Carlos Cruz Marroquín

[Carlos Cruz Marroquín @CECM2022]

@Bogotaensis Guiso hp.

[Alejandra. @AlejandraTuk]

¿Se murió Iván Duque?

[Mikel Iñaki Landarraga @MigueLandarraga]

Alea iacta est.

[Iván Cepeda Castro @IvanCepedaCast]

Apreciado @RoyBarreras, gracias por tu respaldo. No olvido los años de trabajo por la paz, las víctimas y la democracia.

[Roy Barreras @RoyBarreras]

A Delaspriella en las últimas horas se le está derritiendo el maquillaje … ha sido una buena semana para la campaña de @ivancepedacast . La remontada está ocurriendo ! Iván ganará mañana !

[Benjamin Mazer @BenMazer]

Doctors are so bad at math they’re now making decisions by using vague emotions like sensitivity.

[James @Lidio_Dominante]

La izquierda y la derecha odian por igual a Santos, a Claudia López y a Roy Barreras. Porque son antihéroes. Porque ahora la política se llenó de brutos.

[Nick Mark MD @nickmmark]

Hot Tub Hype Machine:
Midjourney wants to put 50,000 of these Ultrasound scanners in "med spas". The physics, the economics, and the evidence all say not so fast

https://t.co/kmPbViDgvM

[Raul Sastre Cifuente @RaulSastreC]

Gran tristeza embarga el entorno de la música andina colombiana por la partida de Glauco Cedeño, médico y músico tuleño, integrante de los tríos Joyel y Cedeño. Durante casi 40 años dirigió nuestro grupo musical el Cuarteto Médico Colombiano. Extrañaremos su amistad y su talento

[exp @0xexpt]

Response from my father who has lead the MRI division of Siemens for decades:

“This will fail miserably, will harm people and will lose them millions upon millions of dollars. If there were a way that I could short a private investment, I would do so here”

[Anish Koka, MD @anish_koka]

This midjourney thing is really cool. I imagine the spa concept arises from the impracticality of getting naked in a doctors office and immersing yourself in a water bath.. thousands of sensors on a chip also neato ..

But version 1.0 is not close to MRI resolution. For now, can probably catch some big things that are clinically significant, but this will be in the context of finding lots and lots of things you will live to a 100 with. (Ergo, you will need a higher resolution imaging study… and if that doesn’t resolve it.. a biopsy.

Psa 15 —> MRI prostate shows suspicious area —> biopsy = normal tissue

The grading system for mri is something called PI RADS which quantifies level of suspicion for finding being cancer

A PI RADS of 4 which is read as “likely cancer” has a 40-50% positive predictive value. So half the time or more the lesion that’s biopsied comes back as normal tissue.

If midjourney (as an example) wanted to image the prostate with their machine, they would need to insert a rectal probe to do this, no one even attempts a surface ultrasound because of how terrible the images are.

And even if they were to do that (after reading commentary 100% sure tech folks would sign up for this and pay big $$) , MRI still wins because it is markedly better and differentiating normal from abnormal tissue. Ultrasound relies entirely on how sound bounces off structures. So prostate cancer cells would need a different ultrasound signal to “see” a difference within the prostate. That isn’t a strong point for ultrasound when it comes to screening.

And even if midjourney were to break the laws of physics to make ultrasound like MRI.. there’s a reason we don’t recommend yearly mri prostate exams for screening. Would lead to a massive number of normal biopsies. May as well just flip a coin and decide if you want to get a biopsy.. and skip the MRI.

Maybe I could charge $1000 for ppl to come to a spa where I sit there and flip a coin for ppl. ( I’ll make it a special coin)

[Bogotaensis @Bogotaensis]

La cara de un hombre que tiene que sufrir el infame «performen, perres, performen».

[Señal Memoria @SenalMemoria]

Colombia, Uzbekistán ... ¿Y kumis? 🥛

Previo a lo que será el debut de la Selección Colombia en el Mundial 2026 contra Uzbekistán, te contamos qué tenemos en común. 🥅
¡El kumis que consumimos a las onces también se toma al otro lado del mundo! 🗺️

[Alejandra. @AlejandraTuk]

Nunca me deja de sorprender ver personas de países ex soviéticos con rasgos orientales. Los bolcheviques fueron la mondá. Unieron lo imposible, lo más distinto entre lo distinto.

[the EMCrit Crew @emcrit]

EMCrit Wee - Phil and Rory on the 4 Interface Model for Shock Physiology. We dive deeper in part 2 of the Shock Physiology Series.
[#FOAMed for Now]
(@emnerd_ @thinkingcc)
https://t.co/61MqrNynaW

[Rafael Noguera @ranoguera]

Larga labor: borrar trinos contra Claudia López.

[LaLectoraMD @readloverspcj]

Divulgar una historia clínica sin consentimiento es una violación al derecho a la intimidad y al habeas data. Además viola el secreto profesional. Delitos penales y de ética médica. Esperamos del Centro Javeriano Oncológico el rastreo y denuncia de responsable (s)

[Carolina Sanín @SaninPazC]

Esta es una biblioteca del Banco de la República. Aquí vengo a pedir libros, a leer y a escribir.
También aquí he dado conferencias gratuitas y abiertas al público.
Espriella amenaza con terminar con todo esto y dejar solo las motos.
El infierno de la nueva esclavitud.

[Josh Farkas MD 💊 @PulmCrit]

Hiccam’s dictam appears to have origionated around ~1960, when most of the medications & interventions available today didn’t exist.

With many current patients having numerous active problems & dozens of medications, it is increasingly appropos today.