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Ryan Radecki MD MS

@www.evidencetriage.com

FACEP FACEM ABPM-CI. HealthNZ AI & Christchurch EM. Annals of EM Podcast & Journal Club. Columnist ACEPNow. Speaker, writer, dad. Stanford '00. evidencetriage.com πŸ‡ΊπŸ‡Έ in πŸ‡³πŸ‡Ώ

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Latest posts by Ryan Radecki MD MS @www.evidencetriage.com

Preview
Ig Nobels ceremony moves to Europe over security concerns Marc Abraham: β€œDuring the past year, it has become unsafe for our guests to visit the country."

The brain drain continues – the U.S. has lost arguably its most important scientific awards ceremony:
arstechnica.com/science/2026...

11.03.2026 05:35 πŸ‘ 102 πŸ” 36 πŸ’¬ 1 πŸ“Œ 4
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Time to pass a law that any party spokesperson of media outlet that opines with hindsight reckons on pandemic management has to show this chart in the background at all times #nzpol

10.03.2026 02:49 πŸ‘ 331 πŸ” 155 πŸ’¬ 5 πŸ“Œ 7
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Here is a full implementation of the Chinese Room using a printed copy of GPT-1 in case you have a few spare years and want to actually run the thought experiment for real, for some reason. You can also download 80 volumes of GPT-1 weights for free to do it: weights-press.netlify.app/pdfs/The-Chi...

09.03.2026 01:26 πŸ‘ 82 πŸ” 11 πŸ’¬ 2 πŸ“Œ 1

I mean … that’s basically a defining feature of networks full of weights. Nodes can widely promote and repress other nodes based on the relationships seen in training data.

Not sure I would humanize it by saying β€œunconscious processing”.

09.03.2026 05:56 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Patients say measles 'worse than expected' as Utah hits 350+ infections, doctors say Health officials plead with residents to vaccinate against measles as Utah hits 358 infections.

πŸ€”
www.ksl.com/article/5145...

08.03.2026 02:09 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

When this came round last night, I said to my wife "I have an idea, but I am reluctant to inflict it on people", but I have thought of a was of showing the actor that is less confrontational. So, worst you say...

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Your job is to pick the worst actor to play James Bond.

08.03.2026 01:15 πŸ‘ 5 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Prasad also made collages of doctors wearing masks to shame them and spread doubt and mistrust.

That’s the professionalism and maturity he brought to the table.

07.03.2026 20:32 πŸ‘ 101 πŸ” 30 πŸ’¬ 5 πŸ“Œ 0

Well, it’s NEJM AI, what did you expect. πŸ™ƒ

07.03.2026 22:42 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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How Do Symptom Navigators Affect Patient Actions? Or, what did Ada Health report about using Ada Health?

Everyone wants a symptom checker, a navigator, a chatbot – you name it – to magically direct patients to the "correct" next step in care.

Well, this is what Ada Health is claiming their symptom digester will do:
#medsky #mlsky
www.evidencetriage.com/p/how-do-sym...

07.03.2026 19:59 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1
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a cartoon of a man carrying a briefcase and saying mr lanley ALT: a cartoon of a man carrying a briefcase and saying mr lanley
07.03.2026 19:53 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Makary claims he’s headed back to UCSF, however. πŸ˜‘

07.03.2026 01:39 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Makary claims he’s headed back to UCSF, however. πŸ˜‘

07.03.2026 01:39 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

No self-respecting university ought ever hire him again.

07.03.2026 01:18 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Unmistakable call when you have one in your yard! Always a lovely day with a visit.

06.03.2026 08:27 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

when our hospital lost power two years ago, the emergency handbook said β€œcall this number”.

… but the phone system was affected by the same power outage. πŸ™ƒ

06.03.2026 00:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

An ineffective intervention can be cost-effective if it displaces another, more expensive, ineffective intervention. πŸ™ƒ

05.03.2026 02:41 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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What's In Your ED's Poop? Viruses!

Everyone loves a good poop joke – or poop study.

Here's a look at potentially using emergency department-specific wastewater monitoring to detect and characterize viruses circulating in the community:
#medsky
www.evidencetriage.com/p/whats-in-y...

04.03.2026 19:29 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

A scheduling web app, but β€œCanoodle” instead of β€œDoodle”.

03.03.2026 20:12 πŸ‘ 18 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

A scheduling web app, but β€œCanoodle” instead of β€œDoodle”.

03.03.2026 20:12 πŸ‘ 18 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

That is indeed unhelpful.

02.03.2026 01:52 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I also worry about the fallibility and automation bias of the so-called "human in the loop" as a mitigation strategy – it's not enough to just "hope" these errors are caught in an endless flood of AI slop, and these real issues requiring ongoing oversight and governance.

02.03.2026 01:34 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

It's really a fascinating ongoing debate – it's possible patient harms by a thousands cuts where ambient summaries are inaccurate, but clinical pressures otherwise mean clinical care delayed/denied due without some kind of productivity augment .... which is more harmful?

(no, we can't hire more)

02.03.2026 01:33 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I would probably argue the ambient summaries have more leeway to be imprecise than a transcription β€” the human process it mimics is also known to be error-prone.

02.03.2026 01:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yes - we’re on very different sides of the same coin!

02.03.2026 01:27 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I suppose it all depends on the definitions of β€œfrequent”, the determination of β€œclinically important”, and the errors made by the best available clinician operator.

Some settings and documentation frameworks will favor humans, others are a scramble against competing pressures in a zero-sum game.

02.03.2026 00:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

*never let a doctor use AI that isn't proofreading the notes

You're not wrong – 1) the transcript engine makes errors, and 2) the summarization engine makes errors. The errors are infrequent, but absolutely still at the point where mitigation strategies are essential.

01.03.2026 23:20 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 1

They've been working on incorporating AI into healthcare for at least 50 years – so, you're a little late to object! πŸ™ƒ

01.03.2026 22:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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A Radiology Swing and Miss Miss rate too high for even this simple clinical question.

Can we offload some simple, routine radiology to AI? Not quite yet – and this is why uptake is so hard, because it requires workflows to be precisely designed as to augment a human-in-the-loop, not disrupt.
#medsky #MLsky
www.evidencetriage.com/p/a-radiolog...

01.03.2026 20:24 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

What, your ED isn't a bloodbath of serious harms and deaths?

And this is just the harms and deaths from diagnostic error, not from run-of-the-mill procedural complications, delays to care, staff shortages, medication errors, other adverse effects ....

01.03.2026 20:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

You'd think such a high-profile clown act would be career-ending, but, alas ....

01.03.2026 20:17 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0