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Posts by Paul Dijkstra

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I Was an Enthusiastic Early Adopter of AI Scribes. Here’s Why I Stopped A GP reflects on what eighteen months of ambient scribing taught them about the consultation they thought they already understood.

AI scribes. Greta blog by @benngooch.bsky.social
substack.com/home/post/p-...

1 week ago 39 23 5 5
A WHOLE CIVILIZATION
WILL DIE TONIGHT
My son needs lunch, and I have to put his backpack together, but a whole civilization will die tonight, so I'm wondering if they've closed their schools.
Like, a snow day, maybe, except instead of snow it's
"keep your children home so if you die, you die together" — instead of "well open back up once the plows have cleared" it's
"we don't know if we'll be here tomorrow, hold your babies tight."
It's just "talk" I'm told, which I've been told before.
"It's how the president makes his deals." But I've never heard anyone talk about other human beings this way, and I'm not certain I can look my son in the eyes if we all agree to stomach it one more time.
A civilization will die tonight, but as I zip up his backpack and kiss him off to school I think: if this is what we call leadership then I'm not entirely sure ours isn't already dead.
@michaelfdubois
Mukad A QuBoy
@michacifdubois

A WHOLE CIVILIZATION WILL DIE TONIGHT My son needs lunch, and I have to put his backpack together, but a whole civilization will die tonight, so I'm wondering if they've closed their schools. Like, a snow day, maybe, except instead of snow it's "keep your children home so if you die, you die together" — instead of "well open back up once the plows have cleared" it's "we don't know if we'll be here tomorrow, hold your babies tight." It's just "talk" I'm told, which I've been told before. "It's how the president makes his deals." But I've never heard anyone talk about other human beings this way, and I'm not certain I can look my son in the eyes if we all agree to stomach it one more time. A civilization will die tonight, but as I zip up his backpack and kiss him off to school I think: if this is what we call leadership then I'm not entirely sure ours isn't already dead. @michaelfdubois Mukad A QuBoy @michacifdubois

Brutal.

2 weeks ago 9381 4031 3 192
Buttercups close up in field. Clouds in blue sky. Looks nice.

Buttercups close up in field. Clouds in blue sky. Looks nice.

Let’s make a thread. Post the antithesis of mutually assured destruction. Sending love and peace to all. We are better than this man, this war.

2 weeks ago 266 61 94 5

Seconded. Labour should talk sensibly and strategically about re-joining the EU. It's the one thing that might save them at the next general election. Keep talking, @london.gov.uk

1 month ago 86 19 2 0
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Agnus Dei for Sarah YouTube video by Elisabet Dijkstra

Agnus Dei in memory of Sarah Everard, composed by Elisabet Dijkstra. Performed in Christ Church Cathedral recently. Just beautiful.

www.youtube.com/watch?app=de...

1 month ago 48 12 3 0
Agnus Dei for Sarah
Agnus Dei for Sarah YouTube video by Elisabet Dijkstra

On international women’s day…
Composed in 2021 in memory of Sarah Everard.

m.youtube.com/watch?v=2oxM...

1 month ago 0 0 0 0
Video

Hey I did a fun thing with @warren.senate.gov about breaking up giant healthcare conglomerates

1 month ago 805 240 22 33
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Video

Reverend Jesse Jackson called on each of us to be heralds of change, to be messengers of hope; to step forward and say “Send me” wherever we have a chance to make an impact.

How fortunate we were that Jesse Jackson answered that call. What a great debt we owe to him.

1 month ago 23515 5761 632 371
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This is the front cover of the new edition of @thelancet.com (thanks to @profstevegriffin.bsky.social for sharing) #HealthPolicy #Science 🧪🧵

1 month ago 662 344 18 17
Trish, Rhea and Kieran lit up by Trish's opening slide, titled Mechamism informed narrative synthesis (MINS)

Trish, Rhea and Kieran lit up by Trish's opening slide, titled Mechamism informed narrative synthesis (MINS)

Such a treat for me and Kieran Le Plastrier to catch up with @trishgreenhalgh.bsky.social for her lecture on Mechanism informed narrative synthesis (a snippet- www.cambridge.org/core/journal...) at Bond university today.
#MedSky

1 month ago 7 1 1 2
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OpenSAFELY news: you can apply to do non-COVID research, from today! | Bennett Institute for Applied Data Science We are delighted to announce that - from today - you can submit applications to the OpenSAFELY service for non-COVID-19 studies.

OpenSAFELY is open from today! Huge thanks to all who supported this vast collaboration: whole population GP data; in a productive platform; innovative privacy protections; unprecedented support from professions, privacy campaigners; &c

Now it's over to users!

www.bennett.ox.ac.uk/blog/2026/02...

1 month ago 183 87 6 18

Sorry this was from 2025 - THIS year Ramadan starts 18/19 Feb.

