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Jeff Linder

@jefflinder.bsky.social
371 followers 206 following 444 posts

General internist, health services and clinical researcher | Health, education, infrastructure, opportunity for all Americans | Bicycles | Opinions, own

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Jeff Linder @jefflinder.bsky.social · 29/09/2026
Know what would be more rad? 720s.
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Julia Carrie Wong @joolia.bsky.social · 27/09/2026
yes my bull went rogue in your china shop but I think we can all agree there’s no liability here it’s an agentic being
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Jeff Linder @jefflinder.bsky.social · 25/09/2026
No WAY it was better than the show we saw last week in the FABULOUS Studebaker Theater. Will have to listen and find out.
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Jeff Linder @jefflinder.bsky.social · 25/09/2026
I have not enjoyed ANYTHING in 2025 and 2026 as much as Angine de Poitrine. Seeing them in Chicago in November. youtu.be/38rvtcwhuw4?...
youtu.be
Angine de Poitrine: Zugzegk | The Tonight Show Starring Jimmy Fallon
YouTube video by The Tonight Show Starring Jimmy Fallon
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
Dear God that's good. Apocalyptic bop.
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
Was about to mention that you should thank your lucky stars that when WE land at O'Hare and have the requisite 25 minute taxi + 10 minute penatly box wait, we're just getting off the plane and going home.
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
The editors pulled out a choice sentence to highlight...
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
And the annual lipids. 🙄
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
Something that David Liss and I wrote a few years ago about Checkups. (And, no, that is not going to be the most effective way to take a pulse for several reasons.) undark.org/2021/10/07/t...
undark.org
The Subtle Virtues of Routine Doctor’s Visits
Opinion | Full-fledged physicals are mostly unnecessary, but basic checkups have real benefits, a new "study of studies" suggests.
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
Here's a link to the @societygim.bsky.social Choosing Wisely recommendations: 1. Don’t perform routine annual checkups unless patients are likely to benefit... 2. During checkups, don’t conduct comprehensive physical exams or routine lab testing. www.sgim.org/resource/cho...
sgim.org
Choosing Wisely – Routine Annual Checkups – SGIM
The document outlines recommendations to optimize medical checkups, advising against routine annual exams for all and suggesting customization based on individual risk factors and health status. It hi...
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
I promise it was done before, also unnecessarily, when... "He last saw a primary care physician several years ago."
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
bsky.app/profile/jeff...
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Jeff Linder @jefflinder.bsky.social · 24/09/2026
This NEJM "Clinical Decisions" is about whether you should do a physical exam in an otherwise healthy person. How about the TOTALLY UNNECESSARY testing that's being done here. "Pursue a laboratory workup"?! For what!? ht: @ishaniganguli.bsky.social www.nejm.org/doi/10.1056/...
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NU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026
Please help us #congratulate Adam Williams, PhD for being Awarded Tenure in the division of Allergy and Immunology! #congratulations #departmentofmedicine #nmim
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NU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026
Please help us #congratulate Emily Szmuilowicz, MD for being promoted to Professor of Medicine in the division of Endocrinology! #congratulations #departmentofmedicine #nmim
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NU Dept. of Medicine @nuintmed.bsky.social · 23/09/2026
Please help us #congratulate Natalie Cameron, MD for being promoted to Assistant Professor of Medicine in the division of General Internal Medicine! #congratulations #departmentofmedicine #nmim
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Michael Ian Black @michaelianblack.bsky.social · 23/09/2026
I've had life insurance for years. Haven't used it once.
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Jeff Linder @jefflinder.bsky.social · 23/09/2026
For example, THIS episode on supplements was way more useful because it followed a framework. podcasts.apple.com/us/podcast/t...
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Jeff Linder @jefflinder.bsky.social · 23/09/2026
For a future episode it’d be helpful to hear, for each topic: 1. What is the trend/modality? 2. What are the claims? 3. What is the evidence? 4. Are there potential harms? 5. Are there alternatives? 6. Bottom line
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Jeff Linder @jefflinder.bsky.social · 23/09/2026
The discussion more jumped from topic to topic and never really addressed any. The best example was for mouth taping that one of the hosts brought up, like, 3 times, but they would just jump yo another topic.
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Jeff Linder @jefflinder.bsky.social · 23/09/2026
Maybe by way of feedback, I was hoping this episode was going to bring some clarity and evidence to a mess of a landscape. It did not. podcasts.apple.com/us/podcast/t...
podcasts.apple.com
#539 TikTok Trends in Medicine
Podcast Episode · The Curbsiders Internal Medicine Podcast · September 14 · 1h 25m
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Jeff Linder @jefflinder.bsky.social · 17/09/2026
For the record, that email was the first communication I received since my nomination was submitted in April, so I have no additional insight into the vetting process.
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Jeff Linder @jefflinder.bsky.social · 17/09/2026
I was not selected to serve on the US Preventive Services Task Force. It is also concerning that several of the appointed members, who are supposed to be evaluating primary care-based preventive services, appear to be specialists. www.nytimes.com/2026/09/17/w...
