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Gerald Evans

@skepticaliddoc.bsky.social

ID Doc at Kingston Health Sciences Centre and Professor of Medicine at Queen's University | Editor-in-Chief of JAMMI | Rhythm guitarist in Old Docs New Tricks | Happy to be a ๐Ÿ‡จ๐Ÿ‡ฆ | Opinions are my own

258 Followers  |  76 Following  |  106 Posts  |  Joined: 12.11.2024  |  1.8226

Latest posts by skepticaliddoc.bsky.social on Bluesky

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Ford: We set the stage for Trump who just stomped all over it Trump is not a phenomenon; we could have predicted his ascendancy, his vulgarity and his bully tactics, writes columnist Catherine Ford.

An interesting critique on how post modernism's questioning of universal truth and objective reality has been exploited by various bad actors. calgaryherald.com/opinion/colu...

26.09.2025 14:52 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

This is so well-written, it is worth noting the author @chloenazra.bsky.social

25.09.2025 13:29 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Opinion | The Women Behind the 'Wonderful Secrets' The government's role in the Epstein case has profound effects on women's mental health

This is a must-read for everyone.
A quote to get you started: "It is near impossible to elicit shame in an era of shamelessness."
www.medpagetoday.com/opinion/seco...

25.09.2025 13:25 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 2
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a man in a tuxedo sits at a table with his eyes closed and his hands folded ALT: a man in a tuxedo sits at a table with his eyes closed and his hands folded

Why does the media keep writing: "Science does not back up the assertion that acetaminophen/paracetamol use is linked to autism."?

Here's a clearer statement:
"There is NO reputable scientific evidence that acetaminophen/paracetamol use is linked to autism."

23.09.2025 20:30 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Of course he mattered My pager buzzed, its vibration cutting through the hum of another night on internal medicine call. The familiar number on the screen indicated ward 5. I dialled, and the charge nurse who answered reas...

A poignant recounting by a colleague. www.cmaj.ca/content/197/...

22.09.2025 16:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Happy Gotcha Day to our lovable girlie!

12.09.2025 15:26 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The bigger story behind the mass exodus of CDC leadership The CDC is collapsing. Will Americaโ€™s health follow suit?

I think we all need to be reminded that when Public Health is very successful, nothing happens.
The move to diminish Public Health means bad things are going to happen.
www.vox.com/health/45976...

02.09.2025 16:22 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The Brain Drain That Keeps the NHS Running As UK-trained doctors struggle to find jobs, the ethics of recruiting from countries with critical healthcare staff shortages should be scrutinised.

An informative read, which is applicable to Canada's MD recruitment as well.
www.medscape.com/viewarticle/...

28.08.2025 14:24 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Donโ€™t get played by false information.

Learn how to spot and stop it before it spreads ๐Ÿ‘‡

23.08.2025 17:03 โ€” ๐Ÿ‘ 689    ๐Ÿ” 266    ๐Ÿ’ฌ 19    ๐Ÿ“Œ 27

Weโ€™re on our summer hiatus, but looking forward to getting together with my bandmates soon to look at upcoming gigs this fall & winter.

10.08.2025 20:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Doctors Warn of Rising Risks From Viral Medicine Challenges One of the trending challenges on TikTok and Instagram is โ€˜the challenge of taking the strongest medication you have at home.โ€™

Why #SocMed is not always a good thing. www.medscape.com/viewarticle/...

09.08.2025 19:24 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Confessions of the Working Poor - Macleans.ca I work hard, buy quality clothes and fake my way through dinner-party conversations. I'm also part of a fast-growing Canadian underclass.

A poignant read. macleans.ca/society/conf...

30.07.2025 19:33 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ€œNo Tax on Tipsโ€ Is an Industry Plant Trumpโ€™s โ€œpopulistโ€ policy is backed by the National Restaurant Associationโ€”probably because it wonโ€™t stop establishments from paying servers below the minimum wage.

www.newyorker.com/magazine/202...

30.07.2025 18:36 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Trumpโ€™s Tariff Disaster Doug Irwin, an economics professor at Dartmouth College, on Trumpโ€™s trade war, the myth of protectionism, and what history teaches us about tariffs

A short ๐Ÿงต on two recent well-written articles on the impact of poorly-thought out policies on economics.
The short message of both is that they represent the transfer of wealth from the poor to the rich. www.theatlantic.com/podcasts/arc...

30.07.2025 18:36 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Self-belief and sex eggs: 10 things we learned about Gwyneth Paltrow from an explosive new biography Amy Odellโ€™s book about the controversial actor and Goop founder is brimming with stories โ€“ from Madonna giving her advice as a teenager to her disappointment at boyfriend Brad Pittโ€™s understanding of ...

