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scmalcom.bsky.social
Med-Peds primary care doctor Voltron avatar commissioned via kidshay.com
34 posts 16 followers 65 following
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Posts 38 Comments 5

I’m sorry. You can all be mad at journalists for this or whatever. And maybe in some cases it’s deserved. But this is a high-risk profession that’s dying. There’s little support for most working journalists who still have jobs. When you blame “the media,” blame executives. Not workers.

submitted 19 hours ago • 41 comments

Just moving about town with all the confidence in the world that in a far off place only the best people are soooooo on top of this

submitted 1 day ago • 0 comments

The economics of health care need to be reconstructed. But not with a bulldozer. podcasts.apple.com/us/podcast/p...

submitted 1 day ago • 0 comments

For how much attention Musk is getting, for how much money he is putting into this race, and for how unpopular he and DOGE largely are, is it possible this race ends up a referendum on Musk? www.jsonline.com/story/news/p...

submitted 2 days ago • 2 comments

Every one of us has someone (family, friend, client, etc) who takes more than they give, lies rather than admit fault and clearly thinks only of themself. We all set different boundaries. I’ll bet none of us let that dude torch our retirement funds, tank our health care and fire our mail person.

submitted 2 days ago • 0 comments

Wholesale price for a dozen large white eggs is on the version of hitting $8, per USDA data.

submitted 3 days ago • 348 comments

submitted 4 days ago • 1 comment

Hi, I won’t be joining with Sauron.

submitted 5 days ago • 0 comments

open.substack.com/pub/pauloffi... No group has been hurt more by anti-vaccine activists than children with autism.

submitted 5 days ago • 6 comments

It’s cold enough to be sunny in #Milwaukee.

submitted 6 days ago • 0 comments

Walk the world to seek the beauty the human condition will not reflect.

submitted 7 days ago • 0 comments

My wife and daughter had a weekend away camping. Thus my son and I took in a double feature of cinematic excellence.

submitted 7 days ago • 0 comments

High yield discussion of energy generation, capacity and innovation podcasts.apple.com/us/podcast/p...

submitted 7 days ago • 0 comments

I’m very proud that two of my former trainees went on to join the Epidemic Intelligence Service. The EIS is earned not given. Now an entire EIS class is cut while influenza A spikes nationwide and a measles outbreak grows in Texas. This is malfeasance. #MedSky www.cbsnews.com/news/cdc-dis...

submitted 9 days ago • 0 comments

Evidence-based medicine right now #MedSky

submitted 10 days ago • 0 comments

Very pleased that some of the lost snow found its way back to Milwaukee.

submitted 11 days ago • 0 comments

#Obesity often develops in childhood. In children with obesity, treatment with liraglutide for 56 weeks + lifestyle interventions induced a greater mean change in BMI than lifestyle interventions alone. Full SCALE Kids phase 3a trial results: nej.md/3MBP1uc #MedSky #PedSky

submitted 11 days ago • 1 comment

www.jsonline.com/story/news/p...

submitted 11 days ago • 0 comments

He sucks. www.bbc.com/news/article...

submitted 12 days ago • 0 comments

At an extended family gathering yesterday, I was able to share stories of the many people in my life who fear losing their jobs, health insurance, income and/or research funding because of current policies: Glass half empty: how do they not know? Glass half full: they were eager to learn more.

submitted 14 days ago • 1 comment

I told my friend he’s gotta talk to his neighbors about boundaries and social norms.

submitted 14 days ago • 0 comments

When the Affordable Care Act was crafted, I heard its opponents’ disingenuous but effective cries about “death panels”. How do we help our fellow citizens understand that freezing NIH funding for health research is genuinely harmful to their loves ones — grandparents, parents AND children? #MedSky

submitted 15 days ago • 1 comment

There's a lot of confusion about executive orders. POTUS is most confused of all. I clarified things here. open.substack.com/pub/goodpoli...

submitted 16 days ago • 1 comment

A winter walk leading to a true fork in the road with all the transcendental beauty and none of the cynical cruelty Deep Lake South Loop Trail — North Oaks, Minnesota

submitted 17 days ago • 0 comments

Yes. The family is informed upfront that I will counsel them at every clinic visit about the safety and efficacy of vaccines as well as the risks of foregoing vaccines.

submitted 19 days ago • 0 comments

“But it’s 38 degrees!” says my non-coat-wearing teenager embarking on his 2 mile walk to school. Bene Geserit Voice required to get the coat on him. Now the question is what life force do I have left for 8 hours of clinic?

submitted 20 days ago • 0 comments

I can see it now, Zach LaVine throwing out the first pitch at a Sacramento A’s game in which the #WhiteSox get shut out and Andrew Benintendi has 4 strikeouts and 2 errors.

submitted 20 days ago • 0 comments

Indiscretion with water conservation out west was one of the many zone flooding cruelties this past week. This podcast series from Colorado Public Radio was very informative on the problems and potential solutions. podcasts.apple.com/us/podcast/p...

submitted 21 days ago • 0 comments

My youngest won. My oldest is processing the L. I’m just not gonna help clean up.

submitted 21 days ago • 0 comments

Public health data disappeared from websites, entire webpages went blank and employees erased pronouns from email signatures Friday as federal agencies scrambled to comply with a directive tied to President Donald Trump’s order rolling back protections for transgender people.

submitted 23 days ago • 30 comments

Pretty good month for generating solar power. In January. In Wisconsin. Leave the fossils in the past. All of them.

submitted 23 days ago • 0 comments

President Trump was asked why he believes diversity initiatives played a role in the plane crash, when there's no evidence. "Because I have common sense and unfortunately a lot of people don't."

submitted 24 days ago • 8 comments

I deliberately set aside the Mister Rogers biography for this moment. I’m glad I did.

submitted 24 days ago • 0 comments

Reupping this piece, published in late 2024, about how presidential mandate claims have been used. Andrew Jackson using mandate claims for a disastrous economic idea is especially instructive. theconversation.com/presidents-o...

submitted 25 days ago • 1 comment

Never mind. All is well as my patient made me one of her amazing chocolate pound cakes.

submitted 26 days ago • 0 comments

I think when funding for WIC is cut off and Medicaid portals are down nationwide, we’ve crossed over from him flooding the zone for attention to he’s dismantling the checks and balances. #medsky

submitted 26 days ago • 0 comments

7 minute watch. Good reporting including acknowledgment that “this is just a band-aid”.

submitted 27 days ago • 0 comments

Cooper’s Hawk paid a visit to my yard.

submitted 28 days ago • 1 comment