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AlwaysACivilServant

@drneuro.bsky.social
17K followers 837 following 474 posts

No longer former CDC guy | He/him | Opinion =My own

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AlwaysACivilServant @drneuro.bsky.social · 16/09/2026
For those asking if it’s fine to get the flu shot now: technically anytime is fine, but optimal time to get the flu shot corresponds to what we’ve established as pretty solid patterns of elevated flu activity (mid-late October+). For me? I scheduled to get both the flu and Covid vax early October
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AlwaysACivilServant @drneuro.bsky.social · 01/09/2026
Sir. I wasn’t done unpacking this….
An orange cat asleep in an Amazon package on top of the kitchen island counter while his owner begrudgingly acquiesces to letting him sleep in there…despite knowing there’s products still in there
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AlwaysACivilServant @drneuro.bsky.social · 27/08/2026
So. At what point are some of you going to say “you know what Target?…. That’s enough ✋ “ No really. Most of us here are waiting.
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AlwaysACivilServant @drneuro.bsky.social · 28/05/2026
It’s safe to say that Pebble and Bucket are very much bonded and adore each other. Seeing the two play/sleep/rough house with each other always makes me tear up a little as it was something I knew Bucket wanted from Mako, but due to her age/illness, she wasn’t able to. I love these two so much
Image of a grey female tortie kitten with a male orange adult cat cuddled together on a white couch Image of a grey female tortie kitten with a male orange adult cat cuddled together on a white couch with green blankets Image of a grey female tortie kitten with a male orange adult cat seated together atop of a tall cat treeImage of a grey female tortie kitten with a male orange adult cat seated together atop of a tall cat tree
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AlwaysACivilServant @drneuro.bsky.social · 21/05/2026
This past weekend, I got the chance to really escape and remember how much of a rave head I am at EDC 2026. I was surrounded by an amazing crowd of people and loved every second of it. Cannot wait to join you all next year under the electric sky.
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AlwaysACivilServant @drneuro.bsky.social · 24/04/2026
Cool… Cool cool coool…. /s
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AlwaysACivilServant @drneuro.bsky.social · 21/04/2026
“Just don’t give up on yourself” I’m trying.
Japanese text for “don’t give up on yourself”
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AlwaysACivilServant @drneuro.bsky.social · 21/04/2026
Nope. IDGAF. You and the rest KNEW what you were doing. You CHOSE to ignore the mountains of red flags. You all DOUBLED DOWN on your hatred and only changed your tune when it impacted YOU. You don’t get to apologize after opening the damn. The damage is done. Sorry is so fucking late.
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AlwaysACivilServant @drneuro.bsky.social · 07/04/2026
When a world leader sounds like a shitty preview for the next episode of dragonball Z
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AlwaysACivilServant @drneuro.bsky.social · 19/03/2026
Translation - “actual science based policy is super hard wah wah. So anyways, here’s a new bootleg version until we get sued again”
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AlwaysACivilServant @drneuro.bsky.social · 15/03/2026
SNL really pivoted towards making documentaries… youtu.be/FUBVuvstPCs
youtu.be
MAHAspital - SNL
YouTube video by Saturday Night Live
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AlwaysACivilServant @drneuro.bsky.social · 09/03/2026
I wish I could add that super fast snippet after every new drug that says something about all the “background” checks they’ll do to check if you’ll be in allegiance to his high and mighty orange turd. No thanks.
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AlwaysACivilServant @drneuro.bsky.social · 07/03/2026
Despite leaving a stinky surprise in his crate, our 9 year old prince bucket has been deemed super healthy and has a fabulous coat. Just like his dad.
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AlwaysACivilServant @drneuro.bsky.social · 24/02/2026
The topic of Grief is not an easy topic to navigate, even harder to capture on cinema. It is a deeply personal journey that ebbs and flows erratically throughout the course of ones life Hamnet from Chloe Zhao captured it. She captured it perfectly. I'm still thinking about it long after watching it
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AlwaysACivilServant @drneuro.bsky.social · 20/02/2026
The other worst type of person on this planet - Those who "review" products but instead will give low ratings b/c of other issues not related to the actual product. Perhaps I just want to see actual reviews of the movie? This is why I've stopped caring about Amazon reviews.
A list of one star reviews for a movie on amazon complaining about technical aspects or amazon pricing. Not reviews about the actual movie.
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AlwaysACivilServant @drneuro.bsky.social · 13/02/2026
Today marks the 1 year anniversary where I was illegally fired amongst thousands of other US federal employees. I had worked for more than 10 years in the service of the US federal government and while it had its rough times, I loved this job. And on that day, it was all taken away from me.
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AlwaysACivilServant @drneuro.bsky.social · 06/02/2026
If you’re STILL confused and/or surprised about the racist AI trash that was posted by our fascist despot, sorry to say, but YOU might be the problem.
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AlwaysACivilServant @drneuro.bsky.social · 30/01/2026
Fuck this year
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AlwaysACivilServant @drneuro.bsky.social · 30/01/2026
Honestly all this intense arguments over the spending bill while we continue to fund a domestic fascist police group and international petty projects... Yes of course it bothers me. Federal employees were the first to be gutted. Unfairly/Illegally. All to save $$ that was eclipsed by MORE spending.
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AlwaysACivilServant @drneuro.bsky.social · 21/01/2026
Oh. Hello frigid cold.
10 day weather report ranging from -13 degrees Fahrenheit to 34
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AlwaysACivilServant @drneuro.bsky.social · 10/01/2026
China, just @ Korea next time
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AlwaysACivilServant @drneuro.bsky.social · 09/01/2026
And yet… “The Department of Homeland Security is an exception, with headcount barely fluctuating…” Glad to see my former salary go to hiring more of that departments goons.
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AlwaysACivilServant @drneuro.bsky.social · 05/01/2026
And that number WILL continue to go down with this group.
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AlwaysACivilServant @drneuro.bsky.social · 05/01/2026
The fact that people are actually entertaining/willing to give MTG a second chance despite her years of vile, despicable, deplorable, and inhumane treatment of her fellow humans is evidence enough that we live in the dumbest fucking timeline ever
Don’t be fooled by Marjorie Taylor Greene’s redemption act | Opinion

