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Mike Spaeder, MD

@despitethetimes.bsky.social
482 followers 343 following 136 posts

Music Nerd, Pediatric ICU Doc, Potty Mouth, Mathlete, Husband to a Mother of Dragons. I can be found left of the dial or east of the Blue Ridge.

PostsRepliesMedia
Reposted by Mike Spaeder, MD
Tom Perriello for Congress @tomperriello.bsky.social · 22/09/2026
Our healthcare heroes are the canaries in the coal mine. They are alerting us of a impending collapse– and we need to listen.
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Mike Spaeder, MD @despitethetimes.bsky.social · 11/06/2026
Yes, the @washingtonpost.com killed their Sports section but this is actually quite well done. www.washingtonpost.com/sports/inter...
washingtonpost.com
The 43 definitive rules for watching the 2026 World Cup
A carefully crafted guide to surviving and thriving during this summer’s soccer — yes, soccer — bonanza.
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Mike Spaeder, MD @despitethetimes.bsky.social · 03/05/2026
Part 4 of MOCA-Peds Is Just Compliance Theater opmed.doximity.com/articles/moc...
opmed.doximity.com
MOC, the Subscription We Can’t Opt Out Of
On a typical clinic day, quality improvement (QI) doesn’t show up as a separate “project.” It’s the five minutes I spend reconciling medications. I...
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Mike Spaeder, MD @despitethetimes.bsky.social · 19/03/2026
This story is both incredible and tragic. www.espn.com/espn/story/_...
espn.com
Colin Dorgan, Blackstone Valley Co-op win title after tragedy
The R.I. high school hockey team that was on the ice during a mass shooting in the stands last month capped its season with a state title Wednesday, with Colin Dorgan -- who lost 3 family members in t...
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Mike Spaeder, MD @despitethetimes.bsky.social · 28/02/2026
Since the world is crumbling down around us, we might well as take the time to appreciate one of the most amaze-balls tracks ever put to vinyl pitchfork.com/reviews/trac...
pitchfork.com
New Order: “Ceremony”
Read Mark Richardson’s review of the track.
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Reposted by Mike Spaeder, MD
Colette Delawalla, PhD @cdelawalla.bsky.social · 09/02/2026
On the contrary, there has never been a better time to DOUBLE your caffeine intake. Fascism isn't gonna fight itself fam, we need FUEL!!!
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Mike Spaeder, MD @despitethetimes.bsky.social · 02/02/2026
this is who runs this account (with his cousin 😉)
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Mike Spaeder, MD @despitethetimes.bsky.social · 01/02/2026
Combining my interests in medicine and math, this is a bonkers tale about predatory journals. @pccmdoc.bsky.social - I totally thought of your warnings on the subject as I read it. @retractionwatch.com
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Reposted by Mike Spaeder, MD
maura quint @mauraquint.bsky.social · 30/01/2026
The thing about Catherine O’Hara is she is so hilarious and talented that I forgot she was mortal
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Reposted by Mike Spaeder, MD
the Mountain Goats @themountaingoats.bsky.social · 25/01/2026
today the fascists killed a nurse who did good work for the people in his care
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Reposted by Mike Spaeder, MD
Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 24/01/2026
Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him. White. Hot. Rage.
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Reposted by Mike Spaeder, MD
Eric Topol @erictopol.bsky.social · 16/01/2026
Tylenol during pregnancy is safe without increased risk of autism, ADHD, or intellectual disability of offspring A new review of the evidence just out www.thelancet.com/journals/lan...
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Reposted by Mike Spaeder, MD
Kyle Cheney @kyledcheney.bsky.social · 12/01/2026
JUST IN: A federal judge has ordered the Trump administration to restore $12 million in grants to the American Academy of Pediatrics, saying the terminations appear to be retaliation for the group's view points re: vaccine safety/efficacy. ecf.dcd.uscourts.gov/cgi-bin/show...
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Reposted by Mike Spaeder, MD
National Catholic Reporter @ncronline.bsky.social · 08/01/2026
The vice president’s comments justifying the death of Renee Good are a moral stain on the collective witness of our Catholic faith, writes digital editor John Grosso.
ncronline.org
Catholic Vice President Vance takes to social media to justify killing of Renee Good
After the tragic shooting of Renee Good at the hands of ICE, the Catholic vice president of the United States took to social media to justify the killing.
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Reposted by Mike Spaeder, MD
Jon Cooper @joncooper-us.bsky.social · 08/01/2026
Cartoon by @badiucao.bsky.social.
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Reposted by Mike Spaeder, MD
