Vandan Panchal, MD MPH

Internist at Lahey practicing “Less is More” Medicine | Critical Appraisal EBM | Dog father | ADHD advocate | Aspiring Polymath | Views and Opinions my own |

[Sarju Ganatra, MD, FACC @SarjuGanatraMD]

Extreme heat is not just a weather event. It is a clinical event.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@DrSamuelBHume Also GLP-1s.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@EricTopol @AdamRodmanMD @ScienceMagazine @OpenAI It’s getting better and better since that model!

[Vandan Panchal, MD MPH @idiosyncraticMD]

@ns123abc @DarioAmodei @dwarkesh_sp @grok what is framemogged

[Vandan Panchal, MD MPH @idiosyncraticMD]

@ShoneeKapoor @AskPerplexity what does it mean?

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AaronGoodman33 Humility and Integrity

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AdamRodmanMD @CaseyNewton @kevinroose Such a great episode!

[Vandan Panchal, MD MPH @idiosyncraticMD]

@adamcifu If I had a nickel for everything I said that, nevermind.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@adamcifu For me, it's a point in the visit where my questions are opening a Pandora's box of more questions. Unfortunately, there is no going back from there.

[Vandan Panchal, MD MPH @idiosyncraticMD]

Do you want a Democratic or Republican doctor? - https://t.co/NmdhyD85s0 @VPrasadMDMPH @drjohnm. Interesting insights! Would love to hear your thoughts

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AdamRodmanMD Interesting! Is there a link or the title of the pre-print? o1 more often might be relevant to coding or other domain specific tasks vs probably clinical reasoning. For me, 4o does the work.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AdamRodmanMD That’s so exciting! Yes absolutely!

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AdamRodmanMD I often use the Socratic method prompt, to question my own assumptions, and reasoning. I wonder if they can get trained similarly. Created a custom GPT based on it, that works fantastic!

[Vandan Panchal, MD MPH @idiosyncraticMD]

@AdamRodmanMD I think of Clinicians as natural Bayesians that get trained over time, with our own systematic biases built in.LLMs obviously have better Bayesian predictions on paper but it makes sense how the underlying neural network is akin to our brain’s network. A bit reductive, obviously

[Vandan Panchal, MD MPH @idiosyncraticMD]

@PaulNWilliamz I had the same problem today. Like who fucking cares?

[Vandan Panchal, MD MPH @idiosyncraticMD]

@VPrasadMDMPH No common sense left! It’s all about incentives and $$$

[Alex Hermen @AlexHermen]

Types of urology papers, I can’t stop laughing 😂…

[Vandan Panchal, MD MPH @idiosyncraticMD]

@PaulNWilliamz Asking why you smoke cigarettes in the first place, is for sure motivational interviewing.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@NTFabiano Yeah. I think of it as part of a spectrum. So many of our chronic physical diseases are due to underlying undiagnosed mental health issues that are being addressed in maladaptive ways. I hate how medicine is siloed in its ways, that we forget it’s all connected.

[Vandan Panchal, MD MPH @idiosyncraticMD]

@NTFabiano A lot of times depression has its underlying causes, and can have often undiagnosed ADHD, or other conditions. I often see a spectrum of conditions, with often significant overlap. I think, there is a huge potential for novel medications, but also recognizing the entire picture!