Ryan Radecki MD MS
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Ryan Radecki MD MS
@www.evidencetriage.com
2.7K followers 210 following 1.6K posts
FACEP FACEM ABPM-CI. HealthNZ AI & Christchurch EM. Annals of EM Podcast & Journal Club. Columnist ACEPNow. Speaker, writer, dad. Stanford '00. evidencetriage.com 🇺🇸 in 🇳🇿
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Reposted by Ryan Radecki MD MS
ai-firehose.column.social
Study shows AI models trained on normal chest X-rays predict health insurance types, unveiling hidden socioeconomic signals. This challenges the neutrality of medical data and advocates for scrutinizing biases in clinical algorithms. https://arxiv.org/abs/2511.11030
Algorithms Trained on Normal Chest X-rays Can Predict Health Insurance Types
ArXiv link for Algorithms Trained on Normal Chest X-rays Can Predict Health Insurance Types
arxiv.org
November 26, 2025 at 6:02 AM
www.evidencetriage.com
Anxiety-Based Medicine neé Function Health raises $300M to support its compelling fairy tale of life extension.

Every generation needs its snake oil.
#medsky
techcrunch.com/2025/11/19/f...
Function Health raises $298M Series B at $2.5B valuation | TechCrunch
From electronic health records and blood tests to the stream of data from wearable devices, the amount of health information people generate is accelerating rapidly. Yet, many users struggle to connec...
techcrunch.com
November 24, 2025 at 8:04 PM
Reposted by Ryan Radecki MD MS
caulimovirus.bsky.social
permanent, full-time combined nephrology and gen med role available in Tauranga, Bay of Plenty, New Zealand:

www.headmedical.com/job/nephrolo...
Nephrology and General Medicine Consultant Opportunity in Tauranga, Bay of Plenty
Tauranga, Permanent Full-time Position  About the Role  Bay of Plenty is looking for another Renal and General Physician to support people living with renal disease across the Bay of Ple...
www.headmedical.com
November 23, 2025 at 11:34 PM
www.evidencetriage.com
What’s a magician’s favorite kind of math?
November 23, 2025 at 2:13 AM
www.evidencetriage.com
"Our study evaluates three hypotheses about adversarial poetry as a jailbreak operator."

I knew my emo days of poetry slam were going to someday come back to save the world from a Terminator.
cstross.bsky.social Charlie Stross @cstross.bsky.social · 5d
Looks like LLMs are *very* vulnerable to attack via poetic allusion: "curated poetic prompts yielded high attack-success rates (ASR), with some providers exceeding 90% ..."

https://arxiv.org/html/2511.15304v1
November 21, 2025 at 3:52 AM
www.evidencetriage.com
When AI scribes fail to match human scribes – is it a failure of the technology to achieve natural parity, or a failure of clinicians to adapt and grow? 🤔

#medsky #MLsky
www.evidencetriage.com/p/ai-scribe-...
AI Scribe vs. Human Scribe
Who will win?
www.evidencetriage.com
November 20, 2025 at 7:28 PM
www.evidencetriage.com
In @annalsofem.bsky.social – a study looking at the bogeyman of missed stroke in dizziness, of which an undue level of importance has been placed.

Luckily, strokes are rarely missed and the resulting disability is usually low.
#medsky
www.evidencetriage.com/p/when-we-mi...
When We Miss Strokes, We Aren't Missing Much
Luckily, very little disability results from subtle clinical presentations.
www.evidencetriage.com
November 19, 2025 at 8:58 PM
www.evidencetriage.com
The perpetual interface between academia and the real world.
November 18, 2025 at 7:52 PM
Reposted by Ryan Radecki MD MS
smcgrath.phd
Susan Fenton at UTHealth Houston did a AI readiness survey (n=1376). While over 90% of faculty, staff, and trainees believe AI use is inevitable in their roles, faculty understanding of the legal and copyright implications lags significantly at just 39.5%. #AMIA2025 #AcademicSky
November 17, 2025 at 7:25 PM
www.evidencetriage.com
Part three of three – catching up on a backlog of mildly interesting medical literature from the past month.
#medsky

www.evidencetriage.com/p/one-liners...
One-Liners, Part Three
And, we're back to live!
www.evidencetriage.com
November 17, 2025 at 8:31 PM
www.evidencetriage.com
The question was posed: can ESR and CRP contribute useful diagnostic information for the evaluation of spinal epidural abscess?

