iiinova — where your digital self keeps evolving

Reposted by Howard Greller, MD

Angie Rasmussen @angierasmussen.bsky.social · 04/09/2025

The problem with believing vaccines are dangerous is that by the time you realize you’re wrong, it’s too late and someone you love dies of a preventable disease. Florida is about to find this out the hard way.

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Reposted by Howard Greller, MD

J. Offir, PhD @joffirphd.bsky.social · 28/08/2025

🚨It's almost 2am eastern, but the CDC debacle is still unfolding. Very important message from the American Public Health Association: "We urge people across the nation to contact their representative and call for change to protect our health." "RFK Jr. must be... 1/3 www.apha.org/news-and-med...

apha.org

Kennedy’s attack on public health must be stopped

The abrupt attempt to oust Dr. Susan Monarez, the CDC’s director just weeks after her Senate confirmation, is yet another glaring sign of Secretary Kennedy’s failed leadership and reckless mismanageme...

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Reposted by Howard Greller, MD

Mark Ungrin @mark-ungrin.bsky.social · 28/08/2025

People talk about cuts to science, but they need to understand that what the Trump regime is doing is orders of magnitude worse. 👉All of science that the US government can touch is being replaced with pseudoscience.👈 Budgets diverted to grifters and quacks, reputations burned to sell snake oil. 🧵:

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Reposted by Howard Greller, MD

Mark Ungrin @mark-ungrin.bsky.social · 04/04/2025

The roadmap for turning the NIH into an EBM slush fund and shutting down real science. Kulldorf, in the new public health blog ("journal") co-founded by Bhattacharya. 1: Fund based on who applies 🤔, rather than ideas 2: Give ECR grants. But only to "medical, dental and public health school".

From: https://publichealth.realclearjournals.org/perspectives/2025/03/a-blueprint-for-nih-reform/

PROPOSAL #1:

To give scientists the freedom to do the research they consider most innovative and promising, grants should be awarded based on evaluation of their three best first-authored articles published during the past five years, rather than promises about proposed future work. If scientists have done excellent research in the past, they will continue to do excellent research, and this system will allow scientists to quickly pursue interesting new ideas. It also means less time spent on grant writing, and more time spent on research. To ensure funding for a wide range of research areas, scientists would specify their area of research, such as genetics, diabetes treatment, or cancer epidemiology, and each area would have a defined amount of NIH research dollars to distribute to the scientists in that area. To ensure research collaboration, there should be a maximum amount of the grant that can be used for principal investigator salary.

NIH already has some funding opportunities along these lines, which can easily be expanded. If there are doubts about this new approach, one option is to let universities choose between the old and this new system. Vinay Prasad has argued that different NIH grant award mechanisms should be put to the same rigorous scientific evaluation as science itself, by randomizing scientists or universities to different grant systems.1 With that philosophy, universities could be randomized to either the old or this new system, followed by a thorough and comparative evaluation of research results.

PROPOSAL #2:

NIH should allocate a certain number of five-year training grants to each medical, dental and public health school in the United States, trusting them with finding the best young scientists to recruit, and letting them immediately start the research they want to pursue. Each medical school would receive at least one new training grant every year, while additional awards depend on the evaluation of research articles by recently supported trainees. To avoid academic inbreeding and ensure competitiveness and excellence, training awards should be used to recruit young scientists educated at other institutions.

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Reposted by Howard Greller, MD

Demetre Daskalakis @drdemetre.bsky.social · 28/08/2025

Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...

insidemedicine.substack.com

Breaking News: Read three top CDC officials' resignation emails.

The end of an era.

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Reposted by Howard Greller, MD

Angie Rasmussen @angierasmussen.bsky.social · 28/08/2025

COVID vaccines were approved today but it's a Pyrrhic victory for vaccines. With the CDC stripped of leadership & capacity, we have no recourse for the outbreaks of preventable diseases that are coming. The CDC's death will kill people. open.substack.com/pub/rasmusse...

open.substack.com

The Day the CDC Died

Updated COVID vaccines were approved, but too bad the CDC is no longer functional

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Reposted by Howard Greller, MD

Manini AF @maninialex.bsky.social · 14/08/2025

5/ Bottom line: fentanyl still rules, but the “other stuff” — novel benzos, veterinary sedatives, synthetic cannabinoids — is the stealthy threat changing overdose care. Full report: npsdiscovery.org #DrugTrends

npsdiscovery.org

NPS Discovery

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Manini AF @maninialex.bsky.social · 14/08/2025

4/ Clinically, this underscores why standard opioid panels miss the mark. LC-QTOF-MS detected >1,200 substances, catching dangerous adulterants missed by routine screens. Treatment must anticipate multi-drug toxicity. #EmergencyMedicine www.cdc.gov/overdose-pre...

cdc.gov

The Fentalog Study: A Subset of Nonfatal Suspected Opioid-Involved Overdoses with Toxicology Testing

View substances detected in samples from patients experiencing a suspected opioid-involved overdose.