Paige Perriello @paigeperriello.bsky.social · 05/01/2026
This one deserves its own repost….
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Reposted by Mike Spaeder, MD
Paige Perriello @paigeperriello.bsky.social · 05/01/2026
Great and sobering article about what lies ahead…
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Mike Spaeder, MD @despitethetimes.bsky.social · 04/01/2026
Nice column in today's @washingtonpost.com by friend and colleague @pehjackson.bsky.social www.washingtonpost.com/health/2026/...
washingtonpost.com
Guest column | What viruses an infectious-disease doctor is watching for in 2026
I research virus outbreaks around the world. Here’s what I’ll be keeping an eye on in 2026 that could cause infections in unexpected places or cases.
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Mike Spaeder, MD @despitethetimes.bsky.social · 09/12/2025
www.washingtonpost.com/dc-md-va/202...
washingtonpost.com
Virginia Democrat Tom Perriello to run for his old seat in Congress
Former congressman Tom Perriello (D) said Tuesday he will challenge incumbent Rep. John McGuire (R) in Virginia’s 5th District, which he held for one term until 2011.
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Mike Spaeder, MD @despitethetimes.bsky.social · 03/12/2025
❤️❤️❤️
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Mike Spaeder, MD @despitethetimes.bsky.social · 28/11/2025
Solid list and no arguments about Bjork's Post being #1. Definitely missing Fugazi's Red Medicine, Superchunk's Here Where The Strings Come In, and Unwound's The Future of What @pastemagazine.bsky.social
pastemagazine.com
The 25 greatest albums of 1995
Paste Magazine is your source for the best music, movies, TV, comedy, videogames, books, comics, craft beer, politics and more. Discover your favorite albums and films.
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Mike Spaeder, MD @despitethetimes.bsky.social · 22/11/2025
www.theguardian.com/football/202...
theguardian.com
Scotland’s World Cup qualifying win reactions equivalent to small earthquake
Celebrations to McLean’s jaw-dropping goal picked up by seismic activity monitors at Glasgow Geothermal Observatory
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Mike Spaeder, MD @despitethetimes.bsky.social · 14/11/2025
Former U.Va. President Details Justice Department Pressure That Led to Ouster www.nytimes.com/2025/11/14/u...
nytimes.com
Former U.Va. President Details Justice Department Pressure That Led to Ouster
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Reposted by Mike Spaeder, MD
Dominique Baker @bakerdphd.bsky.social · 14/11/2025
"The Cavalier Daily corresponded with former Rector Robert Hardie, whose term ended June 30, regarding the two accounts. He confirmed that he agreed with Ryan’s account. 'I concur fully with President Ryan’s recollection of events,' Hardie said." Welp www.cavalierdaily.com/article/2025...
cavalierdaily.com
Ryan and Sheridan provide full accounts of Ryan’s resignation. They differ significantly
“I concur fully with President Ryan’s recollection of events,” former Board Rector Robert Hardie said.
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Reposted by Mike Spaeder, MD
Joe Fore @joefore.bsky.social · 14/11/2025
Former UVA president Jim Ryan, who resigned over the summer due to pressure from the Trump Administration, just shared this 12-page letter with the Faculty Senate, detailing his experience with the Board of Visitors and DOJ. It's a surreal--and troubling--read. drive.google.com/file/d/1Is6x...
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Reposted by Mike Spaeder, MD
Marisa Kabas @marisakabas.bsky.social · 01/11/2025
As SNAP hangs in the balance for nearly 42 million people, misinformation is rampant. Myths of laziness and fraud persist when we should be talking about too low wages for workers, income inequality, and our threadbare social safety net. In this guest post, Adam Chandler sorts fact from fiction:
thehandbasket.co
SNAP benefits feed essential needs while still leaving many hungry for more
Journalist and author Adam Chandler explains what so much of the conversation about them gets wrong.
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Mike Spaeder, MD @despitethetimes.bsky.social · 31/10/2025
Happy Halloween! No, seriously, this is unnerving. Are We Losing Our Democracy? www.nytimes.com/interactive/...
nytimes.com
Opinion | In Trump’s America, Are We Losing Our Democracy?
Donald Trump has wielded power as no previous president has.
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Mike Spaeder, MD @despitethetimes.bsky.social · 18/10/2025
Huge crowd at #NoKings Charlottesville
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Reposted by Mike Spaeder, MD
Steven L. Johnson @stevenljohnson.org · 17/10/2025
UVA says no to the compact
To the University of Virginia community:

On Monday of last week, Rector Rachel Sheridan and I shared a message with the community regarding the proposed Compact for Academic Excellence in Higher Education. We were asked to provide comments on the proposal no later than October 20.

