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Zaven Sargsyan

@sargsyanz.bsky.social
1.4K followers 198 following 702 posts

Internist at Baylor College of Medicine, Houston

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Reposted by Zaven Sargsyan
Emily Moin @emilymoin.com · 08/10/2026
CMS's primary role in US society is proving Goodhart's law www.reddit.com/r/hospitalis...
reddit.com
From the hospitalist community on Reddit
Explore this post and more from the hospitalist community
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Zaven Sargsyan @sargsyanz.bsky.social · 08/10/2026
newest retronym just dropped, pass me the soft hard seltzer
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Anna Merlan @annamerlan.bsky.social · 06/10/2026
As a society, we have forgotten that the phone still works when you hold it up to your ear
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Paul Williams @paulnwilliams.bsky.social · 07/10/2026
Needing 2-factor authentication to log into Docusign is like needing to have diarrhea before you vomit
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NEJM.org @nejm.org · 03/10/2026
A 23-year-old man was brought to the ED after intentional ingestion of 2000 mg of sertraline. Six hours after ingestion, spontaneous and sustained, inducible clonus and patellar hyperreflexia were noted in his legs (shown in a video). Read the full case details: nej.md/4z9DOrl
Three still images from the Images in Clinical Medicine article "Serotonin Syndrome." The stills are from a video showing sustained, inducible clonus and patellar hyperreflexia noted in both legs of a patient.
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 01/10/2026
oh, you clicked the print button? guess that means you wanna print this document, huh. well guess what, fuck-o, you can’t. this document is in PROTECTED VIEW. that means you can’t do SHIT ……… unless … i guess you could click the enable print button … but then you’re gonna have to press print again
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Emily Moin @emilymoin.com · 25/09/2026
Gift link, and some reactions herein. www.nytimes.com/2026/09/25/o...
nytimes.com
Opinion | Being a Doctor Will Never Be the Same After A.I. (Gift Article)
I’m confident in my mastery over what doctors do — and less confident about my continued mastery of an ever-evolving universe of facts.
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Nicolas Hénin @nicolashenin.net · 17/09/2026
Nice campaign by the Norwegian Consumer Council about the declining lifespan of products. Enjoy!
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Zaven Sargsyan @sargsyanz.bsky.social · 17/09/2026
Aligns with my teen priors
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James Pirruccello 🎃🦇🧹 @jamespirruccello.com · 16/09/2026
Well that's a bit on the nose
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 10/09/2026
"Click to Cancel" needs to become policy everywhere. I am on the phone with Terminix for the third time since selling my house in May of 2026 that I actually did indeed intend to cancel my services when I sold my house.
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Tade "Will Eat Your Heart in the Marketplace" Thompson @tadethompson.bsky.social · 07/09/2026
I often say, "I don't know yet. Here's what we do know..." and then give all the facts that are incontrovertible. I make it sound like an investigation (which it is) and we're partners in solving the case. At least, that's what I try to do.
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Emily Moin @emilymoin.com · 07/09/2026
I'm a huge believer in sequential random draws as the best way to develop intuitive understanding of probability distributions and for that and many reasons I really love this website anyhumanever.com
anyhumanever.com
Any Human Ever
One life, drawn at random from all who have ever lived.
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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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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 17/04/2026
imagine you’re a vet and someone shows up to your clinic with a hedgehog and you think “damn, i wish i hadn’t slept through hedgehog week in vet school”
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Zaven Sargsyan @sargsyanz.bsky.social · 31/08/2026
Syncope is a *transient* loss of consciousness, Mike
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Michael Hobbes @michaelhobbes.bsky.social · 30/08/2026
Why were there only 3 measles deaths in the last 10 years Robert
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 30/08/2026
found a guy:
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 21/08/2026
2 Diabetes 2 Mellitus
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🕸️🕷️SpiderPost🕷️🕸️(mortem), if clinically indicated @ridertoast.bsky.social · 14/08/2026
~ 1895 Heidelberg, Germany ~ Scientist: Yo Herr Nissl what should we call the microscopic anatomy you discovered. German neuropathologist Franz Nissl (wearing the head mirror upside down): uh call it fucking a- Nissl’s fucking uhhhhh…. UHHhHh- Substance
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Jeremy Faust, MD @jeremyfaust.bsky.social · 03/08/2026
Last week was full of lies and misinformation. Let’s start this week with data. open.substack.com/pub/insideme...
open.substack.com
One graph to shut RFK Jr. up.
The best argument against his nonsense is data. Here it is...
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Emily Moin @emilymoin.com · 28/07/2026
insurance ad urges viewers to fight doctors who say drug right for them
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Colin @colin-fraser.net · 28/07/2026
Welcome to Hell
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Paul Bleicher @pbleic.bsky.social · 24/07/2026
Astonishing. RFK Jr. adds 8 members to a 6 member FDA advisory panel. 6 of them were sellers of peptides, and the 7th a compounding pharmacist. In an 8-6 vote with all 8 votes coming from these new panel members, the panel approved 4 peptides against the objections of FDA scientists.
nytimes.com
FDA Panel Supports Lifting Restrictions on Four Peptides (Gift Article)
In an all-day hearing, the agency’s scientists argued against allowing broad access to unproven drugs that the agency had banned three years ago.
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Zaven Sargsyan @sargsyanz.bsky.social · 23/07/2026
And nothing filmy
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PBF Comics @pbfcomics.bsky.social · 20/07/2026
“What a beautiful universe, hon" says a telescope as gazes upon an aurora borealis. “It really is”, responds the telescope's partner, who it turns out is not a telescope, but a microscope. Hands full of algae, she wades waist deep in a disgusting swamp, amazed by the heavenly microscopic life all around them.
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Zaven Sargsyan @sargsyanz.bsky.social · 13/07/2026
Had a chance to comment (and quote Billy Joel) evidence.nejm.org/doi/full/10....
evidence.nejm.org
Interval Likelihood Ratios — Shades of Gray Wherever I Go
This editorial contextualizes a randomized trial of interval likelihood ratios for clinical decision-making.
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Zaven Sargsyan @sargsyanz.bsky.social · 13/07/2026
This was a great study evidence.nejm.org/doi/full/10....
evidence.nejm.org
A Randomized Trial of Interval Likelihood Ratios for Clinical Decision-Making
Dichotomized reporting of diagnostic test results may oversimplify test characteristics. Interval likelihood ratios (ILRs), test characteristics across a range of values, offer a nuanced alternativ...
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Caduceus Wild Podcast @caduceuswildpod.bsky.social · 09/07/2026
"We describe the case of a 42-year-old woman who self-treated undiagnosed Addison's disease for several years with soy sauce and liquorice sticks. [...] Our patient described an unusual diet of liquorice sticks and soy sauce, consuming around 46 g of salt per week."
pubmed.ncbi.nlm.nih.gov
Liquorice and soy sauce, a life-saving concoction in a patient with Addison's disease - PubMed
Addison's disease is a relatively common disorder to endocrinologists, but is rare and potentially fatal when presenting acutely. Treatment now involves replacement of glucocorticoids and mineralocort...
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Zaven Sargsyan @sargsyanz.bsky.social · 04/07/2026
😂
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 20/02/2025
Reading some one star user reviews for the Draft Kings app:

