iiinova — where your digital self keeps evolving

Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 20h

Dog number 1 routinely kicks dirt and bark onto dog 2, who is surprisingly unbothered

Photo of two small tan and white dogs on a walk. The second one has multiple twigs and pieces of bark on his head and back

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 17/10/2026

Not sure what my mom expected, but here is her response to baby’s last ultrasound 🤣

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 16/10/2026

The US “justice” system in action David Xu’s sentence for poisoning a colleague for 18 months: probation, conviction now expunged Marissa Alexander’s sentence for shooting a warning shot to protect herself and her newborn from her abusive partner (not hurting anyone): 20 years in prison

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 16/10/2026

What happened to a woman at a frat at the University of Chicago demonstrates the flaw in the argument that men are the protectors. While men cheered on the assault of a woman and eagerly awaited their turn, it was her women friends, not men, who rescued her.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 15/10/2026

Rong Yuan has video of her coworker, David Xu, poisoning her. He did this for 18 months. He was convicted, but his only punishment was two years of probation. Now that those two years have passed, he asked for the conviction to be expunged. And a judge granted the request. So much for justice.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 14/10/2026

Dr. Awdish uses this famous painting to explain that all the data—lab values, imaging, vital signs, etc—are not our patients. Our patients are more than that. Dr. Awdish eloquently demonstrates the importance of caring for people beyond their data.

Photo of Dr. Awdish standing in front of a slide with the famous painting of a pipe with the words “ceci n’est pas une pipe”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 14/10/2026

I am so very excited to hear from @ranaawdish.bsky.social today for the Brooke Gabster Memorial Lecture! If you are not familiar with Dr. Awdish’s work, her book, In Shock, is a must read. She now has a new book out called After Shock.

Photo of me with Dr. Awdish in front of a stage. I wear a floral blouse. Dr. Awdish wears a floral dress and black blazer

Photo of a slide that says Brooke Gabster Memorial Lecture and text that says:

Rana Awdish, MD MACP FCCP
Director, Pulmonary Hypertension Medical Director, Care Experience
Professor of Medicine MSU & WSU SOM

Photo of Dr. Awdish in front of a slide with the painting, Mourning Picture, which shows a girl with a sheep and a man and woman in black clothes, seated in front of a house

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 14/10/2026

Made some progress on the first shape, but the split is still wonky. Still 25 weeks! #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 13/10/2026

This is a much funnier bit about gym attire btw

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 13/10/2026

Calling women whores because they wear gym clothes to the gym isn’t pushing boundaries or dark/edgy humor, no matter how many bros in my comments insist otherwise.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 11/10/2026

This is the post I saw—undisclosed location, apparently. Replies are people either saying it’s AI or saying not to trust the post office 🤦🏻‍♀️

Screenshot of a Twitter post that says

Suzie rizzio & @Suzierizzo1

“A TikTok user posted two photos of a box of ballots dumped in the street. She didn't disclose the State in her post,but she did contact the Postmaster inspectors. This is why my parent's postman said to be careful with your ballots this election.”

There are two photos of what looks like a bunch of mail dumped in the street

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 10/10/2026

This shape looked way cooler on the person who inspired me to try it out. Anyway, this is 25 weeks 🤰! #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 09/10/2026

A young woman posted this very impressive CT scan—where did all her organs go??

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 09/10/2026

Megyn Kelly criticized Jane Doe at Cornell for taking three weeks to come forward. But Megyn herself took 11 years to come forward about the sexual harassment she experienced. There’s a stark contrast between the grace she seems to think she is owed and how she is treating Jane Doe.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 07/10/2026

Listen to this—as Jane Doe tries to figure out what happened that night at Chi Phi, Winston Lee and Matthew Ingalls both attempt to gaslight her by saying they don’t know how so many men ended up in that room EVEN THOUGH THEY WERE ALL IN THE GC where Ingalls told his bros to come “whip it out”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 02/10/2026

One of the 7 men in Jane Doe’s lawsuit sued Cornell (and lost—they are currently appealing). Here is what his punishment was for “attempted sexual exploitation”—a class and a paper. (Gift link) www.nytimes.com/2026/10/02/n...

