Benjamin P. Geisler
@ben-geisler.com
Stipendiat in Oslo, 🇳🇴 | prior hospitalist | Stuck between 3 continents/still fresh off the boat | RT≠opinion≠others'
.. and a non-inferiority trial in shock all-comers (although this has already crept into practice -though that's dependent on center and attending- so this trial is prolly less of a surprise)
EVERDAC is hot off press @esicm.bsky.social #Lives2025 in @nejm.org open access currently:
www.nejm.org/doi/full/10....
Reports that in (non-blinded trial) patients with shock, management *without* early a-line insertion was noninferior to early catheter insertion…. #Lives2025 #criticalcare
www.nejm.org/doi/full/10....
Reports that in (non-blinded trial) patients with shock, management *without* early a-line insertion was noninferior to early catheter insertion…. #Lives2025 #criticalcare
Deferring Arterial Catheterization in Critically Ill Patients with Shock | NEJM
In patients with shock, whether noninvasive blood-pressure monitoring is an effective
alternative to the recommended use of an arterial catheter is uncertain. In this multicenter,
open-label, nonin...
www.nejm.org
October 30, 2025 at 7:43 PM
.. and a non-inferiority trial in shock all-comers (although this has already crept into practice -though that's dependent on center and attending- so this trial is prolly less of a surprise)
Whoa: two potentially paradigm-shifting new shock trials - one in early septic shock..
ANDROMEDA-SHOCK-2 is up next…. this looks at personalised phenotype-based, capillary refill time (CRT) targeted resuscitation in early septic shock, comparing to standard resuscitation. It is large (86 centres, 19 countries).
Read it free from JAMA: tinyurl.com/mjcj8s5w
#Lives2025 #criticalcare
Read it free from JAMA: tinyurl.com/mjcj8s5w
#Lives2025 #criticalcare
Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock
This randomized clinical trial examines whether a personalized hemodynamic resuscitation protocol targeting capillary refill time was more effective than usual care in patients with early septic shock...
tinyurl.com
October 30, 2025 at 7:42 PM
Whoa: two potentially paradigm-shifting new shock trials - one in early septic shock..
Leo Celi's latest in Nature Medicine: "Teaching machines to doubt."
As we rush to deploy A.I. in healthcare, teaching algorithms to recognize their own limitations isn't just good science, it's a patient safety thing.
Worth your time.
As we rush to deploy A.I. in healthcare, teaching algorithms to recognize their own limitations isn't just good science, it's a patient safety thing.
Worth your time.
Teaching machines to doubt
Nature Medicine - We must build safeguards against AI’s most dangerous feature: its ability to stop us thinking critically.
www.nature.com
October 24, 2025 at 8:16 AM
Leo Celi's latest in Nature Medicine: "Teaching machines to doubt."
As we rush to deploy A.I. in healthcare, teaching algorithms to recognize their own limitations isn't just good science, it's a patient safety thing.
Worth your time.
As we rush to deploy A.I. in healthcare, teaching algorithms to recognize their own limitations isn't just good science, it's a patient safety thing.
Worth your time.
Today I learned that AOL still has an email service (from the John Bolton indictment)
October 17, 2025 at 6:50 PM
Today I learned that AOL still has an email service (from the John Bolton indictment)
Professor Sue Goldie is a masterful educator and storyteller.
She decided to share her diagnosis on her own terms and brings up things here about Parkinson's (and about triathlons as a PD treatment) that no one ever does
www.nytimes.com/interactive/...
She decided to share her diagnosis on her own terms and brings up things here about Parkinson's (and about triathlons as a PD treatment) that no one ever does
www.nytimes.com/interactive/...
Sue Goldie Has Parkinson’s Disease
An acclaimed researcher is an expert at explaining complicated problems. Now she has to confront the most vexing question: What is happening to her?
www.nytimes.com
October 15, 2025 at 10:35 AM
Professor Sue Goldie is a masterful educator and storyteller.
She decided to share her diagnosis on her own terms and brings up things here about Parkinson's (and about triathlons as a PD treatment) that no one ever does
www.nytimes.com/interactive/...
She decided to share her diagnosis on her own terms and brings up things here about Parkinson's (and about triathlons as a PD treatment) that no one ever does
www.nytimes.com/interactive/...
