Colin Son, MD
@txmedai.bsky.social
Girl dad, neurosurgeon, building AI for surgical care coordination
ADHD isn’t just overdiagnosed. It’s over-pathologized.
We’re running 2025 brains on 1990 environments.
We’re running 2025 brains on 1990 environments.
June 6, 2025 at 9:12 PM
ADHD isn’t just overdiagnosed. It’s over-pathologized.
We’re running 2025 brains on 1990 environments.
We’re running 2025 brains on 1990 environments.
Doctors are trained to avoid false positives.
Patients want to avoid missed diagnoses.
AI will shift the system toward the patient’s priorities.
I think we can do this without increasing harm from over intervention
Patients want to avoid missed diagnoses.
AI will shift the system toward the patient’s priorities.
I think we can do this without increasing harm from over intervention
June 5, 2025 at 1:38 PM
Doctors are trained to avoid false positives.
Patients want to avoid missed diagnoses.
AI will shift the system toward the patient’s priorities.
I think we can do this without increasing harm from over intervention
Patients want to avoid missed diagnoses.
AI will shift the system toward the patient’s priorities.
I think we can do this without increasing harm from over intervention
Most people’s mental performance is capped by 3 things:
• Poor sleep hygiene
• Chronic stress
• Screen addiction
I swear you don’t need L-theanine or creatine or caffeine without maximizing these things first
• Poor sleep hygiene
• Chronic stress
• Screen addiction
I swear you don’t need L-theanine or creatine or caffeine without maximizing these things first
June 4, 2025 at 1:38 PM
Most people’s mental performance is capped by 3 things:
• Poor sleep hygiene
• Chronic stress
• Screen addiction
I swear you don’t need L-theanine or creatine or caffeine without maximizing these things first
• Poor sleep hygiene
• Chronic stress
• Screen addiction
I swear you don’t need L-theanine or creatine or caffeine without maximizing these things first
The biggest opportunity in AI + healthcare?
Not doctor tools.
Patient agency.
What when everyone run their own Mayo workup from home?
Not doctor tools.
Patient agency.
What when everyone run their own Mayo workup from home?
June 3, 2025 at 9:12 PM
The biggest opportunity in AI + healthcare?
Not doctor tools.
Patient agency.
What when everyone run their own Mayo workup from home?
Not doctor tools.
Patient agency.
What when everyone run their own Mayo workup from home?
The wellness industry is bigger than pharma. Eye opening.
Wellness comes with a bunch of Charlatans and is much less curated than advice from your doctor. Maybe controversial: I don't think that's something to stress over though. There's some real value in proactivity.
Wellness comes with a bunch of Charlatans and is much less curated than advice from your doctor. Maybe controversial: I don't think that's something to stress over though. There's some real value in proactivity.
June 2, 2025 at 1:38 PM
The wellness industry is bigger than pharma. Eye opening.
Wellness comes with a bunch of Charlatans and is much less curated than advice from your doctor. Maybe controversial: I don't think that's something to stress over though. There's some real value in proactivity.
Wellness comes with a bunch of Charlatans and is much less curated than advice from your doctor. Maybe controversial: I don't think that's something to stress over though. There's some real value in proactivity.
Neurosurgery is a constant dance between precision and uncertainty. Textbook scenarios rarely play out. The best surgeons know when to slow down and reassess. I hate the go fast and break things culture.
#neurosurgery #medtwitter
#neurosurgery #medtwitter
May 31, 2025 at 9:12 PM
Neurosurgery is a constant dance between precision and uncertainty. Textbook scenarios rarely play out. The best surgeons know when to slow down and reassess. I hate the go fast and break things culture.
#neurosurgery #medtwitter
#neurosurgery #medtwitter
Before any major challenge, take 5 minutes to play it through in your head.
Make it first person - see it through your eyes.
Add sounds, feelings, smells.
Think about potential obstacles and how you'll handle them.
Make it first person - see it through your eyes.
Add sounds, feelings, smells.
Think about potential obstacles and how you'll handle them.
May 30, 2025 at 9:12 PM
Before any major challenge, take 5 minutes to play it through in your head.
Make it first person - see it through your eyes.
Add sounds, feelings, smells.
Think about potential obstacles and how you'll handle them.
Make it first person - see it through your eyes.
Add sounds, feelings, smells.
Think about potential obstacles and how you'll handle them.