The court records filed in John Doe's case show that, after a 12-day evidentiary hearing in which he faced charges of sexual assault and sexual exploitation, he was found responsible for attempted sexual exploitation.
They also show the punishments he received following the decision, including a one-way no-contact order with the woman, a requirement that he take a class about social media use and sexual harassment and an order to write a reflection paper specifically addressing his actions.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 30/09/2026

The survivor’s own words, according to the transcript from her police interview in 2024: "I can say with 100% confidence I was raped." The DA misrepresented her words and implied she was lying, sending the manosphere after her. As long as he is in charge, she will not get justice.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 29/09/2026

The DA in Ithaca cares more about defending himself than caring for the Cornell survivor. I am irate—he threw her under the bus to protect his own hide. Now men all over the internet are trying to dox her bc the DA said what happened was “consensual.” (Ppl love to report consensual sex acts, right?)

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 29/09/2026

I have a couple of viral posts about the situation at Cornell over on IG. Someone named Jack decided to chime in, saying she “deserved it” and the men “did nothing wrong.” He’s got his name on his account and fears no repercussion, which says as much about our society as it does about him.

Screenshot of IG notifications:

_jackrasmussen commented:
@nattsart3 those men did nothing wrong. She should be charged. 17m
Reply

maraislanuit liked your story. 17m

_jackrasmussen commented:
@painting_theroses_red she consented throughout. She is a liar. 17m
Reply

kiaranm2001 liked montemader @'s reel you reposted. 17m

maraislanuit and princesschampionashley liked your story. 17m

_jackrasmussen commented with a photo: @texasambs regret isnt rape 18m
Reply

alice_mcwhitt liked your comment:
@jmbroadbandll cannot think of a single example of a group of illegal... more 18m
shona_vertue @ and nycforever7 also reposted nytimes Q's post. 18m

_lilyfaulkner_, nazeerahhanifah and
56,437 others liked your post. 19m

_jackrasmussen commented: There was no crime 19m
Reply

_jackrasmussen commented with a photo: Cornell girl deserved it 19m

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 29/09/2026

It’s my favorite time of year! Time for Halloween nails! (Sorry to be the one to break the news that October is just a few days away)

Photo of two manicured hands. Thumbs and pinkies are painted ombré red and black. One hand has a smiling ghost, an angry cat, and a spider web. The other hand has a scream face, a metallic ghost, and Jack Skellington

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 28/09/2026

The woman at Cornell was invited to the frat by Matthew Ingalls, who she thought was a friend. She was already drunk when she got there. He gave her another drink and ketamine, then dragged her into a room with another man. Johnathan Newell is the one who announced “free pu**y” to the group chat.

Photos of Matthew Ingalls, Diego Sarabja, Winston Lee, Scott Kretzschmer, Scott Norris, Gilio Lopes, Johnathan Newell

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 26/09/2026

I hope folks will really take in the data on this slide, including: • 66% of social media users say it's hard to tell true health info from false • False news is 70% more likely to be retweeted than true news, and reaches 1,500 people about six times faster.

Dr. Lincoln stands in front of a slide:

The unfortunate truths
• 66% of social media users say it's hard to tell true health info from false
• False news is 70% more likely to be retweeted than true news, and reaches 1,500 people about six times faster.
• 1 in 5 women reported mistreatment during pregnancy/birth. Nearly 1 in 3 for Black and Hispanic women.
• Average OB-GYN wait time is now 41.8 days, 79% since 2004.
• 35% of US counties are "maternity care deserts," affecting 150,000+ births a year.
• Abortion laws mean OBGYNS are leaving states - ID lost 35% of its OBGYNs.
• January 2026: RFK Jr. unilaterally changed the routine childhood vaccine schedule, bypassing ACIP, after replacing all 17 ACIP members in 2025.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 26/09/2026

Have so been looking forward to this talk from Dr. Jennifer Lincoln! If you’re not following her (elsewhere), I would highly recommend doing so! She’s a huge patient advocate.

