Christian Sinclair, MD
@ctsinclair.bsky.social
palliative medicine doctor in Kansas City trying to make suburban KC more bike and walk friendly, one city council meeting at a time.
| #KCCurrent | #PalliativeCare | #hapc | #boardgames
| #KCCurrent | #PalliativeCare | #hapc | #boardgames
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How To Bluesky
How To Bluesky Ver 0.7 2025 Nov 05 By @ctsinclair.bsky.social Introduction Welcome to Bluesky! I am glad you are finding your way here. If you are used to Twitter (aka X), this is a brief guide to ...
docs.google.com
Made a tip sheet on "How to Bluesky"
Highlights: Mute, Block, Requiring Alt Text, Moderation lists, Labels, Badges, Feeds, Starter Packs, etc.
Hopefully it makes the experience of getting started here a little bit easier. Feedback welcomed.
docs.google.com/document/d/1...
Highlights: Mute, Block, Requiring Alt Text, Moderation lists, Labels, Badges, Feeds, Starter Packs, etc.
Hopefully it makes the experience of getting started here a little bit easier. Feedback welcomed.
docs.google.com/document/d/1...
Reposted by Christian Sinclair, MD
What I always hear: “We can’t afford to pay our workers more than $15 an hour.”
What I never hear: “We can’t afford to pay our CEO millions of dollars a year.”
Funny how that works.
What I never hear: “We can’t afford to pay our CEO millions of dollars a year.”
Funny how that works.
December 29, 2025 at 11:00 PM
What I always hear: “We can’t afford to pay our workers more than $15 an hour.”
What I never hear: “We can’t afford to pay our CEO millions of dollars a year.”
Funny how that works.
What I never hear: “We can’t afford to pay our CEO millions of dollars a year.”
Funny how that works.
Reposted by Christian Sinclair, MD
in 2026 instead of lore-diving whatever giant franchise benefits from your engagement try doing it with any writer/director with a substantial body of work but no “fandom”. Marie Ndiaye. Maryse Conde. Samuel Fuller. See where it gets you. If you gotta have a static setting do Mervyn Peake
December 29, 2025 at 1:57 PM
in 2026 instead of lore-diving whatever giant franchise benefits from your engagement try doing it with any writer/director with a substantial body of work but no “fandom”. Marie Ndiaye. Maryse Conde. Samuel Fuller. See where it gets you. If you gotta have a static setting do Mervyn Peake
Reposted by Christian Sinclair, MD
And this great article in @statnews.com:
"An advocate who offered a window on the experience of living with brain cancer dies at 43"
www.statnews.com/2025/12/22/a...
"An advocate who offered a window on the experience of living with brain cancer dies at 43"
www.statnews.com/2025/12/22/a...
An advocate who offered a window on the experience of living with brain cancer dies at 43
Adam Hayden, a patient advocate and the subject of an earlier profile in STAT, has died at age 43.
www.statnews.com
December 29, 2025 at 2:31 AM
And this great article in @statnews.com:
"An advocate who offered a window on the experience of living with brain cancer dies at 43"
www.statnews.com/2025/12/22/a...
"An advocate who offered a window on the experience of living with brain cancer dies at 43"
www.statnews.com/2025/12/22/a...
Reposted by Christian Sinclair, MD
A first-person remembrance of @adammarc.bsky.social—brain cancer advocate, writer, punk philosopher & dear friend. Our friendship shaped my approach to survivorship through his guiding truth: “The best way through fear is familiarity.”
www.thelizarmy.com/blog/adam-ha...
www.thelizarmy.com/blog/adam-ha...
December 29, 2025 at 2:31 AM
A first-person remembrance of @adammarc.bsky.social—brain cancer advocate, writer, punk philosopher & dear friend. Our friendship shaped my approach to survivorship through his guiding truth: “The best way through fear is familiarity.”
www.thelizarmy.com/blog/adam-ha...
www.thelizarmy.com/blog/adam-ha...
Reposted by Christian Sinclair, MD
If car infrastructure was designed like bike infrastructure:
— motorists would have to end trip because “lane ends”
— they would have to give priority to airplanes
— they would have to drive longer because curvy road is more esthetic
— every time they drove, someone would say “you drove here”??
— motorists would have to end trip because “lane ends”
— they would have to give priority to airplanes
— they would have to drive longer because curvy road is more esthetic
— every time they drove, someone would say “you drove here”??
December 28, 2025 at 9:58 PM
If car infrastructure was designed like bike infrastructure:
— motorists would have to end trip because “lane ends”
— they would have to give priority to airplanes
— they would have to drive longer because curvy road is more esthetic
— every time they drove, someone would say “you drove here”??
— motorists would have to end trip because “lane ends”
— they would have to give priority to airplanes
— they would have to drive longer because curvy road is more esthetic
— every time they drove, someone would say “you drove here”??
Reposted by Christian Sinclair, MD
Drove back to Kansas City this afternoon in that snow squall, which was a mistake. I saw 14 crashes, mostly small things, but at least three rollovers. So once again, I'm asking, why is there not a train from Denver to Kansas City that stops in Salina (a logical stop)? Why am I forced to drive?