You could not be doing more for your health than being active. I swear to God that sitting at the computer all day is doing more to fuck you long term than even that bag of Doritos. #health #fitness #brainhealth
May 8, 2025 at 1:38 PM
You could not be doing more for your health than being active. I swear to God that sitting at the computer all day is doing more to fuck you long term than even that bag of Doritos. #health #fitness #brainhealth
Telehealth & care apps are screwing up healthcare 🩺 Over-reliance misses screenings, misdiagnosis rises, & data privacy’s a mess. We’re trading quality for convenience. #HealthPolicy
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
May 7, 2025 at 1:38 PM
Telehealth & care apps are screwing up healthcare 🩺 Over-reliance misses screenings, misdiagnosis rises, & data privacy’s a mess. We’re trading quality for convenience. #HealthPolicy
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Cognitive longevity myths—busted! 🧠 As a neurosurgeon, I’m debunking common misconceptions about brain aging this week. Let’s separate fact from fiction. #CognitiveLongevity 🧵👇
May 6, 2025 at 9:12 PM
Cognitive longevity myths—busted! 🧠 As a neurosurgeon, I’m debunking common misconceptions about brain aging this week. Let’s separate fact from fiction. #CognitiveLongevity 🧵👇
Mental health is brain health! Prefrontal cortex, amygdala, hippocampus regulate emotions & stress. Imbalance can cause struggles, but neuroplasticity means we can strengthen our brain. Let’s talk brain care this week! 💚 #MentalHealthAwarenessWeek
May 5, 2025 at 1:38 PM
Mental health is brain health! Prefrontal cortex, amygdala, hippocampus regulate emotions & stress. Imbalance can cause struggles, but neuroplasticity means we can strengthen our brain. Let’s talk brain care this week! 💚 #MentalHealthAwarenessWeek
The truth about brain supplements
#BrainHealth #NutritionalSupplements #CognitiveEnhancement #MediterraneanDiet #ExerciseAndBrain
#BrainHealth #NutritionalSupplements #CognitiveEnhancement #MediterraneanDiet #ExerciseAndBrain
May 2, 2025 at 9:13 PM
The truth about brain supplements
#BrainHealth #NutritionalSupplements #CognitiveEnhancement #MediterraneanDiet #ExerciseAndBrain
#BrainHealth #NutritionalSupplements #CognitiveEnhancement #MediterraneanDiet #ExerciseAndBrain
May 1, 2025 at 1:38 PM
Scientists call the gut the "second brain." I don't now who those scientists are but apparently they do.
But it is true that gut microbes literally produce neurotransmitters like serotonin, dopamine, and GABA.
But it is true that gut microbes literally produce neurotransmitters like serotonin, dopamine, and GABA.
April 30, 2025 at 1:38 PM
Scientists call the gut the "second brain." I don't now who those scientists are but apparently they do.
But it is true that gut microbes literally produce neurotransmitters like serotonin, dopamine, and GABA.
But it is true that gut microbes literally produce neurotransmitters like serotonin, dopamine, and GABA.
Why the fuck do we glorify being tired in medicine? A thread on why we're stupid: 🧵
April 29, 2025 at 9:12 PM
Why the fuck do we glorify being tired in medicine? A thread on why we're stupid: 🧵
I kneel, I sit, whatever I need to bring myself down to the patient's level. One of the easiest things to make your bedside manner better.
www.bmj.com/content/383/...
www.bmj.com/content/383/...
April 28, 2025 at 1:38 PM
I kneel, I sit, whatever I need to bring myself down to the patient's level. One of the easiest things to make your bedside manner better.
www.bmj.com/content/383/...
www.bmj.com/content/383/...
Just because you're great in one field doesn’t mean you’ll be great in another.
Plenty of brilliant doctors make bad leaders.
Businessmen flop in politics.
Researchers fail as founders.
Plenty of brilliant doctors make bad leaders.
Businessmen flop in politics.
Researchers fail as founders.
April 18, 2025 at 9:12 PM
Just because you're great in one field doesn’t mean you’ll be great in another.
Plenty of brilliant doctors make bad leaders.
Businessmen flop in politics.
Researchers fail as founders.
Plenty of brilliant doctors make bad leaders.
Businessmen flop in politics.
Researchers fail as founders.
Harvey Cushing didn’t just pioneer brain surgery—he redefined what it meant to be a physician.
Here’s what we can all learn from the obsessive, brilliant, and exacting man who founded modern neurosurgery.
Here’s what we can all learn from the obsessive, brilliant, and exacting man who founded modern neurosurgery.
April 17, 2025 at 1:38 PM
Harvey Cushing didn’t just pioneer brain surgery—he redefined what it meant to be a physician.
