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Fraz Ahmed Ismat
18.2K posts
Fraz Ahmed Ismat
@fismat
Working to cure disease and relieve human suffering.
Central New Jersey Katılım Ocak 2008
3K Takip Edilen653 Takipçiler
Fraz Ahmed Ismat retweetledi
All the people who pandemicked are in utter denial that their own actions, words, and prior taught ways of seeing and customs were instrumental to make pandemicking a grand success. We want to pandemick… but not like that… keep smashing against reality that cannot be undone.
Noam Blum@neontaster
Cannot recommend @davidzweig’s book “an abundance of caution” enough. It really crystallized the reasons for trust collapse, particularly surrounding school closures. The experts did the opposite of what decades of experience in their fields said they should do.
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What is the point of striving for excellence if you cannot have the occasional (or more than occasional) chocolate lava cake or McNugget?
Brad Stulberg@BStulberg
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@neoavatara We have a distribution problem—geographic & specialty.
And because of that, merely increasing the total number of physicians will not fix the maldistribution. The forces at work causing the maldistribution need to be addressed.
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Try finding a physician on short notice.
My wife's practice for new patients is a six month wait.
So yes, we definitely have a physician shortage.
Time to build more medical schools.
Mary Talley Bowden MD@MaryBowdenMD
Do we really have a physician shortage? US is far ahead of Pakistan and India in terms of physician density, yet we keep getting told we need their doctors to survive.
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BREAKING: I just signed a bipartisan bill giving bars the option to stay open until 4 AM as we celebrate FIFA and America250 right here in Philadelphia.
Celebrate responsibly, Philly. 🍻🇺🇸
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@healthylifeMD @real_doc_speaks There are ~12K more residency positions than US medical school graduates.
How is residency a bottleneck?
James Blunt@JBlunt1018
When you zoom out: ~40,000 residency spots ~28,000 U.S. grads That leaves ~12,000 seats with NO American doctors to fill them. So who exactly is being “replaced”?
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@real_doc_speaks 1,367 unmatched US grads while we claim there's a physician shortage. The bottleneck isn't med school seats — it's residency slots. Congress controls GME funding. This has been fixable for decades.
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1,367 US medical school graduates didn't match for a residency program.
We need to both increase the number of US students accepted into medical schools, and we need to increase the appeal of primary care fields like FP and Peds.
James Blunt@JBlunt1018
When you zoom out: ~40,000 residency spots ~28,000 U.S. grads That leaves ~12,000 seats with NO American doctors to fill them. So who exactly is being “replaced”?
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@mirvatalasnag @MWeintraubMD This is just basal insulin; does not eliminate need for meal coverage, etc.
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@MWeintraubMD Is this applicable to the pediatric age group?
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Today the FDA approved the first once-weekly insulin.
Insulin icodec, now brand name Awiqli, demonstrated superior a1c reduction to daily insulin glargine with a1c reduction of 1.55% compared to 1.35%, in addition to 6 less injections per week in the ONWARDS phase 3 trial.
Now clinicians must become comfortable with switching daily insulin users to an equivalent weekly dose and start and titrate new users.
novonordisk-us.com/media/news-arc…
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@Biomaven I think that this & fall detection are the only value I see in that devices.
Don’t trust the rhythm.
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I'd remind everyone that the Apple watch sleep apnea measurement is an absolute triumph of engineering - it matches very closely what I see from the data on my CPAP machine. (The watch, unlike the machine, scores some events with duration <10 seconds, which I think is correct). And if you or someone you know uses a CPAP, get the free OSCAR software to look at the data for yourself. The AI's can interpret if you need help understanding and then optimizing the CPAP parameters.
Om Patel@om_patel5
THIS MAN'S UNCLE HAD A MYSTERY ILLNESS FOR 25 YEARS. EVERY DOCTOR MISSED IT. CLAUDE FIGURED IT OUT IN ONE CONVERSATION. his 62 year old uncle had kidney failure, diabetes, hypertension, a stroke, and severe migraines that ONLY happened when lying down to sleep. neurologists couldn't explain it. nephrologists couldn't explain it. brain MRI showed nothing obvious. so he brought everything to Claude. Claude caught what every doctor missed: the headaches are positional. lying down triggers them. that's a textbook sleep apnea signal. > pulled research showing 40-57% of dialysis patients have undiagnosed sleep apnea > read his brain MRI report and flagged findings other doctors overlooked > asked about snoring. answer: loud snoring for 25 years > calculated his sleep apnea risk score: 6-7 out of 8 they got the sleep study done. results were terrifying: > breathing stops 119 times per night > oxygen drops to 78% (dangerously low) > 47 oxygen desaturations per hour > 28 minutes per night below safe oxygen levels they put him on a CPAP machine. headaches gone. 25 years of loud snoring and daily exhaustion. every doctor said "dialysis fatigue" or "just getting old." it was sleep apnea the entire time. potentially causing his hypertension, contributing to his stroke, and definitely causing his migraines. Claude even translated the full home care plan and CPAP instructions for his family. AI didn't replace his doctors but it connected dots across nephrology, neurology, pulmonology, and ENT that no single specialist was doing.
