iiinova — where your digital self keeps evolving

Reposted by Chantal Tapé

The Fig Economy @figgityfigs.bsky.social · 07/10/2026

Sometimes my wife and I like to send each other text messages as though they’re democratic fundraising messages, and I believe she has produced the jewel of the form.

, it's
and I
have some personal news to share with you.
Being a mom is one of the greatest joys of my life, and I feel deeply that we should have salad tonight
This year has been challenging in many ways, and I have immense gratitude for the kindness and support of family, community, and people like you who have continued to stand by me through everything. It means the world, and I wanted you to be among the first to know that squash is in the oven and kale is in the fridge.

As many of you are aware, ve been navigating one of the most challenging periods of my day while waiting for dinner.
Facing baseless federal hunger brought on by not eating since lunch, fighting for the working kids of this country, and now caring for a mean toddler and helping him grow up in a world that isn't always easy. But it has also reminded me exactly why I do this work and who I do it for.
I will never stop working to eat dinner. I will never stop fighting for what is right, even when there is also some feta in the fridge. And I will never stop being so very thankful that you are by my side in this important work and that there is tahini in the pantry for dressing
With love and gratitude,
stop to end

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Chantal Tapé @astaunchcharacter.bsky.social · 02/10/2026

As society adapts to what exactly? A future where everyone is on a GLP-1 for life? Even if you subscribe to the argument that food = fat, that does nothing to address the food systems issues of late-stage capitalism.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

I’m not just talking about fat shaming as a motivation. We live in a society where fat people are less likely to be hired, where they get paid less, where needed medical care is routinely denied on the basis of weight. We have literally made it challenging to live as a fat person in this country.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

Some are happy and largely side effect free. Others have significant side effects and need or want to stop. Many have the idea that they can take GLP’s briefly to “jump start” weight loss and then stop. I try to counsel against that because from what I’ve seen, the data doesn’t support that.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

I practice from a weight neutral perspective but I do prescribe them. Like anyone else, I have also inherited patients who are on them. And I have patients who really have no business being on them but who get them online or from unscrupulous weight loss clinics.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

Weight as a potential risk factor for disease is very different than weight as a disease, which is the line that is being pushed by many in the “obesity medicine” crowd, backed by the companies that make GLP-1’s. Eliminating fatness as a category is a eugenic project.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

I’m not convinced that people “love” the drug. So much as they, understandably, are looking for a way to live in a society that hates fat people. A society that offers them less and tells them that fat = lazy, fat = sick, fat = your fault. Meanwhile, the bar for what “fat” is gets lower and lower.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

What happens when your patients stop their GLP-1? Due to side effects, cost concerns, lack of access, plateau in weight loss, etc etc. Most will regain any weight lost. Weight cycling is a real, tangible harm that isn’t getting nearly enough attention.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

Also, calling fatness a “self-inflicted ailment” is disgusting and smacks of eugenics all the way down. We can promote good health without pathologizing people in larger in bodies, many of whom are healthy. We can talk about movement and eating habits without body shape being the primary endpoint.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

That may happen for some but it relies on the assumption that eating less produces lasting weight loss. The diet industry has been telling my patients that for years and the data just doesn’t support it on a population level.

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Reposted by Chantal Tapé

🎃 Imani Gandy Corn 🎃 @angryblacklady.blacksky.app · 30/09/2026

I literally said to Portia this morning, there's gonna be a shield law lawsuit soon. I didn't think it would be TODAY. Louisiana, Arkansas, and Alabama have filed a bill of complaint with the U.S. Supreme Court against New York, Massachusetts, and California. Hold on to your butts.

ag.state.la.us

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

What in the environment do you think is going to produce sustained weight loss in non-GLP-1 users?

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Chantal Tapé @astaunchcharacter.bsky.social · 01/10/2026

Self-inflicted ailment? Is this a joke?

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Chantal Tapé @astaunchcharacter.bsky.social · 21/09/2026

damn. i didn’t know such a thing existed! i love a chipless cookie.

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Reposted by Chantal Tapé

Mary Tuma @marytuma.bsky.social · 10/09/2026

The analysis found that "310 more patients in Texas experienced substantial blood loss after an ectopic pregnancy in 2023 and 2024 compared with 2018 and 2019, an increase of about 29%."

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Reposted by Chantal Tapé

Erin Biba @erinbiba.bsky.social · 05/09/2026

Their version of these topics are not logical or science-based or something that can be negotiated. They think chemicals and pesticides are a government conspiracy, that GMO is altering our DNA, and that clean food would end the need for all medicine. These are not shared goals!!

