ER Physician, Assistant Prof, Startup Founder, Media Contributor, enemy of misfortune and disease, fighter for a better world; Love history/politics/tech/AI

Toronto
Joined August 2013
So I created an entire med school using AI. It started out as a joke with my friends, but just grew and grew into something that still astonishes me in its depth and breadth. I call it the Hibbert School of Medicine. Check it out at hibbertmed.com
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What would it take to vibe code something like this:
A BioWare dev on reddit leaked a Mass Effect 5 trailer... it's called MASS EFFECT UNIVERSE and it's fucking gorgeous. I'm crying. This is everything I wanted. They were a lot farther than we thought. FUCK EA
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Kashif Pirzada, MD retweeted
A visible sign of what AI insiders have been warning about since at least the Mythos release. Acceleration of attack and defense, at inhuman speeds, interacting with the very human systems that need to react to them.
So basically, today PHP got two critical bugs that let anyone run code on your server without even logging in, which is bad, and then the details leaked before the patch was even out, which is worse, and it works on WordPress and MediaWiki and Magento and Joomla and Laravel, and Censys says like 1.5 million servers are running a version with no fix, so the NSA was like "take your system offline," and the FBI was like "take your system offline," and CISA and the UK and CERT-EU were all like "take your system offline," and then the Prime Minister of Japan, the actual Prime Minister, posted at 5:55 in the morning telling 48.8 million people to take their system offline, so everyone took their system offline, like the Dutch cybersecurity agency took its own website offline, and the Dutch parliament went offline, and the Port of Rotterdam went offline, and Finland and France and Denmark started pulling government sites, and Wikipedia went down, and Archive.org went down, and Asana and GOG and Something Awful went down, and the University of Vienna's webmail went down for some reason, and that's just PHP. Because GitLab also dropped a CVSS 10.0, which is the highest score they give out, for a bug that's been there since 2014, so that's every self-hosted GitLab for twelve years, and then LiteLLM 1.107.0 got hijacked and shipped a credential stealer and a remote access trojan in every single wheel and the Docker images, including latest, and you didn't even have to import it, just installing it was enough, and it's the second time this year, and then Railway paused every deployment on the entire platform because someone got into the environment variables, so now everyone has to rotate every secret they've ever stored there, and TiDB Cloud said someone was walking around inside with stolen credentials for basically a month and an extortion group says they took 10.6 terabytes, and Zeabur got breached for the second time in two months and is just shutting down, like the whole company, and Node.js patched remote code execution and a TLS bypass, and CISA says Plex is being actively exploited, and someone took over 300 Tor exit relays to steal SSH passwords, and SafePay ransomware has hit over 600 critical infrastructure orgs, and India's biggest bank filed a data loss incident, and Japan has been in an official state of emergency in cyberspace since October 9, which honestly explains the 5:55 AM post. Oh, and eMudhra, a certificate authority that's issued over 60 million certificates, whose entire job is proving websites are who they say they are, was supposed to be using private keys that are random numbers over a hundred digits long, and one of them was 4. Just 4. And the others were like 66 and 237. Anyway, it's Wednesday.
