The moon

With ongoing hantavirus and Ebola outbreaks, this paper is worth (re)reading. When someone coughs, sings, talks or breathes they produce aerosols from their respiratory fluids - along with whatever pathogens are in those fluids. COVID screwups have committed PH/IPC leaders to covering that up.

Remember Trump praising the “fat drugs”? Well, he’s personally invested in the company that makes those drugs, and his policies are helping that company enormously. https://kffhealthnews.org/health-industry/trump-stock-trades-eli-lilly-glp-1-weight-loss-drugs-invest-ethics-disclosures/

An auditor for the Ontario, Canada government found that AI agents tasked with turning doctor/patient conversations into structured notes routinely hallucinated false treatments, replaced drug names with entirely different drugs, and missed crucial information

This has been especially difficult for the disabled and chronically ill in a world full of Covid. The betrayal by abled friends that won’t make accommodations or simply stopped reaching out has been devastating across the whole community.

Failing to roll mitigations for airborne transmission is growing long Covid cases and marginalising Clinically vulnerable people and sufferers.

Was about to get in the car to go to Costco and this little fellow caught my eye. Just hanging out in the hedges.

Between this announcement from the WHO about ebola and hantavirus, the World Cup is going to be LIT next month. 🙃😷

"“It’s possible that we’re starting to see the consequences of severe and sudden cuts to global health programs that have eroded surveillance and allowed deadly viruses to spread undetected...” www.nytimes.com/2026/05/15/w...

Bundibugyo ebolavirus outbreak in the DRC and Uganda has been declared a PHEIC by the WHO. The highest alert lever it has. This requires swift a and multinational response. Estimated death count is already 80! No vaccine, no rapid diagnostic tests. www.science.org/content/arti...

When the usual minimizers claim it's unreasonable to express any level of concern over the potential trajectory of p2p hantavirus transmission because the "experts" have got it covered, just show them this.

I submitted an article to a patient experience journal yesterday. Hoping to hear whether I'll be published over the next few weeks!

Doctors who "know everything about everything" are our medical gurus. Discussed here.

"Perhaps the biggest lesson here is that the broader medical community failed to reign in its own bad actors. To say that there were warning signs MAHA doctors is like calling the Grand Canyon a pothole. Their risks were glaring and obvious." My latest of the fall of Marty Makary at the FDA.

There’s a glaring historical inaccuracy in Christopher Nolan’s upcoming film of The Odyssey: they didn’t have cameras back then. Theatres should have a blank screen and an old man reading out the script

🎧 It's launch day! 🚀 Our VERY FIRST EPISODE of "Paper Trail" is now live. You can listen at the link below or subscribe in all the normal podcast places: www.propublica.org/podcast/what...

The hantavirus outbreak has raised two major concerns for Dr. Paul Sax (@paulsaxmd.bsky.social) — and neither is directly related to the outbreak itself. Read the latest from Dr. Sax in NEJM Voices, a new clinician blog featuring essays grounded in real-world practice: https://nej.md/4uIwAIi

I am so sorry, ma’am, but we lost your son. Surgery was going fine but we decided to let RFK Jr. futz around a little on his insides with a robot. He was eating squash at the time.

I shouldn't be surprised that the racists-in-charge got to the 6 Principles of Trauma-Informed Care at SAMHSA. They removed the 6th one, respecting cultural, historical, and gender issues. The site was updated in February, and some of the other resources I came here for are gone as well.

The hantavirus outbreak isn't just about hantavirus. It's public health and IPC showing us that they have learned nothing from their mismanagement of COVID. Regardless of where hantavirus falls on the spectrum from "pandemic" to "dry run for the next pandemic", that is unacceptably sloppy.

