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The next month of @EPPCdc Searching for Medicine’s Soul ( https://t.co/GEnYe72hHC) is looking super exciting…episodes coming out soon:

Oof, this poem

👀 JULY 28, 3pm ET: Should AI care for us? What are the ethics of integrating AI into caregiving relationships. Join Illah R. Nourbakhsh @CarnegieMellon @ShannonVallor @mercgary #AI #healthcare #medtwitter #robots #ethics 👉 https://t.co/J4whZ7o1lf

I spend a lot of time teaching medical students. One of my favorite classes to teach is "clinical reasoning," where med students learn to synthesize patient information together with their growing body of medical knowledge to figure out how to diagnose and treat illness.

Imagine your loved one has a severe hypoglycemic emergency. You run to the glucagon kit and find these are the instructions 😲. Thankfully, we now have 1 step nasal and subcutaneous glucagon kits instead of 11 steps 💯 But only 17% of Type 1 Diabetes pts have one at home!

“The Canadian MAiD regime is lacking the safeguards, data collection, and oversight necessary to protect Canadians against premature death.” The realities of Medical Assistance in Dying in 🇨🇦 by ⁦@Psych_MD⁩ ⁦@TrudoLemmens⁩, Maher & Coelho

"The cases we discussed here reveal a troubling normalization of MAiD as “standard treatment” for a broad range of suffering, including suffering caused or augmented by socioeconomic factors." https://t.co/Y08YDu5psL

Important NEW paper on the realities of MAiD in Canada. By Ramona Coelho, John Maher, @Psych_MD & @TrudoLemmens https://t.co/Y08YDu5psL

I revisit this lesson on writing structure every 3-4 months. Gold:

ICYMI: "Medicine is plagued by untrustworthy clinical trials. How many studies are faked or flawed?" -> great reporting by Nature https://t.co/RJyaxGlu5a

Every time we acknowledge the pitfalls of cross-trial comparison

The realities of Medical Assistance in Dying in Canada Published online today @CambridgeUP https://t.co/rHEHQFWctI The 🇨🇦 MAiD regime is lacking the safeguards, data collection, and oversight necessary to protect Canadians against premature death. - Coelho, Maher, Gaind, Lemmens

Great for patients! Non-Restrictive diet is non-inferior to traditional low microbial protective diet during neutropenia after autologous transplant - data from a multicenter randomized trial https://t.co/x0SGRKhaxc @BloodAdvances

I don’t agree with this graphic from the paper. Instead I’d say the “minimally effective dose of palliative care” is a human clinician present to the needs of their patient, moment to moment, day to day. #hapc

Another interesting paper on how patients become research participants in phase 1 cancer trials, and the competing obligations of the clinicians to care for the trial as well as for the people: https://t.co/oOSgtoV1wW #PallOnc

If we want to limit the therapeutic misconception, we’d have to alter the entire milieu in which research takes place. The room would need to feel different; the research staff shouldn’t appear as clinicians (e.g., wear different color coats?); etc. #PallOnc

Helpful reflections on therapeutic misconception in medical research. This seems to go beyond the mere words spoken in informed consent: everything about a research encounter feels like it would be for my benefit (e.g., H&P, scans, labs).

Is this progress?