Jeff Linder
@jefflinder.bsky.social
General internist, health services and clinical researcher | Health, education, infrastructure, opportunity for all Americans | Bicycles | Opinions, own
Wow. Mark Earnest of University of Colorado describes a patient steeped in conspiracy, leaving him as her doctor, and regretful that he will probably be hanged for what he’d done.
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
Patient Q | Annals of Internal Medicine
www.acpjournals.org
January 8, 2026 at 4:28 PM
Wow. Mark Earnest of University of Colorado describes a patient steeped in conspiracy, leaving him as her doctor, and regretful that he will probably be hanged for what he’d done.
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
Reposted by Jeff Linder
Please join us on Jan. 7th for our next #MedicalGrandRounds ! We will be joined by Timothy Blackwell, MD from University of Michigan Medical School for our Jacob I Sznajder Lectureship!
January 5, 2026 at 8:29 PM
Please join us on Jan. 7th for our next #MedicalGrandRounds ! We will be joined by Timothy Blackwell, MD from University of Michigan Medical School for our Jacob I Sznajder Lectureship!
Reposted by Jeff Linder
Happy new year! Before kids head back to school is a good time to get flu vaccines for kids who don’t have them yet
Flu hospitalizations trending up for all, & kids <5 especially at risk
Home flu tests also help with rapid detection to start Tamiflu & to reduce spread
gis.cdc.gov/GRASP/Fluvie...
Flu hospitalizations trending up for all, & kids <5 especially at risk
Home flu tests also help with rapid detection to start Tamiflu & to reduce spread
gis.cdc.gov/GRASP/Fluvie...
January 2, 2026 at 2:28 PM
Happy new year! Before kids head back to school is a good time to get flu vaccines for kids who don’t have them yet
Flu hospitalizations trending up for all, & kids <5 especially at risk
Home flu tests also help with rapid detection to start Tamiflu & to reduce spread
gis.cdc.gov/GRASP/Fluvie...
Flu hospitalizations trending up for all, & kids <5 especially at risk
Home flu tests also help with rapid detection to start Tamiflu & to reduce spread
gis.cdc.gov/GRASP/Fluvie...
Reposted by Jeff Linder
The Daily Northwestern reports on @gowder.io & my legal concerns over NWern's "deal" w Trump admin.
And take note, Bari Weiss: the intrepid student journalists sought comment from the U & the Trump admin. but did NOT spike the story when neither responded.
dailynorthwestern.com/2025/12/21/c...
And take note, Bari Weiss: the intrepid student journalists sought comment from the U & the Trump admin. but did NOT spike the story when neither responded.
dailynorthwestern.com/2025/12/21/c...
Pritzker professors claim NU funding deal violates federal law
Since it was announced in November, Northwestern’s deal with the Trump administration has caused some students, faculty and alumni to express concern surrounding NU’s autonomy after it gave into feder...
dailynorthwestern.com
December 22, 2025 at 6:48 PM
The Daily Northwestern reports on @gowder.io & my legal concerns over NWern's "deal" w Trump admin.
And take note, Bari Weiss: the intrepid student journalists sought comment from the U & the Trump admin. but did NOT spike the story when neither responded.
dailynorthwestern.com/2025/12/21/c...
And take note, Bari Weiss: the intrepid student journalists sought comment from the U & the Trump admin. but did NOT spike the story when neither responded.
dailynorthwestern.com/2025/12/21/c...
Reposted by Jeff Linder
Huge thanks to the research team: @doctorrachael.bsky.social, Julia Szymczak, Madeline Farrell, Karen Howard, Brandi Muller, Andrea White, @angiefagerlin.bsky.social, and @valerievaughnmd.bsky.social
#AntibioticStewardship #PatientEducation #ASB #InfectiousDiseases
#AntibioticStewardship #PatientEducation #ASB #InfectiousDiseases
December 18, 2025 at 11:47 PM
Huge thanks to the research team: @doctorrachael.bsky.social, Julia Szymczak, Madeline Farrell, Karen Howard, Brandi Muller, Andrea White, @angiefagerlin.bsky.social, and @valerievaughnmd.bsky.social
#AntibioticStewardship #PatientEducation #ASB #InfectiousDiseases
#AntibioticStewardship #PatientEducation #ASB #InfectiousDiseases
Reposted by Jeff Linder
📢 New in OFID!
Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use.
We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...
Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use.
We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...
Impact of an Educational Leaflet About Asymptomatic Bacteriuria and Urinary Tract Infection on Antibiotic Preferences Among US Adults ≥65 Years: An Online Randomized Controlled Survey Experiment
AbstractBackground. Adults aged ≥65 years are at high risk of harm from antibiotic misuse due to misdiagnosis of asymptomatic bacteriuria (ASB) as urinary
doi.org
December 18, 2025 at 11:45 PM
📢 New in OFID!
Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use.
We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...
Many adults ≥65yrs have harmless bacteria in their urine (ASB) often misdiagnosed as a UTI ⏩ harmful antibiotic use.
We found US adults ≥65 given an educational leaflet were more comfortable avoiding antibiotics for ASB & less likely to mistake ASB for UTI! 🔗 doi.org/10.1093/ofid...
Reposted by Jeff Linder
RFK Jr. has cancelled grants to the American Academy of Pediatrics because “they no longer align with departmental priorities”.
The grants were on such topics as “reducing sudden infant death, rural access to health care, and mental health…”
The AAP has criticized RFK Jr. That’s the real reason.
The grants were on such topics as “reducing sudden infant death, rural access to health care, and mental health…”
The AAP has criticized RFK Jr. That’s the real reason.
American Academy of Pediatrics loses government funding after criticizing RFK Jr
Cuts, which affect projects focused on issues including early identification of autism, made without prior notice to AAP
www.theguardian.com
December 17, 2025 at 11:36 PM
RFK Jr. has cancelled grants to the American Academy of Pediatrics because “they no longer align with departmental priorities”.
The grants were on such topics as “reducing sudden infant death, rural access to health care, and mental health…”
The AAP has criticized RFK Jr. That’s the real reason.
The grants were on such topics as “reducing sudden infant death, rural access to health care, and mental health…”
The AAP has criticized RFK Jr. That’s the real reason.
Congrats to first author @gemmaaltinger.bsky.social and the team on an Oustanding Publication Award from Sydney Health Partners Musculoskeletal Clinical Academic Group.
#MedSky #BehavioralScience #Nudges
@nufeinbergmed.bsky.social @nuintmed.bsky.social
qualitysafety.bmj.com/content/earl...
#MedSky #BehavioralScience #Nudges
@nufeinbergmed.bsky.social @nuintmed.bsky.social
qualitysafety.bmj.com/content/earl...
December 17, 2025 at 12:29 PM
Congrats to first author @gemmaaltinger.bsky.social and the team on an Oustanding Publication Award from Sydney Health Partners Musculoskeletal Clinical Academic Group.
#MedSky #BehavioralScience #Nudges
@nufeinbergmed.bsky.social @nuintmed.bsky.social
qualitysafety.bmj.com/content/earl...
#MedSky #BehavioralScience #Nudges
@nufeinbergmed.bsky.social @nuintmed.bsky.social
qualitysafety.bmj.com/content/earl...
Unlike, say, nuclear weapons, fentanyl has legitimate medical use. Got it right here at the hospital and at pharmacies in our neighborhood.
Also, of course, this executive order has nothing about TREATING or HELPING our fellow Americans who are using illicit fentanyl.
Also, of course, this executive order has nothing about TREATING or HELPING our fellow Americans who are using illicit fentanyl.
December 16, 2025 at 4:49 PM
Unlike, say, nuclear weapons, fentanyl has legitimate medical use. Got it right here at the hospital and at pharmacies in our neighborhood.
Also, of course, this executive order has nothing about TREATING or HELPING our fellow Americans who are using illicit fentanyl.
Also, of course, this executive order has nothing about TREATING or HELPING our fellow Americans who are using illicit fentanyl.
Ran into @mhallsworth.bsky.social's @behscientist.bsky.social post in a year-end summary list.
He makes an interesting case for "using simple tools in expert ways" and having "an appreciation for the value of judicious simplicity."
behavioralscientist.org/why-simplici...
He makes an interesting case for "using simple tools in expert ways" and having "an appreciation for the value of judicious simplicity."
behavioralscientist.org/why-simplici...
Why Simplicity Can Be Strength in a Complex World - by Michael Hallsworth - Behavioral Scientist
As intuitive as it seems, a complicated approach to behavioral design may not be the best response to complexity.
behavioralscientist.org
December 16, 2025 at 4:33 PM
Ran into @mhallsworth.bsky.social's @behscientist.bsky.social post in a year-end summary list.
He makes an interesting case for "using simple tools in expert ways" and having "an appreciation for the value of judicious simplicity."
behavioralscientist.org/why-simplici...
He makes an interesting case for "using simple tools in expert ways" and having "an appreciation for the value of judicious simplicity."
behavioralscientist.org/why-simplici...
Reposted by Jeff Linder
There's a cross-platform uniformity to how LLMs bullshit you.
Today I was designing an exercise for a responisble-use of-LLMs course we are designing for NIH trainees. I asked ChatGPT to complete one of Claude Shannon's original guessing games:
"There is no reverse on a __(10 letters)__"
Today I was designing an exercise for a responisble-use of-LLMs course we are designing for NIH trainees. I asked ChatGPT to complete one of Claude Shannon's original guessing games:
"There is no reverse on a __(10 letters)__"
December 15, 2025 at 11:25 PM
There's a cross-platform uniformity to how LLMs bullshit you.
