And please, PLEASE let us not forget that time in 2023 when Karen Smith was elected President of the school board in Bucks County, Pa and swore her oath on a stack of banned books. The most gangsta oath ever! Just brilliant. www.edweek.org/leadership/t...

In 2026 I want all of the decent people to remember one thing. You aren’t meant to be this disciplined, this self-sacrificing to survive. The environment is supposed to support good living. We can have that. You are not a failure. That is politics. That is all.

YEAR ONE MAHA

5 million-plus kindergartners now live in counties where schools don’t have “herd immunity” for measles, Washington Post reporters found. WaPo also built a tool to look up your own county. Exceptional, and alarming work by @laurenweberhp.bsky.social @caitlingilbert.bsky.social et al. (Gift link.)

RFK Jr. Warns Mistress That Condoms Cause Autism https://theonion.com/rfk-jr-warns-mistress-that-condoms-cause-autism/

Math is hard

Oh joy. Another 30 minutes on the phone with Anthem Blue Cross just for them to approve an MRI that I ordered. HOW ABOUT DONT DENY IT IN THE FIRST PLACE and let me get thru my clinic day with a normal blood pressure.

Just your daily reminder that the occurrence of frequent uncontained measles outbreaks in a country is not a flex, it is a marker of under development and a failed public health system.

how do women not die of rage aneurysms every single day

I think this is the fourth of the horsemen.

You work hard for the money so give it to us? Thanks, Ticketmaster.

I might make a boycott exception here.

So much death and waste for a main dish that doesn’t live up to the hype.

Amen #booksky

In case being a surgeon doesn’t work out, I could always work for amazon? How do I make these “recruitment” texts go all the way away? It’s bad enough with the endless calls from the locums tenens recruiters!

Leave it to the HHS boys to depathologized HRT in order to pathologize menopause. “HRT has saved marriages, rescued women from depression, prevented children from going without a mother,” Dr. Makary said.

Premiums/cost of living/inflation are going up up up while reimbursement is going down down down, specifically a 2.5% cut to work RVU every 3 years, starting Jan 2026. Who in their right mind would pick this job*? In this economy?! *physician in the US

I strongly endorse this, mostly for women. Most men don’t have this imbalance. But just try it out! It’s very useful.

It is a rococo-a-lago nightmare. Let them eat cake, eh? Here, hold my beer and gild all the surfaces.

www.currentaffairs.org/news/democra... A playbook, from locals to federal. A sort of public policy DARVO.

My solo surgical practice gets its health insurance (HMO, *very* high deductible plan) at a group rate (i.e. not on the ACA marketplace) and even this plan is going up by 21.5% for next year. (It typically has increased by 2-4% per year.) #medsky

How are they going to learn how to read if they can’t even fit in the building?

Don’t get caught digging through your pockets, SAVE your local rapid response number in your phone.

A preschooler bringing a loaded gun to show-and-tell should shock everyone, but in a country awash in easily accessible guns, it sadly comes as no surprise. In fact, a child gains access to a loaded firearm and unintentionally shoots themself or someone else nearly every day in the US.

I would pay real money to see this question asked of the WH Press Secretary. And she’ll probably answer “ask your mom” and then dither in fake-Christianity and/or real-Nazi talking points.

From Ferndale, MI

Petaluma people are awesome people. #nokings

New visa rules & fees—such as $100,000 H1B fee—have disrupted international recruiting at healthcare systems across nation, leaving many worried about long-term effects on existing staff shortages Immigrants make up 27% of physicians & surgeons, 22% of nursing assistants, 16% of registered nurses

OH MY GOD SOMEBODY TEACH HIM MATH!!!

Sorry about that, lawyers. All that stuff you learned in law school doesn't matter anymore. Unlike doctors. All the stuff we learned in med school and thought we'd never have to actually know about is now becoming very critical again (measles, diphtheria, pertussis)

Right, so listen. If Dolly, ya know, on top of everything else? I won’t be okay.

Stephen Miller doesn't eat enough grains, or something.

this is the jacket's breast pocket lining pulled up to make it look like a pocket square

Rural patients lose again: Trump’s H-1B fee hike makes it harder to attract foreign doctors, who fill critical gaps in areas struggling to staff hospitals and clinics.

Sundays aren’t just for rest—they’re for remembering what matters. The fight for human rights, truth, and democracy doesn’t pause. We’re organizing, showing up, and building something that lasts. ✊ Follow us, get involved, stay loud: 👉 wakeupsonoma.com #NoKings #WakeUpSonoma #Organize

Today, Oct.2nd, is the anniversary of Jamal Khashoggi’s murder by Saudi agents.

Portland enacts emergency powers of nudity to check federal overreach.

A quick FYI: They have *just* relaunched the online NPR shop with bunches of new stuff, plus some throwbacks and, of course, the Tiny Desk hoodie. So if you are that kind of public media person, there’s some stuff to check out! shopnpr.org

1) it’s just not true, JD Pants on Fire. 2) physicians take an oath to treat patients. Period. Full stop. We don’t check their papers prior to resuscitating them.

Here’s my cliff notes summary of Pete Hegseth’s big military address today

You know, I really wish someone would get him on violating the flag code. Especially the flag as a pocket square. Which is a handkerchief. To blow your nose. Which I guess is what he’s doing to the DOD: filling it with snot. But, ironically, he’d be fine shooting you if you were to burn one.

if the Trump Hegseth address had been an email www.theatlantic.com/newsletters/...

When you think you're World War II's Patton, but you're really just M*A*S*H's Major Frank Burns.

If you get shot your assailant’s gun was a right If you come to the ER afterwards, your healthcare for that visit is a privilege

The revolution won’t be televised but the treason sure is

Serious RFKJr vibes