A stress test with a slight chance of MI or death... 😕
Do patients truly understand the risks we communicate?
European Hospital features discussion on medical risk communication across different cultures & systems.
Do patients truly understand the risks we communicate?
European Hospital features discussion on medical risk communication across different cultures & systems.
“Very rarely a chance of heart attack or death” – Wait, what?
Hospitalists frequently discuss the risks associated with tests, treatments, and/or surgical procedures with their patients. But is everyone in the clear on what a “slight risk of complications” actually means? A session on the meaning of risk to patients and how to effectively communicate risk was discussed at SHM Converge 2025, the annual meeting of the Society of Hospitalist Medicine held in Las Vegas in April.
healthcare-in-europe.com
October 3, 2025 at 11:09 AM
A stress test with a slight chance of MI or death... 😕
Do patients truly understand the risks we communicate?
European Hospital features discussion on medical risk communication across different cultures & systems.
Do patients truly understand the risks we communicate?
European Hospital features discussion on medical risk communication across different cultures & systems.
Pure gold from Adam Rodman on overconfidence of reasoning models. Does this mirror incompetent + overconfident residents?
x.com/AdamRodmanMD/s... (yes, X, but worth your while)
x.com/AdamRodmanMD/s... (yes, X, but worth your while)
September 29, 2025 at 10:50 AM
Pure gold from Adam Rodman on overconfidence of reasoning models. Does this mirror incompetent + overconfident residents?
x.com/AdamRodmanMD/s... (yes, X, but worth your while)
x.com/AdamRodmanMD/s... (yes, X, but worth your while)
Jimmy Kimmel on pre-existing conditions
Jimmy Kimmel Reveals Details of His Son’s Birth & Heart Disease
Jimmy and his wife Molly welcomed their second child together, William “Billy” Kimmel. At three days old, Billy had successful open heart surgery at Children’s Hospital Los Angeles and is now home with his family. Jimmy opens up about his son’s birth and health complications and encourages donations
www.youtube.com
September 22, 2025 at 2:52 PM
Jimmy Kimmel on pre-existing conditions
Jimmy Kimmel on school shootings:
Jimmy Kimmel on Elementary School Shooting in Uvalde, Texas
Jimmy responds to the tragic school shooting at Robb Elementary School in Uvalde, Texas, and talks about 89% of Americans wanting background checks, our cowardly leaders listening to the NRA instead of the people they actually represent, firearms becoming the #1 leading cause of death for American c
youtu.be
September 22, 2025 at 12:03 PM
Jimmy Kimmel on school shootings:
🌟 Amazing opportunity! 🌟
Our EU project partner @erasmusuni seeks Associate Prof in Health Economics & Modelling! 📈🏥 Join 100+ health economists in Rotterdam 🇳🇱
Check it out here and apply today:
www.academictransfer...
#HealthEconomics #HEOR #AcademicJobs
Our EU project partner @erasmusuni seeks Associate Prof in Health Economics & Modelling! 📈🏥 Join 100+ health economists in Rotterdam 🇳🇱
Check it out here and apply today:
www.academictransfer...
#HealthEconomics #HEOR #AcademicJobs
Associate professor (UHD) in Health Economics and Modelling (Fulltime/permanent)
We are seeking an experienced health economist with proven modelling and analytics skills to join our HTA department. The successful candidate will lead and collaborate on high-impact research projects, develop grant applications, supervise PhD and …
www.academictransfer.com
September 19, 2025 at 8:18 AM
🌟 Amazing opportunity! 🌟
Our EU project partner @erasmusuni seeks Associate Prof in Health Economics & Modelling! 📈🏥 Join 100+ health economists in Rotterdam 🇳🇱
Check it out here and apply today:
www.academictransfer...
#HealthEconomics #HEOR #AcademicJobs
Our EU project partner @erasmusuni seeks Associate Prof in Health Economics & Modelling! 📈🏥 Join 100+ health economists in Rotterdam 🇳🇱
Check it out here and apply today:
www.academictransfer...
