Jack Iwashyna

@iwashyna.bsky.social

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I work at Johns Hopkins to help patients + their loved ones heal from critical illness. I mentor clinicians and other scholars to become exceptional scientists.

Democracy is good.

Other stuff #ICU #PublicHealth #Sociology #HealthEquity #Justice #Balt

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Jack Iwashyna

"It's all because of you I'm feeling sad and blue You went away and now my life is filled with rainy days I love you so How much you'll never know Cause you took your love away from me"

Le boo-hoo. https://www.bbc.com/news/articles/cllyq3lzvg8o

France's far right 'sad and disappointed' over election resultwww.bbc.com With the champagne on ice, they thought they were on the brink of victory - but it didn't happen.

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A widely predicted victory for the far right in France has instead turned into a victory for the left *because people turned out in record numbers to vote.* Defeat is not inevitable and more progressive elected officials means more progressive policies.

In France, the left coalition comes in first, Macron second, the far-right third. The best way to defeat fascism is not centrism, it’s a strong left.

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So voting is better than *not* voting when it comes to getting what you want? Huh.

BREAKING NEWS: Voters turned out in numbers not seen in decades to stop the far-right National Rally from taking power in the French National Assembly. Polls predicted a first-place finish for National Rally, which instead came in third in initial results as polling stations closed.

Projections in France's election show voters rejecting the far rightwww.npr.org Voters turned out in numbers not seen in decades to stop the far-right National Rally from taking power in the French National Assembly. Polls predicted a first-place finish for National Rally, which ...

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Jack Iwashyna

July 7, 2020 As the pandemic continues to rage, Trump announces the United States is withdrawing from the World Health Organization. Candidate Joe Biden promises to immediately reverse this if elected. (He did, in his first hours in office.)

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Maybe it's time that the @nytimes.com should step aside for a younger, fitter, more coherent newspaper.

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Just a reminder that Michelle Wolf nailed it at the White House Correspondents Dinner. NYT, I’m looking in your direction especially.

@shengokai.bsky.social I am watching the Acolyte, and doing so with your reading in mind of it about colonialism and suppression of indigenous Force traditions adds to it a lot (just starting episode 4)… Thank you

This f———g job, some days

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When you see the way the press is treating Joe Biden for aging in public, you see how they could treat Donald Trump for committing fraud, rape, espionage, and insurrection and never, ever will.

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Over at the Bad Place, I made a tradition of posting Douglass' "What, To The Slave, Is The Fourth of July," and I intend to carry on that tradition here. Since most versions you read in classes or in textbooks have parts omitted, the link below has the full text of the speech.

(1852) Frederick Douglass, "What, To The Slave, Is The Fourth Of July" •www.blackpast.org On July 5, 1852, Frederick Douglass was invited to address the citizens of his hometown, Rochester, New York. Whatever the expectations of his audience on that 76th anniversary of the signing of the D...

Is HFimpEF now a thing?

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Jack Iwashyna

Constitution: People involved in insurrections should not be President. Roberts court:...hmm, no, I don't see it. Constitution:.... Roberts court: but the president should have immunity for crimes

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For many of us, #climate change is intimidating but distant. We are worried about an abstract future, we hear all the time about how quickly it is approaching, we may be frustrated with how much is asked of us & how little it seems to matter what we do... aacnjournals.org/ajcconline/a... #medsky

Climate Change and the Intensive Care Unit | American Journal of Critical Care | American Association of Critical-Care Nursesaacnjournals.org

Ouch

Haunting me!

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Jack Iwashyna

Isn't it interesting that they're trying to frame themselves as initiating *that* war instead of the Civil War? Wannabe Confederates still don't like being called what they are. Probably because it reminds them they lost the first time.

Heritage Foundation president celebrates Supreme Court presidential immunity ruling: "We are in the process of the second American Revolution, which will remain bloodless if the left allows it to be" www.mediamatters.org/project-2025...

Heritage Foundation president celebrates Supreme Court immunity decision: "We are in the process of the second American Revolution"www.mediamatters.org

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Jack Iwashyna

Got into a discussion with partner, who is a statistician, about A/B testing (completely randomized design) and segmentation (stratification) Why do people feel it necessary to create new words for existing methods?

ICU mood

Look, I'm willing to try anything at this point.

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Jack Iwashyna

This is a pet hate of mine

Nice

Tip: We aren't comparing the effect of the treatment (tx) to the effect of placebo. We are *defining* the effect as the *difference* in outcome between those allocated to standard of care (SoC) + tx to those allocated to SoC + placebo, where placebo is used for blinding.

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Philadelphia Inquirer: Trump Should Withdraw

Philadelphia Inquirer: Trump Should Withdraw - Lawyers, Guns & Moneywww.lawyersgunsmoneyblog.com The Philadelphia Inquirer editoral board says Donald Trump should withdraw from the presidential race. President Joe Biden’s debate performance was a disaster. His disjointed responses and dazed look sparked calls for him to drop out of the presidential race. But lost in the hand wringing was Donald Trump’s usual bombastic litany of lies, hyperbole, bigotry, […]

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Jack Iwashyna

Periodically, I like to reread my favorite Scottish poem: Batman's Aff His Nut by Robert Florence.

The Great Lakes are amazing

Survivorship bias in hedge fund reporting “The yawning chasm between Tremont's reported account of 32.4 percent per annum and LTCM's actual record of -27.0 percent per annum produces a staggering gap between perception and reality. The statistical omission of the implosion of LTCM inflates…”

Swenson writing in 2004-2005: In extreme situations, the Rube Goldberg nature of asset-backed security arrangements contributes to the potential for serious damage to investor portfolios.

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Jack Iwashyna

This right here. Hope is a discipline and a group activity.

Gonna keep saying this & will die on this hill: Bad news without any guidance on what to do about it [at least some ideas] demobilizes and often encourages inaction. We on the Left(s) have to avoid cynicism which is deeply corrosive and also counterrevolutionary.

“genuine investment skill proves so rare a commodity among individual investors that the incidence of extraordinary-expertise-justified overexposure to an asset class approaches zero.” ~ David Swenson, Unconventional Success This is so liberating to accept and not feel bad about

Yup

Race is still factored in. White applicants get to keep the advantages they've accrued through systemic racism without any countervailing forces.

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Jack Iwashyna

thirded. great book

Re-upping this after listening with my wife and STRONGLY seconding Prof Lewis’s recommendation

The Psychology of Money. What I appreciate about it is that it's not condescending (which I find many money books to be). It walks through the real struggles people have with money (and why), and therefore why different strategies might work for different people. a.co/d/096MlEdA

The Psychology of Money: Timeless lessons on wealth, greed, and happiness: Housel, Morgan: 9780857197689: Amazon.com: Booksa.co The Psychology of Money: Timeless lessons on wealth, greed, and happiness [Housel, Morgan] on Amazon.com. *FREE* shipping on qualifying offers. The Psychology of Money: Timeless lessons on wealth, gre...

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Jack Iwashyna

We’re living through an era when everything needs to be upended yet so many people are clinging tightly to the edge of the pool. I understand why this is: when things feel uncertain, the status quo is a mirage of ‘safety’. But we need people who are willing to swim in the deep end & offer new paths