General internist, health services and clinical researcher | Health, education, infrastructure, opportunity for all Americans | Bicycles | Opinions, ownhttps://bsky.app/profile/jefflinder.bsky.socialhttps://bsky.app/profile/jefflinder.bsky.social/post/3mkprvfbphc2mLove this article and intervention! The editorialist put it best: “These findings highlight the critical need to refocus on delivering simple health care with quality, at scale.” https://www.nejm.org/doi/full/10.1056/NEJMoa251269830 Apr 2026 14:05 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mkprvfbphc2mhttps://bsky.app/profile/jefflinder.bsky.social/post/3mkncrojxqs2vWith Sijia Wei and others @nuintmed.bsky.social @feinberg.northwestern.edu @dukemedschool.bsky.social @duke-university.bsky.social. We found that one of the potential mechanisms heart failure patients with higher SES achieve better outcomes is by having *better clinician networks*.29 Apr 2026 14:30 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mkncrojxqs2vhttps://bsky.app/profile/jefflinder.bsky.social/post/3mkn7wd3hk22vPeer comparison feedback to hospitalists fails to reduce antibiotic prescribing or improve patient outcomes. WHY? From Witt and colleagues in @jamanetworkopen.com from @emorydeptofmed.bsky.social @emoryhealthcareatl.bsky.social @uofugim.bsky.social https://jamanetwork.com/journals/jamanetworkopen/fullarticle/284823129 Apr 2026 13:39 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mkn7wd3hk22vhttps://bsky.app/profile/jefflinder.bsky.social/post/3mkn4l2jm3k2vBenjamin Gallagher from @yalesom.bsky.social in @journalgim.bsky.social writes that measured BPs are more effected by: 1. Regression to the mean 2. Hawthorne effect 3. Visit-to-visit variability Than medication29 Apr 2026 12:39 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mkn4l2jm3k2vhttps://bsky.app/profile/jefflinder.bsky.social/post/3mkifxvfe2225We conducted a multi-faceted stewardship program to address glucocorticoid prescribing for acute respiratory infections. Intervention consisted of a survey, education, feedback, and patient handouts. Glucocorticoid prescribing rate decreased from 20% to 8%. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2848138?utm_source=bluesky&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=04272627 Apr 2026 15:43 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mkifxvfe2225https://bsky.app/profile/jefflinder.bsky.social/post/3mk4gbfdrks27Bizarre. You want a ready, lethal fighting force, but let’s sacrifice operational effectiveness by not providing the most basic preventive cost-saving medical care. @huffpost.com https://www.huffpost.com/entry/flu-vaccine-pete-hegseth-us-military-doctors_l_69e8f69ae4b0bb584bc848d322 Apr 2026 21:17 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mk4gbfdrks27https://bsky.app/profile/jefflinder.bsky.social/post/3mjzm6ius7s2aHeartbreaking. And unnecessary. A reminder that measels causes subacute sclerosing panencephalitis that presents years after the initial infection and is fatal. https://www.nytimes.com/2026/04/21/opinion/measles-child-britain-vaccination.html21 Apr 2026 18:25 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mjzm6ius7s2ahttps://bsky.app/profile/jefflinder.bsky.social/post/3mjz47xouus2oUnder the 2026 ACC/AHA/Many others Guideline on the Management of Dyslipidemia, I'm going to start taking a statin myself. Wanted to call out this recommendation about supplements. "Not recommended."21 Apr 2026 13:39 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mjz47xouus2ohttps://bsky.app/profile/jefflinder.bsky.social/post/3mjxec3vmoc2yA great, heartbreaking description of how changes at the NIH are hurting American science. NIH supported research WAS an American crown jewel. Despite what leadership is saying, they are letting it wither and featuring future scientific leadership. https://www.washingtonpost.com/science/2026/04/19/science-research-funding-cuts-trump/20 Apr 2026 20:58 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mjxec3vmoc2yhttps://bsky.app/profile/jefflinder.bsky.social/post/3mjhxl5rky227A regular reminder that “routine blood work” is not a thing. https://www.npr.org/2026/04/14/nx-s1-5780066/oura-function-wearables-blood-testing-bloodwork14 Apr 2026 18:01 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mjhxl5rky227https://bsky.app/profile/jefflinder.bsky.social/post/3mj6q43uzzk22I am a hypocrite. I’ve been ranting about people’s obsession with vitamin D for years, but when my own levels came back borderline insufficient I started taking it. Now, thanks to vitamin D, my life is…exactly no different. https://www.self.com/story/supplements-doctors-actually-take11 Apr 2026 01:53 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mj6q43uzzk22https://bsky.app/profile/jefflinder.bsky.social/post/3mito5aeoxk2mHaha. Are some of us who are presenting doing unserious work in this space? @jasndoc.bsky.social Looking forward to the conference! [contains quote post or other embedded content]06 Apr 2026 16:19 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mito5aeoxk2mhttps://bsky.app/profile/jefflinder.bsky.social/post/3mitnu7k7722mVery proud to have been part of this team. Please see full thread from @gemmaaltinger.bsky.social!! [contains quote post or other embedded content]06 Apr 2026 16:13 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mitnu7k7722mhttps://bsky.app/profile/jefflinder.bsky.social/post/3mim3amhgus2vAn article in @jama.com finds that having patients use a decision tool results in less discontinuation and improved depressive and anxiety symptoms at 24 weeks. https://jamanetwork.com/journals/jama/fullarticle/284591003 Apr 2026 15:52 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mim3amhgus2vhttps://bsky.app/profile/jefflinder.bsky.social/post/3mic3elmx6c23Congratulations to @acpimphysicians.bsky.social for naming LeRoi Hicks, MD, MPH, MACP as the American College of Physicians' next CEO/EVP. This is great news in the midst of tough time!! https://www.acponline.org/acp-newsroom/nations-largest-medical-specialty-organization-names-leroi-hicks-md-evp-ceo30 Mar 2026 16:27 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mic3elmx6c23https://bsky.app/profile/jefflinder.bsky.social/post/3mibza5xy5c2sThe wholesale hollowing-out of #AHRQ continues... @societygim.bsky.social @publiccitizen.bsky.social [contains quote post or other embedded content]30 Mar 2026 15:49 +0000at://did:plc:iecb52xxpvxj5fmk2v4qurba/app.bsky.feed.post/3mibza5xy5c2s