Hunter, ER doc, believer in democracy. I’m here to rant, combat medical misinfo, shitpost, and get social therapy. Posts aren’t medical advice. This is the only platform I am currently on. If you find “me” elsewhere, it isn’t me.
A whole of people are about to find out how the world actually works, and they aren't going to like it.
He/him/or whatever, because fuck the “get pronouns out of your emails” shitweasels.
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2026-07-25T06:10:51Z Event JSON
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Last Notes npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you recently moved to somewhere where a wildfire can get to your home, some advice: Have a fireproof box with your passport, mortgage docs, birth certificates, etc. so you can grab them in a hurry, but hopefully won’t lose them if you must leave them behind. Have a go bag with a change of clothes, basic toiletries, and if possible, a few days of any key medicines you need. Decide now that you are OK leaving everything to burn, because you don’t want to confront that as the house goes up. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The thing about this baby who was shot by cops in Mississippi that bothers me most is the (perhaps inaccurate) reporting that an adult was stealing diapers. Who. Fucking. Cares. Why does an adult need to steal diapers? What kind of bullshit society do we live in where baby supplies are something so hard to afford that someone might steal them? npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD In case anyone feels Luigi Mangione’s actions could never be justified: He took one life. He took a life from a man whose career was dedicated to letting people die. For months afterwards, insurers in the US reversed care denials, approved care, and played nice. There is no doubt in my mind that lives were saved by this change. On balance, I’m not sure what is “right” here, but it is clear Luigi Mangioni saved some lives. Should it take an assassination to effect change in this system? No. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Suppose you don’t think kids can figure out if they are trans, or maybe the whole trans thing confuses you. Suppose that. Now ask yourself, do you think the people hating on trans people are going to stop with trans people? Will shutting down clinics that provide that care be where it stops? Fuck no. They’ll come for gays, they’ll come for unmarried women, they’ll come for Catholics or Muslims. They’ll come for the homeless and the elderly. Trans kids are just their gateway to evil. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Why did SCOTUS preserve mifepristone access for now? Same shit, different day. They often give the people some tiny scrap of candy right before or right after taking away rights, and in this case, they can come back later and yank it away again. It’s just abusive relationship fuckery on a national scale. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Can’t wait for the reports on all of the guns, vests, lights, radios, and other hardware ICE lost during their hiring/firing/quitting spree. No reason to think they have accountability. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I’ll just remind everyone that the Christians who hitched their wagon to Trump because of abortion chose the singular issue of abortion over every single thing Jesus actually advocated for. Feeding the poor? No. Welcoming immigrants? No. Tossing grifters out of the temple? No. Anyone who is suddenly shocked by Trump’s actions needs to ask themselves why they ignored his divorces, adultery, violence, dishonesty, thievery, tax evasion, hatred, and wealth hoarding. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The Israeli military is led by horrible people, ordering horrible acts, for horrible reasons. Stop killing healthcare workers, Israel! Just fucking stop. It’s a heinous act of cowardice and evil. I don’t give two fucks if people you dislike sometimes use healthcare as cover for their activities — so do you assholes. It is inexcusable to keep killing medics. https://www.bbc.com/news/articles/cgqkkxd09e2o npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Curious at what point the religious right in the US takes offense at Trump’s idolatry. Anyway, if he wants to be Jesus so badly, he could try feeding the poor or getting crucified. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So lemme get this straight: we just fucked over the world economy, killed thousands of civilians, lost billions in military hardware, killed and wounded US servicemembers, all just to pretend Trump didn’t fuck kids on Epstein’s island, and Melania decided now was the time to stand on a podium and say “remember that Jeffrey guy?”. A+ work. Has to be intentional. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Almost like Bibi wants never ending death all around him. Huh. Anyway, fuck that guy. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump put the initial F-15’s crew at risk, and then an A-10 pilot as well. Good job dickhead. We’re down 4 F-15s, a KC-130, and an irreplaceable A-10, in this short time since Trump decided to put our men and women in harm’s way. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Used to be, if you had someone with a weird infection your local lab couldn’t sort out, you could send samples to CDC for testing. Now those labs are “pausing” testing. So anyway, Republicans are trying to kill you. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Republicans in Congress should be getting mighty nervous right now. The military is being purged, with batshit insane violent extremists being put in power to support Trump’s deranged whims. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The internet in a nutshell: “Republicans are turning this country into a christofascist hellstate. We should vote them out.” “Yeah, but, Democrats have run middle ground candidates over the years, so why even bother.” SMDH. Anyway, Republican voters are only half the problem. Defeatists, stay-home voters, and fundamentalist left wingers all own a bit of this. And yeah, I’ve caucused here. I’ve helped knock out an establishment guy. So fuck off with the hopelessness. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Nothing gives Israel a special right to invade neighbors, bulldoze their homes, and create a DMZ. US voters must make anyone supporting the Israeli state unelectable until support for this bullshit stops. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump tells other countries to get their own oil after he started a war he can’t win. Hey buddy, have you considered that the world can open the Strait of Hormuz two ways: defeating Iran, or defeating the US. One of those is easy. We can’t fight in Iran without European bases. We can’t move our economy without Europe. Europe can fuck up your (and my) life whenever they want, it’s just a question of when the pain is worth it to them. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I’m not trans. As far as I know, my kids aren’t at the moment. Nobody in my family is. None of my good friends are. I don’t prescribe medication for gender affirming care. I don’t specifically treat folks for gender dysphoria. So why do I give a fuck? You don’t punch down. There’s no transgender machine producing trans judiciary and trans politicians and trans PACs to come for my cisgender. There are trans folks being discriminated against, outed, beaten, jailed, and killed. I hate bullies. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I don’t know what security check ICE agents have to pass through to access airports, but I hope it’s legit. Anyone can buy body armor online, and ICE patches can be purchased off Etsy. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you are a US taxpayer, Donald Trump just gave Mike Flynn an undisclosed number of millions of dollars of your money. Flynn, who undermined the US constitution, sold out our democracy, was fomenting violent uprising at the end of 2020, sued the US for $50 million. Trump just settled with him. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD In light of the blackouts in Cuba, US threats to stop power in Iran, Israeli strikes on Lebanon, and Russian strikes on Ukraine’s power grid, I will remind everyone that trying manually ventilate patients who can’t breathe for themselves is exhausting, technically challenging, and often fatally inadequate. It is very hard to sit there manually delivering 6 cc/kg of air with the right pressure, inspiratory time, and expiratory time, over and over again, for hours. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Deploying the poorly-vetted, untrained, violent, unaccountable mob we call ICE to airports is hilarious. You want guns lost in the secure area? This will accomplish that. You want people running or driving across taxiways and runways? This will do it. ICE agents are the biggest group of serial fuck ups I have ever seen. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Pro-tip ol’ buddy: publicly announcing your war criming before criming is not recommended. Targeting civilian sites to punish a government is a crime. Asshat. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD “Wait, the rad tech just told me the patient in 13 has boy parts” Yes, yes she does. Her med list reflects puberty blockers. Her medical history lists gender dysphoria. Her out patient notes clearly document her treatment. It’s almost like she is receiving excellent services and the treatment is working. Also, unrelated to her reason for visit and changes exactly fuckall, so let’s all continue to treat the female human we were treating 2 minutes ago and stop being fucking weirdos. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump’s DOJ is letting the fuckheads involved in Breonna Taylor’s murder off the hook. For those who have memory holed it — EMT Taylor was off duty at home when police, using a fraudulently obtained warrant, opened fire through the door and window of the home, killing the EMT. She was unarmed, and they have never presented evidence that she posed a threat or was involved in criminal activity. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD STOP BOMBING HOSPITALS. Especially you, Israel. Fuck’s sake… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Iran may have damaged an F-35 with an air defense missile. That means we have just trained Chinese and Russian defense forces to shoot down our newest generation fighters. Strong work Donny boy you absolute moldy sponge. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…eqsh can confirm. I have a spreadsheet somewhere showing all deaths at my hospital after a patient was admitted, broken down by cause. I did the audits and was very conservative in my assignment of cause when it came to, say, COVID vs COVID+ with bacterial sepsis on admission, or COVID+ with massive hemorrhagic stroke. In 2021, 45% of our inpatient deaths were clearly from COVID. Many of the remaining were probably also, but I wasn’t looking at COVID at the time. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Here’s what I’ll say about the #JBSstrike in Colorado: In 2020-21, I watched entire families get hospitalized with severe COVID-19 because the immigrant parents and their teenage kids worked at the JBS plant, and they were working on the line with no PPE while Colorado’s ICUs filled up. People died. Many. The main hospital near the plant was inundated, according to hospitalists who worked there. JBS let COVID wipe out their workers. Fuck ‘em. