iiinova — where your digital self keeps evolving

Reposted by Marlene Millen, MD

AMIA @amia.org · 31/07/2026

🚨 The High School Scholars Competition is open for the 2026 AMIA Annual Symposium! If you mentor, teach, or know a high schooler doing informatics research, send this their way. Submissions are open now: amia.org/education-ev... #HealthInformatics #DigitalHealth #Mentorship

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Reposted by Marlene Millen, MD

Barack Obama @barackobama.bsky.social · 25/01/2026

The killing of Alex Pretti is a heartbreaking tragedy. It should also be a wake-up call to every American, regardless of party, that many of our core values as a nation are increasingly under assault.

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Reposted by Marlene Millen, MD

PBS News @pbsnews.org · 09/08/2025

Health Secretary Robert F. Kennedy Jr.'s decision to cancel nearly half a billion dollars in federal funding for mRNA vaccine development is the "most dangerous public health decision" ever, epidemiologist Michael Osterholm said.

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Reposted by Marlene Millen, MD

University of California @uofcalifornia.bsky.social · 09/08/2025

“As a public university, we are stewards of taxpayer resources, and a payment of this scale would completely devastate our country’s greatest public university system as well as inflict great harm on our students and all Californians.” —UC President James B. Milliken

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Reposted by Marlene Millen, MD

NEJM AI @ai.nejm.org · 17/06/2025

Original Article by S. Shekar et al.: People Overtrust AI-Generated Medical Advice despite Low Accuracy nejm.ai/43xKDG0 #AI #MedSky #MLSky

Figure 4. Participants’ Ability to Distinguish between Artificial Intelligence–Generated and Doctor-Written Medical Responses.

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Reposted by Marlene Millen, MD

NEJM AI @ai.nejm.org · 16/06/2025

Perspective by Marlene Millen, MD, Ming Tai-Seale, PhD, and Christopher A. Longhurst, MD: A Call for Disclosure When Using AI for Patient Communications nejm.ai/3GKwGeU @marlenemillen.bsky.social @chrislonghurst.bsky.social #AI #MedSky #MLSky

Page 1 of the Perspective "A Call for Disclosure When Using AI for Patient Communications"

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Marlene Millen, MD @marlenemillen.bsky.social · 17/06/2025

HHS and CDC can no longer be trusted for 💉 info for the United States. CIDRAP’s Vaccine Integrity Project is setting up to help with action plans and information. This uodate also includes a google doc form to catalog current local initiatives. www.cidrap.umn.edu/vaccine-inte...

cidrap.umn.edu

The Vaccine Integrity Project - Interim Update

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Marlene Millen, MD @marlenemillen.bsky.social · 09/06/2025

In light of today’s announcement about cdc vaccine committee. “CIDRAP's Vaccine Integrity Project is an initiative dedicated to safeguarding vaccine use in the U.S. so that it remains grounded in the best available science…” www.cidrap.umn.edu/vaccine-inte...

cidrap.umn.edu

Vaccine Integrity Project

CIDRAP provides an initiative dedicated to safeguarding vaccine use in the U.S, so that it remains grounded in the best available science.

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Reposted by Marlene Millen, MD

Dorit Reiss @doritreiss.bsky.social · 24/05/2025

If you came across the MAHA report, here are some examples of how it misleads readers, reflecting old, debunked anti-vaccine tropes. "Misleading and False Vaccine Claims from the MAHA Report" docs.google.com/document/d/1...

docs.google.com

Misleading and False Vaccine Claims from the MAHA Report

Misleading and False Vaccine Claims from the MAHA Report “Since 1986 the average child, by one year of age, has gone from 3 injections to 29.” Overall, the vaccine schedule has expanded by 1-2 vaccin...

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Marlene Millen, MD @marlenemillen.bsky.social · 10/05/2025

When UCSD Health began using AI in drafting patient messages we made a decision to be transparent with patients. We share our experience and call to action in NEJM AI. A Call for Disclosure When Using AI for Patient Communications | NEJM AI ai.nejm.org/doi/full/10....

ai.nejm.org

A Call for Disclosure When Using AI for Patient Communications

In the spring of 2023, the UC San Diego Health system began generating draft replies to patient messages with next-generation artificial intelligence (AI) tools as an early adopter. The rollout pre...

