Scott Mintzer

Scott Mintzer

@scottmintzer.bsky.social

Neurologist specializing in Epilepsy at Thomas Jefferson U., political junkie, writer, dad, lover of books, booze, Philly Union/76ers, and music. Views mine.

4.2K followers359 following1.1K posts

This story is so wrong, and so heartbreaking, that I could go on about it for days. And it pertains to far more than AI and health care. So I will just say: if you’re too benighted to grasp whom you should trust about complex matters requiring expertise, there is nothing anyone can do to help you.

nytimes.comChatGPT’s Advice to Cut Her Seizure Drug Led to Devastating ConsequencesThe chatbot helped a woman taper off a lifesaving drug and hide the plan from her doctors.

From my childhood through the entirety of my medical training, HIV was a terminal illness. I blinked my eyes, looked up from my specialty journals, and it had become a chronic, manageable condition. This was over 20 years ago, of course, so people forget about it. But they shouldn’t.

Social media loves talking about how everything is getting worse. But what’s something that you’ve seen get _better_ in your lifetime?

This is the kind of town I live in: The Sixers had their home opener last night. There are — and I am not exaggerating — 9 stories about it in the Philadelphia Inquirer this morning.

@sixersnba.bsky.social what's a guy gotta do to buy season tickets?? I have submitted my name for information multiple times, starting over a month ago, and nobody has gotten back to me. I can't chat with a rep... I can't get anyone on the phone... I had tickets 2 years ago and it wasn't this hard.

This is without doubt one of the most fun parts of having a kid. One of my sons decided, around that same age, that the “Jose” of “no way Jose” could be more widely evoked in exclamations. He used to say stuff like “Oh man, Jose.”

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If your judgement is so poor that you think you should listen to RFKJ rather than your pediatrician, there’s nothing I nor anyone else can do. If people have agency, you need to acknowledge the consequences of their agency rather than shifting the blame elsewhere.

We really need to push back on the narrative that actually doctors were so snooty they made people say “I’m still glad I didn’t vaccinate my kid who just died of measles”. The pathos is way fucking deeper than a pediatrician was condescending one time. This framing undercuts medical expertise.

If you’re a football fan, you’ve seen the latest study showing that at least 25% of NFL players get CTE, and probably much more. This is your regular reminder that American football is a bloodsport and should not exist.

share.inquirer.com/3SgaoH Infantino just concluded a highly successful World Cup. That he now finds himself clinging to the FIFA Presidency by his fingernails has to go down as one of the greateat political missteps in decades. A truly breathtaking feat of hubris, misjudgment, and stupidity.

share.inquirer.comEurope maintains World Cup boycott threat after Gianni Infantino’s FIFA crisis meetingUEFA on Thursday reiterated that it had lost confidence in Infantino, and said conditions to withdraw its threat had not been met. The boycott would start with next month's under-20 women's World Cup.

This is just a very large-scale and severe demonstration of the principle that when you play too hard to win your primary, you screw yourself for the general election.

Greg Sargent@gregsargent.bsky.social

This is really something. Republicans privately fear Trump is now trapped in a "quagmire" in Iran that is set to screw them badly in the midterms, per Politico. They did this to themselves by giving this madman a blank check for the war. We detail it all on the pod: newrepublic.com/article/2133...

www.newyorker.com/magazine/202... There’s enough snake oil in this piece to deep-fry a whole Indiana Jones movie scene full of snakes. Some blame modern medicine, but I think the problem runs much, much deeper than that. This is a failure to understand expertise. And it’s infecting every field.

newyorker.comWhy Are People Injecting Themselves with Peptides?Health and wellness influencers are hawking unapproved treatments on the gray market. The future of the F.D.A.—and the health of consumers—is at stake.

This is actually very good news in the form of resistance (and a giant “fuck you” to Donald Trump).

Jerome Powell said he would remain on the Federal Reserve board as a governor, an unusual step that denies President Trump a vacancy on the central bank’s seven-member board.

Scott Mintzer reposted

He's worse than Roger Taney now. He's the worst Chief Justice in history, I'd say.

Robert Reich@rbreich.bsky.social

The John Roberts Court has done more to reduce the political power of poor people and Black people while enlarging the voting rights of rich people and corporations than has any court since Roger Taney was Chief Justice in the 1800s. I opposed his nomination in 2005, and I stand by that.

All of this. The problem is that there is been not nearly enough of a PR push in this direction, so the country likely would not be a place to support these things yet.

David Rothkopf@djrothkopf.bsky.social

Restructure the court. Go to 13 seats (to correspond to number of circuits.) Go to term limits. Retroactively if possible. Investigate and if appropriate prosecute/disbar justices who have been on the take. Establish strict enforceable ethical guidelines for the court. Then move on...

Scott Mintzer reposted

Cesar Sayoc, a Trump super fan & obsessive Fox viewer, sent pipe bombs in 2018 to Barack Obama, Joe Biden, Hillary Clinton, & many other top Dems. He was sentenced to 20 years in prison. In the wake of the attacks, Trump said about his rhetoric: "Tone down, no. Could tone up."

The large majority of “Chronic Lyme Disease” is a psychosomatic condition egged on by quacks.

M. Nolan Gray 🥑@mnolangray.bsky.social

What's something that experts/practitioners in your field universally agree upon, but that remains a "hot take" among the general public?

Scott Mintzer reposted

I think we're going win, but I want to win hard enough that we start paying artists to paint murals in post offices again. (This time the post offices are also banks.)

Scott Mintzer reposted

If more income inequality, more fantasies about beating the rich. Why don’t the rich understand this?

Mark Andrew Price@pricelaborecon.bsky.social

I interrupt this moment with some nerd shit. This is from the Spirit Level comparing the degree of inequality in a state (ratio of income of the top 20% to the income the bottom 20%) and confidence that you would do better than average in a fist fight. Not with a bear but still notable.

Scott Mintzer reposted

The Republicans are heading for a historic drubbing in the midterms, and no, Trump’s threatened proto-fascist bullshit won’t be even close to enough to stop it. And despite the fact that this is entirely predictable, the whole narrative around Trump and the GOP will change dramatically.

Sahil Kapur@sahilkapur.bsky.social

Trump begins his Iran war facing a steep uphill climb on public opinion. Per UMD poll this month, just 21% of US adults said they support a US attack on Iran. That’s 6% of Democrats, 21% of independents and 40% of Republicans. Also of note: plenty of undecideds.

Exactly nobody is gonna have the slightest sympathy for the evil and regressive Iranian government. But you don’t just take out the fucking leader and expect things to get better. What exactly does Apprentice President think is gonna happen now?!Underwear gnomes form a new government?

Also, in lieu of performing his lauded opera "Einstein On The Beach", the Kennedy Center has announced that they will be performing "Kid Rock At Hooters".

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I want to make another point: We in healthcare understand that prevention is nowhere near as sexy as treatment, but it saves a whole lot more lives. Krasner is directly preventing deaths by doing this. Other DAs who follow suit would also be saving lives.

Scott Mintzer reposted

look we're all making a big bet on AI! and if it pays off as big as we hope, well, it's going to make a handful of people super rich and you're going to lose your job but get to watch mickey mouse fuck geralt from the witcher. if it doesn't pay off well then you get to pay for the bailouts