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Pakistan bombed a hospital in Kabul, and it appears has killed hundreds. STOP BOMBING HOSPITALS YOU FUCKING FUCKS npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD We all knew Trump was lying when he claimed Iran blew up their own school, but now we have the photos showing a US cruise missile hitting the site. The same type of cruise missile is featured in social media posts by the US, being fired from a ship on the same day. So yeah, somebody who is probably in their early 20s gets to live with the knowledge that they pushed that button, while a raging asshole posted about it on social media, and of course, almost 160 children died. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD AI doesn’t kill people any more than a firearm kills people. Someone turned it loose and pulled the metaphorical trigger. Maybe there are AI enabled weapons systems with autonomous firing decisions active out there, but some dipshit made the call to deploy them, and that’s the responsible party. Me sending a dog across a property line to retrieve a bird I shot doesn’t mean the dog trespassed. I get the ticket. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gutting Iran’s means of economic survival, while destroying civil infrastructure, and gutting the major leadership structure, sure seems like a way to create an unstable and desperate situation where millions of people wind up needing foreign aid. Maybe next time letting crazy religious nuts call the shots should be ruled out. We don’t need another Libya or Iraq or Syria. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So Israel is being accused of using ambulances to infiltrate a Lebanese village. I ask of all of the “Hamas used ambulances for bad things” crowd now, should Lebanon and anyone else in Israel’s crosshairs now start targeting Israeli ambulances? That’s how that works right? Stop bombing healthcare, stop using it as cover, stop assassinating people in healthcare settings. Leave us out of your bullshit. We’re here to take care of people. Keep those lines bright. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Vinay Prasad, of “let’s let COVID kill everyone while we don’t actually work on COVID wards” fame is leaving FDA. See, thing is, grifters gonna grift, and grifting is limited when you work for Uncle Sam. Vinay is a complete and utter piece of shit opportunist, responsible for hundreds, if not tens of thousands, of deaths, and he can’t make that dirty bank while he works for us. Fuck him. I wish him the worst as he goes back to private life. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Say what you will, but Republicans are remarkably consistent in their targeting of young girls. Whether it is raping, trafficking, harassing, or bombing, they are always all-in. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If BBC’s reporting is correct, what we are seeing in Iran right now is the same playbook Israel used in Gaza. They aren’t sticking to military targets. They are targeting society, and the country’s culture and heritage. To what extent US targeting is following their lead is unclear, but hospitals, schools, historic landmarks, and civil infrastructure are being destroyed with the clear intent of collective punishment. It is abhorrent, heinous, and criminal. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If Hillary is responsible for 4 Americans who died in Benghazi, surely someone oughta look into Trump’s killing of 6 Americans in Kuwait. I mean, he should have known they were in an essentially unfortified trailer when his buddies leaked news of our impending bombardment of Iran, allowing Iran to target them long before we could move to eliminate any threat. Right? Only kinda /s npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Two things: 1. If we’re sinking Iranian ships in the open ocean using submarines, this is an offensive war, and the President needs to declare war and go to Congress. 2. If you sink a ship with a torpedo, and there are no other threats around, you are obligated to search for, and rescue, survivors. The US Navy needs to stop being complicit in Hegseth’s war crime spree. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Israel once again being super cool good guys and blowing up a hospital in Iran. I’ve said it for years, across multiple conflicts in multiple areas: STOP BOMBING HOSPITALS YOU COWARDLY FUCKS npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Today is a good day to remind Republicans that 4 Americans died in Benghazi in 2012 and they still won’t shut the fuck up about it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…k4xy true, so perhaps we shouldn’t be doing “decapitation strikes” at all. Iran’s leaders are garbage humans, but there’s been no major shift in recent months compared to the last 40 years in terms of their cruelty, killing, or threat to the West. Same shit, different day. The difference is Trump wanted to kill a guy so he could fancy himself a strong leader and distract from the child rape allegations. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gotta give it to him — Trump didn’t waste our time and draw our allies into this with a complex web of lies and public speeches the way Bush did. I suppose if you’re gonna lie about WMD to start shit in the middle east, you might as well be efficient about it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD This may shock some folks, but it is OK to simultaneously say that Khomeini had it coming and is a piece of shit who deserved what he got, and to say that a US president shouldn’t be assassinating foreign leaders without authorization from Congress. We can do that. We can have complex discussions. It is possible. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So here’s the thing about killing Khamenei — he’s just a fucking guy. Let’s reverse this. If Iran smoked Trump, would the racist, sexist, religious nuttery in the US end? Fuck no. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…qrmx y’all unclear about the linear passage of time or what? Harris wasn’t president in 2025, when Israel flattened Gaza with the public consent of Trump, while Trump joked about turning it into a resort. Harris didn’t set up a “board of peace” to carve up the spoils. Get fucked. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…qrmx yeah, so how’d 2025 work out there? Oh that’s right, there is no Gaza or Palestine anymore. It’s being divided up for displacement and development. Nice work! npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The coolest thing about bombing Iran is that Trump’s DOJ is still illegally hiding the FBI reports about him raping a 13 year old girl. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Remember when Kamala was gonna get us in all of the wars. Oh man. We were real close to that. Phew. /s npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD NBCNews headline: “When home births go wrong, will hospitals take walk ins?” Yes you clickbait fucks. EMTALA. That’s the whole deal. Any hospital with an Emergency shingle out, who accepts federal dollars, takes anyone anytime. That is essentially all actual hospitals with emergency departments. We don’t sit there and go “oh, they fucked up at home, no service for them!”. In fact, most of us are going to take you VERY seriously if you are coming in in labor because we hate ER deliveries. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD When I was a Boy Scout, we got kicked out of public schools for meetings because the scouts were discriminating against gay leaders. Today, almost 30 years later, scouts are discriminating as policy once again, this time to keep the drunk, abusive, religious radical in charge of our military happy. Scouts never learn. The organization is rotten from the top, and has been since I walked out of a meeting and never went back. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The US Border Patrol abandoned a man from SE Asia in the middle of a blizzard. He was blind. He was not near his home. They called nobody and told nobody. If I discharged a blind person into a blizzard from my ER, I’d lose my license, my house, and my job. Fuck these nazi goons. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump got his peepee slapped by SCOTUS so now we get to have a war again to make him feel like a man. Fuckin’ hoser. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Folks, don’t drive drunk with your kids in your car (or at all). Please. For fuck’s sake. We’ve had too many seriously fucked up or dead kids lately with drunk parents who survived. If you hit it too hard, take a fucking break for a few hours somewhere. Call a grandparent. Phone a friend. Just please don’t get behind the wheel shithammered with your kiddos in the car. They can’t take your keys. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Nah, NYT, America didn’t unravel in Minneapolis. Minneapolis started the fight that will save it. They showed the rest of us how to politely run the nazis out of town without feeding the media narrative. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Hi friends outside the US! Please feel free to boo JD Vance and Trump at the Olympics. Tell them how you feel. Make them feel unwelcome. We appreciate it! npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Republicans in Congress can end this national embarrassment any time they want. Not a single one can later claim they tried. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…tqjs So for those of you wanting to know what ICE is exposing your communities to when they toss an HC grenade from Defense Technology, here’s the MSDS… There’s some bad shit in there. Chromium salts. Zinc. Oh, and HC of course. https://sds.chemtel.net/webclients/safariland/finished_goods/Defense%20Technology%201073%20-%20Large%20Style%20Maximum%20Smoke%20HC%20Grenade.pdf npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Hey #emergencymedicine #toxicology peeps! Anyone in PDX interested in a fun experiment being run right now might consider doing a study of heavy metal levels in the blood of people gassed by ICE during recent and upcoming marches. We know many gas grenades have heavy metals in them, so there may be a publishable public health concern here. Just a thought after recent events… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Hey Tom Homan, you dishonorable, bag-o-cash thieving, feckless taint: your agents aren’t “on rotation in theater”. They are on an assignment in a city in the country they work for. Your ACU-clad can’t-hack-its aren’t soldiers. They aren’t at war. If you think they are, and they think they are, go head and tell the courts that so we can dispense with the insurrection talk and move on to the federal invasion talk, in which case these fucksticks are all fair game for all of us living here in the US npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Ah yes, the classic sign of freedom: arresting journalists. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you have a democratic senator, call them and demand they replace Schumer as minority leader. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Btw — Dems can replace Schumer as minority leader any time they want. