iiinova — where your digital self keeps evolving

Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 17/09/2026

I made this video a few days too early, but today’s the day. #GoBills, much love to our Canadian brethren, and remember to vote against Donald Trump/MAGA’s nationalist propaganda in November.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 13/09/2026

#GoBills and down with nationalistic controversy. We are not the president, we’re not anti-Canada. We are #Buffalo.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 05/09/2026

We wouldn’t be so inclined to immediately point out how shitty AI slop is if every AI defender wasn’t out here like “look, I spent 20 whole minutes typing prompts and my slop generator made something better than the original work it stole from!” and then showing us utter trash.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/09/2026

No one asked you to suddenly hate HP. Put trans lives over nostalgia. Don’t put money in a transphobe’s pockets. Don’t: 1. Stream the new show 2. See the movies streaming/in theaters 3. Play the video game 4. Buy new books/merch. Do sail the high seas or use your public library.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/09/2026

Is there a syndication for audiobooks? I wanna get into Dungeon Crawler Carl and I’m honestly not above paying for it on Audible, but I’ve been fairly successfully reducing my Amazon usage so if there’s gonna come a moment soon where DCC is no longer Audible-exclusive… 👀

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 02/09/2026

Partial duet with Nathan C Jun All that MAGA/conservative “#comedy” stolen by a #GenAI slop machine and this is the best they could come up with?? THIS is the kind of attempt at humor that made Elon Musk claim that “the left tried to make comedy illegal.” 🙄

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 26/08/2026

Two unvaccinated people died of measles in PA. A disease that should be gone if it weren’t for anti-vaxxers lying. Elsewhere, Dolly Parton is dead at 80 and anti-vax trolls are trying to claim (without evidence) it was the COVID vaccine. May Dolly rest in peace. Anti-vaxxers, don’t piss me off.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 23/08/2026

When confronting #misinformation I’m usually pretty good at maintaining calm except when it comes to doctors. I can’t help but feel that people who went through the same training I did should understand more, but I know doctors are human. But I still need to let it out sometimes. #EmiGrace

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 23/08/2026

I hate to be all “Dad” about this, but…we needed this rain.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 22/08/2026

#BillCassidy went through the same training that I did, with medical school and residency, and then he did even more training to become a gastroenterologist. This entire admin frustrates me, but a trained doctor who should know better but compromised too much politically pisses me off way more.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 21/08/2026

Believe it or not, it’s okay to trust most doctors who aren’t selling you their own cures or supplements. We aren’t paid per v*ccine, most of us aren’t sponsored by Big Pharma, and we want to treat the root cause of your illness - we’re just not about to fabricate what that is.

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Reposted by Joe Thomas, MD, FHM

David W (aka Flex NP) @rnflex.bsky.social · 11/08/2026

Did I just explain statin risk reduction to my patient as a log-linear relationship and for LDL exposure time it's about reducing the area under the curve? Yes yes I did. Because I'm a nerd 🤓 And he's a math major. I try and meet my patients where they're at knowledge wise

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 11/08/2026

The @ameracadpeds.bsky.social and @aafp.org are still recommending the evidence-based v*ccine schedule. There is no evidence behind spreading doses out or reducing the number of shots. We have well-researched v*ccines that have lots of evidence behind the claim “safe and effective.”

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 11/08/2026

Does #Trump think v*ccines are the size of a soda bottle because his hands are so tiny? #ExecutiveOrder #SodaBottle

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 11/08/2026

I’ll make a video on this, but for now: 1. There is no evidence to support reducing the number or altering the timing of the AAP-approved (CDC pre-2025) childhood vaccine schedule.(1/2) #ExecutiveOrder

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 09/08/2026

Honored to give a plenary at #PHM26 this weekend! Got to talk about the parallels between fighting #misinformation on social media and in-person. Y’all were so welcoming, what an awesome audience! @ameracadpeds.bsky.social @societyhospmed.bsky.social @jhospmedicine.bsky.social #HowWeHospitalist

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Reposted by Joe Thomas, MD, FHM

Dhruv Srinivasachar MD @therealdsrini.medsky.social · 08/08/2026

Inspired by the morning plenary from @docwithbowtie.bsky.social!!! So many lessons that we can take back to advance care as #PedsHM #HMSky

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Reposted by Joe Thomas, MD, FHM

Journal of Hospital Medicine @jhospmedicine.bsky.social · 05/08/2026

We have lots to find ~kinda chic~ as the new residents have finally mastered their new logins and (mostly) finding their way around the hospital. Which of these resonates with you most? Is it a #TWDFNR? #howwehospitalist #JHM #hospitalmedicine #internyear #kindachic

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 04/08/2026

Does anyone actually own any of those, like, superhero-themed athletic wear products? Are they actually any good? I’m content with my Walmart gym shorts and old t-shirts, but…one wonders.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/08/2026

If you’re out here trying to claim that hospitals were empty during peak COVID 2020-22, you’re either a liar or you’ve been lied to. I don’t care which it is (because you’re probably wrong about other things, too), because either way you need to stop it.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 01/08/2026

No one who chose not to vaccinate without a legit medical exemption deserves an apology. Pleading the Fifth as a refusal to play into a perjury trap is not an admission of guilt. COVID killed millions. Dr. Fauci helped keep that from going higher. The vaccines saved lives.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 30/07/2026

#RandPaul isn’t enough of a doctor to shine Dr. Fauci’s shoes. He also didn’t do anything to contribute when C*VID hit, while Dr. #Fauci led our response and did the best he could with what little knowledge we had and slowly gained.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 27/07/2026

