philipverhoef.bsky.social
Med Peds ICU. Immuno researcher. Singer/guitars/keys/trombone. Father. #singlepayer advocate. He/him. #pnhp president #docswhorock HAWAII.
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153 following
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huh wow. before i read it i was thinking “must be a Kasai”. like i saw so many kids when i was at academic liver transplant centers with “BAFK”: biliary atresia failed Kasai…i wondered if the surgery was EVER successful.
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"please avoid nephrotoxic medications"... as though I was out there, giggling maniacally, planning to administer high dose aminoglycosides and to everyone except that you totally told me not to
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This is a catastrophe. We must continue to fight back. And the Republicans should be ashamed of themselves for confirming someone as dangerous and unqualified as RFK Jr to be secretary of HHS. But they don't care... because it's all about eliminating the undesirables.
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to fund critical biomedical research. But no problem, right? Cancer is nature’s way of eliminating the undesirables, so why should we bother funding research towards a cure? And really, who cares about those that can’t contribute to the economy anyhow? We need to learn to let ‘em go.
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...thereby enriching our population with “real” strong Americans. We will see the rise of poverty and food instability… but let them starve, and decrease the surplus population, right? We will waste government resources funding projects whose science is already settled… and not use those resources..
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We will see the rise of pandemics since, even as you read this, the administration is gutting the US public health service… but of course, as the last pandemic taught us, a pandemic serves to eliminate the undesirables (like the old, the disabled, the chronically ill)...
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People will die for lack of access to medical care and health insurance… but of course, it’s their own fault for not getting a job that provides them good health insurance (never mind the fact that health insurance doesn’t protect against financial risk, or cover what’s needed to be healthy).
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We will see the rise of vaccine preventable illnesses, which preferentially kill the most undesirable. We will see the rise of mental health crises and suicides as we take away evidence-based therapies (like SSRIs and antipsychotics)… but people with mental illness are undesirable too, right?
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So what will happen? The most vulnerable (aka the undesirables) will die. These are the people who cannot achieve the “American Dream” through no fault of their own… but RFK and Trump want to use a mix of political and economic Darwinism to “decrease the surplus population”, to quote Dickens...
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In addition, the administration intends to cut Medicaid, eliminate the ACA, and fully privatize Medicare… all of these actions will demonstrably and irreparably hurt people.
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public health and epidemiology, preventative medicine, cancer research, etc etc… because here’s the thing: you can’t both cut these budgets in half (as they intend to do) AND fund new projects that he is in interested in... those numbers simply don't add up...
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He also suggests that the priorities of federal research funding and the CDC need to be shifted towards addressing chronic disease… which is all fine and well, until you realize that that means shifting them AWAY from all the other amazing work that happens in infectious disease research,
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...what types of medication? He blames SSRIs, antipsychotics, mood stabilizers, stimulants, weight loss drugs” as well as other “medical treatments” (of course he means vaccines, as a dyed in the wool anti-vaxxer himself), “Govt policies” (like vaccines), electromagnetic radiation, and cronyism...
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In the document released yesterday, RFK makes the classic “questionable-cause” logical fallacy wherein he thinks correlation equals causation. He suggests that the reason that autism, ADHD, autoimmune diseases, and asthma exist is because of “increased prescription of medication”…
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as if anyone who is not successful (by whatever metric you choose to measure success) simply didn’t try hard enough. By extension, the value of an individual (in the current administration’s eyes) is their ability to contribute to the capitalist economy....
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such a fucking disaster.
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after the night i just had i would love some help!!!! :)
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ask your wife. i imagine a number of her colleagues did, whether or not they admit it.
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couldn’t agree more. it would be a win/win for everyone, except the profiteers against whom we are absolutely fighting in this moment as 47 does everything he can to give them unfettered, unregulated access to govt resources. #singlepayernow
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actually i think in medicine/science, many didn’t think it would be like this. voted for
47 based on conservative ideology but now shocked to see what he’s actually setting in motion.
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NIH funded my medical school education. Also funded through T32, K08, K12, RO3, UL1, U19. Figured out that allergies are protective against sepsis. identified functions of a new immune cell type. figured out how to classify host response based on vital signs and circulating proteins.
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you need this in your life. courtesy of two of my all time faves who teamed up. Milwaukee g.co/kgs/sPo653Y
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jesus h christ.
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fuck trump.
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totally not surprised. they stopped getting my support back in 2011.
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also, like… sunscreen is demonstrably good for people. creating barriers to make it accessible seems bad for skin health. and perhaps it’s overpriced; maybe if it were less expensive there would be no illicit market? what if healthy things were more available to everyone by design?
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except that the vast majority of cases haven’t been severe enough to merit icu. wouldn’t it make more sense to recommend surveillance in the ambulatory space?
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in its own way, it’s elitist. like, my wife and i both have full time jobs. those jobs often do not afford us the ability to drop everything exactly at noon for this stuff. so i guess that makes us bad parents?? or… not fucking rich.
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i mean, frog and toad taught us this lesson. the real willpower was simply giving the cookies away to the birds.
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also possible, you can just come take some back.
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we have some extras here in hawaii, lemme know how you’d like to receive them
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2 of which have been considered “failed states.”
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clearly to the states, unfortunately. which by extension means to Medicaid recipients who will be subject to ever more draconian restrictions on access to care under the guise of “value”
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hearing her talk about this at the PNHP meeting a number of years ago was so eye-opening.
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tbh, i almost always use it because i learned to intubate in picu…but i just intubated someone without it who was actively vomiting and i needed someone else to suction while i tubed…and it went fine. but if they need truly awake intubations, i typically call anesthesia for backup.
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but doesn’t this make you wonder if you needed the roc at all?
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oh sooooo much of that is lifted straight from the original book! it’s awesome!!! of course there was no Bob Marley but… dickens is amazing!
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i believe it. the first time i saw one i was kind of gobsmacked. it looks great… would love to take one for a spin.