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nethrankamd.bsky.social
Professor, Rehabilitation Medicine #pm&r #ipe #wellbeing #disabilityeducation #meded #physiatry #phySKYiatry #phySKYatry Opinions are my own and not medical advice
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Dear Dems. This is a reminder that Donald Trump rescinded the ethics rules preventing gifts to executive branch employees. Now would be a good time to propose legislation formalizing the prevention into a law Time to do things that make him react to you. apnews.com/article/trum...

THIS IS A MUST-READ PIECE. Please share, off Bluesky as well as on it. Most people *do not understand* how harmful these short-sighted cuts are going to be - for our economic as well as our physical health. 🧪🛟🩺

Any talk you hear from the current administration about making the US more competitive in science and technology is utter bullshit. What they are doing is sabotaging our country for years if not decades to come.

Measles are contagious. Measles cause 1 in 4 people to be hospitalized. Measles can be deadly especially in children. Measles can cause blindness & deafness. Measles can cause brain damage yrs later. Measles can cause "immune amnesia". Measles are preventable with MMR vaccine. #medsky #IDsky 🛟 😷🧪

Telehealth isn’t a luxury—it’s a necessity. For many of my patients with Long COVID and disabilities, in-person visits are exhausting, inaccessible, or simply not feasible. Removing telehealth coverage means denying care to those who need it most. We must protect access to virtual care.

Three things that make the U.S. the envy of the world: 1) Professionalized military with strong norm of civilian control 2) Higher education and cutting-edge scientific research 3) Ability to welcome immigrants and attract the “best and the brightest” All three are under threat.

Why???

This is horrible for the future of American science and innovation and economic wellbeing and all the things Pitt is not a small institution It has nearly 10K grad students It is where Salk discovered the polio vaccine

DOGE explained-

I don't think we're talking enough about the fact that the pressure to remove DEI from science means women die.

WYOMING: “Thank you, Madam chairman.” “I prefer ‘Mister’ chairman.” “Well you all voted preferred pronouns cannot be compelled speech.”

PLOS, JAMA, and The Lancet have made these kinds of important statements standing on principle. Any others?

From Forest Service… Some employees terminated last week, who have cried, terminated leases, found new jobs, and moved…Are getting called back to work. Rumor is 300 people. “It was a mistake.” Seems like these employees work in forest management (timber). Screenshot from an unknown acct.

Today at an area hospital ICU. Things I want to do: go to work and help critically ill patients and not get shot. Nurses don’t ask for that. Physicians don’t ask for that. Yet violence against healthcare workers is at an all time high. And we get shot. #nursesky #medsky

Sharing more townhall videos today because they’re giving me hope. THIS is good trouble! Who is this man? I want to shake his hand and buy him a drink.

Measles outbreaks in Texas & New Mexico have stricken ~100 people. Texas reports 90 cases; New Mexico, 9. Majority of cases are in west Texas where vaccination rates are low. What looks like a throwback to early #Covid era, drive-thru measles tests now a thing in TX www.nytimes.com/2025/02/22/u...

It may not be cool or hip in some circles, but we legitimately do need a massive amount of people to run for office. Flood the school boards, councils, county seats, state legislatures, Congress, etc. Big changes at the top happen when the ground shifts at the bottom. And that can start now.

He nails it.

NIH indirects case update: Hearing ongoing now, and I'll try to live tweet some notable exchanges. Prior to more detailed arguments, Judge Kelley starts off with a few point questions to both sides: (I'm paraphrasing here)

NEW: Pregnancy became far more dangerous in Texas after the state banned abortion, according to ProPublica’s first-of-its-kind analysis, which found the sepsis rate for women hospitalized as they miscarried in the 2nd trimester shot up by more than 50%. https://propub.li/43487Tj

@jenpsaki.msnbc.com: "Inspectors general are a headache for everyone. You know why? Because they're investigating every agency and they find stuff! Including waste and fraud and abuse! They wouldn't be firing them if they cared about waste, fraud, and abuse."

📢 Be Loud!

— Accidentally fired workers trying to contain bird flu — Accidentally fired workers overseeing our nuclear stockpile — Accidentally fired workers providing health care to Native Americans “Accidentally.” More like gross incompetence and mismanagement. Opposite of efficient.

New: DOGE's spending has been secret. No longer. My colleagues have uncovered it. www.propublica.org/article/doge...