I see they've come up with a new euphemism for being a narcissist - "self-belief".
I mean, for God's sake, just call it for what it is. www.theguardian.com/film/2025/ju...

30.07.2025 16:29 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Ilan,
Thanks for posting the link to this study. I've been saying this about histo management for years.
It nicely drives home the point of Evans-based medicine Rule No. 1.
"Treat patients, not lab results."

29.07.2025 14:25 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Smile Before the Fall: Suicide Risk You Missed? Psychiatrists challenge common suicide myths and explain why smiling patients still face life-threatening risks.

This seems like an important thing to talk about. www.medscape.com/viewarticle/....

29.07.2025 14:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Who Gets Sent to ID Clinic? A Field Guide to Outpatient Referrals Sometimes people ask me what kind of cases get referred to ID doctors in the outpatient setting. Despite what the latest television series might suggest, itโ€™s rarely suspected Ebola (fortunately) or T...

Another great NEJM blog by @paulsaxmd.bsky.social this time on the nature of outpatient clinic visits with ID. blogs.jwatch.org/hiv-id-obser...

27.07.2025 16:33 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Joshua Radin - Everything'll Be Alright (Live from the Village)
YouTube video by Joshuaradin Joshua Radin - Everything'll Be Alright (Live from the Village)

This song. www.youtube.com/watch?v=vzo-...

25.07.2025 17:57 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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โ€˜A family of traitorsโ€™: Trumpโ€™s Brazil tariffs ultimatum backfires on Bolsonaro US presidentโ€™s attempt to help his rightwing ally avoid jail has sparked wave of anger and given boost to rival Lula

www.theguardian.com/world/2025/j...

16.07.2025 16:29 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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If she was still with us, our beloved Mum would have been 105 years old on July 13th. Just look at those blue eyes.

14.07.2025 18:41 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The Four Desires Driving All Human Behavior: Bertrand Russellโ€™s Magnificent Nobel Prize Acceptance Speech โ€œNothing in the world is more exciting than a moment of sudden discovery or invention, and many more people are capable of experiencing such moments than is sometimes thought.โ€

Bertrand Russell accepting his Nobel Prize in Literature in 1950 noted the four desires driving human behaviour: acquisitiveness, rivalry, vanity, and love of power. This explains a lot about the leaders driving our current global crises. www.themarginalian.org/2015/09/21/b...

08.07.2025 15:53 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Paul Simon - American Tune (1975)
YouTube video by DIFyCUL Paul Simon - American Tune (1975)

A song that speaks to the feelings facing most Americans even more so than when it was written in 1973.

"Manyโ€™s the time Iโ€™ve been mistaken
And many times confused
Yes, and often felt forsaken
And certainly misused."

www.youtube.com/watch?v=AE3k...

08.07.2025 14:57 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Communal Narcissist: Signs, Examples & How to Cope A communal narcissist is a type of narcissist who presents themselves as altruistic, caring, and extremely community-minded. The communal narcissist seeks admiration and validation through their perce...

Or I guess within this ๐Ÿงต, a display of recently acquired knowledge about human psychology.
Sources: www.simplypsychology.org/communal-nar...

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Communal Narcissismโ€”Understanding Collective Self-Centeredness Communal narcissism is a form of narcissism in which a person acts benevolent to receive the praise of their community. Learn about how this personality is formed, and how it can be managed.

This was seen quite bit during the #COVID19 pandemic, and from both lay persons, and certain scientists espousing personal opinions from their area of expertise that were only marginally relevant to infections.
Sources: www.verywellmind.com/communal-nar...

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Some manifestations of communal narcissism:
1. Centering public attention on themselves
2. Exaggerating their knowledge or skill set
3. Participation in "virtue signaling," or expressing their ideas for the sake of looking morally superior

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Because of their self-perceived grandiosity and superiority, they feel entitled to special treatment and other peopleโ€™s constant praise and admiration.
Privately, especially when criticized or questioned, they are often antagonistic, acting in an aggressive, hostile, manipulative, or callous manner

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Unlike people with good, charitable intentions, a communal narcissist is a person who is only behaving in a way to seem to be helping others for the sake of receiving praise for their actions or being perceived as morally superior. Truth does not matter to them if other people believe their faรงade.

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Someone who is a communal narcissist is primarily concerned with being seen as altruistic and benevolent, even if this is NOT the case. It is about perception, not the truth. They want to be seen as "good", but that does not have to be based on reality.

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Just learned a new term: "communal narcissism". A ๐Ÿงต for those interested.
Communal narcissism is a form of grandiose narcissism: persons with this trait are extroverted, have an inflated self-view, and believe their abilities and characteristics to be superior, but in the communal domain.

04.07.2025 19:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

@skepticaliddoc is following 20 prominent accounts