Pinned
Paul Williams
@paulnwilliams.bsky.social
· Jul 25
*How to round with Paul Williams*
Tips for medical students, interns, and the curious - a thread
Just in case this might be helpful. Your mileage may vary with other attendings, who may violently disagree with these. (1/16)
Tips for medical students, interns, and the curious - a thread
Just in case this might be helpful. Your mileage may vary with other attendings, who may violently disagree with these. (1/16)
This is one of those circumstances where the “correlation is not causation” guys need to shut their stupid mouths
The only science I never question is the one that validates my love for coffee and justifies my daily consumption of the piping hot black brew😊.
I will not be taking any questions.
www.nature.com/articles/d41...
I will not be taking any questions.
www.nature.com/articles/d41...
Coffee linked to slower brain ageing in study of 130,000 people
Study suggests moderate caffeine intake might reduce dementia risk and slow cognitive decline.
www.nature.com
February 11, 2026 at 4:25 PM
This is one of those circumstances where the “correlation is not causation” guys need to shut their stupid mouths
I regret to inform you that I will no longer be completing any surveys of any kind. If you care about my opinion, you’ll pay me to be part of a focus group. Thank you in advance for understanding.
February 11, 2026 at 3:28 PM
I regret to inform you that I will no longer be completing any surveys of any kind. If you care about my opinion, you’ll pay me to be part of a focus group. Thank you in advance for understanding.
A patient told me today that I looked “old enough to know what you’re doing and young enough to be able to do it” and boy if that’s not a compliment, I don’t know what is
February 10, 2026 at 10:24 PM
A patient told me today that I looked “old enough to know what you’re doing and young enough to be able to do it” and boy if that’s not a compliment, I don’t know what is
Hey guys: pink noise could be wrecking your sleep.
February 10, 2026 at 3:07 PM
Hey guys: pink noise could be wrecking your sleep.
Reposted by Paul Williams
Reposted by Paul Williams
Okay, I’ve heard all the criticisms. I agree now that my plan to create a Jonestown on Mars was foolish and dangerous. I will instead be building a much more achievable Jonestown on the Moon
February 10, 2026 at 1:29 AM
Okay, I’ve heard all the criticisms. I agree now that my plan to create a Jonestown on Mars was foolish and dangerous. I will instead be building a much more achievable Jonestown on the Moon
Reposted by Paul Williams
“Wow that’s based,” typed 45 year old in pajama pants, expressionless
February 7, 2026 at 9:48 PM
“Wow that’s based,” typed 45 year old in pajama pants, expressionless
Anyone who doesn’t think video games can’t be amazing works of art has never played the museum scene in The Last of Us: Part 2
February 7, 2026 at 9:12 PM
Anyone who doesn’t think video games can’t be amazing works of art has never played the museum scene in The Last of Us: Part 2
Imagine you’re a board-certified family medicine physician who collects a paycheck from UPMC health plans for a medical director title. Your job is to refuse to cover FDA approved medications that would substantively improve a patient’s life. Must feel bad.
February 6, 2026 at 4:13 PM
Imagine you’re a board-certified family medicine physician who collects a paycheck from UPMC health plans for a medical director title. Your job is to refuse to cover FDA approved medications that would substantively improve a patient’s life. Must feel bad.
You Think I Ain't Worth A Dollar, But I Feel Like A Millionaire
youtu.be/bb0YKnLJfMc?...
youtu.be/bb0YKnLJfMc?...
February 4, 2026 at 11:56 AM
You Think I Ain't Worth A Dollar, But I Feel Like A Millionaire
youtu.be/bb0YKnLJfMc?...
youtu.be/bb0YKnLJfMc?...
You won’t often find me quote tweeting Rachel Maddow, but this order is incredible in its rightful disgust
I know you've heard that a federal judge ordered the release of 5 year old Liam Conejo Arias and his father, and that they're now home.
But did you look at the judge's order?
It's less than 2.5 pages and well worth a minute. "Jesus wept."
Link to pdf: storage.courtlistener.com/recap/gov.us...
But did you look at the judge's order?
It's less than 2.5 pages and well worth a minute. "Jesus wept."
Link to pdf: storage.courtlistener.com/recap/gov.us...
February 3, 2026 at 4:59 PM
You won’t often find me quote tweeting Rachel Maddow, but this order is incredible in its rightful disgust
Nice work by the authors here. It seems as if addressing a life-threatening medical issue keeps people from leaving the hospital prematurely.
Check out this new #JGIM #OriginalResearch article that showed being seen by an addiction medicine consult service was associated with decreased odds of a #PatientDirectedDischarge among hospitalized patients with substance use disorder
Read the 🆓 full-text ⬇️:
rdcu.be/eVwQp
Read the 🆓 full-text ⬇️:
rdcu.be/eVwQp
February 3, 2026 at 4:52 PM
Nice work by the authors here. It seems as if addressing a life-threatening medical issue keeps people from leaving the hospital prematurely.