Today, I sent the letter below to the Secretary of Education and to White House officials. The letter confirms our core values and commitments while expressing our view that federal research funding should be based on merit.

I want to thank personally the Faculty Senate, Staff Senate, Student Council, and many other members of our community who expressed their opinions on the proposed Compact, through the online form we provided and other means. Your thoughtful feedback shows a profound care for the University and a strong commitment to its future.

We will continue to work to strengthen free expression and free inquiry, protect academic freedom, ensure affordability , promote intellectual pluralism, and maintain institutional neutrality in an increasingly polarized world. I am grateful for your continued dedication to the University and I look forward to working with you on these vital projects.

Paul Mahoney
Interim President
University of VirginiaOctober 17, 2025

The United States Department of Education
Washington, DC 20202

Dear Secretary McMahon, Ms. Mailman, and Mr. Haley,

Thank you for your letter inviting comment on the proposed Compact for Academic Excellence in Higher Education. We wholeheartedly agree that “American higher education is the envy of the world.” We also agree with many of the principles outlined in the Compact, including a fair and unbiased admissions process, an affordable and academically rigorous education, a thriving marketplace of ideas, institutional neutrality, and equal treatment of students, faculty, and staff in all aspects of university operations. Indeed, the University of Virginia leads in several of these areas and is committed to continuous improvement in all of them.

We seek no special treatment in exchange for our pursuit of those foundational goals. The integrity of science and other academic work requires merit-based assessment of research and scholarship. A contractual arrangement predicating assessment on anything other than merit will undermine the integrity of vital, sometimes lifesaving, research and further erode confidence in American higher education.

Higher education faces significant challenges and has not always lived up to its highest ideals. We believe that the best path toward real and durable progress lies in an open and collaborative conversation. We look forward to working together to develop alternative, lasting approaches to improving higher education.