Today I was designing an exercise for a responisble-use of-LLMs course we are designing for NIH trainees. I asked ChatGPT to complete one of Claude Shannon's original guessing games:
"There is no reverse on a __(10 letters)__"
Today I was designing an exercise for a responisble-use of-LLMs course we are designing for NIH trainees. I asked ChatGPT to complete one of Claude Shannon's original guessing games:
"There is no reverse on a __(10 letters)__"
What predicted inappropriate antibiotic prescribing in Japan's #primaryCare clinics?
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
December 16, 2025 at 4:07 PM
Reposted by Jeff Linder
What predicted inappropriate antibiotic prescribing in Japan's #primaryCare clinics?
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
December 16, 2025 at 12:09 PM
What predicted inappropriate antibiotic prescribing in Japan's #primaryCare clinics?
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
- Acute bronchitis, common cold (acute upper respiratory), and rhinitis diagnoses
- Older male clinicians
- Telehealth and regular (vs. after) hours appointments
doi.org/10.1136/bmjp...
#AMR
"We don't have banned word lists."
-- Jay Bhattacharya, November 13, 2025
-- Jay Bhattacharya, November 13, 2025
NEWS: NIH will pause new funding for grants that include "misaligned" terms like "health equity" and "structural racism."
Agency staff are required to use a "computational text analysis tool" to identify grants that include the unsanctioned terms.
www.notus.org/health-scien...
Agency staff are required to use a "computational text analysis tool" to identify grants that include the unsanctioned terms.
www.notus.org/health-scien...
NIH Pauses New Funding for Grants That Include ‘Health Equity,’ ‘Structural Racism,’ Pending Review
New guidance to the agency dictates staff must use a “text analysis tool” to identify programs deemed “misaligned” with the administration.
www.notus.org
December 16, 2025 at 3:45 PM
"We don't have banned word lists."
-- Jay Bhattacharya, November 13, 2025
-- Jay Bhattacharya, November 13, 2025
Just ran into this quote by Joseph McCarthy talking about, of all people, Gen. George Marshall.
Sound familiar?
How is Marshall remembered?
McCarthy?
Sound familiar?
How is Marshall remembered?
McCarthy?
December 12, 2025 at 7:41 PM
Just ran into this quote by Joseph McCarthy talking about, of all people, Gen. George Marshall.
Sound familiar?
How is Marshall remembered?
McCarthy?
Sound familiar?
How is Marshall remembered?
McCarthy?
FAR from the most important thing going on today, but Calibri looks like cartoon writing to me.
In the original change's defense, I was not aware of the accessibility issues about the otherwise better-looking Times New Roman.
www.nytimes.com/2025/12/09/u...
In the original change's defense, I was not aware of the accessibility issues about the otherwise better-looking Times New Roman.
www.nytimes.com/2025/12/09/u...
At State Dept., a Typeface Falls Victim in the War Against Woke
www.nytimes.com
December 10, 2025 at 3:06 PM
FAR from the most important thing going on today, but Calibri looks like cartoon writing to me.
In the original change's defense, I was not aware of the accessibility issues about the otherwise better-looking Times New Roman.
www.nytimes.com/2025/12/09/u...
In the original change's defense, I was not aware of the accessibility issues about the otherwise better-looking Times New Roman.
www.nytimes.com/2025/12/09/u...
Reposted by Jeff Linder
Thanks to the @startribune.com for publishing this. So damn infuriating
www.startribune.com/readers-writ...
www.startribune.com/readers-writ...
December 6, 2025 at 2:52 AM
Thanks to the @startribune.com for publishing this. So damn infuriating
www.startribune.com/readers-writ...
www.startribune.com/readers-writ...
On an otherwise pretty dark day for ID and public health, great to see this is out.
Thanks to my Co-Leads ("the Michaels") and special thanks to Dipleen Kaur and the IDSA Staff!
TL;DR: use a scoring system for GAS.
@idsainfo.bsky.social @nuintmed.bsky.social
academic.oup.com/cid/advance-...
Thanks to my Co-Leads ("the Michaels") and special thanks to Dipleen Kaur and the IDSA Staff!
TL;DR: use a scoring system for GAS.
@idsainfo.bsky.social @nuintmed.bsky.social
academic.oup.com/cid/advance-...
December 6, 2025 at 12:09 AM
On an otherwise pretty dark day for ID and public health, great to see this is out.
Thanks to my Co-Leads ("the Michaels") and special thanks to Dipleen Kaur and the IDSA Staff!
TL;DR: use a scoring system for GAS.
@idsainfo.bsky.social @nuintmed.bsky.social
academic.oup.com/cid/advance-...