December 29, 2025 at 12:18 AM
Drove back to Kansas City this afternoon in that snow squall, which was a mistake. I saw 14 crashes, mostly small things, but at least three rollovers. So once again, I'm asking, why is there not a train from Denver to Kansas City that stops in Salina (a logical stop)? Why am I forced to drive?
Happy birthday @mementomorty.bsky.social hope you aren’t working at least!
December 28, 2025 at 5:34 AM
Happy birthday @mementomorty.bsky.social hope you aren’t working at least!
Reposted by Christian Sinclair, MD
Dec 25th - Ralphie gets his Red Ryder B.B. Gun for Christmas. The family then go for a Chinese dinner after a pack of dogs ate their turkey.
📽️📅 A Christmas Story (1983)
📽️📅 A Christmas Story (1983)
December 25, 2025 at 1:56 PM
Dec 25th - Ralphie gets his Red Ryder B.B. Gun for Christmas. The family then go for a Chinese dinner after a pack of dogs ate their turkey.
📽️📅 A Christmas Story (1983)
📽️📅 A Christmas Story (1983)
Reposted by Christian Sinclair, MD
Reposted by Christian Sinclair, MD
Would you believe me if I told you Mark Cuban didn’t want a peer reviewed answer to his question from the top medical journal
Mr. Cuban, I'm a professor at Yale School of Public Health. Here's a paper published by one of my colleagues in the top medical journal evaluating the Medicare for All Act, which would not only get us there, but would save $450B per year. Happy to discuss! www.thelancet.com/journals/lan...
Improving the prognosis of health care in the USA
Although health care expenditure per capita is higher in the USA than in any other
country, more than 37 million Americans do not have health insurance, and 41 million
more have inadequate access to c...
www.thelancet.com
December 25, 2025 at 2:45 AM
Would you believe me if I told you Mark Cuban didn’t want a peer reviewed answer to his question from the top medical journal
Reposted by Christian Sinclair, MD
Mr. Cuban, I'm a professor at Yale School of Public Health. Here's a paper published by one of my colleagues in the top medical journal evaluating the Medicare for All Act, which would not only get us there, but would save $450B per year. Happy to discuss! www.thelancet.com/journals/lan...
Improving the prognosis of health care in the USA
Although health care expenditure per capita is higher in the USA than in any other
country, more than 37 million Americans do not have health insurance, and 41 million
more have inadequate access to c...
www.thelancet.com
December 25, 2025 at 1:02 AM
Mr. Cuban, I'm a professor at Yale School of Public Health. Here's a paper published by one of my colleagues in the top medical journal evaluating the Medicare for All Act, which would not only get us there, but would save $450B per year. Happy to discuss! www.thelancet.com/journals/lan...
Reposted by Christian Sinclair, MD
December 24, 2025 at 7:00 PM
Reposted by Christian Sinclair, MD
I don't think it has hit Kansans yet just how much this new stadium is going to cost them. That $3B stadium will cost nearly $6B with interest over the 20 year payoff time. The taxing district is nearly 300 sq miles covering almost everyone in JOCO/WYCO except Lake Quivira for some reason!
December 24, 2025 at 3:52 PM
I don't think it has hit Kansans yet just how much this new stadium is going to cost them. That $3B stadium will cost nearly $6B with interest over the 20 year payoff time. The taxing district is nearly 300 sq miles covering almost everyone in JOCO/WYCO except Lake Quivira for some reason!
Reposted by Christian Sinclair, MD
It's funny how us parochial Americans generally seem to perceive that the EV revolution is stalling or reversing when in fact it's accelerating rapidly worldwide. 25% of cars sold globally in 2025 were EVs!
It's mostly just the US that's being left behind
It's mostly just the US that's being left behind
December 23, 2025 at 9:17 PM
It's funny how us parochial Americans generally seem to perceive that the EV revolution is stalling or reversing when in fact it's accelerating rapidly worldwide. 25% of cars sold globally in 2025 were EVs!
It's mostly just the US that's being left behind
It's mostly just the US that's being left behind
Reposted by Christian Sinclair, MD
I count 10 cities in 2025 that are on track to have the fewest murders since at least 1970. Newark is on pace to have the fewest murders since 1956 (though only have data through Oct this year) and San Francisco is on pace to have the fewest murders since 1942.
December 23, 2025 at 7:06 PM
I count 10 cities in 2025 that are on track to have the fewest murders since at least 1970. Newark is on pace to have the fewest murders since 1956 (though only have data through Oct this year) and San Francisco is on pace to have the fewest murders since 1942.
Reposted by Christian Sinclair, MD
Idk I feel like there isn’t enough blame on the BILLIONAIRE not wanting to spend his own money?
And then you look to another sports ownership who is literally building a entire new neighborhood on their own
And then you look to another sports ownership who is literally building a entire new neighborhood on their own
Missouri lost the Chiefs and that just shows you that a Republican governor will screw you every way to Super Bowl Sunday.
In case you don’t know, Kansas has a Democratic governor.
In case you don’t know, Kansas has a Democratic governor.