Sincerely yours,

Paul Mahoney
Interim President
University of Virginia
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Mike Spaeder, MD @despitethetimes.bsky.social · 17/10/2025
UVA Reject The Compact Rally
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Mike Spaeder, MD @despitethetimes.bsky.social · 15/10/2025
UVA and Charlottesville peeps 👇
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Mike Spaeder, MD @despitethetimes.bsky.social · 15/10/2025
pitchfork.com/news/sugar-r...
pitchfork.com
Sugar Reunite for New York and London Concerts, Share First Song in 30 Years
Bob Mould’s post–Hüsker Dü band returns, three decades later, with “House of Dead Memories”
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Reposted by Mike Spaeder, MD
ACOG @acog.org · 22/09/2025
ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. bit.ly/47Wxc59
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Reposted by Mike Spaeder, MD
Patton Oswalt @pattonoswalt.bsky.social · 08/09/2025
So glad ICE is in Chicago. The city is a lawless hell-scape. Blues musicians wrecking hundreds of police cars. High schoolers doing weird scientific sex experiments. Kids home alone during the holidays. Women killing their husbands and lovers and then SINGING about it sassily. This has to stop.
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Reposted by Mike Spaeder, MD
Atul Gawande @agawande.bsky.social · 01/09/2025
9 CDC Directors going back to 1977 speak out. What RFK Jr has done to our nation’s public health system "should alarm every American." It "is unlike anything we have ever seen at the agency, and unlike anything our country has ever experienced." www.nytimes.com/2025/09/01/o...
nytimes.com
Opinion | We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health
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Mike Spaeder, MD @despitethetimes.bsky.social · 28/08/2025
Americans will live with the consequences of senators who decided to let an anti-vaccine crank become one of the most powerful people in government.
washingtonpost.com
Opinion | RFK Jr. cannot be contained
The ouster of Susan Monarez from the CDC is an ominous sign for American public health.
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Mike Spaeder, MD @despitethetimes.bsky.social · 27/08/2025
Lovely essay by @caseyepsteingross.bsky.social ‬of @pastemagazine.bsky.social on a top 10 all-timer for me My friend Jo and I played a show with Charles in Brooklyn in 2013 and after being over-served, I tried to make the case to him that this album is my generation's Revolver.
pastemagazine.com
Time Capsule: The Wrens, The Meadowlands
Paste Magazine is your source for the best music, movies, TV, comedy, videogames, books, comics, craft beer, politics and more. Discover your favorite albums and films.
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Mike Spaeder, MD @despitethetimes.bsky.social · 25/08/2025
The five albums that have had the biggest influence on my life (in no particular order) R.E.M. - Life's Rich Pageant The Replacements - Pleased To Meet Me Bob Mould - Workbook Fugazi - Repeater The Wrens - The Meadowlands
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Mike Spaeder, MD @despitethetimes.bsky.social · 20/08/2025
pitchfork.com/news/the-rep...
pitchfork.com
The Replacements Announce Let It Be Reissue, Share Unreleased Version of “Androgynous”
The revamped 1984 record comes with live album, outtakes, and more alternate versions
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Mike Spaeder, MD @despitethetimes.bsky.social · 18/08/2025
media.tenor.com
a man is playing a guitar on stage in front of a microphone while another man plays drums .
ALT: a man is playing a guitar on stage in front of a microphone while another man plays drums .
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Mike Spaeder, MD @despitethetimes.bsky.social · 12/08/2025
www.reuters.com/business/hea...
reuters.com
Exclusive: Medical journal rejects Kennedy's call for retraction of vaccine study
An influential U.S. medical journal is rejecting a call from Health Secretary Robert F. Kennedy Jr. to retract a large Danish study that found that aluminum ingredients in vaccines do not increase health risks for children, the journal's editor told Reuters.
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Mike Spaeder, MD @despitethetimes.bsky.social · 29/07/2025
daily.bandcamp.com/lists/discho...
daily.bandcamp.com
Beyond Fugazi: Exploring Dischord’s Hidden Gems
Get hip to all the excellent obscurities the iconic punk label has on offer.
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Reposted by Mike Spaeder, MD
Stereogum @stereogum.com · 28/07/2025
With 'Kreative Kontrol' reaching 1,000 episodes this week, we talked to host @vishkhanna.bsky.social — and his frequent guests Ian MacKaye, U.S. Girls, and @cadenceweapon.bsky.social — about what makes the music and culture podcast so indispensable
stereogum.com
A Thousand Episodes Deep, Vish Khanna Is Still In Kontrol
Ian MacKaye, U.S. Girls, and Cadence Weapon discuss Khanna and 'Kreative Kontrol,' his essential interview podcast.
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Mike Spaeder, MD @despitethetimes.bsky.social · 20/07/2025
Can't argue too much with this list
pastemagazine.com
The 100 Best Indie Folk Albums of All Time
Paste Magazine is your source for the best music, movies, TV, comedy, videogames, books, comics, craft beer, politics and more. Discover your favorite albums and films.
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Reposted by Mike Spaeder, MD
Lauren McKenzie @themckenziest.gay · 15/07/2025
;)
Person in a party hat giving a presentation and it says The greatest research skill you can have is being a nosy bitch who wants to find out
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Mike Spaeder, MD @despitethetimes.bsky.social · 14/07/2025
👇
utsystem.edu
UT System Regents Name Dr. Melina R. Kibbe Sole Finalist for UTHealth Houston Presidency
The University of Texas System Board of Regents has named Dr. Melina R. Kibbe MD, as the sole finalist for the presidency of The University of Texas Health Science Center at Houston (UTHealth Houston)...
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Mike Spaeder, MD @despitethetimes.bsky.social · 14/07/2025
“What the Justice Department did was very similar to what President Eisenhower did,” Mr. Gardner said, comparing the Trump administration’s actions to the 1957 WH decision to dispatch troops to Little Rock, Ark., to enforce the USSC’s school desegregation decision, Brown v. Bd of Education. WTF?
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Mike Spaeder, MD @despitethetimes.bsky.social · 14/07/2025
Psyched to have been a guest on the PedsCrit podcast talking about #PedsICU Fellowship Project Design. Available on all the fine podcasting platforms and linked below.
buzzsprout.com
Fellowship Project Design with Dr. Mike Spaeder -- Part 2 - PedsCrit
Learning Objectives:By the end of this series, listeners should be able to:Understand the research expectations of PICU Fellows in the United States.Explain the types of research available to PICU fel...
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Reposted by Mike Spaeder, MD
DTM @thedtm.bsky.social · 14/07/2025
It was basically a coordinated mob hit. Complete with the assassin celebrating with a photo of himself smoking a cigar on social media. www.nytimes.com/2025/07/14/u... www.nytimes.com/2025/07/14/u...
nytimes.com
Inside the Conservative Campaign That Took Down a University President
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Reposted by Mike Spaeder, MD
DTM @thedtm.bsky.social · 12/07/2025
“I hope the board of visitors feels the real energy and angst there is right now about how things unfolded around President Ryan’s resignation…” wapo.st/4lAb4Bm
wapo.st
As U-Va. president leaves, faculty say board failed to protect university
University of Virginia faculty senate votes no-confidence in Board of Visitors amid Trump administration scrutiny
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