My patients need me to know their complexity, listen to their histories and understand their priorities. They need time to negotiate a collaborative path instead of me just telling them what to do. I will not cut my visit times down. I will bill for time. Thanks www.bostonglobe.com/2025/10/24/b...

That flag is good on its own but is clearly most especially a primary race subtweet / subskeet. Heard, Ed.

it’s like the end of Blues Brothers but in reverse

famous nerdy MD (to other nerdy MDs anyway ) paid by a number of capitalists who ask him if they can use AI to make money in healthcare. Famous MD has an answer: yes, by using robots for the poor you can focus your high labor costs on people who are ready to pay substack.com/inbox/post/1...

Everyone makes fun of "gentle parenting" until you encounter a four year old with a higher emotional intelligence than all of the adults in your life.

One small trick with big results? A rhetorical question. Then a sentence fragment. That sets up your link. And when they click: It makes all the difference.

I didn’t want to. But I had to. I’ve brought Modernism to the new art. I will post by form alone. I am the Frank Stella of LinkedIn. The Sol Dewitt of Bluesky. “Content”? “Stories?” Sure. If you want. But the form is what matters. And when you realize that? It changes everything.

It is hard to top Orwell’s Why I Write but on a first brisk and excited reading, I think Zadie Smith may have just done it. The Art of the Impersonal Essay www.newyorker.com/magazine/202...

Meute, the German techno marching band, has as its perennial underlying theme, the joy of cities; new video here youtu.be/c_TKYX-UP_8

I’m sorry but I think folks can often be too harsh with Sarah. 95 Ds voted YES bc of leadership, why single her out so often? She got elected statewide in Delaware. Her path is challenging and this time is terrifying. I think the disagreements w/ her can be less personal. I care about her safety.

It feels like every thoughtful or nuanced thing I might try to say about policy just sounds dumb next to this level of hatred I’m going to try anyway but this has been sitting in my stomach ever since I made myself watch it

deleting the rest of this thread because there is a pundit in my heart but on reflection he doesn’t need to come out in public

JUST IN: A judge quashed the subpoena to Boston Children's Hospital by the DoJ that sought the records of trans patients. storage.courtlistener.com/recap/gov.us...

hat tip @brendanlittle.bsky.social for highlighting this article elsewhere, also correction that the IF comes much farther down than the tenth paragraph

Lede: “forced treatment is good, actually”—tenth paragraph “IF it’s funded better than it ever has been or ever will be” which is the health policy equivalent of saying “I’d have a ham sandwich if I had ham. And some bread.” www.nytimes.com/2025/09/02/o...

yep it’s all fun and games until you meet an actual pigeon-fancier

Had a fun time writing about bread and circuses vs. bread and roses and whether in crises we're allowed to have fun. www.meditationsinanemergency.com/circuses-vs-...

I was talking to some friends this week about growing up in Southie and Dorchester, and I mentioned the Bellflower Street Fire I lived on Bellflower Street from ~1971-1976. This photo was taken in 1965. The arrow points to my bedroom in the triple decker that me and my 3-generation family lived in

Amazing how peak masculinity for a Republican is swearing that you’re too afraid to go outside

Boston Homicides might be up over 90% YOY (23 vs 12), but we’re still below 2023 (26 as of Aug 10). And we gotta mention, there were NO HOMICIDES IN JULY! That hasn’t happened in over 60 years! We love to see it. #StacoStats D-11

you know who could be considered, in some ways, an "andrew tate of the left"? your fucking therapist

My thread three months ago re Trump’s exec order last week—predictably awful. #medsky #drugsky #planningsky

“The politics of the Kraft family’s relationship to Trump continue to loom over this mayoral campaign” —some pundit AI-using campaign manager: “what about this one”

not gonna lie, Bondi’s campy vibe makes me want to always say “metha-amphetamine” from now on; but for killjoys keeping score, methamphetamine in pill form is Desoxyn and it is regulated as a Schedule II substance by the DEA which is part of DOJ my.clevelandclinic.org/health/drugs...

