Sumant Ranji
sumantranji.bsky.social
Sumant Ranji
@sumantranji.bsky.social
Professor of Medicine at UCSF, hospitalist at San Francisco General Hospital. Fan of good music and bad teams. Views my own.
Same problems as last year, which they didn’t fix
November 22, 2025 at 5:37 AM
It’s also not new. Many Indians were Reagan republicans. But most are still dems.
November 16, 2025 at 10:22 PM
That is what I’m wondering. Some of what ICE is doing feels totally random, but what if it isn’t? If they have the surveillance technology to pinpoint people’s exact location, what else could they do?
November 10, 2025 at 11:42 PM
I feel like I haven’t seen an analysis of how ICE is finding people to abduct- what surveillance methods are they using? Not only are these suburbs far apart from each other, they aren’t all places with high immigrant populations. How does ICE decide to hit Waukegan one day and Blue Island the next?
November 10, 2025 at 10:57 PM
Agree, but that’s the issue - “be thoughtful” means something different to everyone
October 17, 2025 at 2:32 PM
Interestingly my residents last month were mostly anti-AI, in the sense that they use OpenEvidence to look things up but were very skeptical about any other uses. I told them that was the right attitude!
October 17, 2025 at 2:12 PM
I only partly understood your original explanation, so this question may be nonsensical. How then do reasoning models work differently from standard LLMs? Are they actually encoding new information as part of their "thinking" process?
October 13, 2025 at 11:58 PM
Nope. The original just sounded like crap. Lo-fi has its charms but not for the ‘Mats and especially not for songs like these.
September 19, 2025 at 2:53 AM
Strongly disagree with you on this. The authors of the paper you cite include the Dean of the Harvard School of Public Health. They are hardly being gatekept. If anything RFK Jr and Trump’s crusade against Harvard is impeding their research far more than any alleged left wing suppression.
September 9, 2025 at 2:31 AM
There's something worth investigating here although the paper's title is more definitive than feels warranted. My point is that RFK Jr and his well-funded, very skilled allies are using these studies to continue a campaign against autistic people. It is very dangerous to afford them any legitimacy.
September 7, 2025 at 7:58 PM
He is very skilled at exploiting highly specialized and complex scientific disagreements as definitively "right" or "wrong" to further his own agenda - which fundamentally discriminates against women and autistic people
September 7, 2025 at 7:30 PM
4/ 4th, untreated pain is very bad! All of medicine involves risks and benefits. Which is worse, a possibly very slightly increased risk of ASD or millions of pregnant people suffering through pregnancy even more?

This is what RFK Jr does and why he is so dangerous...
September 7, 2025 at 7:30 PM
3/ 3rd, even if true, the magnitude of the association btw APAP and ASD/ADHD is much smaller than other known associations (genetics, prenatal stress, perinatal complications)
September 7, 2025 at 7:30 PM
2/ Given how common APAP use is, teasing out the effect of APAP vs other known risk factors is very challenging.

2nd, there is no biologically plausible mechanism by which occasional APAP use causes ASD/ADHD. APAP is certainly very toxic at high levels or with chronic use, but a couple of pills?
September 7, 2025 at 7:30 PM
1/ There are multiple issues here that cannot be separated from the fact that RFK Jr is a dangerous charlatan.

First, any association between acetaminophen and ASD/ADHD is likely confounding by indication. People take APAP to treat fever and chronic illnesses - which are themselves linked to ASD
September 7, 2025 at 7:30 PM