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Reposted by Marlene Millen, MD

Karandeep(Singh) @kdpsingh.bsky.social · 24/03/2025

“[23andMe] has publicly reported that it is in financial distress…Due to the trove of sensitive consumer data…, [CA AG] reminds Californians of their right to direct the deletion of their genetic data under the Genetic Information Privacy Act (GIPA) and California Consumer Protection Act (CCPA).”

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Marlene Millen, MD @marlenemillen.bsky.social · 08/02/2025

#Influenza no joke this year. Our 12 yo (flu vaccine in early September) with 105(!) temperature and horrible sounding cough. She started tamiflu after video visit with her doctor. Ps- home tests for the win.

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Reposted by Marlene Millen, MD

Aurora Forecast Bot from NOAA (UNOFFICIAL) @aurora.nws-bot.us · 23/01/2025

Aurora Forecast Update for 2025-01-23T08:04:02Z Additional Details Here.

:Product: 3-Day Forecast
:Issued: 2025 Jan 23 0030 UTC
# Prepared by the U.S. Dept. of Commerce, NOAA, Space Weather Prediction Center
#
A. NOAA Geomagnetic Activity Observation and Forecast

The greatest observed 3 hr Kp over the past 24 hours was 3 (below NOAA
Scale levels).
The greatest expected 3 hr Kp for Jan 23-Jan 25 2025 is 5.33 (NOAA Scale
G1).

NOAA Kp index breakdown Jan 23-Jan 25 2025

Jan 23 Jan 24 Jan 25
00-03UT 1.67 1.67 3.33
03-06UT 1.33 1.33 5.33 (G1)
06-09UT 1.33 1.33 5.00 (G1)
09-12UT 1.33 1.33 4.00
12-15UT 1.33 4.00 4.00
15-18UT 1.33 2.67 3.33
18-21UT 1.67 4.00 3.33
21-00UT 1.67 4.33 4.00

Rationale: G1 (Minor) or greater geomagnetic storms are expected on 25
Jan due to the potential arrival of a CME from 22 Jan.

B. NOAA Solar Radiation Activity Observation and Forecast

Solar radiation, as observed by NOAA GOES-18 over the past 24 hours, was
below S-scale storm level thresholds.

Solar Radiation Storm Forecast for Jan 23-Jan 25 2025

Jan 23 Jan 24 Jan 25
S1 or greater 10% 10% 10%

Rationale: No S1 (Minor) or greater solar radiation storms are expected.

C. NOAA Radio Blackout Activity and Forecast

Radio blackouts reaching the R1 levels were observed over the past 24
hours. The largest was at Jan 22 2025 1108 UTC.

Radio Blackout Forecast for Jan 23-Jan 25 2025

Jan 23 Jan 24 Jan 25
R1-R2 55% 55% 55%
R3 or greater 10% 10% 10%

Rationale: R1-R2 (Minor-Moderate) radio blackout events are likely, with
slight chance for R2 (Strong) events, over 23-25 Jan due to the flare
potential of multiple regions on the visible disk.

Map from NOAA titled showing North America and the North Pole with a color gradient overlay of aurora likelihood.

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Marlene Millen, MD @marlenemillen.bsky.social · 20/01/2025

Ted Williams Fire in San Diego Now 3 acres. Evacuating nearby area. Winds just starting in this area.

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Reposted by Marlene Millen, MD

Matt Novak @paleofuture.bsky.social · 08/01/2025

San Diego didn’t want to miss out on the fun

Freeway Fire: The fire now has a rapid rate of spread & has spread approximately 1/4 mile towards the south along the freeway & towards the military base per radio traffic.

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Reposted by Marlene Millen, MD

Merriam-Webster @merriam-webster.com · 11/12/2024

“Have Yourself A Merriam Little Christmas” Merriam, a career-oriented lexicographer from the city, returns to her small town for the holidays and meets Webster, a ruggedly handsome librarian, who shows her the true DEFINITION of Christmas. Hit us up @hallmarkchannel.bsky.social @netflix.com 🙏

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Marlene Millen, MD @marlenemillen.bsky.social · 10/12/2024

Public safety power shutoff in San Diego (and LA) began last night due to humidity in 10’s and winds with high fire risk. 1 small fire so far. #redflagwarning #weather #sandiego

Map of San diego Power outages with blue markers (public safety outages) on it starting at Escondido eastward to Borrrego Springs. No markers at the coast.