Thanks to my Co-Leads ("the Michaels") and special thanks to Dipleen Kaur and the IDSA Staff!
TL;DR: use a scoring system for GAS.
@idsainfo.bsky.social @nuintmed.bsky.social
academic.oup.com/cid/advance-...
Many thanks to @elizabethjacobs.bsky.social for covering the ACIP meeting.
(And, I have to admit, as horrifying as all of this is, I smile inside a little bit everytime I read "Temu ACIP.")
Thank you.
(And, I have to admit, as horrifying as all of this is, I smile inside a little bit everytime I read "Temu ACIP.")
Thank you.
The Quack Safari is back. Malone just said that two presenters pulled out of the meeting.
It appears that the presenters were internationally-recognized vaccine experts Peter Hotez and Paul Offit.
It appears that the presenters were internationally-recognized vaccine experts Peter Hotez and Paul Offit.
December 5, 2025 at 5:04 PM
Many thanks to @elizabethjacobs.bsky.social for covering the ACIP meeting.
(And, I have to admit, as horrifying as all of this is, I smile inside a little bit everytime I read "Temu ACIP.")
Thank you.
(And, I have to admit, as horrifying as all of this is, I smile inside a little bit everytime I read "Temu ACIP.")
Thank you.
I'm surprised the number of concierge and direct primary care clinicians is not higher. It FEELS like there's a big move to concierge care.
www.healthaffairs.org/doi/abs/10.1...
www.healthaffairs.org/doi/abs/10.1...
December 5, 2025 at 4:12 PM
I'm surprised the number of concierge and direct primary care clinicians is not higher. It FEELS like there's a big move to concierge care.
www.healthaffairs.org/doi/abs/10.1...
www.healthaffairs.org/doi/abs/10.1...
Not surprising, but very stark!
In US counites, increasing medical debt was associated with decreases in colorectal and breast cancer screening rates and more DEATHS from cancers with guideline-recommended screening.
www.healthaffairs.org/doi/abs/10.1...
In US counites, increasing medical debt was associated with decreases in colorectal and breast cancer screening rates and more DEATHS from cancers with guideline-recommended screening.
www.healthaffairs.org/doi/abs/10.1...
Medical Debt In The US: Associations With Cancer Screening, Mortality, And Health Status | Health Affairs Journal
The people most vulnerable to medical debt often face systemic barriers to health care that are further exacerbated by debt accumulation, creating a compounding effect leading to adverse health outcom...
www.healthaffairs.org
December 5, 2025 at 4:07 PM
Not surprising, but very stark!
In US counites, increasing medical debt was associated with decreases in colorectal and breast cancer screening rates and more DEATHS from cancers with guideline-recommended screening.
www.healthaffairs.org/doi/abs/10.1...
In US counites, increasing medical debt was associated with decreases in colorectal and breast cancer screening rates and more DEATHS from cancers with guideline-recommended screening.
www.healthaffairs.org/doi/abs/10.1...
Oh boy. As if it wasn't already hard enough to trust online research and polling...
...AI has the potential to futher corrupt the whole system.
@bescipol.bsky.social @pennchibe.bsky.social @behscientist.bsky.social
www.404media.co/a-researcher...
...AI has the potential to futher corrupt the whole system.
@bescipol.bsky.social @pennchibe.bsky.social @behscientist.bsky.social
www.404media.co/a-researcher...
A Researcher Made an AI That Completely Breaks the Online Surveys Scientists Rely On
We can no longer trust that survey responses are coming from real people.”
www.404media.co
December 5, 2025 at 2:08 PM
Oh boy. As if it wasn't already hard enough to trust online research and polling...
...AI has the potential to futher corrupt the whole system.
@bescipol.bsky.social @pennchibe.bsky.social @behscientist.bsky.social
www.404media.co/a-researcher...
...AI has the potential to futher corrupt the whole system.
@bescipol.bsky.social @pennchibe.bsky.social @behscientist.bsky.social
www.404media.co/a-researcher...
Medical Grand Rounds about Antimicrobial Stewardship by our new Chief of ID
#stewardship
@nuintmed.bsky.social
#stewardship
@nuintmed.bsky.social
December 3, 2025 at 6:11 PM
Medical Grand Rounds about Antimicrobial Stewardship by our new Chief of ID
#stewardship
@nuintmed.bsky.social
#stewardship
@nuintmed.bsky.social
Reposted by Jeff Linder
Join us and Dr. Jennie Kwon TOMORROW for our next #MedicalGrandRounds !
Please join us on Dec. 3rd for our next #MedicalGrandRounds ! We will be joined by Jennie Kwon, DO, MSCI from
@nufeinbergmed.bsky.social !
@nufeinbergmed.bsky.social !
December 2, 2025 at 4:51 PM
Join us and Dr. Jennie Kwon TOMORROW for our next #MedicalGrandRounds !