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@PedramBashiri @markgurman What will you run those on? An Android phone? 😏
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@markgurman What an embarrassment for Apple. The world’s most valuable company and the oldest tech company is becoming a distributor for Anthropic and OpenAI, which aren’t even 10 years old. This is not a genius move, it’s accepting defeat.
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BREAKING: Apple is planning to open up Siri to run any AI service via their App Store apps as part of iOS 27, dropping ChatGPT as the exclusive outside partner in Apple Intelligence and Siri. bloomberg.com/news/articles/…
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@allisonoconn @SR_DeshpandeMD Literally never heard of this as a problem.
And as a Muslim physician, you would think I would have!
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Today my co-fellow @SR_DeshpandeMD taught me that since all heparin products are porcine-derived, all Muslim patients should be asked about/informed about heparin products prior to their use! Make sure you ask before starting that dvt prophylaxis!
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Fraz Ahmed Ismat retweetledi
Great news: EWR and JFK are live again on my free TSA wait time dashboard.
Since official feeds were pulled, I’m now sourcing data from a 3rd party provider (EWR/JFK only)
Lmk if times are off.
Tested a few times over past 24 hours, and seems accurate.
tsa.fromthetraytable.com
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In my three decades of medicine I’ve never had industry reps bring free lunch BEFORE a trial was presented
Here’s the flyer BSX passed out
“Is your practice ready?”
Wow! No mention of CLOSURE AF???
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Fraz Ahmed Ismat retweetledi
Well written. Worth a read. Miscellanea: The War in Iran acoup.blog/2026/03/25/mis…
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Fraz Ahmed Ismat retweetledi
When you zoom out:
~40,000 residency spots
~28,000 U.S. grads
That leaves ~12,000 seats with NO American doctors to fill them.
So who exactly is being “replaced”?
English
Fraz Ahmed Ismat retweetledi
I will not be engaging in this "IMGs are stealing American Jobs" nonsense.
I feel we need to push back on this xenophobic hate-mongering. Half the doctors in some states are IMGs and we are dependent on them. Also, can you imagine how horrible those IMGs who matched must feel with this public shaming?
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Fraz Ahmed Ismat retweetledi
לילדה הזו קראו אלמה אבו ראדה. היא נולדה בעזה 4 ימים אחרי הפסקת אש ושנה וחצי אחרי שאחותה הגדולה מתה ממום מולד בריאות. גם אלמה סבלה מאותה מחלה. אפשר היה להציל את חיה בטיפול בבי"ח במזרח ירושלים. אבל ישראל מונעת מחולים פלסטינים מעזה להתפנות לבתי חולים בגדה ובי-ם. היום היא נפטרה.
עברית
@_ZachGriff @OmicsOmicsBlog Is there anyone crowdsourcing this info?
Unfortunately EWR (and other airports) are not reporting anything (officially) about TSA wait times. 🫤
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TSA wait times are absolutely wild right now. So I built a free tracker that shows live waits by checkpoint, including Precheck, Clear, and more (where available).
Most tools, including the TSA’s own app, only show airport-wide estimates.
Here ya go: tsa.fromthetraytable.com
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Fraz Ahmed Ismat retweetledi
Les réactions suite aux vidéos des prières de l’Aïd sont révélatrices.
Le système moderne était persuadé que l'école laïque, l'hyper-sexualisation et le pouvoir d'achat allaient dissoudre l'Islam exactement comme ils ont liquidé le catholicisme. Mais même chez le croyant le plus éloigné de la perfection, même chez celui qui est noyé dans les péchés, lorsque le mois de Ramadan surgit, il redevient un serviteur du Tres-Haut.
Les droitardés n’ont toujours pas compris qu’on ne ressuscite pas une civilisation qui a fait le choix de mourir de confort en s'offusquant de voir les autres prier. Leur colère est semblable à l’endeuillé qui refuse d’accepter la mort d’un proche…
Un Muslim 🕋@unMuslimm
🇫🇷🕌 La prière de l’Aïd à Tremblay en France a rassemblé des milliers de fidèles, remplissant 2 stades pour célébrer et prier le Seigneur de l’univers ✨
Français
With all of the Disney “live action” remakes, where is the live action “Phineas & Ferb”?
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Fraz Ahmed Ismat retweetledi
Would the LGA crash or last year's Reagan crash that killed 67 have happened if ATC wasn't so stressed? I don't know.
I do know politicians are stress-testing vital systems with our lives. Enough is fucking enough. This is no way to run a civilization.
Morning Brew ☕️@MorningBrew
Updates from LaGuardia after last night's tragic runway collision: • Fatalities: 2 (both Air Canada pilots) • Injuries: 41 (32 have already been released) Arrivals + Departures: • Cancellations - 590 • Delays - 52 LGA isn't scheduled to reopen until 2pm at the earliest It's the first fatal accident at LGA since 1992
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