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Reposted by Marlene Millen, MD

Sam Scarpino @scarpino.bsky.social · 26/11/2024

1/ Influenza wastewater activity levels are currently low across the US, aside from conspicuous areas in CA where #H5N1 is spreading in dairy cows. A deeper dive into the Wastewater Scan data paints a very concerning picture and should add to our sense of urgency.

Map shows the location of wastewater sampling locations around the US. Most of the sites indicate low levels and are colored blue. However, there are a number of sites in CA with high levels and few other scattered sites around the US with medium/high levels and are colored in orange/red

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Marlene Millen, MD @marlenemillen.bsky.social · 27/11/2024

Some (more) Covid Vaccine positive news! Meta-analysis of studies which include over 14 million people in the Journal of Infection shows that COVID-19 vax is associated with a lower risk of developing long COVID. Two doses reduced the odds by 24%! www.journalofinfection.com/article/S016...

journalofinfection.com

The effect of pre-COVID and post-COVID vaccination on long COVID: a systematic review and meta-analysis

Our study suggests that 2-dose pre-COVID vaccination and 1-dose post-COVID vaccination are associated with a lower risk of long COVID. Since long COVID reduces quality of life substantially, vaccinati...

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Marlene Millen, MD @marlenemillen.bsky.social · 26/11/2024

Just worked on my patient in-basket testing an early version of AI note summarization feature from Epic. You can use it to summarize a few notes(as long as not too long!). It is growing on me.

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Marlene Millen, MD @marlenemillen.bsky.social · 25/11/2024

California Acts to Protect Public Health: CDPH Warns Against Drinking Single Lot of Raw Milk Following Bird Flu Detection; Secures Voluntary Recall www.cdph.ca.gov/Programs/OPA...

Half gallon of with with box on back saying best by 11/27/2024 Lot #20241109

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Reposted by Marlene Millen, MD

Karandeep(Singh) @kdpsingh.bsky.social · 14/11/2024

Our Jacobs Center for Health Innovation is here now: bsky.app/profile/jchi... Follow for updates on AI and digital health work happening at our center!

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Reposted by Marlene Millen, MD

Karandeep(Singh) @kdpsingh.bsky.social · 16/11/2024

"All the data in the world will not make a difference, unless there are people ready to use it." — Atul Butte, MD, PHD, FACMI 2024 Morris F. Collen Award Winner

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Reposted by Marlene Millen, MD

John Millen @wahoofishone.bsky.social · 11/11/2024

Lopez Canyon sunset

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Marlene Millen, MD @marlenemillen.bsky.social · 11/11/2024

Nothing like a cup of coffee and a journal rejection letter to start your day.

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Marlene Millen, MD @marlenemillen.bsky.social · 11/11/2024

Watching age of ultron as part of a nightly series of marvel movies to recover from the events of the week. Love the scene with all the men trying and failing to lift Thors hammer and black widow is all “that is not a question I need answered”.

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Reposted by Marlene Millen, MD

Helen Branswell 🇨🇦 @helenbranswell.bsky.social · 07/11/2024

#USDA confirmed 3 more #H5N1 #birdflu infected dairy herds in California, bringing the national total to 446 in 15 states. CA now has 236 confirmed herds. But the highest number of a confirmed herd there is CA 300, which means there are at least 64 tests confirmed by CA awaiting USDA confirmation.

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Reposted by Marlene Millen, MD

Helen Branswell 🇨🇦 @helenbranswell.bsky.social · 10/11/2024

Canada has reported a human case of #H5N1 #birdflu, the country's 2nd ever. This one appears to have been contracted domestically. The earlier case, in 2014, was a person who contracted the virus in China. www.cidrap.umn.edu/avian-influe...

cidrap.umn.edu

Fatal H5N1 case in Canada is North America's first

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Reposted by Marlene Millen, MD

John Millen @wahoofishone.bsky.social · 11/11/2024

Anna’s Hummingbird at the hot lips sage, San Diego CA. #birds

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Reposted by Marlene Millen, MD

Karandeep(Singh) @kdpsingh.bsky.social · 10/11/2024

“Save us from the evil ant apocalypse!”

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Marlene Millen, MD @marlenemillen.bsky.social · 11/11/2024

Joining to get back to learning and having fun! Would love to find new STEM folks to follow. Especially AI in medicine, infectious disease and meteorology. I share my work at UC San Diego, disease outbreaks and daily life.

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