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Chantal Tapé @astaunchcharacter.bsky.social · 22/08/2026

really and truly, if i must have a car, this is exactly what i want.

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Reposted by Chantal Tapé

Free the Pill @freethepill.bsky.social · 14/08/2026

There's a new pill on the shelf! 👀 Three years have passed since the US Food and Drug Administration (FDA) approved Opill, the first over-the-counter (OTC) daily birth control pill, and generic versions are now allowed to be sold—we've already seen one at Walgreens and are excited for more to come!

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Reposted by Chantal Tapé

Mia Sato @miasato.bsky.social · 19/08/2026

We shouldn't discount the fact that at least part of the data center backlash (and by extension the broader techlash) is because people feel like the tech industry has not given them anything cool, inspiring, beautiful, or useful in a long time

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Chantal Tapé @astaunchcharacter.bsky.social · 16/08/2026

do you remember if these were posted recently. trying to find them because i am curious to hear her thoughts. i demo’ed one (not on a patient) and wasn’t super impressed.

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Chantal Tapé @astaunchcharacter.bsky.social · 15/08/2026

Just finished the audiobook of @adambecker.bsky.social’s book and it was fantastic! Extremely readable (slash listenable). As disturbing as it is, we have to understand the vision of the tech creeps if we can ever hope to break free of it.

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Chantal Tapé @astaunchcharacter.bsky.social · 01/08/2026

Go way back to their 1998 album Ghana, if you wanna get real freaky and lo-fi!! A credit to John’s genius that he never gets stuck in a rut and has changed up his sound a lot over the years. But I’m a sucker for the boombox type albums. Songs for Pierre Chauvin is a good recent-ish (2020) example.

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Reposted by Chantal Tapé

Kelcie Moseley-Morris @kelciemmorris.bsky.social · 31/07/2026

NEW from me: A new study examining pollution levels found that while general pollution levels have significantly declined, recent increases in wildfire smoke air pollution have offset those gains and could be contributing to negative outcomes for pregnant women and babies.

stateline.org

Wildfire smoke is now the primary pollutant affecting pregnancy, study shows • Stateline

A new study examining pollution levels across a 16-year span found that while general pollution levels from sources such as cars and industry have significantly declined, recent increases in wildfire ...

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Reposted by Chantal Tapé

Dana M. Johnson @danamartha.bsky.social · 31/07/2026

I am deep in analysis on advance provision of abortion pills and cannot stress enough that not everyone wants, needs, or is medically eligible for medication abortion Expanding access to abortion pills should not distract from the continued need for procedural abortion and in-person care

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Chantal Tapé @astaunchcharacter.bsky.social · 31/07/2026

I love pills, love telemedicine — but I know many folks who just don’t want that experience. We have to be loud about the importance of in person care or we risk yet again leaving folks later in pregnancy out of our strategy.

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Chantal Tapé @astaunchcharacter.bsky.social · 31/07/2026

YES! While well-intentioned, the idea that pills by mail is the new way that everyone will be having abortions post-Dobbs is inaccurate and potentially so harmful.

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Reposted by Chantal Tapé

Max Kennerly @maxkennerly.bsky.social · 31/07/2026

Trump 2 has shown that the bulk of federal, state, and local "law enforcement" don't perform any useful functions at all. If they did, it would not be so easy to re-task them to brainless gestapo work like rounding up whole neighborhoods and waiting outside public buildings.

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Chantal Tapé @astaunchcharacter.bsky.social · 30/07/2026

And trust me, there are very few things your doctor wants you to track constantly with a smartwatch.

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Reposted by Chantal Tapé

Molly Crabapple @mollycrabapple.bsky.social · 30/07/2026

If you're a broke but passionate reader and can't afford your own copy of HERE WHERE WE LIVE IS OUR COUNTRY, we've got you. Apply for a free solidarity copy here docs.google.com/forms/d/e/1F...

docs.google.com

Application for a Solidarity Copy of Molly’s Book

Are you a passionate reader who has been desperate to get your paws on a copy of Molly Crabapple's New York Times bestseller HERE WHERE WE LIVE IS OUR COUNTRY: THE STORY OF THE JEWISH BUND? Due to th...

