What are even the options at this point?

Why have AI deep fakes when we have reality? It’s not actually more interesting than our actual timeline. 🤷🏽‍♂️

I am sick to my ears with cis people saying what a danger trans people are. Something happened in the Information Age. Our brains got overloaded and left the building. People believe an incredible amount of hogwash now. The danger really only goes one way, FROM cisfolk TO transfolk.

This is what extremists have wanted for years. They wear us down with abuse and gaslighting, shift our expectations, make us hyper vigilant, and then provoke a response so they can blame it on us and remain unaccountable. But now the extremists run the government. We are running out of time.

A complete lack of understanding about disease, risk, and vaccines.

So freaking dumb. This vaccine is so good that it's nearly eliminated cervical cancer in several countries. The US voted to kill itself off, and 45% of the country is totally fine with this. No sympathy.

We can make violent land grabs, but the USA grows smaller by the day. None of this will end well.

Everyone be sure to tell the Speaker about this because he probably doesn’t know about it yet if you ask him.

Did we just signal to the rest of the world that they could come and kidnap our president?

Okay, 2026…my team and I have worked so hard. We’ve fought far right opponents, neighbors screaming at our clients, budget cuts, sky high overdose rates—still, we show up. We run to the crises. Please help me raise the funds I need to complete our building project. A full clinic and training center.

20,000 case management and clinical encounters 9,000 naloxone kits distributed 1,800 overdoses attended w/that naloxone 4 office locations in three counties 6,000 square mile service area People reconnected, employed, housed, healthier, often in recovery 8 bills advocated for or against 2025 done!

In a small purple corner of the country, a lesbian retired teacher tells her social network that her memory is fading. She wants to tell them one last time that she loves them and they are wonderful. And the responses! Genuine, kind, bittersweet, loving, charming. We must continue to fight for us.

I read the memo from Bondi that has LGBTQ media in a frenzy. I read it with an eye toward potentially asking my state’s AG office for an interpretation, statement, or response. I’m not a lawyer, but I read legalese and policy frequently. I don’t think this is a policy to round up trans people. 1/3

The White House has been caught. The administration inserted a photo of Bill Clinton, Michael Jackson, and Diana Ross into the Epstein files and falsely implied it showed them with victims. In reality, it’s a publicly available fundraiser photo featuring Jackson and Ross’s own children.

Western states have a public health pact, to set protocols on our own. NYC… is doing NYC meets public health.

My local paper wrote up my nonprofit’s issues that led us to leave our jail partnership. While jail is not a therapeutic space, it can help people to attach to critical services at release, saving their life and giving them new chances. But WA State needs tort reform, and fast. bit.ly/4iYm7nO

We are seeing a lot of water here in Washington. Do you know what to do before, during, and after a flood or other emergency? We have some tips that will help keep you and others safe. #flood #landslide #mudflow doh.wa.gov/emergencies/...

Would anyone else like to see this as headline news?

Much as I loved him, my father was a compulsive gambler. He blew millions over his lifetime, a lot of it at Trump casinos. He took out a 2nd mortgage and never paid it. For ten years. Only when it was sure he was going to die did the lien get posted. Point is, collapse comes late but fast.

Good sized event for World AIDS Day in little Walla Walla, which we hold every year without fail, and with or without government support of this international event.

My latest for the hometown paper: www.union-bulletin.com/opinion/opin...

I know things are frenetic and frightening right now. My staff & I just try to do good work every day. We don’t fix, change, or save anyone. We walk with them. People deserve second chances. In the process we’ve helped reverse 6100 overdoses and seen hundreds of people find health and wellness.

Honestly, facing contract cuts despite really good outcomes, just because federal appropriations are being erased by billionaires is a very large pill for me to swallow. We are walking away from success. I am stressed.

