Parking lot completely packed at local cinema on 5 dollar Tuesday. Is this an economic indicator?

Driving through Northern Arizona and this sign reminded me to always be vigilant. Fortunately did not run into the gestapo during my trip.

Important to understand the Epstein stuff and the fascism and the corruption are, in a lot of ways, really all the same story from different angles: powerful men who can and do abuse vulnerable people around them because they can, and because systems of elite accountability catastrophically failed

Tech guys six months ago: haha yes we’re cutting all this WASTEFUL spending by eliminating medical research and USAID Tech guys now: yes I think taxpayers will be excited to bailout my non consensual pornography machine

I helped make a film, out this week, called “Rovina’s Choice,” about the deaths this man without conscience or accountability has caused — already 600,000, ⅔ of them children.

Gonna watch the Battle of Algiers tonight

Tonight’s movie

“You can win elections by tacking to the middle; lots of people have. But you can also win elections by staking a moral position and convincing people to agree with you. You can earn support by demonstrating what is important to you instead of just being determined to nod along with what you hear.”

Listening to an audiobook, wishing it had subtitles 😔

Went to Lagoon today. Average lagoon visitor:

Claim: 10 cars rammed ICE Truth: No cars rammed ICE Claim: She boxed ICE in Truth: ICE boxed her in Claim: She shot a rifle at ICE Truth: She did not have a rifle Claim: ICE returned fire Truth: Only ICE fired Claim: She drove herself to the hospital Truth: Paramedics found her

Watched the amazing movie One Battle After Another last night and then woke up to the news that Trump is deploying troops to Portland. It’s a bit too on the nose.

one of the clearest signs you're dealing with a strong and principled political movement is when they want to make it illegal to make fun of them

Nobody says it better than @jamellebouie.net www.nytimes.com/2025/09/13/o...

I have a couple of comments about the "free speech hero" narrative about Charlie Kirk. First, was Charlie Kirk really notable for supporting the free speech of people he disagreed with? I haven't noticed that, though I could have missed it. /1

NEW: No, Charlie Kirk was not practicing politics the right way. That's what Ezra Klein said. We can condemn this heinous assassination but also recognize that with his 2020 election denialism and extremist rhetoric, Kirk built his movement with falsehoods and in a wrong and divisive manner.

*extremly gritted teeth*

Elizabeth Warren on people who say Dems needs to tone down their rhetoric: "Oh, please. Why don't you start with the president of the United States? And every ugly meme he's posted and every ugly word."

The problem with stopping escalatory violence is that it requires political factions to see the other side as not an enemy. You can't only find violence targeted at yourself as abhorrent. Which is difficult to square with months of cheerleading for deploying the military to Democratic-run cities.

The problem with allowing guns everywhere is that no one is safe anywhere.

I'm not right wing but some of this "woke" stuff is a little over the top [6 months later] Slavery was fine. Your city is under martial law

Went to the Hoh Rainforest today and none of you were there

I don’t think anyone is prepared for what they just did w/ ICE. This is not a simple budget increase. It is an explosion - making ICE bigger than the FBI, US Bureau of Prisons, DEA,& others combined. It is setting up to make what’s happening now look like child’s play. And people are disappearing.

illegal war started by a man constitutionally ineligible to be president

the destruction of chattel slavery is one of the great accomplishments in our nation's history and the reason conservatives hate celebrating it is because doing so legitimizes the black counter-narrative of the united states

Gee I wonder what country is going to boost their interceptor inventory

New episode! We do a roundup for many recent GLP-1 agonist papers, plus some critical care studies, platelet transfusion guidelines, and another win for apixaban. Check it out! podcasts.apple.com/us/podcast/l...

Almost never indicated!

Keyhole Canyon

Yankee Doodle Canyon

the story today is of a profoundly low energy military parade being met with millions of americans in nationwide protests denouncing the dictatorial pretensions of the president

We are legion

Thank you Public Service Loan Forgiveness! 😀

Watched my 150th movie of the year. I’m a few behind on my goal of 365 for the year. boxd.it/9UjxP1

Platelet threshold of 20,000 for lumbar punctures!!

Truly exciting to see this new kind of Democrat, one who is vocal and invested in tremendously dumb things that I don’t care about, but also not opposed to the things and people I find morally abhorrent. Also great to see this kind of ratio outside of Twitter.

I think we deserve at least one good Western per year. When was the last good one? boxd.it/9Ar2YR

New Things We Do For No Reason in JHM: Avoiding IV Contrast in Patients with AKI or CKD. I am squarely in the "contrast-associated AKI is not real" camp. #NephSky #medsky

In hospitalized patients with unsuspected fatal PE on autopsy, one third did not have typical symptoms documented on retrospective review, but most of them had tachycardia or tachypnea. #thrombosis #medsky

Apixaban is probably safer than rivaroxaban or warfarin in patients with HIV on anti-retroviral therapy. #medsky #thrombosis #bleeding jamanetwork.com/journals/jam...

Phase 3 trial interim analysis looks like another win for GLP-1 agonists, this time in metabolic dysfunction associated steatohepatitis. #medsky #liversky www.nejm.org/doi/full/10....

Just saw Sinners. It’s very good! boxd.it/9yOeoJ

Cursed ChatGPT created image of a kidney transplant from the Simpsons

Just watched Touch of Evil boxd.it/9yhOQj

Just watched The Accountant boxd.it/9xMoPx

In this meta-analysis of 41,000 adolescents and adults with heavy menstrual bleeding, 30% had a bleeding disorder. 8% had von Willebrand disease. www.jthjournal.org/article/S153...

New episode! We talk about REMAP-CAP’s hydrocortisone trial, intensive BP control in diabetes, aldosterone synthase inhibitors for HTN, and reduced dose apixaban for cancer associated thrombosis. podcasts.apple.com/us/podcast/l...