Mehraj Din

@thekaransinghal This looks fantastic and promising as we see our daily workflow getting streamlined with the help of AI, like a personal secretary to help in documentation, besides providing clinical insights, HIPPA compliance should be enforced by default rather than optional.

Today we’re introducing two big steps for health at OpenAI: - ChatGPT for Clinicians, a free version of ChatGPT designed for clinical work - HealthBench Professional, a new benchmark to evaluate real clinician chat tasks We’re excited about what this can unlock for care. ❤️

A great resident or fellow learns to navigate uncertainty, communicate clearly, prioritize well, and balance self-care with professional duty. They take ownership, remain teachable, and design care around the individual patient. Just as importantly, they understand exactly which studies support current practice, including who was studied, what treatment was given, and what outcomes were measured. Knowledge matters, but so do reliability, judgment, humility, and the ability to connect evidence to the person in front of you.

In a randomized controlled study of 1,298 participants, performance of humans when assisted by an #LLM was inferior to the LLM alone when assessing 10 medical scenarios. nature.com/articles/s4159…

Dive into the newly updated Surviving Sepsis Campaign guidelines with two free webcasts: ow.ly/V7iw50YxS7H Cochairs from the guidelines panels will walk through the recommendations & discuss how the changes influence recognition & management of sepsis & septic shock. #SCCM

Induction medication for emergency intubation — does the choice matter? NEJM Editorial Fellow Katerina Lin, MD, explains a randomized trial to determine the effects of ketamine vs. etomidate for induction of anesthesia during emergency tracheal intubation. Full RSI trial results: nej.md/44EOlxB

Original Article: Selective Decontamination of the Digestive Tract during Ventilation in the ICU (SuDDICU trial) nejm.org/doi/full/10.10… Editorial: Selective Digestive Decontamination — Finding the Way Forward nejm.org/doi/full/10.10… 📖 Further reading in @NEJMEvidence: Original Article by N.E. Hammond et al.: Selective Decontamination of the Digestive Tract in Mechanically Ventilated Patients — An Updated Systematic Review with Bayesian Meta-Analysis evidence.nejm.org/doi/full/10.10…

Habits so simple you think they’re not worth doing, but have a profound impact on your life: - Not touching your phone when you wake up - Not thinking about work after work is done - Putting a book down once you find an idea worth thinking about - Setting aside time to do nothing for 10 minutes a day - Going on a short walk after each meal - Eating a meal without a screen in front of you - Saying "I don't know" instead of pretending you do - Asking "What if this isn't actually a problem?" before trying to solve it - Letting yourself be bad at something instead of expecting perfection - Trying to understand something you disagree with instead of looking for flaws - Defaulting to "no" until you think through the commitment

This 45-second experiment will change your life:

@UniverseIce Wtf exactly same

If you’re reading this tweet right now, your right leg is crossed over your left. Right？

@ZFXtrading Welcome back and thanks for sharing the amazing method

Last Month I got Hacked X support told me to "create a new account." ChatGPT refused to help. The dark web wanted $25,000. Here's how I recovered 10 years of my digital life for free:

"The best way to get started is to quit talking and begin doing." – Walt Disney In a fast-paced environment, prioritize ruthlessly: Start your day by identifying your top 3 must-do tasks and block out uninterrupted time for them first, ignoring emails or distractions until they're done. This keeps momentum high amid chaos.

**Motivational Quote:** "The secret of getting ahead is getting started." – Mark Twain **Productivity Tip:** In a fast-paced environment, kick off your day by spending just 5 minutes listing your top 3 must-do tasks and tackling the most critical one first—before checking emails or getting sidetracked by urgent but less important interruptions. This helps maintain focus amid chaos and builds momentum early.

@TradingNinga Amazing all over hitting the spot with @kiddowstuff

All moved in ready for next week! Have a good weekend lol bulls #XAUUSD

@kiddowstuff @desiretotrade and @wordsofrizdom your podcast with @kiddowstuff will definitely add a lot of value and educational content for your users with his unique cycle framework approach. @TradingNinga

That one FinX influencer who gets me to 10k followers by giving me a chance to prove my TA approach I will always be thankful for and promise to work with for a very long time! Those of you who follow me for awhile know kiddow keeps his promises! Give and you will be giving! LSWH

@TradingNinga @kiddowstuff Combination is no less than the ORACLE of the markets itself

@docmehraj @kiddowstuff I think he’s taken my role mate we used to be king of the swing kiddow and the intraday master , now we switched role.. ha

Tell me someone who takes care of his paid subs like I‘m? 👇 Hint: There is NOBODY in this planet earth! My kiddowarmy group means everthing to @TradingNinga and me! 20 spots left! 50 members will be the cap as I won’t have the time to manage more! Requirments to join: Tradingview subscribtion as well as the desire to learn a complete new approach to cycles framework system! Time and effort! And most importantly to be able to follow streams in the english language! LSWH

What actually happens to caffeine after you drink it? your liver breaks caffeine into three separate biologically active molecules, each with different effects. This pathway shows exactly how your body metabolizes caffeine, and why people respond so differently to the same cup of coffee. When caffeine enters the bloodstream, 95% of its metabolism occurs in the liver and is controlled by the enzyme CYP1A2, one of the most genetically variable drug-metabolizing enzymes in humans. Caffeine (1,3,7-trimethylxanthine) is broken down into three major metabolites: 1️⃣ Paraxanthine (1,7-DMX) - 84% of caffeine metabolism This is the dominant metabolite. Paraxanthine increases lipolysis, raises free fatty acids, and enhances alertness without as much vasoconstriction as caffeine itself. Further metabolism produces AFMU, 1-methylxanthine, and 1-methyluric acid through NAT2 and XO pathways. 2️⃣ Theobromine (3,7-DMX) - 12% Theobromine is the primary stimulant in chocolate. It acts as a vasodilator, smooth muscle relaxant, and mild diuretic. It is further metabolized into 3,7-dimethyluric acid via xanthine oxidase. 3️⃣ Theophylline (1,3-DMX) - 4% Theophylline has bronchodilating properties and is actually used clinically for asthma. It is metabolized into 3-methylxanthine and 1-methylxanthine through CYP1A1 and CYP1A2 pathways. 🧬 Why this diagram matters Genetics determine how fast you metabolize caffeine. Fast metabolizers (CYP1A2*1A) clear caffeine quickly → fewer jitters, higher tolerance, shorter half-life. Slow metabolizers (CYP1A2*1F) break it down slowly → stronger effects, longer half-life, higher risk of sleep disruption and blood pressure effects. NAT2 and other enzyme variants shape downstream metabolite balance. This is why some people can drink coffee at 9 p.m. with no issue… and others get heart palpitations from half a cup. Your caffeine response isn't random, it's biochemistry + genetics. 📚 Source Nehlig A. “Inter-individual differences in caffeine metabolism and factors driving caffeine consumption.”

Very accurate and concerning write-up the way out appears to be more transparent and seek explicit consent from the patients. time.com/7331890/ai-doc…

@grok Ch chu parwai chane khatre anaw kukar maaz

Stretch your imagination and let it run wild with #grok #imagine bringing iconic #Burjkhalifa to #Kashmir

@YawarYaseenDar @grok Na wullah shubaan cha kin na

@docmehraj @grok Walter sochta hai wular ke kinare