My take in @acepnation.bsky.social ACEPNow!

(hint: nope!) #medsky
www.acepnow.com/article/is-t...
Is There Any Way Out for Spinal Epidural Abscess? - ACEP Now
Can ESR & CRP reliably rule out acute infectious spinal pathology? A new study explores using these markers to avoid MRI for spinal epidural abscess.
www.acepnow.com
November 17, 2025 at 7:27 PM
www.evidencetriage.com
I'm digging out of my "knowledge debt" accumulated over the past month of relative inactivity.

Better one-liners than nothing.
#medsky
www.evidencetriage.com/p/one-liners...
One-Liners, Part Two
Digging out of the archives of the past few weeks.
www.evidencetriage.com
November 15, 2025 at 9:09 PM
www.evidencetriage.com
Follow @smcgrath.phd and #AMIA2025 for your taste of informatics in Atlanta!
smcgrath.phd Scott McGrath @smcgrath.phd · 11d
Setting up for my first #AMIA2025 workshop - Designing and Evaluating Trustworthy AI for Consumer Health with @kimkater.bsky.social @scottsittig.bsky.social, Raju Gottumukkala, Ross Koppel, Jenna Marquard, Adela Grando, and Ming-tse Tsai. #W05
November 15, 2025 at 6:40 PM
Reposted by Ryan Radecki MD MS
smcgrath.phd
A new study tests if LLMs can create clinical consultation templates. Models like o3 were comprehensive, capturing 92.2% of expert items, but failed at conciseness, generating 2.58x too much info. They struggle with clinical prioritization.
#MedSky #MLSky
Asking the Right Questions: Benchmarking Large Language Models in the Development of Clinical Consultation Templates
This study evaluates the capacity of large language models (LLMs) to generate structured clinical consultation templates for electronic consultation. Using 145 expert-crafted templates developed and…
arxiv.org
November 15, 2025 at 1:42 PM
Reposted by Ryan Radecki MD MS
cyncharron.bsky.social
I’m sure lots of my Ōtautahi Christchurch mutuals know about these but I’ve just completed the latest Life in Christchurch survey for the City Council. This one is about travelling within the city, it’s especially good!

They want my feedback re:bike parking & safety while biking in Chch? WOO HOO!🙌🏼
Life in Christchurch 2025
The latest Life in Christchurch survey is now open for your feedback and we'd love your feedback on your experiences of travelling in Christchurch!
christchurchcc.syd1.qualtrics.com
November 14, 2025 at 7:15 AM
www.evidencetriage.com
Hello #nzpol !
ips-dc.org Institute for Policy Studies @ips-dc.org · 13d
NEW: The first two years of Massachusetts' millionaire tax has raised $3 billion more than expected.

And rather than driving the rich away, IPS researchers found that the number of millionaires has *increased.*

Tax the rich. Greg Ryan in @bloomberg.com:
Millionaire Tax That Inspired Mamdani Fuels $5.7 Billion Haul in Massachusetts
A millionaire levy in Massachusetts that New York City mayoral frontrunner Zohran Mamdani holds up as a model for taxing the rich has generated $3 billion more in revenue than expected without forcing...
www.bloomberg.com
November 13, 2025 at 11:20 PM
www.evidencetriage.com
I have a backlog of something like 30 articles that all deserved a post – the answer is clearly: none of them will get a post, yet, they all will.

Here are the first few:
#medsky
www.evidencetriage.com/p/one-liners...
One-Liners, Part One
I've fallen behind and I can't get up!
www.evidencetriage.com
November 13, 2025 at 7:57 PM
www.evidencetriage.com
Want to stop the cycle of doomscrolling and promote new work from @annalsofem.bsky.social ?

Now recruiting additional Social Media editorial roles:
www.acep.org/education/jo...
Annals Social Media Editor Assistant
The Social Media Editor Assistant will support the Social Media Editor in managing and growing the online presence of Annals of Emergency Medicine.
www.acep.org
November 12, 2025 at 6:34 PM
Reposted by Ryan Radecki MD MS
www.evidencetriage.com
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.

"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
rock climbing near christchurch, new zealand
November 11, 2025 at 12:12 AM
www.evidencetriage.com
If you're not in Christchurch, you're missing out! Come join the busiest emergency department in Australasia (Southern Hemisphere?) with incomparable small-city quality of life.

