Kashif Pirzada, MD

So I created an entire med school using AI. It started out as a joke with my friends, but just grew and grew into something that still astonishes me in its depth and breadth. I call it the Hibbert School of Medicine. Check it out at hibbertmed.com

@doodlestein 🙋‍♂️i downloaded three of them for my machines. DCQ is great work.

My 143 rust crates on crates.io have been downloaded a total of 2.4 million times, damn. I seriously wonder how many of those are by me and my agents… probably a lot of them! I wish I knew total users across all platforms, but I have a strict “no telemetry” rule.

Behold: another infectious disease. Another curve breaking away from its historical baseline.

This is obviously aimed at Canada. It probably deserves significant dissection. But the fact that it emphasizes that access to the American Defence Industrial base is a privilege that should not be taken for granted -- then goes on to argue other countries shouldn't invest in their own defence industrial bases in ways that might replace or supplant the US one -- is representative of how muddled the entire message is. America: WARNING, you might lose access to our industry at any time! Also, America: Why are you trying to reduce your reliance on our industry? 🤔

Was giving a talk today, made slides with Claude Code, better than anything I could ever make, with a few errors corrected here and there. Got to the lecture hall, found the other speakers did the exact same thing, and our slides all had the same formatting! It's wild how quickly this is permeating.

@USWPColby If you actually believe this, why post at all? If America is all-powerful in your estimation, it wouldn't need to worry what the little middle powers are up to.

There is a great deal of hubbub about a collective “middle powers”strategy these days. At DoW, we are not concerned that this is a serious possibility. Rather, we are more concerned that a few allies and partners will *think it is* and waste valuable time, money, and political capital on a distraction. 1/

If he actually believed this, why post at all? If America is all-powerful, it wouldn't need to worry what the little middle powers are up to.

This is an amazing quote from Lindsey Graham about when he realized how politics works. theatlantic.com/ideas/2026/07/…

The amount of heat gained by a Bedouin exposed to the hot desert is the same whether he wears a black or a white robe," the study notes. "The additional heat absorbed by the black robe was lost before it reached the skin," it says. bbc.com/future/article…

Sam - you were more than just a lovely actor to work with - refined, thoughtful, a skill second to none - you were a mentor, protector, and above all, friend. Thank you for making our scenes together feel so real. I will be forever grateful to have been on this journey with you.

Parents: please, please, please don’t let your kids under 16 use e-scooters or e-bikes. We’re seeing an epidemic of serious injuries in children using these vehicles.

@p_kuperman We're doing AlphaAnywhere program for the summer, it's quite good filling in gaps from the regular school year. But yes, a more chill tutor for the regular school year would be great.

What is the miniature version of Alpha School, one that is affordable by the average middle class or upper middle class family in North America? Right now Alpha School has two full day models: The elite private school model which is super expensive and the Texas Sports Academy model ($10,400) which is paid for by Texas state educational vouchers. For the vast majority of families to experience Alpha, they either have to live in a state or province which has educational vouchers (not many) or be able to affort high end elite private schools (again, not many). So how does the Alpha model get widely adopted? One path is with a lot of lobbying of state and provincial governments to change the traditional school model so that the Alpha model is widely available. I don't think that's going to happen super quickly, so what's another path? Well, the full Alpha model is 2 hours of academics and then a full afternoon of life skills or sports or nature or gifted & talented "more academic activities." So what would a mini Alpha model look like, one that might run alongside someone in a traditional school who really wants a taste of Alpha but can't be in the right geography for vouchers or income bracket for elite private school? What if you took 1 academic subject (or 2) and knocked it out of the park Alpha style few hours a week, and then 1 super interesting project and worked diligently on that a few hours a week? Now you have a time commitment of 5-7 hours a week, and you get a taste of what the Alpha model could be like. It means doing extra work and committing extra time beyond the 6 hour school day, so it's not ideal. But maybe it's a stepping stone: You get an academic win (catch up or reach ahead), and a life goals win (e.g. running an AirBnB for financial literacy or doing 100 pushups a day for 3 months for grit and hard work. If you paired these two with a group of other kids local to you who were also doing the same thing, you would also have a new network and a new set of friends. Not quite full Alpha, but maybe it's more attainable for your average family? I'm just playing around with ideas. I'm still working on making Toronto the first 1,000 person Alpha city, so reach out if you are interested.

@raghu_venugopal @SinaiHealth Amazing! Great to see a solid and highly skilled clinician get into an admin role. He'll do great!