I love—em-dashes.

The em dash is HIGH LITERATURE. I am aghast at them coming for the em dash as an AI giveaway. Pry it from poets & fiction writers who write sentence-long paragraphs' dead hands!

To be clear the point of the “elite” “leading” institution is not to reflect a particular idea other than its own value; the institution has multiple versions of “excellence” running at any one time; its vulnerability to attack is not ideology but its periodic failures to uphold its own standards/

One thing I’ve always felt about big institutions like MGH or Harvard or the New York Times is that they all contain turfs and contested zones and people who hate each other; people who judge these institutions by a particular success or failure of one faction on one day are missing the point.

Dusty Baker was a very big deal in Sacramento where I grew up (during the time he played for the Dodgers), and where he spent his high school years. One of the top “but did you know he’s from Sacramento”? people for me. He always did my hometown proud. Love to Dusty Baker and all who love him.

A person with measles visited Boston. We're working with local partners to notify those who may have been exposed to measles. Unvaccinated individuals who have been exposed should contact their healthcare provider immediately. Learn more at boston.gov/measles.

#planningsky #boston a simple yet intricately damning video about gentrification, and just some of what it takes away in a city: the tale of a basketball court

every single election there's some state/locality that votes for both a right wing maniac and to raise the minimum wage/legalize marijuana, and if you have hung out with enough people in enough places, this checks out.

honestly daily table was a kinda oddball store when you went in there—like, the trader joe’s of bodegas? or something—there’s not a close analogy— but they had good fresh produce and healthy food for sale and they were doing something important—this is sad news www.dotnews.com/2025/daily-t...

Was honored to get to go to the Harvard Graduate School of Design as a reviewer for student final projects in a seminar on Community-Informed Urban Design, taught by planner and architect Dana McKinney White. I learned so much from engaging with these students and their projects #planningsky /1

Mass. voters were told millionaires would leave the state in droves if the millionaires tax passed and revenue would decline. Two years later, there are more millionaires living here than ever and the state collected $2.2 billion from the surtax. ips-dc.org/report-wealt...

Here’s the playbook: Step 1. Demand that cities find homeless people with recurrent and visible symptoms of psychosis or intoxication, and force them to accept mandatory “treatment.” Step 2. Defund all treatment. Step 3. Blame them for “not wanting to change” and blame mayors for being “weak”. /1 🧵

ok i’ve personally jumped my own shark good night

this one triggered a bible verse even

i’m going to try to prompt robot hallucinations that i actually enjoy

this game is irresistible, sorry robots

There are people who work with me who are passionate about social determinants of health… who are driven by epidemiology… or who identify with marginalized people. But some of the most consistent and long-lasting are those who show up because of Matthew 25:31-46. I’m not one of them. But, 🧵

How zoning and increasing land values make high-rent Hamsterdams, and how cities enacts stigma as a spatial strategy. Fellow zoning/public health nerd Allyson Pinkhover and I talk about how people who use drugs and services for them get zoned like… 19th century tanneries.

Why zoning, real estate, and drug user health are intertwined… …what methadone clinics and produce trucks have in common… …and my work in progress about why cities keep recreating Hamsterdams. Coming Thursday!

GOP: can’t wait to beat on blue city mayors, our big victory lap Mayor Wu: hold my baby

yes

On a curmudgeonly note, can we stop describing doctors who are policy failures as “betraying their Hippocratic Oath”? 1. None of us take the original oath; 2. Bad policy is bad not because it breaks an oath, it’s bad because it clearly hurts people.

This account still strongly believes that trans people deserve good healthcare and to live their lives safely as a valued part of our communities

ACT UP teach-in document, 1989: “1. Know your shit. Knowledge is power. Every significant gain won by ACT UP has flowed from our unassailable command of the issue.” (bad link in original post: good link actupny.org/documents/T&... )

"Complaint-oriented policing: regulating homelessness in public space" by Chris Herring. journals.sagepub.com/doi/10.1177/...