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Julian Davies

@jooolian

Pediatrics. FASD. Adoption/foster care. Epic physician builder/tweaker. Recovering clown. Family bikes. Island life. Hammocks and things that are COZY. #BristolStoolChartsky

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10.11.2024
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Latest posts by Julian Davies @jooolian

77th that (antivax counting, sorry)

06.03.2026 20:57 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Who will maintain all the bidets on that jet then

05.03.2026 22:42 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Exactly, now I can add hematological reasons not to be an endurance runner to my preexisting MSK and GI objections

03.03.2026 22:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

My new band name is Foot Strike Hemolysis

03.03.2026 22:09 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
MJ Lenderman (Solo) - A Long December - Chateau Marmont - 11/13/25
MJ Lenderman (Solo) - A Long December - Chateau Marmont - 11/13/25 YouTube video by Don Dante

www.youtube.com/watch?v=HOKE...

24.02.2026 18:39 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Totally agree and am curious if you find typical non-AI EHR notes better or worse in this regard. I find them harder to read due to all the imported cruft and boilerplate. I'm an AI grinch in other aspects of my life but find that Abridge's benefits outweigh the downsides. And of course I read/edit.

19.02.2026 18:21 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Funny stuff, Dr. @SmartText@ @SmartLink@ @ExamYouDidn'tDo@ @BoilerPlate@ @Sig@

19.02.2026 16:37 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I read them all, they're fine. It's not literature. In the EHR era all notes are dogshit, just different flavors. Unless you just love yourself some pajama time wordsmithing notes no one will read.

19.02.2026 16:18 πŸ‘ 0 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

Doctor of what?

19.02.2026 07:27 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

All those histrionics from Prasad about the preschool masking genocide and now he’s a complicit part of the administration doing ALL. OF. THIS.

18.02.2026 16:52 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1

Meats and ferments arm was the request if I’m not mistaken

11.02.2026 04:11 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Someday, if there is any sliver of justice, when I have to do a peer-to-peer for some focacta insurance denial it’ll be Peter Attia on the other end of the call.

01.02.2026 19:41 πŸ‘ 9 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

These absolute bozos can’t even see that β€œlet it rip” would have increased medical revenue, if they’re assuming doctors are evil and do it all for the $$$

31.01.2026 19:12 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Salter-Harris type 1 is the tastiest Salter if you ask me

30.01.2026 00:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

That’s also his dating approach

28.01.2026 02:33 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Considering your country decided not to give me the Nobel Prize in Medicine for having cured 8 ear infections plus, I no longer feel an obligation to think purely of healing

19.01.2026 17:03 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Is he even susceptible, I understand that his own gender-affirming care would have shriveled the target organs

19.01.2026 01:56 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It’s totally fine to thoroughly clean your VCR head while taking this prescription might be safer

18.01.2026 03:14 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

If only we used to have something like Consumer Reports for vaccines, like ACIP before that leathery creep got to it

16.01.2026 02:43 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

What a fantastic helpful response, thanks! Have been very ambivalent about MenB shared decision-making recs for β€œcollege”. Seems newer combo vax with acyw+b at age 16 might not even cover college years well for menB. Hmm …

13.01.2026 20:02 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Curious about MenACYW and MenB ... how convinced are we that effectiveness wanes? Not just titers, as with other shots titers drop and don't mean lack of immunity since we expect memory B-cells etc to still protect?

13.01.2026 19:25 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Their poster for revised schedule has a footnote for RSV that is … unchanged from current approach. No guidance on higher risk kids >8m. This is all so freaking dumb.

11.01.2026 20:17 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I don’t even understand how for RSV now β€œhigh risk” is *every baby without maternal RSV shot* which is … unchanged? So it’s a shell game and they can now say they dropped to 11 recommended shots?

11.01.2026 19:23 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Oh yeah! Opposite hand to the nostril aiming for the eye (internally) and if you’re tasting it you’re wasting it

10.01.2026 03:36 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

First with this they almost had me until the Venmo, second time was more fun, as I had missed the summons due to inpatient treatment for metastatic BOFA

09.01.2026 18:36 πŸ‘ 5 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Looking forward to it, especially thoughts on number of doses

08.01.2026 22:10 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

β€œMorbidity” and β€œlong term developmental outcomes” gives them so many non-preregistered outcomes to p-hack and not correct for multiple comparisons which is their typical MO.

18.12.2025 06:45 πŸ‘ 11 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

AFAIK, newborn dose still fine with shared decision making, the 2 months otherwise thing is brain-dead as babies often get those shots at 6+ weeks, and the titers tomfoolery tells parents to discuss with their doctors so I don’t see this as changing my VFC practice, for now.

07.12.2025 00:40 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The language is so thoughtless here too, I don’t see this as binding pediatricians to discuss or offer titers, it’s parents who should discuss it with their docs?

05.12.2025 16:31 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Counter-point: for complex undifferentiated problems the writing certainly can help your medical thinking, but for routine visits and problems docs are using note templates or saved boilerplate dot-phrases already so I'm not convinced those have a thinking benefit over AI scribing in the modern era.

03.12.2025 22:05 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0