Photo of Dr. Lincoln on a stage in front of a slide that says, “Credentialed, Outspoken, Unsponsored: Why Women in Medicine Must Say the Hard Things”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 26/09/2026

This morning, the Women in Medicine Summit is starting with a talk by the Glaucomfleckens, titled “Wife & Death & Social Media”

Photo of Dr. Flanary and his wife, Kristin, on stage with a slide behind him that says, “Wife & death & social media”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 25/09/2026

One of the most reliable things at this meeting (Women in Medicine Summit) is the food! We just had lunch and now there is high tea ☕️

Photo of several tiered platters of desserts

Photo of several tiered platters of sandwiches and desserts

Photo of the menu:

Palm Court Tea
TEA BREAK
TEA SANDWICHES
ASSORTED FINGER SANOWICHES

PASTRY PLATE

TROPICAL FRUIT TART

DRAKE CRUNCH CAKE

MACARONS

CHERRY VANILLA CAKE

MISO BROWNIE

EARL GREY COOIIE
MIDININ
TRADITIONAL. ACCOMPANIMENTS

LEMON CURD

RASPBERTY ME SAVES
DIMININ
CLOTTEO CREAM

PALM COURT TEA SELECTION

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 25/09/2026

Really appreciate this talk from Dr. Pikula discussing the exodus of women from medicine in midlife. 36% of women physicians leave medicine around 15+ years into practice. This is largely due to systemic factors such as discrimination, pay gap, lack of support, etc. What a dramatic loss of talent.

Photo of Dr. Pikula in front of a slide showing men’s career path stays largely steady but around midlife 36% of women leave

Photo of Dr. Pikula in front of a slide showing the proportion of women at each rung of the academic leader (going from 54% students to 25% department chairs) and systemic barriers: Pay gap: *$20,000/year
Caregiving: +8.5 hrs./week
Less sponsorship
Promotion barriers
Work-family conflict
Discrimination effects

Occupational challenges:

Burnout: 30-60% higher in women:
& Institutional support
T Administrative burden
Professional isolation
Peak clinical demands
Promotion pressure

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 25/09/2026

Love this reframing of how we introduce ourselves by @adairalandrymd.bsky.social! Instead of introducing ourselves with our titles, we can be much more compelling by talking about what problem we are trying to solve and what we hope to do.

Dr. Landry stands on stage in front of a slide that says:

“Your title tells people where
you work. The problem you are solving tells them why it matters.
-Adaira Landry MD MEd”

Slide with text:

“Title First
Introduction
Hi my name is Mary Ortiz. I'm a clinician researcher who studies colon cancer.”

“Problem First
Introduction
My name is Professor Mary Ortiz. I'm an oncologist dismantling the roadblocks for colon cancer screening. I do this through my lab, as a Pl, where I have raised over $1 million dollars in NIH funding to build a team of researchers aligned with this mission. My publications have helped create more awareness and have been covered by CNN and GMA. I speak regularly before Congress. I'm looking to work with CEOs of screening companies to better align their mission with our data.”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 25/09/2026

I’m at the Women in Medicine Summit in Chicago (always a great meeting btw) and Dr. Deb Houry @drdebhoury.bsky.social is talking about what it was like to be working at the CDC when it got decimated by DOGE. What do you do when your workforce is suddenly slashed?

Photo of Dr. Houry on stage in front of a slide that says “Triage is the discipline of choosing what matters now and what can wait” with a photo of a monitor with vitals and the word “DOGE”

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 25/09/2026

I sure hope I didn’t get charged extra for this lovely view

Photo of a dirty rooftop right next to a gray building, as seen from the window of my hotel room

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 24/09/2026

I’m not a pathologist, but here are typical pulmonary findings in drowning: “Typically, copious white, pink, or red froth and fluid exude from the lumen of the sectioned larynx, trachea, and bronchial tubes as well as the cut surfaces of the lung parenchyma” pmc.ncbi.nlm.nih.gov/articles/PMC...

significant differences observed between fresh- and saltwater cases (68, 69). With increased postmortem submersion intervals, inclusive of decompositional changes, decreased lung weights along with increased amounts of pleural fluid have been described
(69). As a result of overexpansion with rupture of alveolar capillaries, blotchy areas of hemorrhage (also referred to a Paltauf's spots) may be visible on the pleural surface.
Extravasated blood resulting from alveolar capillary rupture is the likely source of the pink or red-tinged froth noted on
examination. Typically, copious white, pink, or red froth and fluid exude from the lumen
of the sectioned larynx, trachea, and bronchial tubes as well as the cut surfaces of
the lung parenchyma (Image 9). The fluid also may be admixed with aquatic debris (Image 10).

