Sumant Ranji

When patients don't trust their health insurance, cancer diagnostic delays double (30%→60%). Coverage uncertainty itself disrupts care. Read more and watch the interview on this new research: codex.ucsf.edu/coverage-unc...

@ajsharmamd.bsky.social

Agree, but that’s the issue - “be thoughtful” means something different to everyone

Interestingly my residents last month were mostly anti-AI, in the sense that they use OpenEvidence to look things up but were very skeptical about any other uses. I told them that was the right attitude!

YouTube video by MFrancojr1 Seinfeld Clip - His Father Was A Mudder, His Mother Was A Mudder

youtu.be/r_YlS3SLoz8?...

Slow-Tempo Music and Delirium/Coma-Free Days Among Older Adults Undergoing Mechanical Ventilation This randomized clinical trial aims to determine if a slow-tempo music (60-80 beats/min) listening intervention decreases delirium duration, delirium severity, pain, or anxiety in older adults undergo...

I'm glad the authors noted that "incorporating patient's preferences for music...may have resulted in different findings" because exposure to slow-tempo relaxing contemporary music is about the most reliable way to increase my pain and anxiety

jamanetwork.com/journals/jam...

AI is transforming healthcare fast—but how do we ensure it actually improves diagnosis? UCSF CODEX brought together 30 healthcare leaders to develop practical metrics for measuring AI's impact on diagnostic excellence. Full story: codex.ucsf.edu/news/healthc...

I only partly understood your original explanation, so this question may be nonsensical. How then do reasoning models work differently from standard LLMs? Are they actually encoding new information as part of their "thinking" process?

Things today's White House autism announcement did not do:

-Discuss strategies to increase supports and services for autistic people/families
-Highlight why autistic people and families deserve respect, not pity or fear
-Endorse one speck of autism research that is not dangerous pseudoscience

If A.I. Can Diagnose Patients, What Are Doctors For? Large language models are transforming medicine—but the technology comes with side effects.

Highlighting some of the many current pitfalls of A.I. in health care
@newyorker.com
@dhruvkhullar.bsky.social
www.newyorker.com/magazine/202...

Nope. The original just sounded like crap. Lo-fi has its charms but not for the ‘Mats and especially not for songs like these.

It is grimly ironic to write “I am concerned about MAHA” in the chart

Strongly disagree with you on this. The authors of the paper you cite include the Dean of the Harvard School of Public Health. They are hardly being gatekept. If anything RFK Jr and Trump’s crusade against Harvard is impeding their research far more than any alleged left wing suppression.

There's something worth investigating here although the paper's title is more definitive than feels warranted. My point is that RFK Jr and his well-funded, very skilled allies are using these studies to continue a campaign against autistic people. It is very dangerous to afford them any legitimacy.

He is very skilled at exploiting highly specialized and complex scientific disagreements as definitively "right" or "wrong" to further his own agenda - which fundamentally discriminates against women and autistic people

4/ 4th, untreated pain is very bad! All of medicine involves risks and benefits. Which is worse, a possibly very slightly increased risk of ASD or millions of pregnant people suffering through pregnancy even more?

This is what RFK Jr does and why he is so dangerous...

3/ 3rd, even if true, the magnitude of the association btw APAP and ASD/ADHD is much smaller than other known associations (genetics, prenatal stress, perinatal complications)

2/ Given how common APAP use is, teasing out the effect of APAP vs other known risk factors is very challenging.

2nd, there is no biologically plausible mechanism by which occasional APAP use causes ASD/ADHD. APAP is certainly very toxic at high levels or with chronic use, but a couple of pills?

1/ There are multiple issues here that cannot be separated from the fact that RFK Jr is a dangerous charlatan.

First, any association between acetaminophen and ASD/ADHD is likely confounding by indication. People take APAP to treat fever and chronic illnesses - which are themselves linked to ASD

We are the lake in the morning, the sun rising over the water, its reflection drawing a line straight to our shores.&10;&10;We are the Haymarket Martyrs, the Pullman strikers, always demanding better than what we've got.&10;&10;We are the words of Sandburg and Algren and Brooks and Wright.&10;&10;We are the 90s Bulls, making the impossible possible.&10;&10;We are the dipped Italian Beef. Messy, sure, but incredible.

I wrote a little thing about Chicago, my beautiful complicated city, on the eve of occupation. dansinker.com/posts/202…

Exclusive | RFK Jr., HHS to Link Autism to Tylenol Use in Pregnancy and Folate Deficiencies Kennedy’s autism report, touted by Trump, will suggest that using the pain reliever during pregnancy may be linked to the developmental disorder.

This essentially is sending #autism discussions back sixty years back to the days when society blamed unloving mothers for their children becoming #ActuallyAutistic. It's going to inflict endless guilt among moms across the country.
www.wsj.com/health/healt...

thought it was "high wire in a fire representatives have engaged in a government for hire and a combat site"

Always thought it was “look at that low plane, fire, death”

Thank you! Can’t wait to hear the full show - a few songs have circulated for a long time. A Hüsker live album is long overdue

Huh, to me Stasium had a very light touch on LOTD - the drums sound better and Paul’s fade out vocals are more prominent but otherwise it sounds close to Chilton’s original production

RFK Jr.’s damage to the CDC is ‘past the point of no return,’ Dr. Demetre Daskalakis warns “The CDC you knew is over,” the infectious diseases doctor told The Advocate. “Unless someone takes radical action, there is nothing there that can be salvaged.”

there is no question in my mind that rfk jr is the most dangerous person in this administration and that his eugenicist ideology threatens the lives of millions of people www.advocate.com/politics/dem...

RFK Jr.’s damage to the CDC is ‘past the point of no return,’ Dr. Demetre Daskalakis warns “The CDC you knew is over,” the infectious diseases doctor told The Advocate. “Unless someone takes radical action, there is nothing there that can be salvaged.”

Unbelievably bad. “The CDC you knew is over. Unless someone takes radical action, there is nothing there that can be salvaged.” www.advocate.com/politics/dem...

The CDC shooting was public health’s Jan. 6 “In RFK Jr.’s America, it will never be safe to practice public health or medicine," write an epidemiologist and a former CDC staffer.

NEW 🚨 The violence is the point. Elected Dems must call for widespread resignations (RFK, Bhattacharya, Prasad) in response to the CDC shooting. Public health must demand this of them, and the public must demand that of us. With @publichealthguy1.bsky.social in STAT: www.statnews.com/2025/08/15/c...

No need to apologize when you’re telling the truth.

🚨 Registration is open for #DEX25!

📅 Oct 27–29, 2025
📍 Ann Arbor, MI

Join experts, early career professionals, educators, researchers, and patients to advance diagnostic excellence through presentations, workshops, and community building.

🔗 umich.cloud-cme.com/course/cours...

Donald Trump threatens to clear encampments in D.C. With D.C.’s MPD now under federal control and the National Guard coming to D.C., the fate of people in encampments remains up in the air.

"“I ain’t ever bought no prostitutes. I ain’t never raped nobody. I ain’t never paid anybody off. None of that stuff,” said G, a resident from one of the photographed tents.

“He’s much more of a criminal than I am”"

streetsensemedia.org/article/home...