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Jeff Linder @jefflinder.bsky.social · 11/09/2026
bsky.app/profile/jeff...
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Jeff Linder @jefflinder.bsky.social · 11/09/2026
Everyone: “You will die riding your bike to work in Boston.” So I asked a patient of mine who worked at a Center for Risk Analysis. Answer: “conservatively, you might be DOUBLING your risk of dying on your commute… …from 1 in 10,000 to 2 in 10,000.” Me: EASY choice to keep riding my bike.
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JAMA Network Open @jamanetworkopen.com · 06/09/2026
📈 Patients with a larger initial #ZDrug supply were more likely to continue filling these medications over time, indicating that initial prescribing decisions may have lasting implications for long-term use. ja.ma/4xeLO8W
Three line graphs show Z-drug usage trends over 7 years. A: Annual share with a Z-drug fill. B: Annual share with ≥180-d supply. C: Annual mean supply. All graphs show decreasing values over time, with groups having higher initial supply consistently starting and remaining higher.
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Paul Williams @paulnwilliams.bsky.social · 06/09/2026
Kind of an exhausting discussion for me. Not sure you can convince me that the "harms" of doing a physical examination outweigh the possible benefits, especially since this is nearly impossible to study in any kind of meaningful way. www.nejm.org/doi/full/10....
nejm.org
Physical Examination for Asymptomatic Adults | NEJM
This feature about a healthy person’s visit to a physician offers a case vignette accompanied by two essays, one recommending that the physician perform a routine physical examination and the other .....
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Jeff Linder @jefflinder.bsky.social · 08/09/2026
In a new publication in @jamanetworkopen.com, Jon Cloughesy led our group in examining initial Z-drug prescriptions for insomnia as a predictor of future use. The amount of initial z-drugs fill was predictive of future z-drug fills, up to 7 years later! jamanetwork.com/journals/jam...
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Claus Wilke @clauswilke.com · 30/08/2026
I'm really frustrated by the constant fear-mongering about AI-designed superviruses. Can we focus on the things that should actually worry us, such as measles? blog.genesmindsmachines.com/p/im-sorry-y...
blog.genesmindsmachines.com
I'm sorry, you're not going to die from an AI-engineered supervirus
God save us from economists who think they can competently talk about biology
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Jeff Linder @jefflinder.bsky.social · 30/08/2026
For my settings, Google should have “Lago América.” At least the “San Lorenzo” and “Golfo de América” are consistent. As they say in 🇨🇦: “Lo siento.”
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Jeff Linder @jefflinder.bsky.social · 27/08/2026
So....no. www.medrxiv.org/content/10.6...
medrxiv.org
Eligibility for shingles vaccination and hospital-coded dementia in England and Wales: a regression discontinuity analysis in England
We used the September 2013 age-based rollout of the live-attenuated shingles vaccine in England as a natural experiment to estimate the effect of vaccine eligibility on shingles and dementia diagnoses...
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Jeff Linder @jefflinder.bsky.social · 27/08/2026
Thank you. Now do the “Shingrix dramatically lowers dementia” study. The design is a bit better, but there’s still probably “healthy user confounding.” www.acpjournals.org/doi/10.7326/...
acpjournals.org
Dementia Risk After Recombinant Herpes Zoster Vaccination in Older Adults With a Recent Skilled-Nursing Facility Stay: A Target Trial Emulation: Annals of Internal Medicine: Vol 179, No 7
Background: Observational studies report a protective association between herpes zoster (HZ) vaccination and dementia, but they have methodological limitations or examined a live attenuated vaccine no...
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Peter Tennant @pwgtennant.bsky.social · 27/08/2026
Does the new shingles vaccine (Shingrix) protect against cardiovascular disease (CVD)? Yes, according to a new 'natural experiment' study in @natmed.nature.com. But the truth is sadly far less convincing! Pull up a chair and let's examine another peer review failure in a Nature journal. 1/10 🧵
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Timothy Caulfield @caulfieldtim.bsky.social · 07/08/2026
As a grumpy supplement cynic, not surprised... 👇 The link between vitamin intake and depression largely vanishes when factoring in lifestyle www.psypost.org/the-link-bet... From study: "Only weak vitamin–depression associations were observed, and most diminished after adjusting for confounders..."
psypost.org
The link between vitamin intake and depression largely vanishes when factoring in lifestyle
While higher vitamin intake is often linked to better mental health, a new study reveals that this relationship mostly disappears once socioeconomic status, daily habits, and overall physical health a...
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Jeff Linder @jefflinder.bsky.social · 22/07/2026
From the @ama-assn.org... www.ama-assn.org/press-center...
ama-assn.org
AMA calls for permanent standard time
At its interim meeting on Monday, the AMA House of Delegates supported ending daylight saving time and moving permanently to standard time.
