tnicholsmd.com - Profile | ThreadSky | a Reddit-style client for Bluesky

Very powerful and important op-ed. To provide context: The corporatization has been decades in the making.Since the advent of DRGs in the 80s, the shift from care to cost control accelerated, with PE,hospital consolidation, and EHR optimization all reinforcing a model where metrics displace meaning.

submitted 10 days ago • 1 comment

I have been frustrated by the narrative around #burnout in medicine, so I wrote about what I believe makes a better, more comprehensive framework of systems-based trauma. Put simply, health professionals are traumatized by the system, and are leaving in droves. www.medpagetoday.com/opinion/seco...

submitted 12 days ago • 2 comments

I have been frustrated by the narrative around #burnout in medicine, so I wrote about what I believe makes a better, more comprehensive framework of systems-based trauma. Put simply, health professionals are traumatized by the system, and are leaving in droves. www.medpagetoday.com/opinion/seco...

submitted 12 days ago • 2 comments

New Episode! I'm joined by some amazing science communicators to talk about the news of the day and what's bothering them the most! with @arghavansallesmd.medsky.social @enirenberg.bsky.social @tnicholsmd.com @hervold.bsky.social itunes: tinyurl.com/5n6hnw94 spotify: tinyurl.com/2svxxdf3

submitted 28 days ago • 2 comments

How Kindness Changed My Mind About Vaccines: From Misinformation to protection. www.voicesforvaccines.org/how-kindness... via @voices4vaccines.bsky.social

submitted 202 days ago • 0 comments

“Prior to these abortion bans, people had the option to terminate if the fetus was found to have a severe congenital anomaly — we’re talking about organs being outside of the body and other things that are very severe and not compatible with life" #MedSky www.latimes.com/science/stor...

submitted 203 days ago • 3 comments

“When it comes to COVID-19, most public health officials seem more concerned with meeting people where they are and with keeping people calm than with informing and guiding people about risks to their health.” www.cmaj.ca/content/196/...

submitted 204 days ago • 0 comments

Spoiler alert: just take a wild guess where the AGs of Idaho, Missouri, and Kansas filed their federal law suit. Because it's not Idaho, Missouri, or Kansas.

submitted 203 days ago • 12 comments

A point that I make to anyone who will listen is that currently we do not have a system in the United States to uncover undocumented people the government does not already know about. It doesn’t exist. So, to carry out mass deportations, we would have to create one — and it would transform us.

submitted 204 days ago • 5 comments

The beating heart of the wellness industry flows with pseudoscience, and to say that it’s lucrative would be an understatement. My latest: thewalrus.ca/wellness-ind...

submitted 204 days ago • 3 comments

So I made a starter pack -- it's not perfect, but it's a bunch of accounts that make me think about things specifically about misinfo, rhetoric, and sensemaking. Still adding to it but feel free to share or suggest additions. go.bsky.app/FUJ42CG

submitted 205 days ago • 5 comments

If you are looking for some doctors to follow, have I got the starter pack for you! go.bsky.app/Qg2TA9p

submitted 204 days ago • 18 comments

You don’t have to ask <if> or <when> 🇺🇸 democracy will backslide. It already has. We’re just too ashamed to admit it & refuse to see how the things we tolerate are not tolerated in any actual full democracy anywhere else in the world. Today in life under competitive authoritarianism

submitted 204 days ago • 4 comments

We're under attack and have been, but no one wants to admit it because that would also admit that it's coming from within

submitted 204 days ago • 23 comments

Trump is the fascistic leader of a rightwing coalition that unites all shades of reaction and is entirely dominated by extremism. Should Trump emerge victorious from the election, America will not become a fascist dictatorship overnight. But the Trumpist Right will try.

submitted 205 days ago • 2 comments

This is one of my favorite town hall conversations. @tnicholsmd.bsky.social on what to expect in an emergency department. We operate in a frustrating system, but knowing the purview of emergency medicine helps. youtu.be/WtQEtZ43wOQ?...

submitted 205 days ago • 0 comments

LIZ

submitted 206 days ago • 88 comments

yup, there’s a whole complex of governmental levers (legal and illegal) that can be pulled, plus a permissive DOJ and courts to let state/local actors pull their own levers, all supported by freelance threats and harassment and channels for regime-allied people to impose on their neighbors.

submitted 206 days ago • 5 comments

Every time I see an article about how liberals/leftists must avoid 'polarisation' I want to share this graph. Polarisation is actually a euphemism for the radicalism of the centre-right into a far-right.

submitted 206 days ago • 6 comments

Turns out that Bush Sr. was absolutely right when he derided trickle down as a scam. Reagan hollowed out the middle class and created a new class of American oligarchs, and people STILL won’t let go of this toxic idiocy. Tax the rich.

submitted 206 days ago • 2 comments

This woman is voting for the first time in her life at age 81 because her husband, who is now dead, wouldn’t let her. No, feminism has not “gone too far”

submitted 206 days ago • 3 comments

Oh cool we're at honor killings now

submitted 207 days ago • 5 comments

Well, that's pretty terrifying. Excerpt from a long read by NYT Mag on Musk, Thiel, and the other "Lost Boys of Silicon Valley" bankrolling Trump's campaign (to the tune of 10s of millions of $). www.nytimes.com/2024/10/18/m...

submitted 206 days ago • 15 comments

Lots of people dunking on this but I'm actually sort of optimistic. Demagogues do have a special sort of sway that most people can't capture. Just look at all of the people who have tried to copy him and just flamed out.

submitted 207 days ago • 19 comments

New: Do some political conversations on Twitter strike you as a little less than authentic? For the first time, researchers have uncovered a coordinated LLM network of nearly 700 fake accounts devoted to gumming up Twitter replies to advocate for specific GOP races: www.nbcnews.com/tech/interne...

submitted 208 days ago • 13 comments

Ta-Nehisi Coates is doing an astonishing thing: after he achieved critical acclaim and literary success, he thought deeply about what it means to be a writer, did research and on-the-ground reporting, and is speaking truth to power by emphasizing in interviews who doesn't have a voice in US media.

submitted 214 days ago • 1 comment

Hi new friends, welcome! I’m an emergency medicine and addiction medicine physician interested in health policy and advocacy. I post about harm reduction and the intersection between politics and health and healthcare, and my otherwise meandering thoughts of political despair.

submitted 207 days ago • 5 comments

In the last weeks before the election, Republicans have revived their case against mifepristone. They want to ban mailing the medication (essentially passing a back-door ban), revoke access for minors entirely & more. This is a BIG DEAL. jessica.substack.com/p/mifepristo...

submitted 208 days ago • 12 comments

Raging antisemitism is not neurodivergence ✨

submitted 208 days ago • 7 comments

Logging back in to say that Breanna Stewart is a BEAST and Sabrina Ionescu is a GOD and that is all #wnba

submitted 208 days ago • 2 comments

It’s way more health-relevant that cash is contaminated with E. Coli and MRSA than it being contaminated with fentanyl. (Which is irrelevant unless you plan to stuff cash in your cheeks and suck on it like a disgusting little gremlin.)

submitted 208 days ago • 2 comments

This needs to be taken seriously, and addressed forcefully. There need to be significant repercussions for disinformation, and taking violent or potentially violent action based on such. And those repercussions need to be publicized so other people understand the consequences.

submitted 208 days ago • 0 comments

Great read on the current state of public health law... 🛟lawsky sociology medsky policysky polisky 🧭

submitted 208 days ago • 1 comment