U.S. Rep. Marjorie Taylor Greene was not a bystander to Trumpism. To suggest she merely misunderstood the man now strains credulity beyond its limits
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AlwaysACivilServant @drneuro.bsky.social · 29/12/2025
I’d invite folks to please stop suggesting that hand sanitizer is the key to preventing norovirus. All of you who have followed us for so many years know better now that SOAP AND WATER is the only effective method in reducing norovirus cases. Hand sanitizers do diddly squat against this virus.
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AlwaysACivilServant @drneuro.bsky.social · 09/12/2025
I can’t even recover from being sick in peace. (Jk her screams heal me)
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AlwaysACivilServant @drneuro.bsky.social · 05/12/2025
We do indeed live in the stupidest timeline No evidence Just vibes And now we’re about to put babies at risk
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AlwaysACivilServant @drneuro.bsky.social · 05/12/2025
Day 2. Committee meetings still seem to be a confusing concept to these geniuses
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AlwaysACivilServant @drneuro.bsky.social · 04/12/2025
If you need any further evidence on why CDC is broken, just look at the past few ACIP meetings. These “experts” can barely run a structured meeting with appropriate due process. You trust that these charlatans know what’s best for America’s health when they can barely understand the word “AGENDA”?
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AlwaysACivilServant @drneuro.bsky.social · 25/11/2025
Ignoring and not talking about AIDS does not make it go away Donny. I cannot think of a single time where a country or multi-lateral entity has EVER chosen not to commemorate World AIDS Day. But don't worry. We took care of those nasty seed oils.
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AlwaysACivilServant @drneuro.bsky.social · 24/11/2025
I finally reorganized the whole bookshelf in my office. I need more shelves…
A full bookshelf wall full of nerdy stuff
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AlwaysACivilServant @drneuro.bsky.social · 17/11/2025
So. Pebble is definitely no longer a kitten
A dilute torrid on her belly while on a cat bed
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AlwaysACivilServant @drneuro.bsky.social · 12/11/2025
It's been almost 9 months since the first set of illegal firings began happening across the federal government. More than 200K How much money did that save the federal government? $0 How much will their critical service cost the American public? Billions Meanwhile...
Elon Musk is officially on the trillionaire path as Tesla shareholders approve an unprecedented $1 trillion pay package
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AlwaysACivilServant @drneuro.bsky.social · 10/11/2025
Sorry Temu Karen
Supreme Court Denies Request to Revisit Same-Sex Marriage Decision
Kim Davis, a Kentucky county clerk who refused to issue same-sex marriage licenses, had asked the court to reconsider its landmark 2015 opinion.
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AlwaysACivilServant @drneuro.bsky.social · 10/11/2025
No former and current federal employee should feel good about the fact that chuck and gang have decided to cave on the ACA subsidies. It’s a slap to the face of everyone who has suffered this far to fight back. Every single one of them needs to be primaried.
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AlwaysACivilServant @drneuro.bsky.social · 06/11/2025
Cool. So. Can I get my job back?
Letter stating “This corrective notice is provided to you pursuant to an order issued on September 12, 2025, by the United States District Court for the Northern District of California in the case American Federation of Government Employees v. U.S. Office of Personnel Management, No. 3:25-cV-1780-
WHA (N.D. Cal.).
As required by Paragraph 5 of the district court's order, the U.S. Department of Health and
Human Services (HHS) informs you that you were not terminated on the basis of your personal performance.
As required by Paragraph 3 of that order, HHS has updated your personnel file, including
your SF-50, to reflect that your termination was not performance or conduct based.
Please note that this corrective notice does not change or otherwise affect any other
communications or actions taken regarding your employment status with HHS.
Sincerely,
s/ Thomas J. Nagy, Jr.
Thomas J. Nagy, Jr.
Deputy Assistant Secretary for Human Resources Chief Human Capital Officer”
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AlwaysACivilServant @drneuro.bsky.social · 27/10/2025
The administration has 100% taken the country hostage with contingency funds that were already set aside and approved. They would rather starve millions vs moving the needle forward. Cruelty is always their game.
An image of a grocery cart with food and a notice title “Trump administration posts notice that no federal food aid will go out Nov. 1”
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AlwaysACivilServant @drneuro.bsky.social · 24/10/2025
Received a nice little surprise award in our public health dept staff meeting. This award felt more meaningful than any of my meritorious performance award as it was a heartfelt thank you from my colleagues. It took every little bit of energy I could muster to not ugly cry while accepting it.
An award stand with a bedazzled rock saying Rock Star
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AlwaysACivilServant @drneuro.bsky.social · 02/10/2025
Yup. We’re all Costco Executive members now
Two cats, one orange and one gray playing in a cat Costco warehouse toy.
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AlwaysACivilServant @drneuro.bsky.social · 23/09/2025
Of all the people, Rubio knows DAMN well that the United States is the LARGEST contributor to the Global Fund, which provides lifesaving treatment for AIDS, TB, and Malaria. Every year we have contributed BILLIONS in helping countries get these treatments. www.theglobalfund.org/en/government/
Article titled - Secretary of State Marco Rubio shot down ABC News host George Stephanopoulos on Tuesday as he pushed the narrative that President Donald Trump’s cuts to foreign aid caused many people to die.

