T. R. Levin
trlevin.bsky.social
T. R. Levin
@trlevin.bsky.social
Gastroenterologist, clinical researcher, bean freak, and proud girl dad.
open.substack.com/pub/robcalif...
Bureaucracy and inefficiency prevent us from getting answers to meaningful clinical questions
We’ve Got To Do Something About Evidence Generation
Part 1: General Issues
open.substack.com
August 18, 2025 at 4:55 PM
Reposted by T. R. Levin
A cell-free DNA blood test could be an option for patients who repeatedly decline colonoscopy or stool testing for #ColorectalCancer screening. #ASCO25

Read the new JAMA Original Investigation to learn more. jamanetwork.com/journals/jam...
June 3, 2025 at 1:26 PM
DOGE is not about efficiency. It is about erasure. Democracy is being deleted in slow motion, replaced by proprietary technology and AI models. It is a coup, executed not with guns, but with backend migrations and database wipes.

open.substack.com/pub/mikebroc...
The Plot Against America
How a Dangerous Ideology Born From the Libertarian Movement Stands Ready to Seize America
open.substack.com
February 20, 2025 at 12:04 AM
A clear and compelling description of what is happening to science right now. www.bmj.com/content/388/...
@amergastroassn.bsky.social @replsimon.bsky.social Ironic we have to go to the BMJ to read about it.
Anger, despair, and defiance from a voice within the US federal research system
People around the world are watching with disbelief as the new US government closes down its aid programme, withdraws from the World Health Organization (WHO) and the Paris agreement on climate change...
www.bmj.com
February 14, 2025 at 6:28 PM