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brianhiestand.bsky.social
Emergency medicine, smoked and grilled meats, and martial arts. Coding and compliance work as well. Opinions are very much my own, do not represent my employer, etc etc.
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If you’re zip-tying grandmas protesting losing health care maybe you’re not the good guys in the story?

They were supposed to be deporting “gang members” and “criminals.” So far, they have kidnapped people working their day jobs and folks lawfully showing up for their immigration court appearances… It was always a lie.

Much as I would not dare to predict the consequences of this war, I do think we can summarize it thusly so far: A smart and evil man manipulated a stupid and evil man into a war against a fanatical and evil regime.

brilliant

“ICE in just a few weeks has transformed itself into the closest thing that the US has ever had to a ‘secret police,’ with more seemingly culturally in common with the Klan nightriders of Reconstruction than their federal agency brethren like the FBI or ATF.” @garrettgraff.bsky.social

Fact:

Time for the annual schoolhouse rock style history lesson about slavery and the origins of Juneteenth from The Roots

Kids DO get more shots now than they did decades ago. There’s also a lot less death from preventable illnesses. That’s a win! Let’s dive into the wonderful world of Vaccine Schedules. The AAP first took ownership of schedules back in the late 1930s and we continue to recommend the vaccine schedule.

RFK Jr. Keeps Telling A Flat-Out Lie About Childhood Vaccines — And Doctors Are Sick Of It flip.it/wb_aj5

This is Faye. She wanted to bring a little sunshine into your life. Heard it can help with the happiness. 14/10 thank you so much Faye

The answer is in ICE's selection of targets: * Democratic politicians in public * Immigrants attending court hearings, at work, or at schools None of those people will be armed. On the flipside, ICE is scrupulously avoiding raids on cartel affiliates, drug dealing sites, etc. They might be armed.

What is common knowledge in your field, but shocks outsiders? ERs arent busy bc of people with low acuity problems that "dont need to be there" ERs are crowded bc of sick patients waiting for beds upstairs in a (~full) hospital figuring out who does vs doesnt "need to be there" doesnt work anyway

In serious countries that are actual democracies, strong mainstream parties force members who do stuff like this to resign, & far right authoritarian parties that do this are shunned from government. Here in 🇺🇸, one of our two parties has collapsed into far right authoritarianism. So neither happens.

I, too, would like to declare war on cities and specifically on Cincinnati for that monstrosity they call chili.

Health Secretary Robert F. Kennedy Jr. apparently embraces the outdated "miasma theory" of disease instead of the widely accept "germ theory" of disease, which may help explain some of the actions he's been taking.

HERE IS A THING that EVERY American can do: 1. Call your Senator. 2. Say the following: "I am requesting that you place a hold on the nomination of Bill Essayli as U.S. Attorney for the Central District of CA for directing federal agents to assault a U.S. Senator." 3. Call other Senator, repeat

Few go into pediatrics because it’s hard & pays < other specialties International trainees fill spots but w immigration changes that’s going to get much harder. BUB (Big Ugly Bill) eliminates CHGME which pays for >50% of pediatric trainees. Not sure who is going to take care of our kids.

BREAKING: Federal agents in plain clothes and unmarked cars tried to snatch 1st graders from LA elementary schools—told staff they had “parental consent.” They lied. When pressed, they HID THEIR IDS. DHS admits they sent them. This wasn’t a welfare check. It was a test run for a police state.

Once again, the global economy is being held hostage to the whims of a guy who doesn’t understand how the global economy works.

RFK Jr. destroyed vaccine trust for decades and now claims he is going to restore it? RFK Jr has made millions targeting vaccines. Firing CDC’s ACIP to install anti-vaccine allies will not fix anything: it will allow him to finish the job. By @drandrealove.bsky.social news.immunologic.org... 1/10

If you have never stuck a needle in the back of an infant and watched pus drip out please don’t tell me I am overreacting to RFK Jr.’s latest assault on science.

I was asked recently, what the biggest improvement in critical care that has occurred in my career: without hesitation, it has been vaccines. Varicella, HIB, Meningococcus type B, COVID-19, rotavirus and now RSV, on top of the previous ones. Diseases that used to cause so much death. #PedsICU

This is Max. He snuck out in the middle of the night and walked 5 miles to get a breakfast burrito from a store that gave him one once. They hadn't opened yet when he got there, but Max was found the next morning thanks to his GPS collar patiently waiting outside for his well-earned snack. 14/10

Donald Trump forcing US troops to sleep on the ground in the scorching heat in Los Angeles, since he made 0 arrangements to house or feed them and only wanted to use them as props for his fascist porn and political manipulation. MAGA will say "I voted for this"🤡

Breaking:   WASHINGTON (AP) - Health secretary removes every member of scientific committee that advises the CDC on how vaccines should be used.

UPDATE: David Huerta was just released from custody!

Bill Cassidy, this is yours to own.

Los Angeles Unified School District Superintendent Alberto M. Carvalho didn't hold back when expressing his anger and "contempt" after agents with Homeland Security attempted to gain access to two elementary schools earlier this week.

Heads up: Buried in a 1,000-page bill is a section that would freeze every state’s ability to enforce A.I. laws for the next 10 years. That means no new protections from A.I. scams, deepfakes, or impersonation. Bad idea.

"Tanner, a chemist at the Univ. of Mississippi working to develop a novel approach for treating glioblastoma, was notified in April that the grant was terminated. “I would like to cure brain cancer,” Dr. Tanner said. “I think that's not particularly controversial.” www.nytimes.com/interactive/...

immigrants belong in our community. ICE doesn't.

Hello. I live in Los Angeles. The president is lying.

Trump is saving Los Angeles from big scary **checks notes** dancing flash mobs

This is why we closed schools. Decreased transmission, fewer fatalities- our health care system was pushed to the breaking as it was. Without closing schools, it would have been demonstrably worse.

To be in public office right now is to constantly ask yourself: How do I make sure I'm standing on the right side of history? There's a simple answer. The wrong side of history will always tell you to be afraid - the right side of history will always expect you to be brave.

My grandfather, a WWII hero, reasoned very well with Nazis. His "both sides" involved putting bullets in their heads when he landed behind enemy lines 80 years ago as a Captain in the 101st Screaming Eagles. They were then perfectly welcome to share their views as they bled out in ditches. HTH.

This parade will cost at least the equivalent of 180 years worth of an NIH biomedical research grant.

Undocumented immigrants pay almost $100 billion in taxes each year. The top 1% evade $163 billion in taxes each year. Stop pretending that immigrants are the ones taking advantage of taxpayers.

"Veterans know the layoffs aren’t about saving money. They’re about weakening the institution and ultimately privatizing and gutting VA disability funding, as spelled out in Project 2025." share.google/pz6mLWSzZIYC...

If you are National Guard or Active Duty military and you are being ordered to violate the constitutional rights of US citizens then this is the number to the GI Rights Hotline. There is support. You don’t have to go through with it. 877-447-4487

Sharing this tonight for those in LA and for future protesters everywhere

I was an immigration lawyer for about fifteen years. The people I met… the way they wanted to give their absolute best to this country, and then DID. Skills, ideas, beauty, culture… that’s what they bring. America is a nation of immigrants, and immigration is what made America.

Annual reminder to NOT bring regular flashlights to the beaches this time of year. They're harmful to beach life. Thank you! www.nfwf.org/node/3407/ke.... myfwc.com/wildlifehabi...