Here’s what we can all learn from the obsessive, brilliant, and exacting man who founded modern neurosurgery.
Here’s what we can all learn from the obsessive, brilliant, and exacting man who founded modern neurosurgery.
We often think being “good” at a task is enough. But in surgery—and life—good is just the start.
Let me tell you about a surgeon I know who does the same spinal surgery 800 times a year.
And why he might be proof that specialization beats talent. A thread 🧵
Let me tell you about a surgeon I know who does the same spinal surgery 800 times a year.
And why he might be proof that specialization beats talent. A thread 🧵
April 16, 2025 at 1:38 PM
We often think being “good” at a task is enough. But in surgery—and life—good is just the start.
Let me tell you about a surgeon I know who does the same spinal surgery 800 times a year.
And why he might be proof that specialization beats talent. A thread 🧵
Let me tell you about a surgeon I know who does the same spinal surgery 800 times a year.
And why he might be proof that specialization beats talent. A thread 🧵
Ever heard of the Default Mode Network?
It’s what your brain does when you're "doing nothing"—and it might be the key to imagination, selfhood, and even mental illness. 👇
It’s what your brain does when you're "doing nothing"—and it might be the key to imagination, selfhood, and even mental illness. 👇
April 15, 2025 at 9:12 PM
Ever heard of the Default Mode Network?
It’s what your brain does when you're "doing nothing"—and it might be the key to imagination, selfhood, and even mental illness. 👇
It’s what your brain does when you're "doing nothing"—and it might be the key to imagination, selfhood, and even mental illness. 👇
Pretty impressive stuff from @openbionics
A wireless, modular robotic prosthetic
A wireless, modular robotic prosthetic
April 14, 2025 at 1:38 PM
Pretty impressive stuff from @openbionics
A wireless, modular robotic prosthetic
A wireless, modular robotic prosthetic
Okay everyone needs to read this.
strikemag.org/bullshit-jobs/
AI I think is coming for some jobs. But this really has me rethinking what that might mean. And I am skeptical we are headed for an abundance life of leisure. It might just mean more rocking horse jobs.
strikemag.org/bullshit-jobs/
AI I think is coming for some jobs. But this really has me rethinking what that might mean. And I am skeptical we are headed for an abundance life of leisure. It might just mean more rocking horse jobs.
April 11, 2025 at 9:12 PM
Okay everyone needs to read this.
strikemag.org/bullshit-jobs/
AI I think is coming for some jobs. But this really has me rethinking what that might mean. And I am skeptical we are headed for an abundance life of leisure. It might just mean more rocking horse jobs.
strikemag.org/bullshit-jobs/
AI I think is coming for some jobs. But this really has me rethinking what that might mean. And I am skeptical we are headed for an abundance life of leisure. It might just mean more rocking horse jobs.
The human brain is only ~2% of our body weight… but it eats up 20% of our energy. Why?
Because it's doing something no other species does quite like us. Let's talk about the evolution of the human brain—and what makes it so unique.
Because it's doing something no other species does quite like us. Let's talk about the evolution of the human brain—and what makes it so unique.
April 10, 2025 at 1:38 PM
The human brain is only ~2% of our body weight… but it eats up 20% of our energy. Why?
Because it's doing something no other species does quite like us. Let's talk about the evolution of the human brain—and what makes it so unique.
Because it's doing something no other species does quite like us. Let's talk about the evolution of the human brain—and what makes it so unique.
Try to go to the market - of course that's a choice - but slip and get run over by a street car. Can't even achieve something as simple as a trip. We really think we have too much free will and its overwhelming American public discourse.
April 9, 2025 at 1:38 PM
Try to go to the market - of course that's a choice - but slip and get run over by a street car. Can't even achieve something as simple as a trip. We really think we have too much free will and its overwhelming American public discourse.
Novo Nordisk (and basically Ozempic) was responsible for essentially all of Denmark’s economic growth last year 😳
www.bloomberg.com/news/feature...?
www.bloomberg.com/news/feature...?
The Ozempic Effect: How a Weight Loss Wonder Drug Gobbled Up an Entire Economy
The blockbuster drug producer is Europe’s most valuable company — and its home country is feeling the effects
www.bloomberg.com
April 8, 2025 at 9:12 PM
Novo Nordisk (and basically Ozempic) was responsible for essentially all of Denmark’s economic growth last year 😳
www.bloomberg.com/news/feature...?
www.bloomberg.com/news/feature...?