
Mlbirch1
2.1K posts

Mlbirch1
@Mlbirch11
Anesthesiologist and Critical Care Physician


Starting cardiology fellowship this July and excited (and slightly nervous) for the journey ahead. For current fellows and attendings, what are the BEST resources you’d recommend for an incoming fellow to build a strong foundation early? Looking for: • ECG • Echo basics • Hemodynamics/cath fundamentals • Board prep • HF/EP/interventional learning resources • Podcasts, YouTube channels, apps, textbooks, websites, question banks, etc. Also what do you wish you studied before Day 1 of fellowship? Would really appreciate any advice/resources/learning strategies from #CardioTwitter 🙏 #Cardiology #CardiologyFellowship #MedTwitter #FOAMed #CardioEd #FITTwitter #EchoFirst #EPeeps #HeartFailure #InterventionalCardiology


@MarkGabriele22 @DrDiGiorgio They can open up their own practice and do whatever they want. No one is stopping them. This is exactly how the direct primary care business has grown so quickly.

After a frantic 📞 from the floor, I accepted a transfer to the ICU yesterday. Young ♀ with "HTN emergency" (BP 220/120, restlessness) and abd pain (I saw in her chart that she had recurrent pancreatitis). I gave her 0.5 mg dilaudid and 20 mg labetalol and next BP was 150/80...


@molsjames @michaelZorn12 @drterrysimpson Yep we're trained and gaslit out of believing the evidence of our own eyes day one of medical school. Seen transverse myelitis develop 20 mins after the shot. I will not be gaslit out of believing the obvious conclusion



Sunny Hostin: “There was very limited destruction of property and violence during the BLM uprising.”




Miller Lite is a bad beer but an incredible beverage, @Tyler_A_Harper argues: “It is neither complicated nor offensive, and it derives its magic from this bland alchemy, this delicate equipoise of fizzy nothingness.” theatlantic.com/culture/2026/0…


There is a medical school in Texas requiring students to have a Covid booster. It’s against the law, but the student doesn’t want make waves. If you need an exemption for the Covid shot, please email frontdesk@breathemd.org. I do not charge for this service.


I am getting tired of reading 'experts' like LeCun repeatedly claiming that our AIs are nowhere near human-level intelligence. Let us look at the evidence. US universities rank students based on standardized tests like the SAT. Current AIs achieve near-perfect SAT scores. They also beat tests like the GRE. A few years ago, it was notable when early ChatGPT scored ~120 on an IQ test, a common measure of human intelligence. An IQ of 120 is well above average. Current AIs reportedly have IQ scores similar to those of leading scientists. It is not just in tests. I can ask an AI to produce a science paper that looks undistinguishable from what a PhD level student could do. I just have to give it the data. Better yet, from a prompt, agents can run the experiments and collect the data, and then write the papers. Those of us who try to get work done with AI know what is possible. You can't possibly just say 'this is nowhere near human-level intelligence'. In software, good AIs show a greater mastery of, say, C++, than your average software engineering professor. You could just build a formal test to prove it. The difficulty is that the professors would refuse to take your tests. At this point point, someone will object 'yeah, but your AI can't do this simple thing that we can all do'. Fine. These AIs do not have *human* intelligence. They are very much not human beings. They are something like alien intelligence. They can code straight in assembly language, but have trouble counting characters in words. But that's the result of trade-offs. A dog or a monkey can solve some problems faster than you can. But let us be fair. As a species, these AIs have definitively 'human-level intelligence'. You can't spend decades setting up cognitive tests for human beings, have these AIs beat us in these tests and then say 'well, that's not real intelligence'. Come on !




@eiszett Have you read all the sources you ever cited? During my PhD we, along with dozens of other papers, cited a paper that I later found did not contain the result for which it was commonly cited. I should be banned I guess.





Breaking news: Harvard faculty votes to cap the number of A's awarded in course grades, a big step in combatting the grade inflation that has been dumbing down our courses, conveying the wrong message to students, and making universities a national laughingstock.


It's interesting, (which kind of goes back to my original point in my post) there's apparently a long lasting battle between "Doctors", Nurses and others over who gets to be referred as Dr. in clinical settings (The more you know...): nytimes.com/2011/10/02/hea…

Hospitals and institutions need to address this issue. NPs with doctorate degrees should NOT refer to themselves as doctor in the context of patient care. If you want the doctor in front of your name, go to medical school.