2 major GOP talking points: people are getting ab*rtions with zero consideration, and that #transgender athletes are a scam for mediocre male athletes to suddenly win. Both are nonsense and MAGA is just perpetuating #myth to maintain control. Don’t be fooled! Vote them out.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 26/07/2026

The folks making laws with abortion bans don’t care what happens to pregnant folks or to fetuses after birth. The people making laws against transgender athletes claiming “safety in women’s sports” don’t actually care about women’s sports. Or women.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 22/07/2026

Shocking that hiring the most craven, racist, cowardly, idiotic incels to be a terrorist goon squad for a wannabe dictator with the same traits turns out to be a terrible-yet-deadly waste of time, money, resources, and life.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 18/07/2026

Don’t ignore actual and applicable #publicHealth recommendations or #ClimateChange safety precautions just because you didn’t vote for who said it. #AirQuality

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 15/07/2026

A #Netflix #documentary might be the only way to convince some people that COVID was not a government conspiracy and v*ccine mandates aren’t government overreach. Actual conspiracy: Jay #Bhattacharya trying to hide that 💉 saved lives and actually protect against ❤️ disease!

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 13/07/2026

I know this comes up from time to time, so the next someone tries to say that evolution or gravity are “theories” as a reason to think they aren’t facts, you can send them this. #theory #gravity #evolution

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 13/07/2026

Back in May, hand-foot-and-mouth WRECKED our household for a week - first kid was sick, then my wife and me. I had it the worst, and eventually the skin on my hands and feet started completely peeling off. Happy to say I realized today that I have fingerprints again!

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 09/07/2026

Not sure which of my videos triggered this… They did eventually figure it out.😂 #Buffalo and the #Somali flag? Silly anti-vax predictions? #Trump cursing every sports team he touches? #Knicks #USMNT #FIFA

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 07/07/2026

There was controversy about the #USMNT, #Balogun, the #RedCard, and Trump’s interference. But I don’t think this pattern is controversial, just a warning to any sports franchise. #WorldCup

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 07/07/2026

The momentary panic when one of your Libby holds comes through and you get the “ready to borrow!“ Notice but you are only halfway through your current read. 😬

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 04/07/2026

I am genuinely concerned #UshaVance is going to be the first person with a platform focused on reading who will end up discouraging people from reading and drop literacy rates.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/07/2026

This video is brought to you by SCOTUS votes on #BirthrightCitizenship, #Transgender athletes, and #CampaignFinance. They only got one of those right, but #ClarenceThomas was on the wrong side of all of them, as usual.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 02/07/2026

My entire adult life I’ve known that the preferred energy-saving thermostat settings are 68 F during winter and 78 F in summer, adjusting for individual home and comfort when possible. Mayor Mamdani just recommends what the Dept of Energy does and MAGA loses their minds. Socialist temperatures!

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 02/07/2026

As a child of immigrants, I am relieved to see SCOTUS confirm that the Constitution is, in fact, constitutional. The vote was way too close, and clearly Justices Alito, Kavanagh, Gorsuch, and Thomas (really dude?) want to make racism the law of the land.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 01/07/2026

Univera delayed my patient’s discharge to rehab for multiple days because they are supposedly understaffed. Cry me a damn river, Univera. Take money from your CEO’s bloated salary and your corrupt lobbying and pay people to approve the care my patients need.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 30/06/2026

Is Clarence Thomas literally the worst person on the planet who shares my last name? I think he might be.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 28/06/2026

I’ve laughed at TV shows where they show the baby making mealtime a mess, but man, when you’re just trying to feed your toddler but he insists on feeding himself and then you look away long enough and he tosses the bowl on the floor…I’m pretty patient, but Lord give me strength.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 25/06/2026

Wild and hilarious that in a matter of weeks Hunter Biden has become one of the best follows on multiple platforms while the kids of the current president (well, mostly one specifically named after him) remain sycophantically terrible accounts.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 24/06/2026

Reminder that states make voting a secure process and #VoterID laws are redundant and often racist because the current process already requires ID to register and verification to #vote! #PrimaryDay #IVoted

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 21/06/2026

In an episode of #TheOffice, Michael puts the gang through a comedic Survivor-style competition to figure out who his replacement should be. As team captains, he picks all dudes, and for the 3 white guys he lists personality traits. For the Black man he just says he picked him because he’s Black.(1/

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 20/06/2026

My baby boy’s daycare has a shelter in place drill next week so suffice it to say I will continue to give zero fucks about your argument against gun safety legislation.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 19/06/2026

MAHA: Pretending to make America healthier by pretending to change useless things that don’t make food more healthful. MAGA: Pretending to make America great again while actually sabotaging every aspect of American life and monuments, and costing us so much more.

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 18/06/2026

I look at my own baby boy and then at pictures of #KohenWiley and it's hard not to weep in grief and rage. Police training, discipline, and goals need serious reform. Too often they protect property over people and it is Black lives who suffer or end for it.(1/2)

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 17/06/2026

Evidence-guided expertise >> Memed Misinformation. It’s easy to make stuff up based on kernels of truth or a misinterpretation of science or context! It’s more work to find the answers, so I turn to real experts and high-quality, peer-reviewed journals.(1/2) 📖Excerpt: @rubinallergy.bsky.social

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 16/06/2026

We are at a hotel with BabyWithBowtie. For the road trip, we packed multiple toys for him to play with. Since we arrived, he has spent the entire time playing with the empty ice bucket. 🤷🏾‍♂️

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 13/06/2026

I have worked hard to learn more about things like manicures/pedicures and other grooming, both because my wife does them and also I myself try to maintain. I still don’t understand what anyone means when they say someone’s eyebrows look good.

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