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Reposted by Howard Greller, MD

Manini AF @maninialex.bsky.social · 14/08/2025

3/ Public health takeaway: street drugs are increasingly poly-drug cocktails. Testing found opioids + stimulants + sedatives in the same patient; this complicates outreach, naloxone use, and treatment planning. #OverdosePrevention

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Reposted by Howard Greller, MD

Manini AF @maninialex.bsky.social · 14/08/2025

1/ 🚨 New TOXIC Fentalog quarterly report on multi-city toxicology testing shows fentanyl & other synthetic drugs dominate suspected overdose cases in US ERs. Findings offer a near real-time look at the street drug market. #medsky #PublicHealth 🧵 www.cfsre.org/nps-discover...

cfsre.org

ToxIC Fentalog Study Group - Quarterly NPS Report: Q2 2025

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Manini AF @maninialex.bsky.social · 11/06/2025

1/ Exciting news: Our team has been awarded a NIDA R01 grant to fund "Fentalog II", a continuation of our groundbreaking collaboration to detect novel fentanyl analogue overdoses in EDs across ten major hospitals over five years. #syntheticopioids #Medsky 🧵 www.mountsinai.org/about/newsro...

mountsinai.org

Mount Sinai Receives $3.8 Million Grant to Study New Synthetic Drugs and Opioid Overdoses in Emergency Departments to Prevent Deaths

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Reposted by Howard Greller, MD

Inequality Media Civic Action @imcivicaction.bsky.social · 16/07/2025

LeVar Burton delivered this testimony in 1995 urging Congress not to cut funding for public broadcasting. His words remain true 30 years later, as Senate Republicans advance a bill that would slash funding for PBS and NPR. Tell your senators to oppose these cuts: (202) 224-3121.

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Reposted by Howard Greller, MD

Doctor Radio (SiriusXM ch. 110) @nyudocs.bsky.social · 10/07/2025

As a new group of young doctors enters the #ER during July, our seasoned Emergency Medicine physicians, @askdrbilly.bsky.social and Dr. Howard Greller explain what it means for your #summer ER visit on @nyudocs.bsky.social SiriusXM ch. 110 - Thursdays 8-10am East.☀️

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Reposted by Howard Greller, MD

Robert Reich @rbreich.bsky.social · 10/07/2025

The first time Charlie Chaplin used his voice in a film, he wielded it to forcefully condemn the rising forces of fascism around the globe. Will we listen to his words today?

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Reposted by Howard Greller, MD

American College of Medical Toxicology @acmtmedtox.bsky.social · 30/06/2025

The July issue of @journalmedtox.bsky.social is out now! ACMT members login via the ACMT member portal (or your academic institution) for unrestricted access. @ziadkazzi.bsky.social @toxicologist12.bsky.social @heshiegreshie.bsky.social

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Ryan Marino, MD @ryanmarino.bsky.social · 12/06/2025

These people disgust me. They hate us all. This is a game to them. They are pathologically antisocial and selfish. They deserve as much contempt as we can give. They have nothing but smug, selfish contempt for us, and they will smirk to each other as they kill children and enrich themselves doing so

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Reposted by Howard Greller, MD

Ryan Marino, MD @ryanmarino.bsky.social · 12/06/2025

What an unserious person. I will never be able to unsee the people suffocating in their own bodies because the virus melted their lungs. Whole families showing up together at the brink of death. Myself & my colleagues putting on garbage bags & months-old N95 to resuscitate them in hospital driveways

A refrigerator truck filled with body bags

A refrigerator truck being loaded with multiple, stacked carts of body bags

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Reposted by Howard Greller, MD

