Paul Williams
@paulnwilliams.bsky.social
Internist, Curbsider
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)
“What if we include predictive text in our messaging, but made it truly awful? Like, it makes it impossible to state your actual point? What about that?”
-every iPhone developer, probably
-every iPhone developer, probably
November 12, 2025 at 1:57 PM
“What if we include predictive text in our messaging, but made it truly awful? Like, it makes it impossible to state your actual point? What about that?”
-every iPhone developer, probably
-every iPhone developer, probably
Frankly, I think that NOT freaking out when things go badly is kind of an annoying affectation
November 11, 2025 at 11:33 PM
Frankly, I think that NOT freaking out when things go badly is kind of an annoying affectation
I really could use some political analysis from a site that doesn’t understand what politics is—time to head on over to CNN
November 11, 2025 at 10:51 AM
I really could use some political analysis from a site that doesn’t understand what politics is—time to head on over to CNN
Reposted by Paul Williams
I have to hand it to them, it's an incredible bit to publicly lose a game of chicken, admit that's what happened, and then spend the next day lecturing everyone about courage and tenacity
November 11, 2025 at 2:05 AM
I have to hand it to them, it's an incredible bit to publicly lose a game of chicken, admit that's what happened, and then spend the next day lecturing everyone about courage and tenacity
So the FDA is removing the black box warning for hormone replacement therapies for menopause. This is a good thing, but the messaging around it has been painful to watch, a mix of self-aggrandizement and misplaced blame and missed opportunity. (1/2)
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Updated Labeling for Menopausal Hormone Therapy
This Viewpoint describes the US Food and Drug Administration’s intended label updates and removal of black box warnings for menopausal hormone therapy based on current evidence.
jamanetwork.com
November 11, 2025 at 2:03 AM
So the FDA is removing the black box warning for hormone replacement therapies for menopause. This is a good thing, but the messaging around it has been painful to watch, a mix of self-aggrandizement and misplaced blame and missed opportunity. (1/2)
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Pretty cool that voting Democrat is functionally the same thing as voting for the other party. @schumer.senate.gov - your unerring political instinct to fail the people who voted for you makes me think it must be intentional. Literally why would anyone vote for your party at this point.
November 10, 2025 at 11:02 AM
Pretty cool that voting Democrat is functionally the same thing as voting for the other party. @schumer.senate.gov - your unerring political instinct to fail the people who voted for you makes me think it must be intentional. Literally why would anyone vote for your party at this point.
Reposted by Paul Williams
The average SNAP benefit per month is $177 a person.
The average ACA benefit per month is up to $550 a person.
People want us to hold the line for a reason. This is not a matter of appealing to a base. It’s about people’s lives.
And working people want leaders whose word means something to them.
The average ACA benefit per month is up to $550 a person.
People want us to hold the line for a reason. This is not a matter of appealing to a base. It’s about people’s lives.
And working people want leaders whose word means something to them.
November 10, 2025 at 1:49 AM
The average SNAP benefit per month is $177 a person.
The average ACA benefit per month is up to $550 a person.
People want us to hold the line for a reason. This is not a matter of appealing to a base. It’s about people’s lives.
And working people want leaders whose word means something to them.
The average ACA benefit per month is up to $550 a person.
People want us to hold the line for a reason. This is not a matter of appealing to a base. It’s about people’s lives.
And working people want leaders whose word means something to them.
Listening to Superunknown, and I think the main reason that Soundgarden got inducted into the Rock and Roll Hall of Fame is because they rule
November 9, 2025 at 11:21 PM
Listening to Superunknown, and I think the main reason that Soundgarden got inducted into the Rock and Roll Hall of Fame is because they rule
Sunday running chronicles:
Unseasonably warm, but still getting dark out at 4:30 PM. The smell of fallen leaves and rotting hay makes me think not all decay is bad.
Unseasonably warm, but still getting dark out at 4:30 PM. The smell of fallen leaves and rotting hay makes me think not all decay is bad.
November 9, 2025 at 11:21 PM
Sunday running chronicles:
Unseasonably warm, but still getting dark out at 4:30 PM. The smell of fallen leaves and rotting hay makes me think not all decay is bad.
Unseasonably warm, but still getting dark out at 4:30 PM. The smell of fallen leaves and rotting hay makes me think not all decay is bad.
Reposted by Paul Williams
So it turns out... the US air travel system was incredibly, deeply dependent on federal funding to just run day-to-day all this time, to the benefit of private airline shareholders, when everyone thinks that state-run trains are leeching off the government. Weird!
November 9, 2025 at 12:10 AM
So it turns out... the US air travel system was incredibly, deeply dependent on federal funding to just run day-to-day all this time, to the benefit of private airline shareholders, when everyone thinks that state-run trains are leeching off the government. Weird!
This movie should be spoken about with the same reverence as Fargo or No Country for Old Men
youtu.be/f3PQBHAZ3Rg?...
youtu.be/f3PQBHAZ3Rg?...
Hail, Caesar! | Channing Tatum Tap Dances to "No Dames"
YouTube video by Universal Pictures
youtu.be
November 9, 2025 at 2:57 PM
This movie should be spoken about with the same reverence as Fargo or No Country for Old Men
youtu.be/f3PQBHAZ3Rg?...
youtu.be/f3PQBHAZ3Rg?...