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Kashif Pirzada, MD retweeted
So basically, today PHP got two critical bugs that let anyone run code on your server without even logging in, which is bad, and then the details leaked before the patch was even out, which is worse, and it works on WordPress and MediaWiki and Magento and Joomla and Laravel, and Censys says like 1.5 million servers are running a version with no fix, so the NSA was like "take your system offline," and the FBI was like "take your system offline," and CISA and the UK and CERT-EU were all like "take your system offline," and then the Prime Minister of Japan, the actual Prime Minister, posted at 5:55 in the morning telling 48.8 million people to take their system offline, so everyone took their system offline, like the Dutch cybersecurity agency took its own website offline, and the Dutch parliament went offline, and the Port of Rotterdam went offline, and Finland and France and Denmark started pulling government sites, and Wikipedia went down, and Archive.org went down, and Asana and GOG and Something Awful went down, and the University of Vienna's webmail went down for some reason, and that's just PHP. Because GitLab also dropped a CVSS 10.0, which is the highest score they give out, for a bug that's been there since 2014, so that's every self-hosted GitLab for twelve years, and then LiteLLM 1.107.0 got hijacked and shipped a credential stealer and a remote access trojan in every single wheel and the Docker images, including latest, and you didn't even have to import it, just installing it was enough, and it's the second time this year, and then Railway paused every deployment on the entire platform because someone got into the environment variables, so now everyone has to rotate every secret they've ever stored there, and TiDB Cloud said someone was walking around inside with stolen credentials for basically a month and an extortion group says they took 10.6 terabytes, and Zeabur got breached for the second time in two months and is just shutting down, like the whole company, and Node.js patched remote code execution and a TLS bypass, and CISA says Plex is being actively exploited, and someone took over 300 Tor exit relays to steal SSH passwords, and SafePay ransomware has hit over 600 critical infrastructure orgs, and India's biggest bank filed a data loss incident, and Japan has been in an official state of emergency in cyberspace since October 9, which honestly explains the 5:55 AM post. Oh, and eMudhra, a certificate authority that's issued over 60 million certificates, whose entire job is proving websites are who they say they are, was supposed to be using private keys that are random numbers over a hundred digits long, and one of them was 4. Just 4. And the others were like 66 and 237. Anyway, it's Wednesday.
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Such a gut punch, the Mass Effect series was gaming at its best. The company has been in zombie mode since being acquired by EA, so at least it's being put out of its misery.
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Kashif Pirzada, MD retweeted
I’ve been detained by the IDF, along with a group of rabbis & volunteers. We were simply harvesting olives in a grove near Nehalim in the West Bank. The occupation is a crime under international law. Harvesting olives isn’t a crime under any law I know.
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I’ve increasingly come to worry about the rise of “judicial nihilism” (for lack of a better term) in Canada. We have a justice system that spends enormous energy considering the personal circumstances of offenders, their rights, identities, mental health, and prospects for rehabilitation. Yet it seems unconcerned with the victims whose lives have been destroyed, or the public that must live with the consequences when dangerous individuals repeatedly reoffend. I think we need to take judicial reform more seriously, rather than dismissing concerns about overreach and malfeasance as conservative fearmongering. The more I look at recent cases (many highlighted by @sarkonakj) the more concerned I become that our institutions are losing sight of some basic moral values in justice. I’ve been thinking about the principles that should guide us to a more liberal, rules-based approach to criminal justice (I’ll admit that this is hardly new thinking, but I can’t remember the last time I’ve seen them laid out): 1. Justice should begin with victims, whose suffering should never become secondary to the circumstances of offenders. 2. Protecting the public from dangerous individuals must be a central responsibility of sentencing, and we should lean towards caution. 3. Punishment must be a meaningful deterrent and reflect the gravity of crimes. Some crimes warrant permanent imprisonment (if not capital punishment). Some crimes are so heinous that the mere prospect of rehabilitation should not be considered. 4. Repeat offenders should face dramatically greater consequences, including long-term incarceration or asylum to protect society. Nobody with dozens of separate criminal convictions should be roaming freely. 5. Mental illness should determine treatment and facility type, not reduce punishment. The bar for criminal non-responsibility should also be much higher than it is today. 6. Sentencing must apply to those convicted equally, based on actions and responsibility, not race, religion, cultural identity, immigration status etc. The rule of law should be non-discriminatory, the right time to address the “root causes” of crime and pursue social justice is before crime is committed. 7. Parliament needs to figure out how to reclaim its authority, with courts exercising much greater restraint in constitutional interpretations. 8. Judicial “independence” must be balanced with meaningful accountability for serious failures and overreach. The judiciary is not supreme to legislature. I worry that too many political leaders have become uncomfortable defending the very concepts of order, punishment and personal responsibility, as though doing so is somehow incompatible with liberal moral values. They aren’t. A liberal democracy has two fundamental obligations. To protect people from the arbitrary exercise of government power, and to protect them from the violence and predation of others. We cannot fulfill one by neglecting the other. They are together the necessary preconditions for liberty. When the public sees rulings that seem fundamentally disconnected from shared expectations of right and wrong, it erodes trust in the system. Order and public safety are necessary conditions for freedom. The freedom to walk down the street, take public transit, operate a business or simply live peacefully in your own home means little if the government cannot protect you from disorder, violence and criminality. It’s often those with the fewest resources who suffer most when that protection fails. If we want Canadians to have faith in the rule of law, they need to believe that it applies equally, that serious wrongdoing carries serious consequences, that dangerous people will not repeatedly be allowed to victimize others, and that the system will not be careless with the lives and suffering of victims.
