James Lightell

[James Lightell @JamesLightell]

@Kes_Nation @ABC Did you know that muscle wasting from rapid weight loss is reversible! And did you know that unlike whatever imaginary heart condition you're talking about, the dilated cardiomyopathy of chronic untreated hypertension – one of obesity 's favs – is basically not?

[James Lightell @JamesLightell]

@Kes_Nation @ABC Really!? Because when I search "GLP-1 RA weight loss," 4 of the first 5 results only mention diabetes to say that the study included those with and without it. The fifth had no human subjects!

[James Lightell @JamesLightell]

@joe_patnoe @kemi_adeleke1 Tell me you've never gone down on a woman without saying "I've never gone down on a woman."

[James Lightell @JamesLightell]

@DrLongissimus @p1turbo500 AI. You'd be too expensive for the venture capital group coming soon to a hospital near you.

[James Lightell @JamesLightell]

@RandyGoat A representation of a jingoist American made by a Sino-Russian botnet?

[James Lightell @JamesLightell]

@goddek And yet somehow still less evil than the 40 billion dollar medical billing industry.

[James Lightell @JamesLightell]

@MattZirwas @JenniferP176805 You know what qualifies as relatively simple in a pediatrics clinic vs. derm. You trust an ai to adequately differentiate an unknown ingestion being reported by a hysterical mother? No, of course not, you're not trying to kill people. But to make it work ...

[James Lightell @JamesLightell]

@MattZirwas @JenniferP176805 I don't trust it, but if you're taking the calls when it fails, why not try? 😉

But the better answers take private equity and United healthcare out of healthcare and pay for people to staff the fucking phones.

[James Lightell @JamesLightell]

@JenniferP176805 @MattZirwas A properly functioning health system doesn't have patients over-utilizing it. What we have today is untreated psychiatric problems and uneducated patients, primarily, "over-utilizing" needed education and outreach programs. Those are two solvable problems.

[James Lightell @JamesLightell]

@MattZirwas @JenniferP176805 The solution to "not enough money to staff phones" is not "let the 5% of the sickest, most neurotic, and/or least medically literate patients talk to software programmed to appease its users at the cost of accuracy." A solution is get rid of docs willing to let AI do their job 😐

[James Lightell @JamesLightell]

@Ashton44449696 @MRKOWALCZYK7 @BatmanTweetzz @grok Thanks for the rare pleasant Internet interaction, oj's secret bestie. You're all right.

[James Lightell @JamesLightell]

@Ashton44449696 @MRKOWALCZYK7 @BatmanTweetzz @grok I can dig, but chronic ankle issue caused hip and lower back pain every single twice weekly leg day. The frustration was killer. Almost 40 now and fixing the root cause. Maybe if I stay healthy 400 before then. 🙃

[James Lightell @JamesLightell]

@MRKOWALCZYK7 @BatmanTweetzz @grok Dumber and "more estrogenic?" Genuine curiosity -- where'd you get that from? I got up to a 375 pound deadlift at 175 bodyweight (and about 10% body fat) while earning a doctorate and smoking pot every single day.

[James Lightell @JamesLightell]

@HankDesmondPhD Republicans repeatedly interrupt Biden during State of the Union address | CNN Politics https://t.co/gaDiSkzvyQ

I'm not sure what kind of AI bot or whatever this account is, but come on, this is so easily disproven.

[James Lightell @JamesLightell]

@MichaelAlbertMD @ogsvg The same could have been said of ketamine, psilocybin in the 90s and LSD still today. Absence of evidence is not evidence of absence, doc. And bodily autonomy is a fundamental right that, of all people, a physician should respect. 🧐

[James Lightell @JamesLightell]

@JR_Lang @MichaelAlbertMD Your comparison is so painfully simplistic that it's tempting to call it disingenous, but it's actually horrifyingly accurate. The real problem is that a majority of "educated clinicians" you want in the loop are no more likely to critically analyze research than their patients.

[James Lightell @JamesLightell]

@KolozsyShawn @RandPaul Given that Congress has no prosecutorial power nor any power to adjudicate any criminal charges outside of their impeachment powers, yes. This is accurate.

[James Lightell @JamesLightell]

@pWatchwolf @RDSPINV @unusual_whales Or just, you know, consider it an act of war unapproved by Congress which is really much more elegant.

[James Lightell @JamesLightell]

@pWatchwolf @RDSPINV @unusual_whales Now, hear me out. If we imagine a reading of the constitution that extends the assimilation clause to ANY state and redefine unconstitutionality as any act causing the totality of all laws enforceable by the federal government to be imperfectly followed ....

[James Lightell @JamesLightell]

@AdvocateEquity @PropstDeni14445 @HalfwayPost Disagreeing with folks is fine, but-- even when someone is actively advocating for things exactly counter to their own interests -- calling an entire group of people "simple minded hicks" does nothing to change their minds, help them see your perspective, or anything positive. 😔