adam nowlan, md, mph

husband. father. radiation oncologist. if there’s a techno party, i will know where it is. if you’re hungry, and a foodie, following me to dinner is a safe bet.

[Everything Georgia @GAFollowers]

The moment a Waymo drove full speed into flood waters. @11Alive

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

This is kind of a big deal

[Gabe Wilson MD @Gabe__MD]

Is this perhaps the fastest adoption of a new technology in the history of medicine?

In the annals of medicine’s glacial pace, this is staggering.

And then the valuable data being accumulated.

For me there is an information outside of my speciality that’s now so easy to locate. Practice changing.

[breanna 🇺🇸🇩🇪 @txgermanbre]

One of the hardest pieces I have ever written. I cried writing this. I weep for the country that was and I'm scared to death for whats about to happen to my country and more importantly, my fellow Americans, whom will suffer. https://t.co/vn09Lu2akg

[Simon Lo @SimonLo21054188]

Stereotactic Radiosurgery for Brain Arteriovenous Malformations: A Radiosurgery Society Case-Based Guideline - Practical Radiation Oncology https://t.co/TdRp157LAh

[Todd Scarbrough @toddscarbrough]

One of latest/greatest #radonc advances is "Level 3 Radiation"

It is THE highest level radiation. None higher.

It involves aiming radiation beams at **two** or more separate spots, e.g.

Every cancer center in US just started offering it this year

https://t.co/fGMupvBDvs

[PDBrown @PDBrownOnc]

Should we treat higher SRS doses for brainstem mets (than the typical lower doses used)?
Tumor control probability MODELING:
1 Yr 90%LC 18.9 Gy/1, 25.7/3, 28.6/5
2 Yr 90%LC 20.5 Gy/1, 28.2/3, 31.5/5
https://t.co/mipCmC609f

[Keith Siau @drkeithsiau]

You are replaceable at work, but you are NOT replaceable at home. A beautiful and poignant reflection that applies to all clinicians.

[Jason Beckta @drbeckta]

Dear dentists:

Please stop asking me for "clearance" in patients who get radiation to the pelvis.

There are no teeth down there.

[Simon Kuestenmacher @simongerman600]

It’s 1989. You are a drunk teenager putting out a cigarette before going to a music club in Chicago. As you enter you hear a new kind of raw music that instantly blows you away. It’s Nirvana. You never heard of them. They are still two years away from their Nevermind breakthrough. It’s a concert of a lifetime. You still tell your kids about it frequently. Unfortunately it wasn’t recorded. Or so you thought. Unbeknown to you a Chicago live music enthusiast, Aadam Jacobs, took his tape recorder to the show and recorded the whole thing (as he has done 10,000 over a quarter century). The tape has been digitally cleaned up and is yours to enjoy online now for free. Make sure to share this with every single member of Gen X you know: https://t.co/aZDOE18yhX

[Hedgie @HedgieMarkets]

🦔A researcher invented a fake eye condition called bixonimania, uploaded two obviously fraudulent papers about it to an academic server, and watched major AI systems present it as real medicine within weeks.
The fake papers thanked Starfleet Academy, cited funding from the Professor Sideshow Bob Foundation and the University of Fellowship of the Ring, and stated mid-paper that the entire thing was made up. Google's Gemini told users it was caused by blue light. Perplexity cited its prevalence at one in 90,000 people.

ChatGPT advised users whether their symptoms matched. The fake research was then cited in a peer-reviewed journal that only retracted it after Nature contacted the publisher.

My Take
The researcher made the papers as obviously fake as possible on purpose. The AI systems didn't catch it. Neither did the human researchers who cited it in real journals, which means people are feeding AI-generated references into their work without reading what they're actually citing.

I've covered the FDA using AI for drug review, the NYC hospital CEO ready to replace radiologists, and ChatGPT Health launching this year. All of that is happening in the same environment where a condition funded by a Simpsons character and endorsed by the crew of the Enterprise was being presented as emerging medical consensus. The people making these deployment decisions seem to believe the pipeline from research to AI to patient is more supervised than it actually is. This experiment suggests it isn't supervised much at all.

Hedgie🤗
https://t.co/8Kg8FOrgHW

[Dr. Nina Niu Sanford @NiuSanford]

Here is Version 2.0 of when to hold systemic tx during RT. Updated & w 3 additional drug categories (ADCs, CDK4/6 inhibitors, PARPi).

More details on newer drugs in 🧵 below.

Please use this version as reference & thanks for all input/experience crowdsourcing! (1/3)

[Navid Fallahi MD, MPH @NavidFallahi_MD]

Studying for Rad Onc Oral Boards? Try out my app Rad Onc Oral Board Sim! It uses AI to generate unique cases and evaluates your spoken responses like a real board examiner. Let me know what you think! #RadOnc #ABR #MedEd
https://t.co/LBC0efSoz5

[adam nowlan, md, mph @adamnowlan]

#grossortho #surfacehippy #biomet 16 years postop, and still at it. Had the other hip done, this time as outpatient, and same excellent results. Dr. Gross, Irmo, South Carolina.

[PDBrown @PDBrownOnc]

🚨🚨Multiple Brain Mets Randomized Trial🚨
· Significantly less symptom burden with SRS compared to HA-WBRT
· Better ADL, cognition & KPS after SRS
· SRS Standard of Care 5-20 brain mets
https://t.co/2C7AzwcfwO

[Eric Topol @EricTopol]

The largest randomized trial of medical A.I.
—Over 100,000 women in Sweden
—radiologist + AI vs 2 radiologists, in follow-up
—AI added led to 29% more cancer detected, 44% reduced workload, and
—Less cancer dx in subsequent 2 years, and, when found, less aggressive
https://t.co/e1hY3F0cGo

[Rogue POTUS Staff @RoguePOTUSStaff]

Breaking news: A Border Patrol involved shooting in Arizona has left a victim is in critical condition.

https://t.co/MwVSfFe6pk

[adam nowlan, md, mph @adamnowlan]

@ArnoldPaulinoMD Love you, Arnold!

[Sundar Pichai @sundarpichai]

Helpful update for students, you can now take full practice SATs for free in the @GeminiApp.

It uses vetted content from @ThePrincetonRev and gives you feedback straight away. Starting with the SAT today, but more tests are on the way!

[adam nowlan, md, mph @adamnowlan]

Piedmont now hiring for Radiation Oncology Center Director, in the foothills of the North Georgia mountains. Enjoy a high-quality of life, low cost of living and see the sun from your office window every day! Gorgeous new Center staffed by yours truly.

https://t.co/6oOtRLIugk