Dermin'
@dermin.bsky.social
All medical opinions generated by AI.
Looks like if he asked ChatGPT to help him become the next Malcolm Gladwell
August 10, 2025 at 12:44 PM
Looks like if he asked ChatGPT to help him become the next Malcolm Gladwell
Johnson and Johnson's No More Tears has never been subjected to a rigorous cluster RCT
August 10, 2025 at 12:42 PM
Johnson and Johnson's No More Tears has never been subjected to a rigorous cluster RCT
Mush's Israel tour was a tipping point
March 10, 2025 at 2:06 PM
Mush's Israel tour was a tipping point
It's a write-off, you just write it off
December 15, 2024 at 3:51 AM
It's a write-off, you just write it off
Nothing a little aquaphor and clobetasol can't fix
December 14, 2024 at 1:59 PM
Nothing a little aquaphor and clobetasol can't fix
See, by owning the physicians group, hospital, insurance company, pharmacy, and pharmacy benefit manager all at the same time, the system is much less complex
December 10, 2024 at 3:59 PM
See, by owning the physicians group, hospital, insurance company, pharmacy, and pharmacy benefit manager all at the same time, the system is much less complex
Look for psoriasis on the body including scalp, genitals, skin folds ("inverse"), and especially nail changes.
They may have family history including also inflammatory bowel disease. HLA-B27 is common but not required
They may have family history including also inflammatory bowel disease. HLA-B27 is common but not required
December 10, 2024 at 2:29 PM
Look for psoriasis on the body including scalp, genitals, skin folds ("inverse"), and especially nail changes.
They may have family history including also inflammatory bowel disease. HLA-B27 is common but not required
They may have family history including also inflammatory bowel disease. HLA-B27 is common but not required
PsA can also present as tendonitis or enthesitis including carpal tunnel symptoms, Achilles pain, plantar fasciitis.
Women are even more likely to be undiagnosed and can have upper back or shoulder or neck pain or stiffness
Women are even more likely to be undiagnosed and can have upper back or shoulder or neck pain or stiffness
December 10, 2024 at 2:26 PM
PsA can also present as tendonitis or enthesitis including carpal tunnel symptoms, Achilles pain, plantar fasciitis.
Women are even more likely to be undiagnosed and can have upper back or shoulder or neck pain or stiffness
Women are even more likely to be undiagnosed and can have upper back or shoulder or neck pain or stiffness
Presenting symptoms can vary but include "inflammatory" back pain - worse in the AM, improves with activity. Can be described as "stiffness" or just "takes time to get moving"
December 10, 2024 at 2:25 PM
Presenting symptoms can vary but include "inflammatory" back pain - worse in the AM, improves with activity. Can be described as "stiffness" or just "takes time to get moving"
Can't tell you how many times I'll see a 20-50yo pt for "bad dandruff" who turns out to have psoriasis + psoriatic arthritis. Seems like it happens once a week.
Frequently they have already seen another provider and the diagnosis has been missed.
The average delay to diagnosis of axSpA is like 6yr
Frequently they have already seen another provider and the diagnosis has been missed.
The average delay to diagnosis of axSpA is like 6yr
December 10, 2024 at 2:22 PM
Can't tell you how many times I'll see a 20-50yo pt for "bad dandruff" who turns out to have psoriasis + psoriatic arthritis. Seems like it happens once a week.
Frequently they have already seen another provider and the diagnosis has been missed.
The average delay to diagnosis of axSpA is like 6yr
Frequently they have already seen another provider and the diagnosis has been missed.
The average delay to diagnosis of axSpA is like 6yr
What, you don't want to spend 6 figures to get locked in to a proprietary system that will stop functioning when the company that makes it gets bought by a competitor?
December 7, 2024 at 7:50 PM
What, you don't want to spend 6 figures to get locked in to a proprietary system that will stop functioning when the company that makes it gets bought by a competitor?
It boils down to "people will learn to love AI if we shove it down their throats hard enough". When all the use cases keep failing, don't worry, AI will just invent better use cases for us that we haven't thought of yet. The higher the valuations go, the more need there is to keep pumping.
December 7, 2024 at 7:17 PM
It boils down to "people will learn to love AI if we shove it down their throats hard enough". When all the use cases keep failing, don't worry, AI will just invent better use cases for us that we haven't thought of yet. The higher the valuations go, the more need there is to keep pumping.