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Paul Williams

@paulnwilliams

Internist, Curbsider

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24.07.2023
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Latest posts by Paul Williams @paulnwilliams

Done.

10.03.2026 01:17 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Shutterbug is also incredible on that one. American Thighs is one of the great under-appreciated albums of all time.

10.03.2026 01:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Sunday running chronicles: a slow 10-mile run, but it’s 64 degrees out, the sun doesn’t set until 7:00 PM, and sometimes the world leaves you little gifts. Hard not to feel hopeful.

08.03.2026 20:21 πŸ‘ 5 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

There were a few weeks in 1985 where Back to the Future and Teen Wolf were the number 1 and number 2 movies at the box office. I had forgotten what a phenomenon Michael J Fox was.

08.03.2026 14:12 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

don’t forget to destroy your clocks tonight, walk away from your mortgage, just start driving, you’re free

08.03.2026 03:12 πŸ‘ 17059 πŸ” 3389 πŸ’¬ 202 πŸ“Œ 120

I would much rather be ruled by a shadowy group who is smart enough to cloak their existence than this group of lumbering ghouls who do their evil in cold daylight

08.03.2026 01:37 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Yeah. This is probably my own issue, since I wish I was being ruled by a cabal of shadowy villains who at least have some taste, instead of by these absolutely grotesque dullards.

07.03.2026 23:18 πŸ‘ 1 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0
Preview
Anyone Else Have Those Weird Dreams Where Sobbing Future Generations Beg You To Change Course? The human subconscious is such an interesting thing. No matter how much you think you’ve got it figured out, it’ll always spit out the most random stuff. Take me, for example. After coming home from a...

Commentary: Anyone Else Have Those Weird Dreams Where Sobbing Future Generations Beg You To Change Course?

07.03.2026 21:00 πŸ‘ 1713 πŸ” 239 πŸ’¬ 16 πŸ“Œ 14

It is wild that I recognized the aesthetic without context and incredible that someone who was born into wealth has such a tacky, garish, childish view of what wealth and power looks like.

07.03.2026 23:12 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Hard to believe she lost. Inspiring stuff, and a touching tribute.

07.03.2026 22:05 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Maybe some issues with methodology. There may be bias from only including patients for whom an AUDIT-C was done (I'd think this is more likely to be done if you suspect AUD). Also, people who were prescribed meds were more likely to have received a diagnosis code. Important work, though.

07.03.2026 22:04 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

I just watched Bugonia and have come to the conclusion that Yorgos Lanthimos makes good movies that I hate

07.03.2026 21:56 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
a penguin with a bandana on his head says " don 't worry i 'm a doctor " in white letters ALT: a penguin with a bandana on his head says " don 't worry i 'm a doctor " in white letters

For the next 24h, drop any infectious disease and/or vaccine-related questions in response to this post, and I will do my best to answer them. Answers are for information only, NOT medical advice.
#AskAnIDDoc March 2026 edition.

07.03.2026 13:15 πŸ‘ 266 πŸ” 86 πŸ’¬ 52 πŸ“Œ 14

Nine Inch Nails - Broken as a follow up to Pretty Hate Machine was incredible, just an absolute evolution.

Death From Above 1979 - Is 4 Lovers was just a brick off the backboard after their first three albums (for me)

07.03.2026 00:25 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I generally think it is distasteful to comment on someone's appearance simply because you disagree with their politics, but this is incredible

07.03.2026 00:22 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

New Vegas is widely regarded as the best, and it’s probably an okay introduction to the vibe and mechanics. 3 is also a lot of fun. 4 is less great, but has its moments.

05.03.2026 19:36 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I really liked it. And the production design is some of the best I’ve ever seen!

05.03.2026 18:22 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I can not think of any time in my life where I have felt less represented by a person I have voted for. Fetterman is a genuinely bad person, and I am incredibly excited to vote him out.

thehill.com/policy/inter...

05.03.2026 11:29 πŸ‘ 5 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I appreciate the analysis. It’s an odd essay that includes some base assertions that I fundamentally disagree with. Thanks for pointing me towards an interesting read.

03.03.2026 16:19 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I'm sorry, if you're going to make a big show about how you've got a Department of WAR helmed by a Secretary of WAR and staffed by WARfighters, it's totally inane to then claim that your massive bombing of a foreign country constitutes something other than a war.

03.03.2026 15:37 πŸ‘ 12272 πŸ” 2654 πŸ’¬ 269 πŸ“Œ 110

I'm pulling for you. This feels like when I explain how I will never watch Ted Lasso. Although it is nice to use the word "treacly" from time to time.

03.03.2026 01:55 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Emily, please don't do this.

03.03.2026 01:53 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

OneDrive is great if you want to automatically save documents to a folder you’ll never find again. A fun hack is to use the Windows search feature, which will use Microsoft Edge to search for your document on the web, where it definitely doesn’t exist.

02.03.2026 14:32 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Photo of a woman wearing a shoulder brace. Caption: Shoulder Pain is Not From Sleeping Wrong. Meet The Real Enemy

Photo of a woman wearing a shoulder brace. Caption: Shoulder Pain is Not From Sleeping Wrong. Meet The Real Enemy

I will destroy her

01.03.2026 03:58 πŸ‘ 6284 πŸ” 1353 πŸ’¬ 36 πŸ“Œ 20

Insane that the paywalled JACC article page still has pop-up ads

02.03.2026 03:45 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

I was workshopping a deus ex machina joke, but couldn’t make it work

02.03.2026 03:43 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Robert F Kennedy Jr: 1 year of failure In his first speech as Secretary of the US Department of Health and Human Services (HHS), Robert F Kennedy Jr laid out a plan to restore trust. The COVID-19 pandemic saw public faith in Federal health...

"Kennedy has continued to spread misinformation and push politicised agendas at the expense of the country's most vulnerable...the destruction that Kennedy has wrought in 1 year might take generations to repair."
Bold,factual and somber editorial in @thelancet.com
www.thelancet.com/journals/lan...

01.03.2026 21:41 πŸ‘ 94 πŸ” 44 πŸ’¬ 5 πŸ“Œ 0

Honestly, I don't want AI anywhere in medicine. You want it to help with prior authorizations? How about we get rid of prior authorizations. You want doctors to spend more time on patients and less time documenting? Make visits longer and simplify documentation requirements.

02.03.2026 00:24 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

When I was in early adulthood, I never could have predicted that a not insubstantial chunk of my middle-aged friendships would involve texting pictures of sourdough accompanied by phrases like "Heck yeah, man. That's a good looking loaf."

01.03.2026 23:14 πŸ‘ 7 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Chili Oil Crunch Sourdough with Cheddar and Scallions | Little Bbang House Spice Up Your Starter: Chili Oil Crunch & Cheddar Sourdough If you’re a sourdough purist, look away now. But if you’re someone who thinks bread is simpl ...

Sharing this because I love you and want you to be happy

littlebbanghouse.com/834/chili-oi...

01.03.2026 18:18 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0