“Arnold and Joanne De Jong were in their seventies when three men they had once hired to clean their gutters came back to their Abbotsford home in the middle of the night in May 2022 and murdered them. Arnold was suffocated, his head wrapped in duct tape. Joanne was beaten, and her throat was cut. The killers left with the couple’s cheques, credit cards, and a power washer. The trial judge found they planned to murder the De Jongs because they knew they would be recognized in the course of their robbery. On Monday, the De Jongs’ daughters came to court expecting to watch those men receive justice in sentencing. Instead, they heard the judge declare that the law denying multiple murderers any chance at early parole violates the Charter’s ban on cruel and unusual punishment. The cruelty, apparently, lies in making men who suffocated an old man with duct tape and bludgeoned his wife wait 25 years before asking to go free. Sentencing has been pushed to 2027. Canadians settled this question a long time ago, and we settled it twice. A Liberal government in 1997 and a Conservative government in 2011, elected by different voters with different priorities, each concluded that people who kill more than once should be offered no early exit. That is what a free people does with its moral convictions: it argues about them, elects representatives who share them, and writes them into law. One judge has now informed Canadians that the answer they reached together, through two elected Parliaments, isn’t allowed.” - - - I don’t think there is any issue I’ve become more conservative on more than the sickness in our judicial system, even as I’ve become more left than I used to on economics/role of government. It feels like several times a week there is another story that represents a deep miscarriage of justice, ill consideration for victims, or neglects society’s need for and equally applied rule of law or real punishment as a deterrence to crime. I fear there is not enough recourse to judges who reinterpret the constitution to ideological ends better left to the actual legislature. This story honestly makes me sick and it saddens me that there are no practical accountability options for the judiciary in a case like this. @stevestaley thehub.ca/2026/10/21/how-can…
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Honestly, tell me again about that flying f***ing car while pictures of dead kids fill my TL.
Incredible scoop by my @WSJ colleagues: Elon Musk ordered the slowdown of a military-grade version of Starlink relied on by Ukraine, a decision that sparked panic in Kyiv and confusion inside the Trump administration. wsj.com/world/ukraine-starli…
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Kashif Pirzada, MD retweeted
US government should consider nationalizing SpaceX if Musk has this much power over critical infrastructure
🧵WSJ: “Elon Musk ordered the slowdown of a military-grade version of Starlink relied on by Ukraine, a decision that sparked panic in Kyiv and confusion inside the Trump administration, U.S. officials and people familiar with the matter said. … via @StevenJ1279
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Happy for my friends in Alberta and for the country in general. But what can we do drive this 24% number down to zero? Some ideas: - Not try to cripple their core industry, for starters - Build out pipelines as quickly as possible - Have Canadian parliament sit in Calgary for a few weeks a year - Ensure voices from Alberta are prominent on national public media, maybe base the national newscast there a few days a week? - Build high speed rail between the big cities in the West - More student exchanges between all provinces Overall this process is a good sign that we're not falling into the polarization trap that's consumed our Southern neighbours. But more work needs to be done.