Honoring my heritage and making whoopie pies
November 7, 2025 at 1:14 AM
Honoring my heritage and making whoopie pies
Reposted by Paul Williams
this looks like a trick daffy duck would put up to get bugs bunny into "the oval office"
November 5, 2025 at 11:04 PM
this looks like a trick daffy duck would put up to get bugs bunny into "the oval office"
Hey #MedSky! Any burning questions about bracing or assistive devices for patients with hypermobility/hypermobile EDS? I have a chance to talk to some PT experts tomorrow, and don’t want to waste my shot. Thanks!
November 5, 2025 at 5:35 PM
Hey #MedSky! Any burning questions about bracing or assistive devices for patients with hypermobility/hypermobile EDS? I have a chance to talk to some PT experts tomorrow, and don’t want to waste my shot. Thanks!
My Discover feed is riddled with people talking about their gym journey, and I'm here to let you know that the algorithm is failing
November 5, 2025 at 3:21 AM
My Discover feed is riddled with people talking about their gym journey, and I'm here to let you know that the algorithm is failing
Reposted by Paul Williams
Looking forward to learning all about how the right should move left to win elections tomorrow. They should maybe dye their hair pink, learn to love pronouns.
November 5, 2025 at 1:48 AM
Looking forward to learning all about how the right should move left to win elections tomorrow. They should maybe dye their hair pink, learn to love pronouns.
Reposted by Paul Williams
HUGE unexpected election win tonight, total shocker: Flavor Flav gives Andy Richter a 9 on Dancing With the Stars. Fox and CNN refuse to even report on it.
November 5, 2025 at 2:17 AM
HUGE unexpected election win tonight, total shocker: Flavor Flav gives Andy Richter a 9 on Dancing With the Stars. Fox and CNN refuse to even report on it.
Good news, for a change, and maybe a good omen to boot.
www.nbcnews.com/politics/ele...
www.nbcnews.com/politics/ele...
Pennsylvania voters retain three state Supreme Court justices, preserving Democrats' 5-2 majority
NBC News projects the incumbents survived an up-or-down vote to keep their seats on the battleground state’s high court.
www.nbcnews.com
November 5, 2025 at 3:10 AM
Good news, for a change, and maybe a good omen to boot.
www.nbcnews.com/politics/ele...
www.nbcnews.com/politics/ele...
I just need to let you all know that the manufacturer of my robotic litter box updated their privacy policy
November 4, 2025 at 11:43 PM
I just need to let you all know that the manufacturer of my robotic litter box updated their privacy policy
Time to hurry up to get a run in before SUNSET AT 5:00 PM
November 4, 2025 at 9:26 PM
Time to hurry up to get a run in before SUNSET AT 5:00 PM
Begging the #NephJC to help out with infographics. Starting to wonder if these are made by AI.
In the TeMPO trial, reduction in knee pain at 3 months was similar in participants assigned to home exercise alone and those assigned to home exercise, motivational text messages, and standard physical therapy. Full trial results and Research Summary: nej.md/4ofjqQt
#MedSky
#MedSky
November 4, 2025 at 2:53 PM
Begging the #NephJC to help out with infographics. Starting to wonder if these are made by AI.
Reposted by Paul Williams
In a way, I find the authoritarian takeover of our media system even more disturbing than the authoritarian takeover of our political system.
Our political system has been failing basically my entire adult life. But, the media system provided accountability and sort of worked. Now it’s collapsing.
Our political system has been failing basically my entire adult life. But, the media system provided accountability and sort of worked. Now it’s collapsing.
November 3, 2025 at 4:18 PM
In a way, I find the authoritarian takeover of our media system even more disturbing than the authoritarian takeover of our political system.
Our political system has been failing basically my entire adult life. But, the media system provided accountability and sort of worked. Now it’s collapsing.
Our political system has been failing basically my entire adult life. But, the media system provided accountability and sort of worked. Now it’s collapsing.
Reposted by Paul Williams
If you dress as Oasis for a Halloween party in Bed-Stuy there is an enormous chance that people will assume you’re doing racially uncomfortable Run-D.M.C. cosplay. You live and you learn!
November 2, 2025 at 2:31 PM
If you dress as Oasis for a Halloween party in Bed-Stuy there is an enormous chance that people will assume you’re doing racially uncomfortable Run-D.M.C. cosplay. You live and you learn!
I feel kind of bad constantly haranguing our most august medical journal about its social media, but I would love to know how a figure that basically summarizes part of the methods is useful or interesting.
Kudos for mentioning the bottom line though!
Kudos for mentioning the bottom line though!
At 23 years of follow-up, population-based PSA screening of asymptomatic men led to a sustained reduction in prostate cancer mortality, although overdiagnosis remains a concern. Full ERSPC study results and Research Summary: nej.md/42YYsg7
#MedSky #Oncology
#MedSky #Oncology
November 2, 2025 at 2:22 PM
I feel kind of bad constantly haranguing our most august medical journal about its social media, but I would love to know how a figure that basically summarizes part of the methods is useful or interesting.
Kudos for mentioning the bottom line though!
Kudos for mentioning the bottom line though!
Is anyone else kind of unsettled that our country has blown up over 5 dozen people in the open water and even our own congress members don't have access to the evidence supporting the dubious legal justifications for this? Seems bad.
November 2, 2025 at 2:17 PM
Is anyone else kind of unsettled that our country has blown up over 5 dozen people in the open water and even our own congress members don't have access to the evidence supporting the dubious legal justifications for this? Seems bad.