Gerald Evans
@skepticaliddoc.bsky.social
ID Doc at Kingston Health Sciences Centre and Professor of Medicine at Queen's University | Editor-in-Chief of @jammi-journal.bsky.social | Rhythm guitarist in Old Docs New Tricks | Happy to be a 🇨🇦 | Opinions are my own
Lots of great thought-filled essays in @theatlantic.com these days. Here's one that reminds me of when I won the Hyman Caplan Award in Psychiatry as a final year medical student back in the day. Psychology remains an important part of therapy in mental health. www.theatlantic.com/magazine/202...
What if Freud Was Right?
A neuroscientist dares to argue that old-fashioned psychoanalysis holds the key to curing mental illness.
theatlantic.com
I'm seeing lots of media attention being paid to a recently reported case of anaplasmosis here in Ontario by Ottawa colleagues. Too bad the authors and the @cmaj.ca didn't notice or cite our report of the first Ontario case back when we published it in 2017, IN THE CMAJ www.cmaj.ca/content/190/...
Human granulocytic anaplasmosis acquired from a blacklegged tick in Ontario | CMAJ
cmaj.ca
If you have criminal intent, you embrace cryptocurrency. www.bbc.com/news/article...
Nigel Farage: The mysterious crypto firm Tether backed by Reform's biggest donor
Tether is a giant in crytocurrency, an industry that Nigel Farage believes the UK should be embracing.
bbc.com
If she were still with us, she would have had her 106th birthday today. Happy Birthday Mum. xo
How climate change is going to eradicate us before the heat itself does. www.medpagetoday.com/opinion/cala...
Opinion | Humanity's Apex Predator Is on the Move. We're Not Ready.
Health systems must prepare for the return of the 'ancient' diseases mosquitoes carry
medpagetoday.com
This quote from LOTR rings true today. "They were once men. Then... the Deceiver gave to them nine rings of power. Blinded by their greed, they took them without question, one by one falling into darkness. Now they are slaves to his will. They are the Nazgul, Ringwraiths, neither living nor dead."
Lotr Ringwraith
ALT: Lotr Ringwraith
static.klipy.com
Our sub-study from BALANCE looking at procalcitonin levels has just been published. Bottom line: Prolonging antibiotics beyond 7 days was not associated with improved mortality in bacteraemic patients with a residually high PCT level. jamanetwork.com/journals/jam...
Procalcitonin to Guide 7 vs 14 Days of Antibiotics in Bloodstream Infections
This cohort study reports a secondary analysis of the BALANCE randomized clinical trial assessing whether procalcitonin levels are associated with survival among patients receiving 7 vs 14 days of ant...
jamanetwork.com
Is "ethical AI" the newest oxymoron? www.theguardian.com/news/ng-inte...
‘There’s this deep mystery of what, actually, is this thing?’: the philosopher inside Google DeepMind AI
The long read: Since 2017, Iason Gabriel has worked at the tech giant, trying to anticipate – and think through – the impact of AI. But as commercial and geopolitical pressures escalate, can ethicists...
theguardian.com
What a great read. utppublishing.com/doi/10.3138/...
A Luddite bemoans the death of bedside education | Canadian Journal of General Internal Medicine
Abstract Proficiency in clinical skills is becoming a thing of the past. Educating physicians to do a competent physical exam can save time, get answers quickly and perhaps more safely, and may even improve the physician/patient relationship, as well as sometimes eliminating the need for expensive tests.
utppublishing.com
The 2025–2026 #Influenza season in the US was moderately severe, with antigenically drifted A(H3N2) viruses predominating, but recommended antiviral medications and vaccines remained effective for illness prevention. ja.ma/4fXhQ4l
Duration of antibiotic therapy for bacteremia in immune compromised hosts—a post hoc subgroup analysis of the BALANCE randomized clinical trial No dif in 90d mort b/w 7 & 14 d of Abx for IC hosts in posthoc analysis of BALANCE www.clinicalmicrobiologyandinfection.org/article/S119... #TxID #IDSky
Everyone, not just physicians & scientists, should be aghast at this incident. www.the-scientist.com/police-remov...
Police Removed Prominent Scientists from the ADA Meeting. Researchers Respond | The Scientist
The organizers of the American Diabetes Association meeting had a group of researchers removed from the event for sharing an editorial about negative impacts of policy changes to research funding.
the-scientist.com
Duh! Cryptocurrency is basically a form of criminal enterprise. www.cnn.com/2026/06/09/b...
More than $1 trillion in value gone in 8 months. What’s going on with bitcoin? | CNN Business
Since hitting a record high of $126,000 last fall, bitcoin has dropped to just above $60,000 amid waves of selling. That has erased more than $1.2 trillion in market cap in eight months and wiped out ...
cnn.com
Clean hands save lives. 🤝 Infection prevention and control action, including #HandHygiene, can reduce the risk of health care-associated infections by up to 70%. Let’s stop the spread of germs and reduce avoidable infections!