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 24/09/2026

This one’s called a choker split, and despite my efforts, that back leg is annoyingly still bent! 😤 Anyway, I think it’s been 3 years since I last did this and now I’ve got the shoulder plus the pregnancy so I guess I shouldn’t complain. Will revisit when I have more time. #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 23/09/2026

First time doing this move since my shoulder injury! Back bend could have been better if I had warmed up my back at all but I hadn’t planned to work on this (nothing else was working today so I switched gears). Still 22 weeks 🤰 #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 19/09/2026

Went for a little spin to celebrate 22 weeks today! Feeling pretty nauseated so couldn’t do anything too complicated. (Yes, the split could be flatter, I know!) #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 17/09/2026

First twisted sister in a hot minute! 21 weeks 🤰 Garage reno in progress ✅ #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 05/09/2026

Someone recorded, edited, and posted a video admonishing someone for leaving Pilates class 7 minutes early. She said if you can’t stay for the whole class, then you shouldn’t come at all. I was wondering why this nonsense was served to me—then I saw the comments!

Emmysims I*l
Have you tried Lexapro

Jenna Lindley
Hey I'm a brow artist, I can help!

Renee
Was she your ride?

shannon272727
Are they in jail now?

brooke
one time i left early was because my bf just got diagnosed with stage 4 cancer and i couldn't hold my tears in anymore. you never know what someone is going through

Soph
sorry that was me
I'm on my way to the
police station rn to turn myself in

aeeieoi
Are you genuinely okay
2h

user654380510
omg SEVEN WHOLE MINUTES????? the horror! the audacity!

Hannah Grella
omg she LITERALLY left??? ugh i'm so sorry girl that must have been SO hard for youuuu

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 05/09/2026

I won’t be posting this child on the internet, but I figure in utero photos are safe 🤣 20 week anatomy scan ✅! 2 kidneys, one bladder; aorta, IVC, svc, brain, diaphragm, limbs all normal 😅

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 05/09/2026

Celebrated baby acing her 20-week anatomy scan today with this little spin! #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 04/09/2026

Nature posted an editorial about Prof Jason Arday, with the caption reading, “The death of Jason Arday must prompt deep reflection” Hundreds of people replied with insults of Arday and attacks on the journal itself…because they dared suggest reflecting on a preventable tragedy.

nature
@Nature • 14h
Editorial: The death of Jason Arday must prompt deep reflection
The death of Jason Arday must prompt deep refle...
From nature.com

¿ Readers added context to the link:
go.nature.com/4xu6cnq
Arday was an academic fraud whose life story was fake. Editorial falsely treats former as unproven allegation, omits mention of latter, defames those who covered the scandal as racist. Calls him "autistic Black scholar" despite no proven autism diagnosis.

substack.com/@nathancofnas/…
theguardian.com/education/ng-i...
thetimes.com/uk/education/a…
news.educ.cam.ac.uk/230223-jason-a…
bbc.com/news/articles/…
bbc.com/news/uk-englan… youtube.com/shorts/4kLRJvR...
youtube.com/watch?v=g28uXe…
youtube.com/watch?v=FA78tV.. x.com/benryanwriter/... x.com/benryanwriter/...

Elon Musk &
@elonmusk • 3h
. ..
Nature is no longer worthy of respect

Dmitry Grinberg @ @dmitrygr • 7h
It has produced reflection — we all reflected that Cambridge needed to *actually* vet professors before hiring them and that their reputation is now in well-earned tatters.

Felonius Antonius & @TonyFelo...•12h0 ...
An astonishingly bad editorial that will stain Nature's reputation for decades.

Hoe Counter BEE @CrewGam...•17m g...
• Commentary account
What a bunch of disgusting Bullshlt. I remember the time publishing a scientific article or anything, was a prestigious honor.
Fvck the r3tard3d anti science editorial who destroyed Nature

Brian Garst & @BrianGarst • 9h
Anyone subscribing to your garbage magazine should deeply reflect on why they support such blatant lying and misinformation.

American Occidentalist @Amer..•38m G..•
This is disgraceful. Remove the editorial immediately and apologize for spreading false narratives.

Howling Conoto &
@Conotocauri...4h g
I remember when Nature was a respected journal, before it became ideologically captured by morons.

