Adam Cifu
@adamcifu
Internist, professor, patient. Author: Ending Medical Reversal; Symptom to Diagnosis; Sensible Medicine. Podcasts: S2D & Clinical Excellence. Loves Baseball.
I Was Skeptical of Covid Measures. I Didn’t Want This. nytimes.com/2025/07/17/opi…
Sharing news of a new release by @docranjana, a wonderful writer and great friend. Check it out. amazon.com.au/Every-Word-Mat…
Today's @Sensible__Med post is one of our rare pay-walled ones; a treat for our paid subscribers. How do we think about people getting the diseases we screen for, after we stop screening for them? Patients, presidents, PSAs, and prostate cancer open.substack.com/pub/sensibleme…
Here is number seven (of nine) introductory videos on How Not to Get Fooled by the Medical Literature. Time to start binging if you haven’t already. How Not to Get Fooled by the Medical Literature - Part 7 - Reasons EBM fails open.substack.com/pub/sensibleme…
I think that today's is a tough one, but also a really important read. Errors in Science: Self-Correcting, or Self-Propagating? sensible-med.com/p/errors-in-sc…
True for documenting clinic visits too...
Yes. Writing is not a second thing that happens after thinking. The act of writing is an act of thinking. Writing *is* thinking. Students, academics, and anyone else who outsources their writing to LLMs will find their screens full of words and their minds emptied of thought.
A hat tip to @salonium on today’s @Sensible__Med open.substack.com/pub/sensibleme…
Freaked out when your BP spikes? Annoyed with calls from patients with one high reading? Here is the piece for you. Turn Down the Pressure sensible-med.com/p/turn-down-th…
Breakfast of champions.Coffee, sugar, citric acid, artificial colors. Convince me I’m wrong.
Treating alcohol use disorder and preventing MI this fortnight. This Fortnight in Medicine (IV) sensible-med.com/p/this-fortnig…
Realistic, value-based medicine. No obsession with specific tools — but solving problems and truly sharing decisions. Thanks for this article @drjohnm , @adamcifu, @VPrasadMDMPH and @AndrewFoy82 . Sad that we need definitions for a mindset that should be default.
Based on the lack of clinical evidence, it’s hard to argue w reduced compensation for percutaneous LAAO. The antidote of course would have been for “scientific leaders” to have insisted on proper evidence
Today @cmsgov announced another significant cut for electrophysiologists (as well as our interventional colleagues), this time for left atrial appendage closure. Starting in 2026, reimbursement will be cut by 27%. This just a few years after the draconian cardiac ablation cuts.…
AI-based documentation is attractive. Some thoughts on what it means for medicine. When AI Listens In: How Conversational Data Could Disrupt Medicine sensible-med.com/p/when-ai-list…
👇🏻👇🏻Note to young docs: if you aren’t doing something that a NP w/AI can’t do, you are in big trouble (Tune in this week to @Sensible__Med — we have a “scary” post coming)
The latest sign that primary care by doctors is over in our nation. I have an appointment next week with the Dr I love. Outstanding doctor. When I went to reschedule the next available appointment is in April 2026. It's all ok but it's a very clear sign that we are moving…
It’s been a while but I’m back with a bunch of “Friday Reflections” this summer. open.substack.com/pub/sensibleme…
I’ve often made pithy comments about how I love that medicine keeps you humble. Whenever you feel like you’ve really mastered it, something happens to remind you how hard it is. However, when you’re in one of those humbled periods, it kind of stinks.
AI just beat doctors on paper. 85% diagnostic accuracy. The press called it revolutionary. Cool. I was cleaning blood and vomit off a gurney at 2:43 AM. 🧵 What Silicon Valley still doesn’t understand about medicine:
And more money to build tech to train medical students when there never seems to be money to pay clinicians to unload their clinical responsibilities so that they can truly mentor clinical students.
Amazing how there’s always money to build another diagnostic chatbot. But not a second ambulance. Not a psych bed. Not a caseworker after 5 PM.
The series is complete. Adds much-needed nuance to the "ultra-processed food is evil" argument. Why hasn't RFK Jr shut us down? I imagine it is because his anti-UPF stance was just a front for the anti-vax agenda (oh, and freedom of the press). @jflier Thank you for your work…