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Kashif Pirzada, MD retweeted
I feel like I’m going crazy with these people! “He won’t stay a Republican even though we’ve made clear we hate him because of his race. I told you these brown people were disloyal!” These chuds are really amazing.
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Kashif Pirzada, MD retweeted
Contender for the best tweet of 2026.
Ukraine is moving Russian data to the cloud.
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After many years in the ER, I make it a point to never place heavy objects above shoulder level in my home (eg on shelves, bookcases, etc.)
Priest gave sermon on spontaneity of death just before falling crucifix killed him during livestreamed mass trib.al/z1QhWvA
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Kashif Pirzada, MD retweeted
Canada mourns the loss of Sgt Morgan Wong, Pte Shaun Farrell, Pte Aidan Goulding and Pte Hayden Lykkemark. Our thoughts are with your family, friends and loved ones. Thank you for your service. Such a tragedy in Wainwright this weekend.
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Canada has a long and proud history as a space-faring nation. My father's worked for Spar Aerospace in the 70s, which built some of the earliest satellites (Canada was the third nation in the world after the US and USSR to launch one). Same company built the Canadarm. Replacing Starlink is easy in comparison.
Canada announces: Telesat, homegrown satellites, will be expanded and Starlink usage will soon be removed. This is what every country on earth should do asap.
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Kashif Pirzada, MD retweeted
This is such a significant loss that will be felt for years. The burn injuries and trauma will be most visible. But, many blast injuries are invisible and stick with soldiers for years. Blast-induced traumatic brain injuries need professional attention and early assessment. To soliders affected by this horrific accident, please reach out to your medical cadre to be assessed for any neurological changes like headaches, dizziness/balance problems, or speech or thinking difficulties. Early intervention makes a huge difference, and can protect your livelihood.
"What followed was one of the worst tragedies for the forces on Canadian soil in peace time." Prime Minister Mark Carney says four CAF members are dead and dozens more are seriously injured following a fast moving fire at CFB Wainwright.
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Kashif Pirzada, MD retweeted
This is Tommy. Tommy had a question about my allegiances. Listen to the end to hear about his.
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Looks like a horrible disaster, prayers for all those affected.
A catastrophic blast at Canadian Forces Base Wainwright, Alberta has reportedly resulted in multiple fatalities and injuries during a live fire military training operation. According to local sources on base, Canadian Forces personnel had been conducting exercises over several days when an artillery projectile reportedly struck an active natural gas well on the bombing range, triggering a massive detonation. The blast is said to have levelled nearby tactical training buildings, with subsequent fires reaching munitions storage and setting off secondary detonations across the range. The geography and infrastructure; ➟ CFB Wainwright has a documented history of natural gas production, with approximately 180 wells reported on the military property in 2014. ➟ Military range maps identify munitions storage, pipelines and designated live fire danger areas near Peterson Pond. ➟ NASA FIRMS satellite imagery recorded multiple thermal hotspots between Peterson Pond and Jamieson Lake on October 17. Local accounts also describe hospitals activating Code Orange protocols, mobilizing stretchers and preparing for a significant influx of casualties. The reported gas well strike, secondary detonations and hospital emergency measures remain unconfirmed as authorities investigate the incident. Should these reports be confirmed, my thoughts and prayers are with everyone involved and affected.
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I did a rotation at the Royal Alex Hospital as a med student. A super skilled trauma hospital that is going to be severely tested tonight.
CBC News reports it spoke to a doctor at Royal Alexandra Hospital in Edmonton, who says, “This number of patients [in Wainwright] would overwhelm the city of Edmonton and that is why we are clearing our decks and mobilizing to respond as if it was our own city. It is more patients than any of us want to count right now. It’s a disaster. It’s a one in every 15 to 25-year disaster.” cbc.ca/news/canada/edmonton/…
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