The Bad Science of Casey Means' Good Energy
YouTube video by Strong Medicine
Our former med student, Casey Means, will finally have her nomination hearing for US Surgeon General this week. Listen to why she is a poor pick for this important role, using a deep dive into her 2024 book Good Energy as a window into her knowledge, priorities, & perspective.
youtu.be/0PjFRo5o9XM
22.02.2026 16:50
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Congratulations! If you ever visit Bay Area let me know!
20.02.2026 18:44
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Sleep is such an important but overlooked part of preventive & primary care! As of now in real medicine, the general screening that we offer is a really poor predictor for sleep much less dementia (not to mention the lack of access) so Iβm so excited for the eventual implementation of this study!
12.01.2026 00:41
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The CDC's new childhood immunization schedule represents one of the most dramatic changes in childhood disease prevention policy in decades.
Keep reading for what parents should know β¬οΈ
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07.01.2026 17:40
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This case shows that even in states with statutory exceptions to abortion bans, such bans still may result in failure to provide timely lifesaving medical care.
Correspondence
C.P. Diniz et al.
A 43-year-old woman who had a cervical ectopic pregnancy diagnosed at a Florida clinic at 10 weeksβ gestation was denied care at two hospitals owing to the presence of a detectable fetal heart rate. Full case details: nej.md/3KWXjQm
27.12.2025 20:00
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It's fitting that the cover on AI mindlessly apes an earlier creation and also displaces workers while elevating Silicon Valley plutocrats.
12.12.2025 03:40
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Scientific evidence shows, once again, there is no causal link between vaccines and autism. Vaccines cause adults. - @drtedros.who.int
11.12.2025 23:19
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Bad framing: ACIP voted to scrap the universal hepatitis B vaccine recommendation for newborns.
Accurate framing: Anti-vax conspiracy theorists appointed to ACIP by Robert Kennedy Jr., who made a fortune as an anti-vax profiteer, voted to expose babies to a preventable, incurable, deadly illness.
05.12.2025 16:12
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Thank you so much! π
05.12.2025 04:08
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Thank you!
05.12.2025 04:08
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Pleased to announce I have passed the ABOM boards, & now a diplomate! That makes meβ¦triple Board Certified (βοΈ) in internal medicine, clinical informatics, obesity medicine.
There is much synergy in informatics and IM/obesity med so Iβm excited to explore new research & applied ventures!
04.12.2025 19:22
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Before my leave, I achieved something that probably only 3% of physicians (especially primary care) have ever achieved on the EMR: reach true inbox zero.
Iβll take that award! π₯
04.12.2025 18:18
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Physicians engaging in advocacy is critical for climate health, especially in the cases of increasing AI usage and its impact on planetary health! Thank you for the feature @journalgim.bsky.social ! #medsky #informaticssky
04.12.2025 02:14
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What if doctors use anger to heal the planet?
Our popular @societygim.bsky.social workshop has been detailed in @journalgim.bsky.social on how to teach physicians to channel emotion thru medical humanities to inspire advocacy for planetary health in the age of AI. doi.org/10.1007/s116...
31.10.2025 01:28
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What if doctors use anger to heal the planet?
Our popular @societygim.bsky.social workshop has been detailed in @journalgim.bsky.social on how to teach physicians to channel emotion thru medical humanities to inspire advocacy for planetary health in the age of AI. doi.org/10.1007/s116...
31.10.2025 01:28
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It was wonderful reconnecting at the @stanforddeptmed.bsky.social Primary Care Population Health Division retreat! I helped teach a session on using LLMs for clinical reasoning and patient education tools like @openevidence.bsky.social using prompt engineering frameworks.
24.10.2025 15:30
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To Come Home To Yourself
May all that is unforgiven in you
Be released.
May your fears yield
Their deepest tranquilities.
May all that is unlived in you
Blossom into a future
Graced with love.
Friend gave me a John OβDonohue book recently. Itβs quite good.
βTo Come Home To Yourselfβ
04.10.2025 18:08
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Happy Friday to all primary care doctors and specialists who order their own labs instead of βdeferringto someone elseβ! βοΈ#ownyourmanagement
03.10.2025 16:00
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β¦.sheβs also a relentless little food gremlin who just stole a piece of croissant off the table while I wasnβt looking.
23.09.2025 18:35
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The world kind of feels like a mess right now but sometimes all you need is a little kitten who thinks youβre her entire world to realize you just need a little bit of kindness.
23.09.2025 18:24
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That βcheapβ open-source AI model is actually burning through your compute budget
New research reveals open-source AI models use up to 10 times more computing resources than closed alternatives, potentially negating cost advantages for enterprise deployments.
A new study finds that "cheap" open-source AI models may be more expensive than proprietary ones due to lower token efficiency. They often use 1.5 to 4 times more compute tokens to perform the same task, offsetting their lower per-token cost. #MLSky
15.08.2025 15:21
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I don't know who needs to hear this, but believe in yourself, truly and freely, because that can be the difference between making the seemingly impossible happen to just bedrotting & dreaming away.
12.08.2025 22:08
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Instead of regurgitating the bromide that LLMs are just "autocomplete on steroids" (even by people who know better), maybe we can actually engage in some public education. The problem with genAI is better expressed through a classic computer science concept, known as SYMBOL GROUNDING. π§΅
12.08.2025 16:33
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"Data Transformation to Advance AI/ML Research and Implementation in Primary Care" is out on @annfammed.bsky.social!
β Primary care data is a major untapped opportunity for AI. We outline considerations + catalysts to unlock its potential.
#PrimaryCare #HealthAI
π www.annfammed.org/content/23/4...
30.07.2025 01:19
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"Data Transformation to Advance AI/ML Research and Implementation in Primary Care" is out on @annfammed.bsky.social!
β Primary care data is a major untapped opportunity for AI. We outline considerations + catalysts to unlock its potential.
#PrimaryCare #HealthAI
π www.annfammed.org/content/23/4...
30.07.2025 01:19
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Check out our special report (second study) in @annfammed.bsky.social about strategies and consideration around data transformation in primary care to advance AI/ML applications!
29.07.2025 20:20
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A quick reminder to all doctors--there's this great field called clinical informatics. What is clinical informatics? To use the best definition, from Charles Friedman--it's to MAKE this equation true: A doctor with a computer > doctor alone.
10.07.2025 14:05
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