#HealthEconomics #HEOR #AcademicJobs
🧵 HI-PRO trial from @escardio: low-dose apixaban _long-term_ for "provoked" VTE
This will likely be practice-changing: HI-PRO challenges the current practice re: anticoagulation duration for "provoked" VTE
1/8 📊
This will likely be practice-changing: HI-PRO challenges the current practice re: anticoagulation duration for "provoked" VTE
1/8 📊
September 9, 2025 at 11:21 AM
🧵 HI-PRO trial from @escardio: low-dose apixaban _long-term_ for "provoked" VTE
This will likely be practice-changing: HI-PRO challenges the current practice re: anticoagulation duration for "provoked" VTE
1/8 📊
This will likely be practice-changing: HI-PRO challenges the current practice re: anticoagulation duration for "provoked" VTE
1/8 📊
1/6
🌍 Europe faces a major demographic challenge. By 2100, the 🇪🇺’s population may shrink 6% with migration, but over 1/3 without it. Countries like Italy, Germany & France could face economic pressures from ageing populations & shrinking workforces.
#Demographics #Europe
🌍 Europe faces a major demographic challenge. By 2100, the 🇪🇺’s population may shrink 6% with migration, but over 1/3 without it. Countries like Italy, Germany & France could face economic pressures from ageing populations & shrinking workforces.
#Demographics #Europe
September 4, 2025 at 4:28 PM
1/6
🌍 Europe faces a major demographic challenge. By 2100, the 🇪🇺’s population may shrink 6% with migration, but over 1/3 without it. Countries like Italy, Germany & France could face economic pressures from ageing populations & shrinking workforces.
#Demographics #Europe
🌍 Europe faces a major demographic challenge. By 2100, the 🇪🇺’s population may shrink 6% with migration, but over 1/3 without it. Countries like Italy, Germany & France could face economic pressures from ageing populations & shrinking workforces.
#Demographics #Europe
🧠💡 Proud to share AI predicting arterial oxygen during brain surgery with 84% accuracy - no extra arterial sticks!
Looking forward to validation.
Looking forward to validation.
Comparing supervised machine learning algorithms for the prediction of partial arterial pressure of oxygen during craniotomy - BMC Medical Informatics and Decision Making
Background and Objectives Brain tissue oxygenation is usually inferred from arterial partial pressure of oxygen (paO2), which is in turn often inferred from pulse oximetry measurements or other non-invasive proxies. Our aim was to evaluate the feasibility of continuous paO2 prediction in an intraoperative setting among neurosurgical patients undergoing craniotomies with modern machine learning methods. Methods Data from routine clinical care of lung-healthy neurosurgical patients were extracted from databases of the respective clinical systems and normalized. We used recursive feature elimination to identify relevant features for the prediction of paO2. Six machine learning regression algorithms (gradient boosting, k-nearest neighbors, random forest, support vector, neural network, linear model with stochastic gradient descent) and a multivariable linear regression were then tuned and fitted to the selected features. A performance matrix consisting of standard deviation of absolute errors (σae), mean absolute percentage error (MAPE), adjusted R2, root mean squared error (RMSE), mean absolute error (MAE) and Spearman’s ρ was finally computed based on the test set, and used to compare and rank each algorithm. Results We analyzed N = 4,581 patients with n = 17,821 observations. Between 5 and 22 features were selected from the analysis of the training dataset comprising 3,436 patients with 13,257 observations. The best algorithm, a regularized linear model with stochastic gradient descent, could predict paO2 values with σae = 86.4 mmHg, MAPE = 16 %, adjusted R2 = 0.77, RMSE = 44 mmHg and Spearman’s ρ = 0.83. Further improvement was possible by calibrating the algorithm with the first measured paO2/FiO2 (p/F) ratio during surgery. Conclusion PaO2 can be predicted by perioperative routine data in neurosurgical patients even before blood gas analysis. The prediction improves further when including the first measured p/F ratio, realizing quasi-continuous paO2 monitoring.
bmcmedinformdecismak.biomedcentral.com
September 3, 2025 at 2:09 PM
🧠💡 Proud to share AI predicting arterial oxygen during brain surgery with 84% accuracy - no extra arterial sticks!
Looking forward to validation.
Looking forward to validation.
📢 PhD in Health Economics @ University Of Oslo! Fully paid 3yr position in MoPeK project on sustainable municipal health staffing. Join our dynamic research environment & contribute to real health policy change.
Apply by Sept 30!
#PhD #HealthEconomics
Apply by Sept 30!
