iiinova — where your digital self keeps evolving

Reposted by Joe Thomas, MD, FHM

Jim @jrm4552.bsky.social · 04/10/2026

Got mine, RFK jr. Doesn't know what he's talking about. Vaccines will save us. Get urs today.

Reposted by Joe Thomas, MD, FHM

statman-stu.bsky.social @statman-stu.bsky.social · 04/10/2026

Almost every policy acted upon by MAGA/GOP is a simple & WRONG answer for society or the common good. It’s specifically designed to help the wealthy & powerful: -Tax cuts (1%) -Drill, baby, drill (oil investors) -Guns, everywhere (1% & gun sellers) -Cut gov’t services (1%) -Cut public education

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Reposted by Joe Thomas, MD, FHM

Sonny Devane @sonnydevane.bsky.social · 03/10/2026

Joe knows

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/10/2026

Contrary to misinformation out there, vaccines are safe (risk of serious adverse events is extremely low) and effective at reducing severe illness and hospitalization so even if you do catch either, it will be less terrible! Happy to answer genuine questions about these #shots!

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Joe Thomas, MD, FHM @docwithbowtie.bsky.social · 03/10/2026

Get your 2026-27 #influenza and C*VID #vaccines today! Everyone 18 years+ should get their vaccines! Everyone 6 months-18 should also get both vaccines especially if immunocompromised (if not, they say that’s more shared decision-making, but vaccination is a group project).#GRWM

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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

Of course, we all know people that probably do think this “comic” is real and think these jokes are funny. Those people will be voting against their own interests in November. Check your registration today.

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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’m in Buffalo, but it sounds like we’re in solidarity here!

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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

We literally can protect kids from more diseases than ever before. The new executive order has zero evidence to support it. @voices4vaccines.bsky.social @familiesforvaccines.org @familiesforvaccines

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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

2. We are literally seeing what happens when people don’t follow the vaccine schedule. Kids are dying. And this president doesn’t care as long as he can take our money and line his and his family’s pockets. (2/2)

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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

I may be an adult hospitalist, but I loved getting to see my pediatric and med-peds hospitalist colleagues in their professional home! Need to collab with more pediatric colleagues so I can come back next year!

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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

Bahahaha, that description does kind of take us there doesn’t it? 😂 I’m talking about these, but yours is funnier.

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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

So #RandPaul trying to score gotcha points after failing multiple times to find any actual fault with Dr. Fauci is frankly pathetic, and Dr. #Fauci is right not to participate in Paul’s trap. Everybody needs to leave Dr. Fauci the hell alone after his decades of good service.

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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 · 30/07/2026

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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

Many politicians deserve mockery, but let’s not pretend one party doesn’t have more people trying to help their constituents (with recommendations, not imposing laws or restrictions) and the other simply falling in line behind their cult leader with chest thumping (accompanied by restrictive laws).

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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 · 15/07/2026

This was the same question I had! I’ve really only tested my index finger, and it was good enough for the fingerprint reader on my laptop, so I think so?

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

Thankfully that was just in the first week, the rash/bumps/hand-foot pain went on for soooooooo much longer.

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

Oh yeah. That sore throat was AWFUL. The whole time I was like “is this what the baby went through?!” Ugh.

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

Seth, it was literally the worst part. Wife and I both lost weight that week because we literally couldn’t swallow anything but water. I’ve had plenty of sore throats in my life and absolutely nothing has compared to HFM pharyngitis. 😵😷🤒

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