I've expanded the graph. Personally, mine veers a little towards Coach Dad, but remains firmly in The Lawn Zone™

Peptides are about to get a lot louder. Patients are already ahead of us. #palliativecare #MedSky #HAPC 🧵

Would I have used “cancer patients” in my headline…no. But otherwise this was a fun exercise. I’ve been reading KevinMD since I was in undergrad, so it’s a nice full circle moment to have a post up there. #HAPC #Palliative #PalOnc

“We recognize that the struggle against oppression and white supremacy is just as powerful and just as American as the actual oppression itself."

I wanna show you something my mind has been dwelling on. I've spent a lot of time over the last couple days with Hazel Scott, as yesterday was her birthday and I think she's absolutely amazing. Unrelated, I love cartoons. Particularly old Looney Tunes... here's the convergence 🧵

“Academic scientists of the Epstein class covered for his crimes, laundered his reputation, & legitimized his pseudo-intellectual pursuit of eugenics, racism and sexism” “it is no fallacy to raise an eyebrow at a decision to enable people who traffic minors for sex or dress racism up as science”

I’ve seen many @ama-assn.org Presidents inaugurated, but I’ve never seen anything like last night. I *urge* you to spend some moments listening to Dr. Underwood describe “A system that doesn’t just work for some of us. But a system that works for the sum of us.” www.ama-assn.org/press-center...

About time AMA! 👏🏻 “American doctors want their leading lobby to drop its nice guy routine with Robert F. Kennedy Jr.” www.politico.com/news/2026/06...

New political typology report from @pewresearch.org just dropped. You can take their quiz to see which group you fall into:

There’s been a lot of talk in this race about what makes a "real man." A man does what’s right when no one is watching. He upholds his commitments to his family and neighbors. He doesn’t lie, cheat, & steal his way through life. Real men serve others. Weak men serve themselves.

In @nytopinion.nytimes.com “A Project 2029 cannot be a collection of Democratic Party agenda items,” our columnist Jamelle Bouie writes. “It must articulate a broad new conception of the nation’s political order — one that will guide the way a future Democratic-led government might wield power.”

Abraham Lincoln understood, perhaps better than anyone, how personal liberty and self-reliance are at the heart of the American experience. But he also knew there are certain things we can only do together. Read more in my essay for @inpursuitusa.bsky.social:

According to this Harvard study, Elon Musk's cuts to USAID through DOGE are responsible for an estimated 400,000 preventable deaths of children in Africa. hsph.harvard.edu/news/usaid-s...

Remarkable to go the entire length of this and, at least to my read, not see palliative care mentioned once. A single mention of hospice near the bottom.

The White House today announced it plans to make major changes in how the U.S. government manages research funding. https://scim.ag/43HgW4s

Cancer AI is being built around what’s legible in the chart. A lot of care isn’t. #PalliativeCare #Oncology

Our vocabulary is everywhere right now. Whole-person care. Symptom management. Supportive care. You can read full program descriptions and not know if specialty Palliative Care is there. 🧵

I used to feel a little bad that The Onion is about to surpass WaPo in print subs and stopped promoting the membership as a direct foil until today they came out with “Do POOR BABIES deserve DIAPERS???” so therefore

The floor isn’t getting lower in cancer care. It’s disappearing. 🧵 #PalliativeCare #Oncology #HealthPolicy #SeriousIllnessCare

Oh my. This is spectacular. sinceyouarrived.world/taken

horrible. this country’s turn away from science based medicine in the name of “wellness” is killing children and will kill a lot more. www.propublica.org/article/more...

In case you’re wondering, this is me confirming that I can’t do my job without every single type of these professionals.

<Favorite Rant> You won't be the person who filled out that form. With CMS proposing to tie payment to ACP documentation, we risk measuring paperwork instead of preparation. And preparation is what families actually need when decisions get hard. #PalliativeCare #HAPC #ACP

There was zero productive conversation across divides. That was an obvious lie. In reality, this was a safe space for MAGA disinformation agents to deceive the public.

HAPPENING NOW: Tim Heidecker delivers an update on the future of InfoWars and takes calls from viewers including President Donald J. Trump.

We’re afraid to talk about prognosis because we think it destroys hope. The data say the opposite. Silence does the damage. Hope survives honesty. What patients fear most is abandonment. Thread 🧵⬇️ #PalliativeCare #MedTwitter #SeriousIllness

NGC 4826 - From Judy Schmidt (geckzilla.bsky.social) - https://flic.kr/p/2iEerHS

#AI won’t de‑skill #palliativecare. But it will reveal what we never trained for. Everyone’s arguing about whether AI erodes clinical mastery. That question lands very differently if your core work isn’t pattern recognition.

Got a chance to listen to the new @ama-assn.org podcast today and I think it’s a hit! Quick, well structured, well produced and taught me a few things about protein-maxxing (as the whippersnappers say).

San Diego Hospice didn’t fail because Medicare wanted money back. It failed because leaders made irreversible decisions before they had a number. That distinction matters for palliative care.

Congratulations to Dr. Ian Neel and his co-authors on officially being the first publication in the Proceedings of the @ucsdhealthsci.bsky.social Department of Medicine via @cureusmedical.bsky.social! First but not the last! Cc @ucsdggpc.bsky.social #Geriatrics #Dementia

Since today is First Contact Day (the day in Star Trek when humans meet their first aliens, Vulcans) it’s worth talking about that story a bit and how it can inform our analysis of Artemis. This involves a lot of spoilers from the film Star Trek: First Contact 🖖🏽 en.wikipedia.org/wiki/Star_Tr...

The only thing that has ever made me want to be President is my now-recurring fantasy of personally and manually tearing all of this down.

Despite being assigned a #SadHands photo, I’m thrilled that @statnews.com published my OpEd. “As a #palliative care physician, I’m nervous about the Medicare infusion of $100 million for ‘functional or lifestyle medicine’” www.statnews.com/2026/04/09/p... #HAPC #PalliativeCare

#PalliativeCare lives where certainty goes to die. That’s our strength. It’s also our greatest vulnerability. When medicine pretends there’s no mystery, people flee. When we treat mystery as sacred knowledge, we become a sect. That tension is reshaping serious illness care right now. 🧵

NASA isn't why the US doesn't have universal healthcare, or a social safety net. The US doesn't have those things because politicians with the power to provide them choose specifically not to (with varying levels of support from voters). Enthusiasm for human spaceflight doesn't drive that choice.

Hospice was never built for kids. And every night, families are absorbing the consequences of that design choice. 🧵

If you've been following Artemis II obsessively, you really need to read the Lady Astronaut books by @maryrobinettekowal.com You really do. They are amazingly thorough and accurate about space flight (no, really...you will learn so much!) and also super entertaining w/ deep characterizations. 👩‍🚀 🚀