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Reposted by Chantal Tapé

Abortion Care Network @abortioncare.bsky.social · 23/07/2026

While more people are receiving care via telehealth, tens of thousands are traveling, according to new data from Guttmacher’s Monthly Abortion Provision Study. Traveling for abortion isn’t easy. It means time, money and crossing hundreds—or thousands—of miles. More: gu.tt/4dnYPED

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Chantal Tapé @astaunchcharacter.bsky.social · 24/07/2026

Right. That makes total sense. 🙄 Absolute garbage. I hope you get what you need asap.

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Chantal Tapé @astaunchcharacter.bsky.social · 24/07/2026

It’s infuriating because of the blatant transphobia, of course, but also to see doctors accepting their own incompetence in service of it. I would say I’ve consulted an endocrinologist maybe once so far in 3 years? And I’m not special. It’s just that hormone replacement is not hard!

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Chantal Tapé @astaunchcharacter.bsky.social · 24/07/2026

“In the future it could be bad because maybe people would use AI to become doctors, and then we would have the wrong doctor, and we could die,” says A TWELVE YEAR OLD. I love that this kid gets it but my employer, my professional organization, and many of my colleagues do not.

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Chantal Tapé @astaunchcharacter.bsky.social · 24/07/2026

Is a gender specialist typically an endocrinologist?? Not familiar with how things work in the NHS but that’s insane. Gender-affirming care is primary care and any and every GP is more than capable of offering it! Sorry you’re having to deal with such bureaucratic BS.

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Chantal Tapé @astaunchcharacter.bsky.social · 23/07/2026

Ugh. I was just gonna say… sad they kept “late term.” But I am glad that they changed “loosened rules.” Makes it sound like people are getting away with something. Better than nothing, but sad they still missed the mark.

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Chantal Tapé @astaunchcharacter.bsky.social · 23/07/2026

That’s so awesome! I somehow never think to do that.

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Reposted by Chantal Tapé

Byron C Clark @byroncclark.bsky.social · 17/07/2026

The creator of Roger Rabbit (who is 85 years old by the way) is a good sort Crossposted with @openvibe.social

Gary K. Wolf •
••
I've had to unfriend a few fans lately, all for the same reason. They made ridiculing, unkind, and in some cases outright cruel comments about pictures I posted of young women cosplaying Jessica.
More than a person, Jessica is a state of mind. To play Jessica, you need self -confidence, a sense of humor, and a Jessican -attitude-. There is no such thing as a Jessica cosplayer being too short, too flat chested, too heavy, too thin, too unattractive, too black, too Asian, or even too male!!! All Jessica, any Jessica, every Jessica is good Jessica.
I'm not giving any warnings or second chances. A single disparaging comment on a Jessica cosplayer, and I'm throwing you out of the rainbow colored Toontown Tent.

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Chantal Tapé @astaunchcharacter.bsky.social · 16/07/2026

i actually thought this was a joke at first when i saw someone comment that the sex robot company is behind this. but no, no it’s not a joke. jfc.

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Chantal Tapé @astaunchcharacter.bsky.social · 15/07/2026

this is insane. worthwhile reading for folks in primary care!

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Reposted by Chantal Tapé

Jamison Foser @jamisonfoser.bsky.social · 12/07/2026

Deeply saddened to learn of the loss of my dear friend Satan, the Prince of Lies. Though we often disagreed about matters such as the appropriate role of torture in the afterlife, I will most remember how his quick wit and affable nature made our weekly golf outings a ritual. He will be missed.

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Chantal Tapé @astaunchcharacter.bsky.social · 05/07/2026

A really important perspective but I don’t think it goes far enough. Writing is essential to doctoring. Yes, the EMR has been a disaster in many ways. But thinking and communicating are the work of doctoring and should never be outsourced to a text generator.

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Reposted by Chantal Tapé

Audrey Farnsworth @audipenny.bsky.social · 03/07/2026

America keeps trying to get me to go to her birthday party and I’m like no girl u need to go to the hospital

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Chantal Tapé @astaunchcharacter.bsky.social · 16/06/2026

I have such vivid memories of my grandmother ordering Schwan’s when I was a kid! Tbh, I don’t think I ate any of the actual food but she’d always order ice cream.

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Chantal Tapé @astaunchcharacter.bsky.social · 16/06/2026

fantastic piece! thanks for bringing attention to this story and for interviewing so many brilliant family physicians!

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Chantal Tapé @astaunchcharacter.bsky.social · 04/06/2026

Gotta say, I’ve been more diligent lately about screening for iron deficiency in anyone who describes heavy or prolonged menses. I know the evidence supports this but it still surprises me… Most of my patients are young women and probably half are iron deficient. So many PCPs are missing this!

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