December 22, 2025 at 10:09 PM
Idk I feel like there isn’t enough blame on the BILLIONAIRE not wanting to spend his own money?
And then you look to another sports ownership who is literally building a entire new neighborhood on their own
And then you look to another sports ownership who is literally building a entire new neighborhood on their own
On AI “helping” radiologists…a good thread.
Followed up with my radiologist friend. Because people keep arguing about radiology being one of the great miracle use cases for AI in medicine. And I'm not a huge fan of being wrong. (Although I am quite fond of being right.)
... (cont)
... (cont)
Talked to a real life radiologist friend. He said that they are chronically behind on their reads (due to understaffing) and that they do in fact use an AI system for triage. And it's still pretty bad. He's not sure if it actually saves much work at all...
December 23, 2025 at 3:55 AM
On AI “helping” radiologists…a good thread.
This is a key issue with advances in cognitive technologies.
Technology can help visualize known connections.
Human expertise can clarify when the known connection is actually irrelevant (Dr Google saying your fever is cancer) or a new connection might be made (the act of discovery).
Technology can help visualize known connections.
Human expertise can clarify when the known connection is actually irrelevant (Dr Google saying your fever is cancer) or a new connection might be made (the act of discovery).
Not a historian but like to research. The AI might summarize what I'm looking for, but it doesn't find what I'm *not* looking for. The book on the shelf next to the one I wanted. The insight in chapter 6 based on the quote I needed from chapter 4.
December 21, 2025 at 6:40 PM
This is a key issue with advances in cognitive technologies.
Technology can help visualize known connections.
Human expertise can clarify when the known connection is actually irrelevant (Dr Google saying your fever is cancer) or a new connection might be made (the act of discovery).
Technology can help visualize known connections.
Human expertise can clarify when the known connection is actually irrelevant (Dr Google saying your fever is cancer) or a new connection might be made (the act of discovery).
Doing my part with typos to make sure the words "IN" and "ON" are considered the same word in the future. Same with "IF" and "OF."
December 21, 2025 at 2:44 PM
Doing my part with typos to make sure the words "IN" and "ON" are considered the same word in the future. Same with "IF" and "OF."
Reposted by Christian Sinclair, MD
12 former FDA commissioners released an extraordinary warning in the Dec. 3 issue of the New England Journal of Medicine.
They wrote that the current claims and policy changes pose a threat to evidence-based vaccine policy and public health security.
kffhealthnews.org/news/article...
They wrote that the current claims and policy changes pose a threat to evidence-based vaccine policy and public health security.
kffhealthnews.org/news/article...
Inside the FDA’s Vaccine Uproar - KFF Health News
An internal email claiming covid vaccines killed children triggered a formal response from a dozen past FDA commissioners. The email, sent by the head of the Center for Biologics Evaluation and Resear...
kffhealthnews.org
December 21, 2025 at 1:22 AM
12 former FDA commissioners released an extraordinary warning in the Dec. 3 issue of the New England Journal of Medicine.
They wrote that the current claims and policy changes pose a threat to evidence-based vaccine policy and public health security.
kffhealthnews.org/news/article...
They wrote that the current claims and policy changes pose a threat to evidence-based vaccine policy and public health security.
kffhealthnews.org/news/article...
Reposted by Christian Sinclair, MD
The close up looks familiar!
December 20, 2025 at 9:42 PM
The close up looks familiar!
Reposted by Christian Sinclair, MD
We don’t have enough hospital beds to care for the sick kids we already have even without stripping vaccine recommendations. Our PICU is full. Our NICU is full. The pediatric acute care floors are nearly full.
December 20, 2025 at 3:31 AM
We don’t have enough hospital beds to care for the sick kids we already have even without stripping vaccine recommendations. Our PICU is full. Our NICU is full. The pediatric acute care floors are nearly full.
Reposted by Christian Sinclair, MD
I really don't think it matters a ton in which state the Chiefs play in the scheme of things, but putting this thing twice as far from downtown in an area with no density or real transit will make access more difficult and make us less competitive for major events.
Legislators will consider public funding package in hopes of luring the NFL team to Kansas. The Royals will not be discussed Monday, leaving the MLB team’s future uncertain.
www.thepitchkc.com/kansas-legis...
www.thepitchkc.com/kansas-legis...
Kansas legislators to meet Monday about deal to bring Chiefs to domed Kansas stadium, entertainment district
Kansas legislative leaders will meet Monday to consider using STAR bonds to finance a stadium for the Kansas City Chiefs that could be built near the Legends shopping area. (Photo by Grace Hills for K...
www.thepitchkc.com
December 19, 2025 at 6:35 PM
I really don't think it matters a ton in which state the Chiefs play in the scheme of things, but putting this thing twice as far from downtown in an area with no density or real transit will make access more difficult and make us less competitive for major events.
Reposted by Christian Sinclair, MD
The U.S. is giving dying mall vibes.
I can't explain it, but you know I'm right.
I can't explain it, but you know I'm right.
December 17, 2025 at 8:56 PM
The U.S. is giving dying mall vibes.
I can't explain it, but you know I'm right.
I can't explain it, but you know I'm right.