Incredible that the dinosaurs will look more realistic than the people
Xfinity has just released its Jurassic Park-themed Super Bowl ad that features a digitally de-aged Sam Neil, Laura Dern, and Jeff Goldblum. https://bit.ly/4rmRhrK
February 3, 2026 at 1:56 PM
Incredible that the dinosaurs will look more realistic than the people
Grants are good. But we should be extremely wary of RFK jr's involvement here. He uses the term "detox," an ineffective way to manage most substance use long-term. He also mentions partnering with faith-based organizations. (1/2)
www.theguardian.com/us-news/2026...
www.theguardian.com/us-news/2026...
RFK Jr announces $100m in grants to address homelessness and substance use
Kennedy’s pilot program to offer funding for long-term recovery after Trump signed order related to addiction
www.theguardian.com
February 3, 2026 at 11:16 AM
Grants are good. But we should be extremely wary of RFK jr's involvement here. He uses the term "detox," an ineffective way to manage most substance use long-term. He also mentions partnering with faith-based organizations. (1/2)
www.theguardian.com/us-news/2026...
www.theguardian.com/us-news/2026...
Reposted by Paul Williams
Every day Mamdani comes out and is like "hey guys, I turned off the orphan-crushing machine. Literally just had to flip a switch. Took less than 5 minutes."
After decades of dem leadership pissing and moaning and fundraising about how complex an issue it is and how difficult the process is etc
After decades of dem leadership pissing and moaning and fundraising about how complex an issue it is and how difficult the process is etc
February 3, 2026 at 3:58 AM
Every day Mamdani comes out and is like "hey guys, I turned off the orphan-crushing machine. Literally just had to flip a switch. Took less than 5 minutes."
After decades of dem leadership pissing and moaning and fundraising about how complex an issue it is and how difficult the process is etc
After decades of dem leadership pissing and moaning and fundraising about how complex an issue it is and how difficult the process is etc
In order to use a program I ABSOLUTELY NEED IN ORDER TO DO MY JOB, I must disconnect from the system network, connect to a slow-as-molasses guest network, and use a VPN, with all the attendant logins and verifications.
This is because if it was easy to use health IT, I would be far too powerful.
This is because if it was easy to use health IT, I would be far too powerful.
February 2, 2026 at 3:49 PM
In order to use a program I ABSOLUTELY NEED IN ORDER TO DO MY JOB, I must disconnect from the system network, connect to a slow-as-molasses guest network, and use a VPN, with all the attendant logins and verifications.
This is because if it was easy to use health IT, I would be far too powerful.
This is because if it was easy to use health IT, I would be far too powerful.
Not to beat a dead horse, but the new iOS has added an amazing feature where if you swipe up to close TikTok, the video keeps playing in a corner of the phone. What nitwit at Apple thought this would be useful?
January 31, 2026 at 8:55 PM
Not to beat a dead horse, but the new iOS has added an amazing feature where if you swipe up to close TikTok, the video keeps playing in a corner of the phone. What nitwit at Apple thought this would be useful?
Can you guess who they’re talking about?
January 31, 2026 at 6:46 PM
Can you guess who they’re talking about?
Anyone have any relatively straightforward sourdough boule recipes they can share with me? I only have two days to mess with it…
January 31, 2026 at 5:31 PM
Anyone have any relatively straightforward sourdough boule recipes they can share with me? I only have two days to mess with it…
CNN never fails to surprise me with its capacity to suck
January 31, 2026 at 1:50 PM
CNN never fails to surprise me with its capacity to suck
Thank God it's Whiskey Friday with Tony Dokoupil
January 30, 2026 at 11:27 AM
Thank God it's Whiskey Friday with Tony Dokoupil
I did not realize Brett Ratner directed the Melania movie.
January 30, 2026 at 11:21 AM
I did not realize Brett Ratner directed the Melania movie.
I actually don't like this incredibly well-regarded thing as much as I like this much lesser-known and largely ignored thing.
This is what makes me an Interesting Person with Superior Taste.
I am far better than the unwashed masses I am trying to impress by posting this publicly.
This is what makes me an Interesting Person with Superior Taste.
I am far better than the unwashed masses I am trying to impress by posting this publicly.
January 29, 2026 at 12:26 PM
I actually don't like this incredibly well-regarded thing as much as I like this much lesser-known and largely ignored thing.
This is what makes me an Interesting Person with Superior Taste.
I am far better than the unwashed masses I am trying to impress by posting this publicly.
This is what makes me an Interesting Person with Superior Taste.
I am far better than the unwashed masses I am trying to impress by posting this publicly.
I cannot stop thinking about Ilhan Omar lunging at her assailant with a cocked fist
January 29, 2026 at 11:42 AM
I cannot stop thinking about Ilhan Omar lunging at her assailant with a cocked fist