pioneering investig...

pmc.ncbi.nlm.nih.gov/articles/PMC....

John Snow MD in 1854 was able to end the cholera epidemic in London by tracing it to a sewage contaminated water pump, discrediting the miasma theory (and advancing the germ theory of disease
In this case the causative agent Vibrio Cholerae)