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD All of these articles about White House hand wringing over the execution of Alex Pretti are just character rehab. Trump isn’t changing direction because he realized this is wrong and inhumane. He’s just putting a different marketing spin on it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gun nuts suddenly realizing Trump was an anti-gun Democrat until he realized Republicans were stupid enough to vote for him (he said it himself. Out loud. Repeatedly.). npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So you know how Trump sues the news all the time for libel? Well, Joe Citizen should also sue them when they baselessly repeat Trump’s objectively false bullshit about Joe Citizen. The companies are doing what they perceive as good for business. Add cost, and that calculus changes. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD For those who didn’t hear, ICE shot another human today, this time in Arizona. No good details that I can find, so who knows what happened and why. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD It’s not that a bunch of staunch Republicans saw a man get murdered by ICE and said “My god, that is the line!”. They were fine with every other instance. It is that a pile of Republicans have been looking for a way to get away from the Trump party, and this finally gave them social cover to back out. Glad they are doing it. Still don’t trust ‘em. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Folks, the dyes used in smoke grenades can cause photosensitivity. If you are covered in that crap, brush off dry powder, wash the rest off completely with copious soapy water, and cover up your skin for a few days. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Unless Trump openly demands the death penalty for the DHS agents who murdered people, the way he did for the *innocent* Central Park Five, I don’t want to hear a fucking thing about him moderating. It’s just another fucking shell game to take the heat off for a bit. ICE is still there. The agents are still nazis. The camps are still full, freezing, and dangerous. Fuck him. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Oh come the fuck on, US media! LAST WEEK Trump was threatening to unleash the military on Minneapolis. Don’t fucking carry water for his reputation laundering scheme. He isn’t trying go reset jack shit. He just got told by Republicans that they were gonna get slaughtered at the polls and he was going to go to jail forever unless he stopped the worst of the heinous ICE shenanigans. He’s been pushing this violence since day one of his 2016 win. It isn’t some rogue operation. He owns it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD No, CEOs, we don’t need “de-escalation”. We need the nazi ICE thugs to get the fuck out and be held accountable. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gonna be awkward when Trump blames Miller for the country turning against him (rumor has it he already is). Nowhere for that skinny little shit to hide. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If Trump and his band of fascist fuckwaffles thinks that all of us out here are “outside agitators” in OUR goddamn country, then it sounds like they don’t belong in our country. If we’re the “others” and that is most of us living here, then his crew can take a fucking ticket to St. Elsewhere and fuck right off. The only agitators are the incels in neck gaiters who keep shooting people. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Never seen my ED staff upset like this. Only a few folks sitting there avoiding eye contact with everyone else. Turns out executing a nurse on the sidewalk is the line for a lot of people in healthcare. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I have guns. I have a concealed weapons permit. It is absolutely entirely legal for me to be filming ICE with a firearm on my person. It is not a reason to shoot me. If ICE is tackling me and my firearm becomes visible, that is also not a reason to shoot me. If it were, we’d be shooting all these unmarked goons running around with openly displayed sidearms. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I assume the NRA will come out to support the guy shot by ICE, since carrying a firearm in the US is perfectly legal npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD To be clear, I am not advocating violence. I am advocating defense. When the people of Boston protested the Crown, they threw snowballs and ice (and were shot), and they ransacked merchant ships. That is the context of “peaceful” protest as the founders experienced it. It wasn’t “walking with signs”. Doesn’t mean we can’t do that, but the rest of us in America need to support our fellow citizens even if a few snowballs fly and a few tea shipments wind up soggy. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…0evn well y’know, coming on the heels of the hyper-realistic LOTR, it was hard to compete. Everyone clearly knows elves can snowboard down stone castle stairs on a shield whilst firing a bow. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I dunno man, I just think that if you are detaining someone half your height who has a fuzzy blue animal winter hat and a cartoon backpack on, you might be the baddies. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD For those of you in Colorado, please be careful with fire and sparks. We have had an unusually high number of grass fires and structure fires in recent weeks. It is absurdly dry right now, and the wind isn’t helping. Don’t toss your cigarette butts. Watch your welding and grinding cinders. Don’t shoot blackpowder over dry vegetation. Use spark arrestors on your ATVs and fire pits. Above all, be careful and aware. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Everyone in the US needs to set the expectation during the Dem primaries that we expect accountability. We aren’t looking for peace and reconciliation. We are looking for erasure of the Trump years, expunging of his minions from our government, prosecution of anyone who broke the law to support his nazi regime, and then, when that is done, enacting laws to make it much harder for the next fascist twerp to do this again. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Also, if you want to know when troops are sent to somewhere, find their Strava and Garmin (and Grindr) profiles online. The special operations guys on overseas deployments have tightened that shit up, but I’ll bet the ground pounders stationed stateside haven’t. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Wait, the bar started by the guy who famously let his really popular other bar become a nazi bar has become a nazi bar? I, for one, am shocked. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Good thing folks voted their conscience and didn’t for Genocide Joe. Has worked out. A+ job. Fucking morons. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD It is perfectly legal to boycot businesses that support ICE operations. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD My take-home from videos of local cops disregarding the law and constitution to help ICE is that if you ever are in the position of deciding whether or not you have to hand over Anne Frank, call your friends, call your neighbors, and get a crowd. Surround the agents AND the local cops, call them nazis, and they’ll fuck back off to their hotel rooms and posts. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If the only two areas of the US economy that are thriving are provision of healthcare, and AI, the economy is deeply fucked. Recall that most Americans pay for healthcare services through job-provided health insurance. Can’t pay healthcare workers if everyone loses insurance coverage. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD At this rate, ICE is going to single-handedly undo any progress the US has made in homicide rates recently. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Small government Republicans want taxpayers to pay massively profitable oil companies to steal Venezuelan oil. Fuck off and choke on a bag of dicks. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So we dropped bombs, flew in, kidnapped some asshole and his wife, and left, and now Trump wants us to believe that we effected change there, while the entire government otherwise remains unchanged? Not sure why this would work. If the people hated Maduro, they probably hate his VP and government. If they didn’t hate him, they’ll be set against any US involvement. Anyway, this is just a scam. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…n926 Grandma got run over by a Waymo… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Yeah, my Christian Republican dudes, Christmas is totally a season for dragging people from their homes and beating them in the streets before sending them to another country with absolutely nothing but the clothes on their back. Pretty sure that’s exactly what baby Jesus wanted for the three kings, and that guy with the drums. Y’all are sick fucks. Burn in hell. Fuck. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If FDA really starts going after the manufacturers of binders to claim that a binder is a medical device, we all need to start reporting every single piece of shapewear. Create a public record that can be pulled up in court and force FDA to explain how a binder and, say, spanx, are different in a way that isn’t just hateful targeting of a vulnerable group. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump and the Republicans have cancelled grants that fund research for preventing Sudden Infant Death Syndrome and research into the health of rural kids. Anyone want to explain to me why those things aren’t important to Republicans? npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Maybe if Kash Patel spent less time galavanting on a private jet, and more time making sure FBI and ATF were doing the job they are supposed to be doing (instead of things like performative support of ICE), we wouldn’t have a school shooter loose still. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD A USAF aircraft, flying with no transponder, nearly caused a collision with a JetBlue passenger jet near Venezuela. Maybe Hegseth should focus on safety for a bit since his forces have consistently shown a culture of recklessness. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Every once in a while someone doesn’t read my bio and is shocked that I slam a few PBRs and rantpost absolute Republican bait. My dude(s/eses), this account exists for the previously clearly stated purposes of fighting medical misinfo and for social therapy. If you don’t want to be part of my therapy session, that’s you’re deal. I could scream into a void or at a bunch of super cool people willing to scroll past my shit, and it’s all a win. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD We don’t win back democracy by fucking around fighting other voters. We win by making this a class war. Phenomenally rich people are using everyone. Tax them into submission. We could buy schools, hospitals, roads, fishing ponds, public hunting land, hiking trails, public buses, healthcare, skate parks and dirtbike tracks, you name it. We just all need to realize that Zuckerberg and Musk are full of shit and won’t leave, and if they do, we still win. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Folks, my crews have been running calls for “breathing problems” and finding elderly patients who are in cardiac arrest or extremely ill, and the ones who make it to the hospital and get tested often have influenza. Please consider wearing an N-95 mask in public if you are at risk of severe disease from the flu, are elderly, or have an infant at home. Seriously. I don’t like CPR calls.