#PhD #HealthEconomics
PhD stipendiat i helseøkonomi (284854) | Universitetet i Oslo
Stillingstittel: PhD stipendiat i helseøkonomi (284854), Arbeidsgiver: Universitetet i Oslo, Søknadsfrist: tirsdag 30. september 2025
www.jobbnorge.no
August 27, 2025 at 2:40 PM
📢 PhD in Health Economics @ University Of Oslo! Fully paid 3yr position in MoPeK project on sustainable municipal health staffing. Join our dynamic research environment & contribute to real health policy change.
Apply by Sept 30!
#PhD #HealthEconomics
Apply by Sept 30!
#PhD #HealthEconomics
What authoritarianism looks like in science
RFK Jr demanded a vaccine study be retracted — the journal said no
Nature - In a rare move for a US public official, health secretary Robert F. Kennedy Jr called for a Danish paper finding no link between aluminium in vaccines and disease to be retracted.
www.nature.com
August 24, 2025 at 6:36 PM
What authoritarianism looks like in science
Overheard at the 44th Nordic Health Economists' Study Group 2025 in Oslo: "crouching tiger, hidden labor market"
- however, NHSEG now has one of their parallel sessions dedicated to economic evaluation!
1/2
- however, NHSEG now has one of their parallel sessions dedicated to economic evaluation!
1/2
August 15, 2025 at 3:36 PM
Overheard at the 44th Nordic Health Economists' Study Group 2025 in Oslo: "crouching tiger, hidden labor market"
- however, NHSEG now has one of their parallel sessions dedicated to economic evaluation!
1/2
- however, NHSEG now has one of their parallel sessions dedicated to economic evaluation!
1/2
Overheard at a economics conference: "crouching tiger, hidden labor market"
August 14, 2025 at 5:58 PM
Overheard at a economics conference: "crouching tiger, hidden labor market"
In The Chronicle of Higher Edu:
Two Major Academic Publishers Signed Deals With AI Companies. Some Professors Are Outraged.
By Christa Dutton
www.chronicle.com/ar...
What could this all mean? Trying to make sense of it all myself in this 🧵
Two Major Academic Publishers Signed Deals With AI Companies. Some Professors Are Outraged.
By Christa Dutton
www.chronicle.com/ar...
What could this all mean? Trying to make sense of it all myself in this 🧵
Two Major Academic Publishers Signed Deals With AI Companies. Some Professors Are Outraged.
The agreements will allow tech giants access to the enormous archives of Wiley and Taylor & Francis.
www.chronicle.com
August 13, 2025 at 12:57 PM
In The Chronicle of Higher Edu:
Two Major Academic Publishers Signed Deals With AI Companies. Some Professors Are Outraged.
By Christa Dutton
www.chronicle.com/ar...
What could this all mean? Trying to make sense of it all myself in this 🧵
Two Major Academic Publishers Signed Deals With AI Companies. Some Professors Are Outraged.
By Christa Dutton
www.chronicle.com/ar...
What could this all mean? Trying to make sense of it all myself in this 🧵
Interesting Fierce Pharma article by Angus Liu on Vinay Prasad's departure from the F.D.A.:
www.fiercepharma.com...
The "Right to Try" is the law and shouldn't be a partisan, de-regulatory issue. Experts and regulators should consider if it's doing our patients justice or not.
www.fiercepharma.com...
The "Right to Try" is the law and shouldn't be a partisan, de-regulatory issue. Experts and regulators should consider if it's doing our patients justice or not.
August 2, 2025 at 5:19 PM
Interesting Fierce Pharma article by Angus Liu on Vinay Prasad's departure from the F.D.A.:
www.fiercepharma.com...
The "Right to Try" is the law and shouldn't be a partisan, de-regulatory issue. Experts and regulators should consider if it's doing our patients justice or not.
www.fiercepharma.com...
The "Right to Try" is the law and shouldn't be a partisan, de-regulatory issue. Experts and regulators should consider if it's doing our patients justice or not.
Terrific visual story in the FT about data centers, walking through the inside, satellite images and maps where they are, and importantly info on their energy and water us
ig.ft.com/ai-data-ce...
ig.ft.com/ai-data-ce...
Inside the relentless race for AI capacity
The quest for superintelligence is spurring a data centre boom — but critics question the cost, environmental impact and whether it is all needed
ig.ft.com
August 1, 2025 at 2:45 PM
Terrific visual story in the FT about data centers, walking through the inside, satellite images and maps where they are, and importantly info on their energy and water us
ig.ft.com/ai-data-ce...
ig.ft.com/ai-data-ce...