(This is false)
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AlwaysACivilServant @drneuro.bsky.social · 23/09/2025
The insidious “obvious now” factor is that all this dialog of vaccine and Tylenol causing autism is that it’s normalizing and setting the tone of “neurodivergence is an unforgivable sin and we must not let them exist” We are not a sin. We deserve to exist. We deserve love.
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AlwaysACivilServant @drneuro.bsky.social · 21/09/2025
20 years ago I would never think that it was acceptable for men to get their nails done Even after coming out, there was the extremely toxic gay dating culture of “no femme, no Asians, no Blacks, no fat” mentality Today I said “fuck it” and went to get a manicure and select my nail polish
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AlwaysACivilServant @drneuro.bsky.social · 19/09/2025
It appears we’ve now gone down the rabbit hole (again) of anecdotes being evidence for mRNA vaccines causing cancer. And Robert Malone with his tacky:dated tinfoil hat claiming Pfizer tampered with their safety data… (with no evidence) I need to just make a bingo card of all the best hits
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AlwaysACivilServant @drneuro.bsky.social · 19/09/2025
If anyone has followed me back when I covered CDC’s ACIP meeting pre-trump, you’d understand that the group that is responsible for reviewing the data and making recommendation on vaccines are not THIS incompetent. Listening to their “deliberation” was equivalent to Reddit conducting a vibe check
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AlwaysACivilServant @drneuro.bsky.social · 17/09/2025
Regardless of ACIP’s decision this week (this is one component of the vaccines availability) AHIP has noted that health plans will continue to cover all recommended immunizations as of Sept 1 2025.
Health plans are committed to maintaining and ensuring affordable access to vaccines. Health plan coverage decisions for immunizations are grounded in each plan’s ongoing, rigorous review of scientific and clinical evidence, and continual evaluation of multiple sources of data.

“Health plans will continue to cover all ACIP-recommended immunizations that were recommended as of September 1, 2025, including updated formulations of the COVID-19 and influenza vaccines, with no cost-sharing for patients through the end of 2026.

“While health plans continue to operate in an environment shaped by federal and state laws, as well as program and customer requirements, the evidence-based approach to coverage of immunizations will remain consistent.”
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AlwaysACivilServant @drneuro.bsky.social · 15/09/2025
Gentle reminder to all on the following: Fuck Elon Musk and Fuck Russell Vought Kindest Regards, A Former Federal Employee P.S. - oh and fuck the rest of the lot too
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AlwaysACivilServant @drneuro.bsky.social · 14/09/2025
Really amazing as to how many cishet white men are suddenly so concerned about freedom of speech (democrat and republican). Babe, when has anyone silenced you?
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AlwaysACivilServant @drneuro.bsky.social · 12/09/2025
STOP DOOM SCROLLING Look at the fluffy baby
A sleepy fluffy grey kitten underneath an office chair
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Reposted by AlwaysACivilServant
Demetre Daskalakis @drdemetre.bsky.social · 12/09/2025
👀 Lots of questions here. VAERS is a system that generates hypotheses. It is designed to be a very low threshold system for everyone, patients and providers, to submit adverse events for additional review and to generate more study.
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AlwaysACivilServant @drneuro.bsky.social · 11/09/2025
Yesterday’s events have further cemented my mindset that folks cannot operate with nuance on the topics that need urgent addressing. We’re so focused on binary thinking, right or wrong, this or that, that we lose sight of what is actually killing us literally and figuratively as a democratic nation.
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