F. Perry Wilson, MD
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fperrywilson.bsky.social
F. Perry Wilson, MD
@fperrywilson.bsky.social
Director, Clinical and Translational Research Accelerator @Yale. Columnist @medscape.
How Medicine Works and When It Doesn't in bookstores now!
You can get ChatGPT to recommend thalidomide to a pregnant woman.
It's not even hard.
A new study in JAMA Network Open shows just how vulnerable medical AI is to manipulation. 🧵
December 23, 2025 at 1:10 AM
I was lucky enough to have lived in Paris as a young man, surviving on a waiter's salary. My diet was basically wine, baguettes, and goat cheese.
Turns out that might've been good for my brain?

A new study says high-fat cheese prevents dementia. Let's talk about it. 🧀🧵
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December 17, 2025 at 10:40 PM
Humans share 98% of our DNA with chimps.
But there's one thing that makes us wildly different from our primate cousins.
And it might explain why our species took over the planet.
🧵
December 10, 2025 at 3:26 PM
Reposted by F. Perry Wilson, MD
Has been all outstanding research faculty talks since the #Match last week!
Dr. @fperrywilson.bsky.social giving Yale Nephrology RIP, Dr. Whitney Besse teaching us about genetic testing and kidney disease, and Dr. Lloyd Cantley presenting at the HTI Seminar! @yalemed.bsky.social
December 9, 2025 at 11:37 PM
We're in the middle of a quiet revolution in depression treatment. For decades it was all about "chemical imbalance". SSRIs tweaking serotonin levels. And they work. Sort of.
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December 1, 2025 at 10:34 PM
I’ve called GLP-1 agents like Ozempic and Mounjaro "miracle drugs." But a new study forces me to re-evaluate that moniker.

The miracle has a problem: It ends when the prescription runs out.

Let's look at the data on the "Rebound Effect." 🧵
November 24, 2025 at 11:27 PM
A new randomized trial in American Journal of Psychiatry just dropped, and the headline result is…unexpected: smoking marijuana REDUCED alcohol consumption. Yes, reduced. And before you say “that makes no sense", let’s unpack it. (🧵)
November 19, 2025 at 4:24 PM
Young people today have more friends than any generation before them. They also report the highest levels of loneliness.
How is that possible? Turns out the answer is fascinating and maybe a little depressing. 🧵
November 12, 2025 at 7:53 PM
The use of doxycycline in childhood may protect against the future development of schizophrenia.

Wait... what?

This is one of those studies that makes you say "that can't be right." But maybe it is?

Let me walk you through this weird one.
November 6, 2025 at 6:41 PM
What killed Napoleon's army in 1812? For 200+ years, history books have pointed to epidemic typhus. Turns out, they may have been completely wrong. A new study just rewrote one of military history's greatest mysteries. 🧵
October 29, 2025 at 9:07 PM
What killed Napoleon's army in 1812? For 200+ years, history books have pointed to epidemic typhus. Turns out, they may have been completely wrong. A new study just rewrote one of military history's greatest mysteries. 🧵
October 29, 2025 at 9:05 PM
A new Nature study found that people with cancer who received an mRNA COVID vaccine while on immunotherapy lived nearly twice as long. Median survival jumped from 20.6 to 37.3 months.

That’s not a typo. Let’s talk about how, and why, that might be. 🧵
October 22, 2025 at 3:26 PM
There's a problem with BMI, and I can illustrate it like this: Seth Rogen (comedic legend, dad bod) has about the same BMI as Jalen Hurts (elite NFL QB, built like a tank). Both would be classified as "overweight" or nearly "obese." Clearly, something is wrong here. (🧵)
October 15, 2025 at 2:48 PM
I woke up in Las Vegas last week with some mysterious symptoms: pounding headache, nausea, feeling like I hadn't slept at all. Who knows what could cause such a thing? As I searched for coffee, I saw a sign promising salvation: IV fluids. On demand. For $248. 🧵
October 6, 2025 at 11:21 PM
🧵 New headlines say rising cancer rates in young people might be... fake? Before you panic (or un-panic), let's talk about why this is both more complicated AND more interesting than it sounds. Spoiler: I'm still getting my colonoscopy. 1/
October 1, 2025 at 10:16 PM
🧵 Walk into any pharmacy and you'll see supplement bottles claiming to "support heart health" or "boost immune function." These vague promises are everywhere. But here's the thing: a new study just proved these weasel words are fooling millions of Americans.
September 23, 2025 at 2:37 PM
Childhood obesity has quadrupled since the 1960s. Now over 20% of kids meet the definition (>95th percentile of BMI).
This is driving type 2 diabetes in children, and increases the risk of other diseases as adults.
We need to talk about weight-loss drugs for kids. 🧵
September 16, 2025 at 5:36 PM
Really excited to be speaking at @Medium Day this Friday.
I'll be talking about how to write about medicine while maintaining both skepticism and joy. Tons of amazing talks / discussions.
You can sign up for free here: www.mediumday.com
September 16, 2025 at 1:47 PM
We've all had this conversation before:

"Dude, we both agree this is red... but how do I know what I see as red is what you see as red? Maybe you see red as I see blue."

Mind blown lol.

But we finally have some research that sheds light (and color) on the issue. (Thread)
September 9, 2025 at 6:53 PM
Ok, this study has some pretty predictable conclusions. But I have some serious questions. (Thread):
September 3, 2025 at 8:57 PM
Marijuana ain't what it used to be. Not by a long shot. In 1995, weed had about 4% THC. Today? We're pushing 20%.And that's just from breeding. We can extract THC to 70, 80, even 95% purity.

Should we be worried? 🧵
August 26, 2025 at 10:19 PM
63% of physicians are burnt out, the highest rate of any US profession.
When docs burn out, patients suffer: more medical errors, more malpractice suits, even increased racial biases.
A new Mayo Clinic study says smartwatches might cut burnout in half. Really? 🧵
August 19, 2025 at 11:32 PM
About a year ago, I joked with a friend about Ozempic's miracle benefits. Weight loss! Better hearts! Less drinking!

"What about side effects?" he asked.

"Maybe after 10 years your eyes fall out," I joked.

Well, about that... 🧵
August 17, 2025 at 4:27 PM
Check out the incidence of colorectal cancers among 45-49 year old's over time.
Scary, right?
This week, I wrote about a trio of papers in @jamacurrent trying to explain this phenomonon.
Full details @medscape here: www.medscape.com/viewarticle/...
August 6, 2025 at 12:20 AM
Thanks to a clever use of mass spectroscopy, scientists seem to have uncovered the actual "scent of a woman" - a cocktail of compounds, released during ovulation, that actually changes men's behavior. Brief thread:
July 29, 2025 at 7:55 PM