In 2019, the federal government assembled 13 experts to create guidance on safer supply. In 2023, the committee provided two final reports. These were promptly buried, and my attempt to get them yielded giant blocks of black ink. Who silenced the recommendations? drugdatadecoded.ca/who-killed-t...

a big runoff last night, in New Orleans: Calvin Duncan was exonerated after spending *28 years* in prison; he tried to get his own case records from the New Orleans city clerk—but the office dragged its feet. So Duncan ran to become city clerk himself, and yesterday ousted the incumbent.

When someone says, “15-year-olds are mature,” I think: You don’t spend a lot of time around teens. You’re looking too much at body changes and not emotional/mental maturity. You’ve forgotten that early experiences matter more for people. You’re a gross apologist for child rape.

We lost out on a cool qualitative project today because we are a unique program and the researchers can’t find a comparator group.

Real hospitals struggling in rural places serve real people struggling with conditions that need real care. This window dressing is terrible.

My agency is so proud to be a part of this vanguard. We are one of only a few rural-based drug checking sites, opening since 2023 Jan. We are now closing in on 1,000 samples observed.

The original idea behind “small government” was described as greater efficiency of govt, less intrusion, and less waste. None of this governance style creates any of that.

Yeah those Dems, hopeless with no clear messaging and a split purpose. Jeez.

Working from home for a couple of days because a small eyelid infection turned into full-blown cellulitis. Here’s to antibiotics and working from my kitchen.

I started off a trip to the trans rural elders conference by seeing a praying mantis at my back door, and ended it with a rainbow on my drive home. Thanks, universe!

The other day, Roxane Gay said that she can’t wait for the Netflix documentary on the Louvre heist. I noted her comment and moved on. Today I saw the photo of the detective handling the case, and now I can’t wait for the docu, either!

Lots of US companies have done lots of dreadful things to Americans. But the symbolism of paying to destroy the White House is hard to top.

We need to learn. Things are so much worse in so many ways, since the disaster at Scott County, IN. www.washingtonpost.com/health/inter...

Our participants report more than 1,500 so far this year for overdoses reversed with naloxone. We had 1,880 in 2024. 933 in 2023. 632 in 2022. 301 in 2021. Everyday people have reversed more than 6,000 overdoses in our region since 2015 with our program. Fund public health. Fund CBOs.

Did a brief interview with NPR Sacramento this evening, about Washington’s law for people to have twelve months of HRT at a time. This is almost identical to a bill Gov Newsom vetoed. Kind of nervous speaking on behalf of a government, but I did it, and without cursing! Go, me.

Everybody in SUD treatment knows the patient must be motivated. This everyone in SUD tx knows involuntary treatment doesn’t work. So why don’t they push back against calls for involuntary tx? I can only think it’s the money.

“States can’t ban conversion therapy but they can ban gender-affirming care. They can’t regulate ‘crisis pregnancy centers’ but they can ban abortion. This is required by the Constitution. If you say we’re just doing politics you’re responsible for political violence.” —The U.S. Supreme Court

We are just trying to help marginalized and stigmatized people find their own way. We have hit countless roadblocks, artificial obstructions of policy, and false scarcity, and stigma. I have a stack of hate mail on my desk. Why? Because a few rich people want even more for themselves. For shame.

Sometimes I think LinkedIn runs a bit too much like Classmates. com did.

Man, I hate losing a big grant application.

Getting ready to launch a capital campaign next month. Butterfly stomach sensations abound! Will I find organizations and people to help us stand up a free clinic for people with substance use and mental health challenges? I say yes!!

Spent my morning in a mediation. That’s all I’m going to say.

We are being set up again for the midterm elections to be contested. It’s exhausting, but we need to fight for our democracy.

It finally happened! My trusty starter word got her day in the sun. Wordle 1,535 1/6 🟩🟩🟩🟩🟩

I miss the days when government web sites were just boring and informative.

You have to have fun with your staff, because it is so rough out there.

The neurologist Oliver Sacks found that the social-media era resembles a neurological catastrophe on a gigantic scale.