Dr. Ben-Yakov is one of the smartest, kindest and efficient ER doctors in the profession with a talent for informatics and health systems. Congratulations to Max and @SinaiHealth

The reason you do not verbally attack a dead person, no matter how vile and morally offensive he was, has to do with you & not with him. He is no threat to mankind any longer; have some skin in the game & go focus on living assholes.

Japan is another country, like Canada, that needs to dig itself out of the American shadow. This shows incredible technical and engineering capability. x.com/SprinterPress/…

@aliasaria @fahdananta He literally went during a Hari Krishna festival lol. What did he expect! He should have lined up for the free (though vegetarian) food and called it a day.

If Canada has one defining feature, it’s our view on immigration: come as you are, we’re better for it. That's why @fahdananta's tweet about "immigration without assimilation is invasion" needs a check. He is an important leader in the Canadian tech community, but Twitter is terrible because people can just say spicy things without having to actually discuss them. The audience learns absolutely nothing from one-off statements like this; it just polarizes. If we tell people they must assimilate, we’re saying "we don’t accept you as you are, you must change." Naturally, you have to ask: change to what? "Canadian values"? What are those? Usually, they just happen to be European norms. Or, in this case, just not doing things in a public park that Fahd -- a wealthy tech insider -- feels are beneath him or make his experience less magical. Do all people born in Canada share these norms? A lot of the white Canadians born here that I grew up around would annoy Fahd even more than whatever he saw today, but he doesn't see their behavior as an outsider threat. He only places that burden on outsiders. Fahd has plenty of known views that people would say come from outside and offend mainstream Canada. He’s a vocal proponent of Palestine, he has some anti-LGBTQ views, and he openly talks about Islam. These are all things he brought with him from his home country that others could easily accuse of being an "invasion" that needs assimilating. He fails to explain the implications of what he says. There are tradeoffs to building a cultural mosaic. We have to ask everyone to accommodate each other more, and yeah, that’s hard. But just because one path has tradeoffs doesn't make it bad, unless you're also willing to discuss the heavy tradeoffs of forced assimilation. In its deepest irony, Fahd is advocating against the ONE thing that makes Canada, Canada. Asking people to assimilate is the actual outsider, invasive view here. If anyone is being asked to assimilate, it should be on this exact view. Often, the things that make us hate the "other" aren't even about cultural practices, it's classism. I can only guess what Fahd didn't like about the people of different colors and languages that made him unhappy at the park, but we can guess it wasn't strictly "brown people behavior," but rather perceived "lower class brown people behavior." We don't judge lower class white behavior the same way. Racism is accepting the absolute worst behavior from your local, dominant groups, but using those exact same flaws as proof to condemn the other. I'm not defending whatever behavior offended Fahd at the park. I'm just saying his default reaction could have been, "I wish my neighbors had better manners," rather than jumping straight to, "go back to where you came from."

@RanuDhillon @sri_srikrishna @celinegounder Exactly, we can't safely or practically universally image everyone. Also can develop quickly from endothelial inflammation after a viral infection within days, so impossible to catch using population screening.

The physics behind dissection may be clear but, clinically, it can be mysterious & 2 of the 3 variables are only knowable when you're already imaging for it I've seen my share of cases where dissection seemed unlikely but we imaged to rule it out & ended up catching it before it became catastrophic

Aortic dissection is one of the few things that terrify me and every ER doctor. Can mimic all kinds of things, hard to diagnose, and even if you identify it, they still will likely die.

@fahdananta The off-menu masala chai at the Pizza Pizza makes it a little less jarring lol.

Damn man… i came to center island today with the kids At some point Canada went ham on immigration without assimilation and it’s genuinely making living here worse for everyone

@MelanieBennet_ You have to go to school here, live here for 20+ years, travel and make all kinds of friends from all over. Without that, you'll never really understand the place.

I was born in Canada but lived in England most of my life. I took a job in Toronto in 2018 eager to reconnect with my Canadian side. Thing is, I still don't feel attached to Canadian culture. I'm not even sure what that even is. The question is, if I, as an anglo Westerner, hasn't managed to find cultural connection in 8 years, what chance do non Western immigrants have? Canada... I genuinely want to see you thrive. Surely first you need to know who you are.

For what it’s worth, you could have a ruptured aortic aneurysm standing in the ER with thoracic surgeon next to you and still might not make it.