MIN: Do you know how much new energy China put online last year? BURGUM: Intermittent or base load? M: 543 GW. How much was renewable? 434 GW. B: But only when the sun is shining M: Meanwhile, the US put up 53 GW of new energy last year - less than 10% of China. You're harming our natl security

The instant I finish work anymore

It is critical that patient priorities be reflected in #longCOVID trial design and selection, alongside transdisciplinary subject matter expertise and mechanistic understanding. The view of clinical research as exclusive turf reserved for clinicians makes it about medical politics more than science.

Not only am I having a shit day thanks to AI-loaded garbage digital marketing platforms, my mom just called to tell me one of her dogs died. I just can't today. RIP Cooper. You were one of the chillest dogs I've ever met. 💔

New in PN: This is a crisis of democracy. What will Dems do about it? "Perhaps you’re uncomfortable with one or more of these proposals. That’s fine. At this point, the details are less important than preparing for a new approach to politics, procedures, and governing."

I'm working on an article for a medical journal about trauma-informed care and women's health, and this is right on the money when it comes to the culture in healthcare settings that I'm discussing. www.youtube.com/watch?v=gL0D...

No, I blame the global leadership of public health and infection control for wasting an enormous number of lives with their Dunning-Kruger arrogance and denial of aerosol transmission - and I blame their sycophants for trying to rewrite history and pretend it away, sacrificing lives to save face.

😷

Pulled this old cannabis tincture out of the fridge to add a few drops to my tea and had to lol...BLUESKY. Would be amazing merch 😅

"Paywalled" is the word you're looking for. They didn't turn it off. The only thing that changed is X now explicitly makes money off CSAM.

I'm still waiting for "We got a lot of things very wrong about COVID, and we understand that this has badly damaged trust. We have learned important lessons and are doing things differently now. For example, this time we're implementing the precautionary principle and taking airborne precautions."

Carl warned us

This is despicable and also not unique in anyway. Eugenics language around COVID has been pervasive since the start. It was very literally the Biden CDC position. No party is exempt from societal loathing of disabled and chronically ill people and the celebration of our deaths.

Tired of y’all acting like the belief that society would be better off if all the disabled and chronically ill people just died is a position unique to the Right.

But wars are good for the economy, right?

Cranking Kneecap's new album Fenian up to 11 while I wind down my workweek. The family of crows on the neighbor's roof stopped what they were doing and stared into my window like, "Turn that shit down, our babies are trying to sleep!" 🎶🎶🐦‍⬛

Secretary Roadkill is literally trying to ban Prozac.

No one in this administration actually works

🧵⬇️

Hospitals have come to prioritize lab tests over patient time, which can have dangerous side effects. Meghan O'Rourke on a new book, "The Elusive Body," and the makings of a diagnostic crisis:

This is the entire COVID pandemic, right here. Senior clinicians without the self-awareness to understand the limits of their own competence thought they were entitled to "just know things". So they shouted down scientific experts, let their egos off-leash, made stuff up - and killed millions.

⚠️ Retweeting this only to say: ⚠️ This infographic in this blog post is being shared widely, falsely attributed to WHO - it is AI slop of the highest degree, and contains wrong, unevidenced and nonsensical information, and should not be shared further. Check your sources people.

Again this should inspire wall-to-wall media coverage for months. The crowning achievement of the Civil Rights Movement is dead. Black people just lost all of their remaining political power in the South. This is a monumental moment in American history that simply isn't being treated as such.

I have been making fun of the Odyssey since I was a teenager and I’m not going to stop just because a director with a very parasocial fanbase has made it his mission to turn the Ancient Greek version of “Dude Where’s My Car” into a Very Serious Movie.

"Urban Haystacks" #synthart

Hey, do you guys remember a prominent minimizer saying "Actually, tuberculosis (TB) incidence may represent the best bellwether for Covid induced post-infection immune damage"? I do. www.sfgate.com/bayarea/arti...

This is an amazing video.

Companies like Lovable, Base44, Replit, and Netlify use AI to let anyone build a web app in seconds—and in thousands of cases, spill highly sensitive data onto the public internet. www.wired.com/story/thousa...