I try not to comment on non-ID stuff but seriously, Bari Weiss at CBS News, is a like watching a train wreck in slow-motion . www.washingtonpost.com/business/202...
Three ‘60 Minutes’ correspondents were fired, and the result has been chaos
Senior leaders are gone. Half of its correspondents have vanished. Can the newsmagazine survive under Bari Weiss?
washingtonpost.com
Important #Ebola terminology: “Bundibugyo” is not a strain of Ebola virus—it is a distinct Ebolavirus species, separate from Zaire & Sudan. A species is a major genetic grouping with differences in virology, epi & medical countermeasure effectiveness; a strain is a genetic variant in a species.
A vaccine for the current #Ebola outbreak would be valuable, but we have controlled Ebola before without vaccines. What’s urgently needed now is: contact tracing, surveillance, IPC, diagnostics, clinical care,& community engagement. Outbreaks are stopped by strong public health responses.
🆕 Timely analysis from Imperial College on the #DRC #Ebola outbreak Using two models, they estimate that as of May 17, approximately 400–800 cases and >1,000 cases possible Challenges - conflict - displacement/cross-border movement - limited epidemiologic data www.imperial.ac.uk/mrc-global-i...
Report - Estimation of the size of the outbreak of Ebola disease caused by Bundibugyo virus in the Democratic Republic of the Congo
Report - Estimation of the size of the outbreak of Ebola disease caused by Bundibugyo virus in the Democratic Republic of the Congo
imperial.ac.uk
This is the first potential treatment I ever heard of for spongiform encephalopathies caused by prions (e.g., Creutzfeld-Jacob disease, Mad Cow disease) www.the-scientist.com/base-editing...
Base Editing Silences Prion Protein and Extends Survival in Mice | The Scientist
Researchers from the Broad Institute used a precision genome-editing tool to switch off the production of the misfolded protein that causes prion disease.
the-scientist.com
If you have the time and want to hear the lowdown on issues like the now declared PHEIC of Ebola Bundibugyo virus in the DRC, watch this video. @krutikakuppalli.bsky.social @celinegounder.com have frontline experience and @angierasmussen.bsky.social the knowledge. www.youtube.com/watch?v=bKag...
We Responded to Ebola. Here's Why This Outbreak Terrifies Us. | Read & subscribe: celinegounder.com
YouTube video by Ask Dr. Gounder
youtube.com
Having just been interviewed about Lyme disease for the @whigstandard.bsky.social in which the discussion included Post-Treatment Lyme Disease Syndrome (PTLDS) and its cause, this article from @theatlantic.com explores the concept of illness vs. disease. www.theatlantic.com/health/2026/...
A Profound Mismatch in Modern Medicine
The “magic bullet” model that doctors are most comfortable with is ill-suited to some of the most disabling conditions they treat today.
theatlantic.com
"We find that current LLMs are unreliable delegates: even frontier models corrupt an average of 25% of document content over long workflows, with sparse but severe errors that silently compound over time." 👉"Silently" arxiv.org/abs/2604.15597
LLMs Corrupt Your Documents When You Delegate
Large Language Models (LLMs) are poised to disrupt knowledge work, with the emergence of delegated work as a new interaction paradigm (e.g., vibe coding). Delegation requires trust - the expectation t...
arxiv.org
If you want to know what’s wrong with our planet at the moment, this @theatlantic.com article may offer a hint. www.theatlantic.com/magazine/202...
What I Learned About Billionaires at Jeff Bezos’s Private Retreat
For the richest men on Earth, everything is free and nothing matters.
theatlantic.com
Please consider signing @theactionnetwork.bsky.social petition: Data Before Decisions: No Urban Boundary Expansion Without Full Fiscal and Environmental Transparency. Sign here: actionnetwork.org/petitions/da...
Data Before Decisions: No Urban Boundary Expansion Without Full Fiscal and Environmental Transparency
Kingston is at a crossroads. Decisions made today about our Urban Boundary will lock us into how we grow, move, and spend tax dollars until 2051. But right now, City Council is being asked to "endorse...
actionnetwork.org
Recovery crew opening the hatch and welcoming the Artemis II crew home after a nearly 700,000-mile journey. Video: Reid Wiseman
A good read here on the medical challenges with AI chatbots acting as a reinforcement engine in the generation of a classic "Folie a Deux" - the "madness of two". www.medpagetoday.com/opinion/seco...
Opinion | AI and the New Folie a Deux
When the algorithm begins to share delusions
medpagetoday.com