2 months ago 30 16 2 0
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Sir Ian McKellen performing a monologue from Shakespeare’s Sir Thomas More on the Stephen Colbert show. Never have I heard this monologue performed with such a keen sense of prescience. Nor have I ever been in this exact historical moment.TY Sir Ian, for reaching us once again.
#Pinks #ProudBlue

2 months ago 32393 13912 586 1587

Important paper. Schools are high-risk environments for respiratory disease transmission MAINLY because classrooms are underventilated. This problem has a workable solution - it just needs political will. Air quality is as important as water quality for public health. MT @martinmckee.bsky.social

2 months ago 647 310 19 12
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Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy | Research Synthesis Methods | Cambridge Core Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy

Our new paper:

Synthesis challenges in complex evidence: A critical analysis of systematic reviews of face mask efficacy

#episky #healthpolicy #medsky

www.cambridge.org/core/journal...

2 months ago 96 43 6 4
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This is how the BBC is reporting Matt Goodwin's selection as Reform's candidate in Gorton and Denton.

He's not an academic. He holds no academic position and hasn't done for quite some time.

2 months ago 1009 318 98 45
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Controversial US study on hepatitis B vaccines in Africa is cancelled $1.6m project drew outrage over ethical questions about withholding vaccines proven to prevent disease

Whoever got this unethical trial cancelled, you just saved some lives. Kennedy, you should be ashamed of yourself for backing it in the first place.
www.theguardian.com/us-news/2026...

3 months ago 314 82 13 7
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MIT report: 95% of generative AI pilots at companies are failing There’s a stark difference in success rates between companies that purchase AI tools from vendors and those that build them internally.

MIT’s NANDA initiative found that 95% of generative AI deployments fail after interviewing 150 execs, surveying 350 workers, and analyzing 300 projects. The real “productivity gains” seem to come from layoffs and squeezing more work from fewer people not AI.

8 months ago 4635 1892 77 436
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How to read a paper involving artificial intelligence (AI) This paper guides readers through the critical appraisal of a paper that includes the use of artificial intelligence (AI) in clinical settings for healthcare delivery. A brief introduction to the diff...

2. How to Read a Paper involving AI. With @drpauldijkstra.bsky.social, @jessmorley.bsky.social and new name-to-watch Yosra Mekki
bmjmedicine.bmj.com/content/4/1/...

4 months ago 9 2 1 0

When I was a medical student 45 years ago, I clerked in a 13 year old girl with deep jaundice and an abdominal mass. She was Hepatitis B positive. That had led to a primary liver tumour. In a 13-year-old. She was dead within the month. Avoidable with vaccination.

4 months ago 851 398 23 13

Head hits desk.

6 months ago 223 51 18 2

I love how, when you ask ChatGPT a hard question and it says "thinking", there's a button you can press "skip this step". I guess that's how some human brains work too....

6 months ago 309 43 14 2
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Tylenol is over 130 years old — why is it still the gold-standard painkiller? Acetaminophen is one of the safest drugs around, but scientists still don’t know how it reduces pain and fever.

Tylenol, or paracetamol, has been used to treat common pains and fevers since 1893, and is one of the safest drugs around

go.nature.com/3IDUgva

6 months ago 100 35 2 5
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No, Tylenol DOES NOT cause Autism and here's the evidence | Medical News Bulletin Good news for expectant parents: taking Tylenol/paracetamol during pregnancy does not increase your child’s risk of ADHD or autism.

If you want to show people in your life why doctors say Tylenol DOES NOT cause autism, here are two straight forward explainers: medicalnewsbulletin.com/acetaminophe...

medicalnewsbulletin.com/autism-is-no... #AutRes #EduSky 🩺📊 medsky, 🩺,⚕️ #SciPol 🧪

7 months ago 91 51 1 1
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Fiona Godlee (previous editor of the BMJ) being arrested yesterday for her support for Palestine.
She is a good and brave woman with a record of being on the right side of history.

7 months ago 290 103 12 10
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A short explanation of p-hacking and why it absolutely makes sense to ask HHS to release the study methods of their autism report in advance.

7 months ago 1403 570 79 78
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In heated Senate committee meeting, RFK Jr says fired CDC chief lied about ouster

Kennedy may have had a grilling from the committee but what is the outcome? He clearly lied to senate both here and previously with conflicting statements throughout but one set actions to me is most concerning 🧵🧪

7 months ago 132 43 9 1

www.science.org/doi/full/10....

Mandating Indoor Air Quality in Public Buildings.

Our paper in Science.

🧪 #healthpolicy

7 months ago 266 116 6 8
Video

BREAKING: Big moment as CDC staff stage a mass walkout.

They have lined the street outside its HQ to greet and salute the four top officials who have resigned in protest at RFK Jr’s attack on the agency’s science base.

(🎥 AP)

7 months ago 10535 3393 168 246
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RFK Jr. attacks pediatricians’ group over vaccine recommendations The American Academy of Pediatrics had earlier urged parents to get young children vaccinated against Covid — pushing back against the health secretary’s stance.

These are the sorts of attacks on experts that resulted in a domestic terrorist firing 500 shots at the CDC just over a week ago. If you stand for evidence based public health interventions, you basically get a target placed on your back by DHHS leadership.
www.politico.com/news/2025/08...

8 months ago 1598 605 73 34