Ratings & Reviews
Bad app

Sun • Conwon16
They took all my money
Ratings & Reviews
Terrible
Sun • PaSlotPlayer
Slots are terrible. You might win $100 once a month. After $1000's in deposits.
Ratings & Reviews
Rigged
Thu • DeGuiz
Odds of winning are low
Ratings & Reviews
Please help
Feb 9. Tyler onkolo
I now have a gambling addiction and lost my kids.
Thanks Draftkings
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Zaven Sargsyan @sargsyanz.bsky.social · 30/06/2026
Interstitial nephritis
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Zaven Sargsyan @sargsyanz.bsky.social · 29/06/2026
Yea I’m probably gonna miss out one some bargain deals on lab reagents I’m interested in because there’s too many deals on lab reagents I’m not interested in
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NEJM.org @nejm.org · 27/06/2026
A 47-year-old man with heart failure with a reduced ejection fraction and an ICD for the primary prevention of sudden cardiac death presented with an unheralded syncopal event, which had been captured by video surveillance at work. Read the full case details: nej.md/4w1yfJM
A still from a surveillance video where the patient collapses during work. To the right, there are three medical electrocardiogram (ECG) charts. These images are from an Images in Clinical Medicine article titled "Unheralded Syncope from Ventricular Arrhythmia."
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Zaven Sargsyan @sargsyanz.bsky.social · 25/06/2026
Wow www.nejm.org/doi/full/10....
nejm.org
Unheralded Syncope from Ventricular Arrhythmia | NEJM
A 47-year-old man with heart failure with a reduced ejection fraction and an ICD for the primary prevention of sudden cardiac death presented with an unheralded syncopal event, which had been captu...
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Reposted by Zaven Sargsyan
Emily Moin @emilymoin.com · 21/06/2026
It’s giving, “Other than that, Mrs Lincoln, how was the play?”
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Zaven Sargsyan @sargsyanz.bsky.social · 15/06/2026
Step 4: rash. BTW ice helps with the pain.
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Zaven Sargsyan @sargsyanz.bsky.social · 15/06/2026
Step 3: focal hyperhydrosis
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Zaven Sargsyan @sargsyanz.bsky.social · 15/06/2026
Step 2: realizing what you just touched
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Zaven Sargsyan @sargsyanz.bsky.social · 15/06/2026
Step 1: pain
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Zaven Sargsyan @sargsyanz.bsky.social · 10/06/2026
Dear all companies, Sending me a satisfaction survey after you sell me a service or goods is a great way to make me suddenly dissatisfied. Thanks, Most customers
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Zaven Sargsyan @sargsyanz.bsky.social · 05/06/2026
Of course you were thinking of the Michelin Guidelines
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Paul Sax @paulsaxmd.bsky.social · 04/06/2026
So much we need to learn about tick-related infections, so this effort by HHS is welcome. But I worry deeply about the company they keep in their announcement. More here: #IDSky #Medsky voices.nejm.org/doi/full/10....
voices.nejm.org
Lyme Disease Deserves Better — But Better Starts with Better Evidence
A recent federal announcement to combat tick-borne disease has a promising premise but deserves scrutiny.
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/06/2026
accidentally put two diagnoses of exclusion on my differential and now i don’t know what to do
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Alex Elizabeth Byrne McMillan @undeniablyalex.bsky.social · 23/05/2026
YOU’RE LISTENING TO SISYPHUS FM, THE HOME OF NON-STOP ROCK
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Zaven Sargsyan @sargsyanz.bsky.social · 19/05/2026
“All manner of paper towels and sanitary napkins are welcome”
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Zaven Sargsyan @sargsyanz.bsky.social · 14/05/2026
That looks perfect… maybe just don’t go towards it, keep the radius and the view
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Zaven Sargsyan @sargsyanz.bsky.social · 11/05/2026
All great points, though I think there’s still some utility in the concept. Some of the drawbacks (eg predicting binary outcomes in 1 pt based on population data) apply to absolute risk values too. I think the biggest misuse in practice is omission of time scale—also applies to ARR.
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maura quint @mauraquint.bsky.social · 11/05/2026
too many stupid people have money; that's why I'm launching protein cigarettes
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