Artificial intelligentsia?
Money Talks interview with The Economist’s Henry Tricks, Dario Amodei and Anthropic’s in-house philosopher Amanda Askell
economist.com/podcas... (gifted article with limited number of free views/listens)
Money Talks interview with The Economist’s Henry Tricks, Dario Amodei and Anthropic’s in-house philosopher Amanda Askell
economist.com/podcas... (gifted article with limited number of free views/listens)
Artificial intelligentsia: an interview with the boss of Anthropic
Our podcast on markets, the economy and business. This week, Dario Amodei on why safety sells and how to value people in a world without work
economist.com
August 1, 2025 at 8:26 AM
Artificial intelligentsia?
Money Talks interview with The Economist’s Henry Tricks, Dario Amodei and Anthropic’s in-house philosopher Amanda Askell
economist.com/podcas... (gifted article with limited number of free views/listens)
Money Talks interview with The Economist’s Henry Tricks, Dario Amodei and Anthropic’s in-house philosopher Amanda Askell
economist.com/podcas... (gifted article with limited number of free views/listens)
Are you a "consilient" thinker - like John Snow, the father of epidemiology?
Are you combining "insights from different disciplines and different scales of investigation"?
Just discovered David Quammen's 2006 review of Steven Johnson's "The Ghost Map"
www.nytimes.com/2006...
Are you combining "insights from different disciplines and different scales of investigation"?
Just discovered David Quammen's 2006 review of Steven Johnson's "The Ghost Map"
www.nytimes.com/2006...
A Drink of Death (Published 2006)
Steven Johnson tells how a doctor and a curate solved the riddle of London’s 1854 cholera epidemic.
www.nytimes.com
June 21, 2025 at 12:07 PM
Are you a "consilient" thinker - like John Snow, the father of epidemiology?
Are you combining "insights from different disciplines and different scales of investigation"?
Just discovered David Quammen's 2006 review of Steven Johnson's "The Ghost Map"
www.nytimes.com/2006...
Are you combining "insights from different disciplines and different scales of investigation"?
Just discovered David Quammen's 2006 review of Steven Johnson's "The Ghost Map"
www.nytimes.com/2006...
More vaccine skepticism after the HHS Secretary’s comments means preventable diseases could surge -- especially in young kids, the elderly, and otber immunocompromised. Measles, chickenpox, whooping cough, even polio may return, straining healthcare, and widening disparities
x.com/jakescottMD/st...
x.com/jakescottMD/st...
June 14, 2025 at 11:18 AM
More vaccine skepticism after the HHS Secretary’s comments means preventable diseases could surge -- especially in young kids, the elderly, and otber immunocompromised. Measles, chickenpox, whooping cough, even polio may return, straining healthcare, and widening disparities
x.com/jakescottMD/st...
x.com/jakescottMD/st...
MAHA Report: many others might have wondered if the inaccurate references were LLM hallucinations
Seems confirmed now that the report, at least in its entirety, was not written by humans
Are there lessons to be learned here? No, it’s not just students 😅
www.washingtonpost.c...
Seems confirmed now that the report, at least in its entirety, was not written by humans
Are there lessons to be learned here? No, it’s not just students 😅
www.washingtonpost.c...
May 30, 2025 at 6:18 PM
MAHA Report: many others might have wondered if the inaccurate references were LLM hallucinations
Seems confirmed now that the report, at least in its entirety, was not written by humans
Are there lessons to be learned here? No, it’s not just students 😅
www.washingtonpost.c...
Seems confirmed now that the report, at least in its entirety, was not written by humans
Are there lessons to be learned here? No, it’s not just students 😅
www.washingtonpost.c...
Can you imagine a different situation?
I made this video 2 years ago. I had a lot of people tell me I was being dramatic. Now we know UNH are pushing nursing home to get residents to sign DNRs. I’m so glad people are waking up.
youtube.com/shorts/ZZtHN...
youtube.com/shorts/ZZtHN...
Health Insurance Companies Don’t Care About You
YouTube video by Dr. Glaucomflecken
youtube.com
May 22, 2025 at 10:49 AM
Can you imagine a different situation?