Chuck

Nurse Practitioner serving unhoused folks. NE ➡️CO. Former post grad volunteer. Forever sad Husker fan

[Czarina @fishontherun02]

So it’s not about “preserving your own culture”? You’re just a straight up racist.

[Rachael Bedard @RBMD1982]

But why are you doing scans in people without symptoms if you intend to ignore the findings?

[FireFighterDev @fire_starter457]

Juneteenth is fun because you get to see all of the "you know Republicans ended slavery" people complain about a holiday that celebrates the end of slavery.

[Dr. Christian Casteel @DrCasteelEM]

This is the equivalent to taking a car that’s running perfectly fine to the mechanic and asking them to strip it apart to make sure there isn’t a crack somewhere bc “if I know about the crack it might save my life in the future”.

You don’t know what you don’t know.

[Siyab Panhwar, MD @DrSiyabMD]

This is no doubt very cool tech, but in typical fashion healthcare tech does not realize/care how reality works. IMO this is how it's going to turn out for the vast majority of people:

Average, healthy, asymptomatic 30 year old gets a scan. They have absolutely no medical indication or reason to do so.

Person goes to primary care doc: "Hey doc I got this new Midjourney ultrasound scan and it showed "something" and they just told me to ask you what to do. What do?"

PCP: "Uhhh no idea what this is. This scan is actually not validated by research (yet) to really diagnose *anything* conclusively. Could just be nothing (artifact) or a benign finding, or something serious. The scan actually doesn't reveal any details. So we can just leave it for now or get a CT/MRI scan for more details."

Person: "Hmmmm I wanna know what it is. Get me a CT please"

CT done. Can't tell. Recommend MRI. MRI done. Some type of nodule but can't tell. Recommend biopsy.

Invasive biopsy done. Benign tissue. Cool. OR invasive biopsy done - Pneumothorax as a complication happens. Damn. Person has to deal with that.

Or biopsy done. Damn, equivocal. We should do surgery to excise this and really find out for sure.

Person undergoes invasive surgery. Turns out to be benign tissue. Or in the very rare case, malignancy.

Obviously, I would love it if i we could diagnose hidden/rare conditions in everyone who has them. But for every one of these, how many "normal/benign" findings clog up the entire system?

Y'all thought the healthcare system sucks now. Imagine how much more it will suck when PCP and ERs are inundated with people coming in with reports from these places in hand.

[Dr Ahmad Rehan Khan @AhmadRehanKhan]

KAT and Jalen Brunson dapped up Zohran Mamdani & happily posed for photos with him at the parade. So much for the claim that the team gave him the cold shoulder. The players embraced the moment. Any pettiness on display came from Dolan, not the Knicks.

[Samantha Ruddy @samlymatters]

Interesting how the Christian values espoused by right-aligned athletes are always about hating queers and never about feeding the poor or caring for immigrants like a neighbor.

[𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 @CanesDavid]

It's intoxicating to think that whole body scans for the entire world's population will be life saving.

What I'm going to tell you is counterintuitive. You don't want it to be true.... THIS WILL CAUSE NET HARM

You don't want it to be true. I get it. I don't want it to be true either. But it is fixed probability theory (Bayes Theorem), not a difference of opinion. It's not something where you can be "in one camp" or "in another camp." It's not philosophy. It's math.

Applying a full-body scan to an asymptomatic population is like waving a metal detector over a beach covered in bottle caps and saying, "I'm not in the camp that worries about bottle caps, we'll just shovel the entire beach into a lab and sort it out later."

You're looking for a ring... but in this case all the bottle caps look like rings.

The problem isn't the sensitivity of your detector; I don't care if it's the best most advanced detector ever made. it's the mathematical certainty that the junk drastically outnumbers the treasure.

When pretest probability is near zero, Bayes' theorem dictates that the Positive Predictive Value crashes to near zero. Even if a future machine achieves a hypothetical 99% specificity, testing for a disease with a 0.01% prevalence means a 1% PPV. For every 1 true cancer you catch, you get 100 false positives.

Because a full-body scan acts as dozens of independent tests, a standard 95% specificity per organ system mathematically guarantees a false positive rate over 60% per patient. You cannot "catalog and learn" your way out of that reality without subjecting millions of healthy people to real-world harm first.

We've seen this movie before. It isn't different now just "because AI" or because "we will have more and better data" or "we'll learn" our way out of it.

Math doesn't have philosophical camps. It's just... well, boring math.

[Amanda Litman @amandalitman]

Zohran’s speech from the Knicks ceremony and Obama’s speech from the presidential center opening are cousins — two different ways of getting at the same belief that hope is a choice, that hard work is worth it, that setbacks are never permanent and long odds are not a fate. Stubborn collective optimism is back!

[NoelCaslerComedy @caslernoel]

Dear younger voters who went for Trump in ‘24, watch the speeches of Prez & Michelle Obama & Mamdani today then compare it to Trump speaking at the White House this afternoon. Ask yourself what kinda world you wanna live in & what real leadership looks like. Then get involved.

[Polling USA @USA_Polling]

The fucking community note 😭

[Jacqueline Sweet @JSweetLI]

no one cares about news right now, just Japanese World Cup fans doing rodeo and New Yorkers cheering sanitation workers, and I'm gonna miss this little weird period when it's over

[daz @MetamateDaz]

Rich people don't die if you tax them.

Poor people do die when you cut welfare and healthcare.

no comment, just 2 facts.

[rae 🏒 szn @raeziIla]

yes christians in america make up their own problems and blame everyone else

[ren⁵⁸⁷¹ @malkinmoonshot]

do the non american players get to opt out of wearing these for “personal reasons” or is that just for the pride hats

[James Tate @JamesTate121]

That job needs to be audited to find how much money was stolen.

[Mary Pezzulo @mary_pezzulo]

He did it. He did the joke. Brits conquered the world for spices and then decided they didn't like any spices.

[Canis @Canis03VT]

The fact that Muslims were so hated right after 9/11 and now so many years later people are proudly shouting “my mayor’s Muslim” is such a big swing in a positive direction. New York course corrected itself and I’m here for it.

[James @turningmystile]

there are so many things where brits are justified in making fun of us Americans but for some reason they keep trying to do it about food

[Charlie Warzel @cwarzel]

people do the ‘there are two americas’ stuff all the time but this weekend (World Cup/Knicks atmosphere of tons of people coming together rapturously vs. the UFC WH fight) is the most on the nose simultaneous example of this that i can remember