Samuel McGuiser O
@Libdude4.. •6h ...
Nature needs a total restructuring at this point, completely captured by the woke

Christopher Haley @cdh1001 •13h
Why do you skip the deep reflection over the obvious failure of academic corrective mechanisms? If these worked as they should, then it would not have been necessary to have any media involvement.

Ruairi Fahy tHEE
• @rua... •13h g ...
The reflection needs to be how academia and its extensions like academic journals have become untrustworthy, political snd seek to hide the truth.

Lab Tuna
@lotuna_ •10h
what a crock of shit what am i reading. why are you defending a fraud

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 04/09/2026

Ariely’s research misconduct apparently isn’t of interest to the public. Neither is his bromance with Epstein. Yet people who consider themselves serious journalists earnestly argued knowing how much money a professor had raised for charity and how many miles he had run required intense scrutiny.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 04/09/2026

Can’t say I’ve ever seen a melon this rotten. Just be grateful you can’t smell it!

Photo of a melon with most of the inside missing (it fell out upon cutting the melon)

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 04/09/2026

New rationale for revoking the 19th just dropped! Men are all over social media suggesting women shouldn’t have the right to vote bc Lindsay Clancy exists. By that logic, men should have lost the right to vote the day after they got it.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 03/09/2026

The people clamoring all over my comments about the importance of academic integrity a few weeks ago are curiously silent about these allegations of data fabrication. I’m not qwhyte sure why. (Part 1)

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 03/09/2026

Finally managed to put this whole combo together! What’s a little flexed foot and bent knee between friends when you’ve got an injured shoulder and are almost 20 weeks 🤰? #pd

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 03/09/2026

A newborn died of measles, and RFK Jr accused Pennsylvania officials of fabricating deaths. The CDC director refused to include the Pennsylvania deaths in the CDC’s weekly report. Their undermining of public health will result in more preventable deaths. The measles vaccine is safe and effective.

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 02/09/2026

Here is said caption, btw, but people are all over the comments asking if the story is real and explaining the 2002 ruling. The community note says the post is misleading bc it lacks context about the 2002 ruling 🙄

arghavansallesmd (IG)

Judge John Z. Lee in the 7th Circuit ruled Al-generated CSAM is permissible as long as it doesn't depict a real child. This comes out of a case where a man in Wisconsin used gen Al to create and distribute CSAM. He is still facing charges for producing and distributing these images, but the possession charges are the ones that apparently will be dismissed because of this ruling.
The reason for this ruling is based on a case from 1969, which established that people are allowed to have
"obscene" images in their homes, and a case from 2002, which had essentially protected explicit images of fictional children.
Images created by gen Al, of course, are based on real life and real people. Images that involve modifying existing images of real children, eg by changing their outfits, makeup, etc, are still illegal based on this ruling.
But, disturbingly, creating images based on real children out there, as LLMs do, is not. The judge expressed concern for this, and the Supreme Court may at some point revisit this issue. But in the meantime, the ruling allows people to have Al-generated CSAM.
Btw, it's worth noting Elno is still caught up in lawsuits about Grok being used to manipulate images, including those of children. XAl, the company that owns Grok, is now suing people who used Grok to make nonconsensual sexual images. They want these users to have to pay xAl's legal fees. They could have prevented all this by stopping the generation of those images in the first place, but Musk was cheering them on all the while (I have multiple videos about this from early January ICYMI). And now that he is facing consequences, he is, unsurprisingly, trying to blame everyone else for a problem he caused.
Sources:
WaPo article above
"Appeals court delivers unsettling ruling - and says
Supreme Court left it no choice" Fox News

Community note
Written by an Instagram user
This is true, however it is missing context. The judge in this case voiced concerns about the decision, but he also said that he had no choice because a 2002 ruling from the United States Supreme Court, Ashcroft v. Free Speech Coalition, had explicitly made clear that this was permitted if there were no real children involved. This judge does not have the ability to change that ruling, only the Supreme Court could.
@ Sources
i
More info
Instagram users in the Community Notes program rated this note helpful. Do you agree?

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Arghavan Salles, MD, PhD @arghavansallesmd.medsky.social · 31/08/2026

There was supposed to be one last thing in this sequence but the sun was setting and it wasn’t happening for whatever reason. 19 weeks 🤰 now #pd

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