HHS has ordered CDC to stop its influenza vaccine “Wild to Mild” media campaign. This is an award-winning campaign that effectively explains how influenza vaccine may not prevent infection but does decrease illness severity. We are currently having one of the worst influenza seasons in 15 years.

This is a concentration camp. They are describing a concentration camp.

Last night, Trump promised he wouldn't touch Medicaid. This morning, Trump endorsed the House Republican plan to slash Medicaid. It's smoke and mirrors: Trump and Republicans are plotting to take away health care from millions of people to pay for tax breaks for billionaires.

Hundreds of asylum seekers from around the globe are being trapped by the US in a Panama hotel where they'll eventually be sent to a camp in the jungle. One Chinese man said “I thought: America is a free country with respect for human rights. I had no idea it was like a dictatorship.”

"working to swiftly rectify the situation..." www.nbcnews.com/politics/dog...

Also scientists today: “No, we’re not using federal funds to buy luxury goods. Yes, we have already studied that. Yes, in placebo-controlled, double-blinded studies. You can find them yourself—just use google. No, I’m not just saying that.”

Attorney General Pam Bondi disbanded an FBI task force investigating foreign influence operations, including those targeting U.S. elections. Additionally, she restricted enforcement actions against individuals who fail to disclose lobbying on behalf of foreign governments.

I am not making this up: Republicans have introduced legislation… to increase your bank fees.

Want to go visit the national parks this year? Sorry. The reservation system is shut down, EMT personnel are gone, so don't get hurt or lost. No one can clean the bathrooms or cabins, so they'll be closed. Rangers are fired. www.sfchronicle.com/bayarea/arti...

Another "I told you so" moment. It’s clear that these people want to conduct human experimentation without rules or regulations. They don’t have to follow ethical guidelines for physician-researchers, nor do they have to comply with medical research standards. No paywall archive.ph/Qo634

State AGs are looking for federal workers who have just been illegally fired to stand as litigants in a new lawsuit trying to freeze further action by DOGE. DM me if that’s you and you’re interested and you’re live in one of the following states: NM, AZ, CA, CT, MD, MI, MN, NV, OR, WA, RI, or VT.

I love to joke about OSHA (and NIOSH) but every single OSHA regulation was written with someone’s blood

The Consumer Financial Protection Bureau uncovered $21 billion of cheating and returned it directly to Americans. That little agency is proof that we can make the government work for people. Trump and Musk want to take that away, but we won't stop fighting to protect it.

Antivaxxers will worry about imaginary neurologic damage from vaccines but do not care about reality like this year’s influenza strain causing necrotizing encephalitis in children.

It's annoying how clearly this is going to play out. They gut the FAA. Therefore, the FAA can't do its job well because it was gutted. Therefore, they say "The FAA sucks, we have to privatize it." which is what Project 2025 wants to do. They're manufacturing the crises for their end goal.

"Women". "Disability". "Biased". "Historically". This is one of the most batshit insane things I have ever seen. Where's that so-called freedom of speech they love so much? "Sense of belonging" really got me. If a fictional dictator banned that phrase, I'd laugh out loud. Yet here we are.

There it is

CDC’s public health associate program (PHAP) was destroyed this weekend. All trainees terminated. PHAP stations young public health workers in state, local, territorial, and tribal health departments to train in and provide technical assistance for surveillance, communications, lab work, and more.

I have been talking to the media, Time, Fortune, NBC, etc., to explain how the onslaught on science and NIH will impact the health of all Americans. Everyone knows someone who has cancer, heart disease, or depression. Spread the word about how cutting science impacts all. time.com/7216299/nih-...

This is what oligarchy looks like.

I have had patients have HPV disease such that it required surgical management who had only ever had one partner. About 80% of us have HPV at some point in our lifetimes. The HPV vaccine is highly effective at preventing infection from the types of HPV most likely to cause cancer

Firing probationary employees is senseless. Probationaries are: -New to their position -Make lower salaries -Recruited to bring in new talent -Far LESS likely to be dogmatic They're being fired because they have fewer protections. Not because this will improve government efficiency or cut costs.

A common misunderstanding is that HPV is only a problem for people who are “sexually promiscuous.” The truth: you can get HPV even if you’ve only had ONE partner. Its prevalence in adult populations is very high. So we vax everyone.