"Fellow" positions open for applications for 2026:
cdhb.careercentre.net.nz/Job/Emergenc...
rock climbing near christchurch, new zealand
November 11, 2025 at 12:12 AM
www.evidencetriage.com
... with 300,000 Actual Cases out there, every ICU bed in the U.S. would have (more than one!) post-influenza vaccine GBS ventilated patient occupying it.

Literally everyone in the U.S. has died of vaccine-related harms, if enough of their theories are to be believed ....
tom.medsky.social Tom Turkey [redacted] DO 🦃 @tom.medsky.social · 15d
1. He overstates the risk. Guillain-Barre from the influenza vaccine is 1-2 additional cases per million doses given.
2. Only 30% of patients require mechanical ventilation.
3. A hospitalist would consult with their affiliated OB-Gyn, not a "Locum Independent Contractor"
Tweet from James Thorp MD from yesterday: Me: Good afternoon this is Dr Jim Thorp how can I help you? Attending Doc: we admitted a pregnant patient that you need to see asap. She was admitted earlier today and she has “ascending levels” of loss of sensation and weakness. Me: She has Guillain Barre Syndrome (GBS). Let me guess… she had some type of vaccine about two weeks ago. Attending Doc: Lemme check… Yah, Dr Thorp she had a flu vaccine two weeks ago. Me: this is very serious and with her rapidly rising weakness & difficulty swallowing you best get her in the ICU as she will likely need to be intubated and on a respirator. Do you inform your patients about risks & benefits of vaccines in pregnancy? Me: an hour discussion review CAUSE and pathophysiology of vax induced GBS, autoimmune, molecular mimicry et al… Did u realize she may die from this? Did u realize you gave a flu vaccine and recent studies show it increases the risk of the disease it is supposed to prevent? Do you realize she’s only 14 weeks pregnant and could be on a ventilator for the rest of her pregnancy? Do you realize there’s a massive safety signal in FDA/CDC VAERS system for flu vaccines & GBS? As of today there are 3,119 cases of GBS reported after a flu vaccine. With a reporting of only 1% of all cases, there are probably well over 300,000 cases of GBS associated with flu vaccines. And it gets worse… GBS is only one of MANY complications from the flu vaccines. Do you know there are ZERO prospective studies on vaccines in pregnancy that have long term follow up? Attending Doc: Thank you Dr Thorp this has been a momentous day - I learned a lot from you. @MdBreathe @P_McCulloughMD @FLSurgeonGen @DrKellyVictory @harryfisherEMTP @SecKennedy @SenRonJohnson @twc_health @drdrew
November 10, 2025 at 8:08 PM
www.evidencetriage.com
Kiss of death.
“Elon Musk endorses Andrew Cuomo for NY mayor”
November 3, 2025 at 9:38 PM
Reposted by Ryan Radecki MD MS
rosejudson.bsky.social
My name is Ozymandias, King of Kings. Look upon my works, which contain sequences of flashing lights and images that may affect photosensitive viewers.
www.evidencetriage.com Ryan Radecki MD MS @www.evidencetriage.com · 22d
My name is Ozymandias, King of Kings. Look upon my works, which are known to the State of California to cause cancer.
November 3, 2025 at 8:32 PM
www.evidencetriage.com
First peripheral vasopressors, now deferred arterial catheterization – critical care is becoming less-invasive every day.
#medsky
www.evidencetriage.com/p/arterial-c...
Arterial Catheters Don't Save Lives
"Change my mind."
www.evidencetriage.com
November 3, 2025 at 8:26 PM
www.evidencetriage.com
"The 2.3% gain in FEOBV binding in the anterior cingulate achieved over a 10-week intervention may offset the estimated 2.5% decline typically observed over a decade of natural aging."

The face validity of a wee digital game "de-aging" your brain is just about nil.
games.jmir.org/2025/1/e75161/
Effects of Computerized Cognitive Training on Vesicular Acetylcholine Transporter Levels using [18F]Fluoroethoxybenzovesamicol Positron Emission Tomography in Healthy Older Adults: Results from the Im...
Background: The cholinergic system mediates essential aspects of cognitive function, yet its structure and function decline progressively with age, by an estimated 2.5% per decade across the lifespan....
games.jmir.org
November 3, 2025 at 8:59 AM