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Jeff Linder @jefflinder.bsky.social · 22/07/2026
From the American Academ of Sleep Medicine... aasm.org/aasm-opposes...
aasm.org
AASM condemns House passage of Sunshine Protection Act
AASM urges the Senate to reject permanent daylight saving time, citing risks to sleep, health, circadian alignment and public safety.
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Jeff Linder @jefflinder.bsky.social · 22/07/2026
The statement that the @ama-assn.org and the American Academy of Sleep Medicine "are (p)roponents of a single time" by @pbsnews.org and Deepti Hajela, as presented in this article, is deeply misleading. Both strongly advocate AGAINST permanent daylight savings time. www.pbs.org/newshour/nat...
pbs.org
America already tried permanent daylight saving time. Could it work now?
It's an idea whose time, as it were, may have come — again.
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Scott Delaney @scott-delaney.bsky.social · 16/07/2026
‼️ AHRQ is in the midst of a mass grant termination event. We (at Grant Witness) need your help to launch a tracker ASAP. If you received an AHRQ termination notice--or if you know of someone else who did--please submit information about the grant here: grant-witness.us/submit-nih.h...
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Jeff Linder @jefflinder.bsky.social · 17/07/2026
Ok… jamanetwork.com/journals/jam...
jamanetwork.com
Excess Death Rates for Republican and Democratic Voters in Florida and Ohio During the COVID-19 Pandemic
This cross-sectional study examines the differences in excess death rates between Republican and Democratic voters in Florida and Ohio after the COVID-19 vaccine became available for all adults.
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Jeff Linder @jefflinder.bsky.social · 17/07/2026
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Jeff Linder @jefflinder.bsky.social · 17/07/2026
Anyone notice that the IQAir forecast always seems to improve about 8 hours in the future? Makes me think they’re using a historical model rather than fire/atmospheric conditions to drive the prediction. www.iqair.com/air-quality/...
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Jeff Linder @jefflinder.bsky.social · 16/07/2026
bsky.app/profile/chic...
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Jeff Linder @jefflinder.bsky.social · 16/07/2026
Bummer, but right call. @chicagofire.bsky.social www.nytimes.com/athletic/745...
nytimes.com
Chicago Fire vs. Vancouver postponed due to smoke, air quality; Lewandowski’s MLS debut delayed
The match was forced to be called off due to the smoke caused by the raging wildfires in Canada
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Jeff Linder @jefflinder.bsky.social · 16/07/2026
AHRQ was created by an act of congress. Is it legal for the Administration to unilaterally shut it down? www.ahrq.gov/cpi/about/br...
ahrq.gov
AHRQ: A Brief History | Agency for Healthcare Research and Quality
The Agency for Healthcare Research and Quality (AHRQ) was created when Congress passed, and President Clinton signed, the Healthcare Research and Quality Act of 1999.
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AcademyHealth @academyhealth.bsky.social · 16/07/2026
AHRQ grant cancellations are no longer theoretical, they're happening. We've heard from many researchers and institutions affected by notices ending continuation funding for ongoing projects. Read what we know so far, why these cancellations matter, and how we're responding.
buff.ly
AHRQ Has Begun Canceling Research Grants. Here's What We Know.
Researchers across the country have begun receiving official notices from AHRQ informing them that continuation funding for their grants will not be awarded.
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Jeff Linder @jefflinder.bsky.social · 05/07/2026
Sorry, but Ghana won the World Cup before the first ball was even kicked
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Jeff Linder @jefflinder.bsky.social · 05/07/2026
I can think of at least 2 reasons the ref might only have carded the French, but my stating them would result in a sanction from FIFA
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Gemma Altinger @gemmaaltinger.bsky.social · 26/06/2026
Our systematic review on Default Nudges is one of BMJ Quality and Safety Top 10 papers of 2025! 🏆 Blog post here blogs.bmj.com/qualitysafet... Paper here qualitysafety.bmj.com/content/earl... @jefflinder.bsky.social @wiserhealthcare.bsky.social
qualitysafety.bmj.com
Effectiveness of clinician-directed default nudges on reducing overuse of tests and treatments in healthcare: a systematic review of randomised controlled trials
Objective To evaluate the effectiveness of clinician-directed default nudges for reducing overuse of tests and treatments. Design A systematic review was conducted to synthesise evidence from randomi...
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Gregg Gonsalves @gregggonsalves.bsky.social · 24/06/2026
Can we make it to 3000 letters to Congress today? Get a friend to send a letter, family members too. Russ Vought wants to take over all federal grant making and put his office in charge of spending at all agencies. A mad power-grab. Let's stop it in its tracks. actionnetwork.org/letters/oppo...
actionnetwork.org
Oppose OMB Proposal to Put ALL Federal Government Funding Decisions in the Hands of Political Appointees
On May 29, 2026, the Office of Management and Budget issued a Notice of Proposed Rulemaking (NPRM), OMB-2026-0034, Regulation for Federal Financial Assistance. The scope of this proposed regulation is...
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Jeff Linder @jefflinder.bsky.social · 23/06/2026
Have been thinking this for the past 2 days.
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