RKendallPMR

@hjluks A lot a Snap-Crackle-Pop? Mine does.

Trying to loosen up a 60+ yo spine isn’t easy. But if you don’t do these… Well, you know what happens.

@DrCorriel They ignore it at twice the rate of medications.

Seriously? Talk about marketing tactics. Does this guy actually think we don’t know about the incredible of benefits of exercise and nutrition, or pass those on to our patients? I can’t speak for all physicians, of course, but I, for one, would certainly prefer to see a patient take ownership of their health and remain as prescription-drug-free as possible.

@hjluks For some there’s an injection for everything? 🤷‍♂️

LinkedIn is a messy medical space. You wouldn’t believe the replies here 🤣. Some were injecting all levels…

@brianchiong 🤣🤣 That’s how it’s done!

The news says it was snowing in New York

@jimcramer #Rockportmass so much prettier than Philly.

I am a huge believer in AI for many things like summaries, quick histories, even some stock questions. But tonight on Gemini I learned that i was from Rockport, Massachusetts and am an unofficial spokesperson for the city. I have never been to Rockport, Mass and I am from Philadelphia.

@dereckwpaul A BIG problem with this is the extensive use of cloned notes which say almost NOTHING new over multiple visits. Garbage in….Garbage out.

AI is about to fix one of medicine's most well-intentioned but potentially dangerous practices. The chart biopsy. Before seeing a patient, a doctor is going to do their best to review the chart so that they have the context needed to handle whatever the patient's chief complaint is at the time effectively. Oftentimes, doctors do not have time to review the entire chart or review the chart at all, secondary to the ongoing pressures to see more and more patients. The very best doctors I've known have, at the very least, tried to do a chart biopsy. They scan through the available previous documentation in the chart and try to intelligently choose pieces of documentation that are likely to provide them with a good overall picture of the patient. For example, a previous specialist note. The reality is that they can only choose one or two notes to read—hence the term chart biopsy. Just like a real tissue biopsy, it is only taking a tiny sample of what is going on. A good chart biopsy is better than no chart review, but it leaves a tremendous amount of unreviewed context. In the course of an inpatient hospitalization, as the hospitalization plays out, a great doctor will review more of the chart through those days and learn more about the patient. They accumulate previous context and present context through their conversations with the patient over time. But at the time when they are seeing the patient and admitting the patient and making the most critical decisions, they often have the lowest context. Growing context windows mean that an AI can actually process more text than the average human can. A million token context window is the equivalent of about ten novels. For patient records that are even bigger than this, they can be represented and searched using techniques including context compaction, summarization, and vector embedding. AI is going to make it so that the chart biopsy is not necessary. We are going to have considered all the available context early on in patient encounters, at the point of care when it really matters. This is going to help doctors be more effective at their job of diagnosis and treatment planning, and lead to downstream positive impacts for patients.

A new study just published. @CzaplewskiLloyd 60% of persistent LBP cases with Modic types 1 & 2 achieved substantial reductions in pain and disability after an antibiotic-infused linezolid intradiscal injection. I have read the paper, and my preliminary report is available on my blog. drmarklaslett.com/post/ Urge you to acquire and read a copy - it is open access thelancet.com/journals/eclin…

Up to 30% of low back #pain patients have #SIJ complex pain, but it’s often missed. New consensus #guidelines from @AmerAcadPainMed & @ASRA_Society provide a roadmap for care. 📄 Q&A with lead author Dr. Zachary McCormick (@UofUHealth): bit.ly/3NyChbC #BackPain

There were 2 big physical activity studies this week that have attracted a lot of attention bmjmedicine.bmj.com/content/5/1/e0… @BMJMedicine thelancet.com/journals/lance… @TheLancet

✨Featured: Researchers explore the assoc b/n preop lumbar paraspinal IMF & recovery over a 5y window s/p surgical decomp for LSS. Pts w/ nonsevere IMF in the lum multifidus reported a ⬆️% of successful recovery & surgical success comp w/ the severe group journals.lww.com/spinejournal/f…

@jonhagedornn What watch do you run with? Is this the Garmin + edition of connect?

weekly ledger mileage: 61.5 yearly: 101.8 long run: 17.2 weekly vert: 2064 ft yearly vert: 3914 ft vo2max: 61 (-1) garmin hill score: 44 (-1) strength sessions: 2 sum: stacking weeks

@gretchemaben Maybe you should send out the contact so all of X could contact them about itching.

In product instructions 🤣

@Alan_Couzens Great thread! Key word -balance!!

We'll all hit these periods in life at one point or another. When we do, I'd encourage being honest with oneself, looking at the bigger picture, and above all else doing what's necessary to stay healthy. "Competitive" training will always be there when life space opens back up.

It's becoming apparent that my thinking on low volume training is different to most. If my life was super busy and I only had 5 hrs a week to exercise, what would I do? A quick thread 👇

@VipsMDMEd @BillisKing Guess one team was over-rated!!

@HeartOTXHeartMD 🤣 That would teach them!!!

Put the NRMP in charge?!

@Wisdom_HQ @BethFratesMD Liar

When the speed limits 80mph how do you get stopped for speeding? Also why do you drive a mini-van full of kids at 80mph? Life in the west.

@EricTopol @ouraring @tomeghale I’ve used one for the past year. While some interesting data to be aware of, I won’t continue it past this year.

The CEO of @ouraring proposes a new FDA regulatory path for wearable sensors—"digital health screeners" @tomeghale What do you think of this idea? wsj.com/opinion/with-l…

@stevemagness Unfortunately the 99% can’t understand complicated programs are unlikely to get them to the 1% (and I mean reality, not ego).

I'm going to start a movement called "All training zones matter..." To emphasize that everything is needed, in of course the right mixture for the demands of the event. The constant back and forth of zone 2 vs. zone 5 vs. zone 3 is exhausting and mostly pointless.

Our engineers give a bionic hand a mind of its own. #UofU researchers are using AI to finetune robotic prosthesis to improve manual dexterity by finding right balance between human and machine control. 📰 attheu.utah.edu/health-medicin…