Ryan Marino, MD @ryanmarino.bsky.social · 12/06/2025

RFK Jr’s ACIP pick, Martin Kulldorff, said one of the most disturbing images from the pandemic was a toddler crying about having to wear a mask. I see toddlers cry about everything all the time, and I found it far more disturbing to see refrigerator trucks full of body bags outside of the hospitals…

Martin Kulldorff & @MartinKu...•9/10/23 S.••
"One of the most disturbing images of the Covid-19 pandemic was when a teacher .. forced a mask on a crying toddler ..
In some ways, the U.S. government.. treated all of us like toddlers, compelling us to endure draconian Covid measures" - @HRaleighspeaks

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Reposted by Howard Greller, MD

SlenderSherbet @slendersherbet.bsky.social · 22/04/2025

Please take a moment out of your day to marvel at the elegance, agility and effortless natural grace of the penguin.

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Reposted by Howard Greller, MD

D*o.t_s>k°y @dottsky.bsky.social · 21/04/2025

SORRY. Sorry. Have we seen this *incredible* news video coming out of Queensland? Wait for the witness/witnesses statement

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Reposted by Howard Greller, MD

Hunter Walker @hunterw.bsky.social · 21/04/2025

Heads up guys, making cracks about alcoholism, addiction, and recovery programs isn't the chill win some folks seem to think it is. People are going through hell out there.✌️

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Reposted by Howard Greller, MD

The Volatile Mermaid @ohnoshetwitnt.bsky.social · 14/04/2025

Calm down, folks, it was just an attempted assassination of a Jewish Democratic governor and his family on the first night of Passover, it’s not like somebody spray painted a dick on a Cybertruck.

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Reposted by Howard Greller, MD

REwadent Evil @ewacat.bsky.social · 13/04/2025

I love it when you find an author you love and they have the grace to have published several books so you're not going to run out of their work any time soon. Thank you authors 🙏

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Reposted by Howard Greller, MD

Brendel @brendelbored.bsky.social · 10/04/2025

Kurt Vonnegut man

Kurt Vonnegut tells his wife he's going out to buy an envelope:
"Oh, she says, well, you're not a poor man.
You know, why don't you go online and buy a hundred envelopes and put them in the closet?
And so I pretend not to hear her. And go out to get an envelope because I'm going to have a hell of a good time in the process of buying one envelope.
I meet a lot of people. And see some great looking babies. And a fire engine goes by.
And I give them the thumbs up. And I'll ask a woman what kind of dog that is. And, and I don't know. The moral of the story is — we're here on Earth to fart around
And, of course, the computers will do us out of that. And what the computer people don't realize, or they don't care, is we're dancing animals. You know, we love to move around.
And it's like we're not supposed to dance at all anymore."

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Reposted by Howard Greller, MD

Senator Bernie Sanders @sanders.senate.gov · 14/03/2025

Yes a shutdown would have consequences. And a Republican President, Republican House, and Republican Senate would be responsible. They have acted in a unilateral and unprecedented way. Democrats cannot cave. They must fight back.

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Reposted by Howard Greller, MD

Alexandria Ocasio-Cortez @aoc.bsky.social · 14/03/2025

KEEP CALLING. PEEL OFF ALL DEM SENATORS YOU CAN. ☎️: (202) 224-3121 Tell them to vote NO on Cloture and NO on CR. Vote is pushed to after 1:15ish for now. Situation is fluid. The only public YES votes are Schumer and Fetterman. They need 7-8 total. KEEP CALLING. Call retiring Senators too!

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Reposted by Howard Greller, MD

Noelle @finallynoelle.bsky.social · 13/03/2025

Here’s a cheat sheet with all the phone numbers for the US Senate. I have a feeling we’ll be calling them a lot in the near future.

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Reposted by Howard Greller, MD

GOLIKEHELLMACHINE @golikehellmachine.com · 10/03/2025

he's going to do this for every special and every midterm race unless we can break tesla first

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Reposted by Howard Greller, MD

Molly Jong-Fast @mollyjongfast.bsky.social · 08/03/2025

I had to bring this here because it’s so good

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Reposted by Howard Greller, MD

Ben Goggin @bengoggin.bsky.social · 06/03/2025

Spotted on the commute home 👀

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Reposted by Howard Greller, MD

J. Offir, PhD @joffirphd.bsky.social · 27/02/2025

First, they said postponed; now the meeting is canceled. That means no flu shots next year. “'It’s a six-month production cycle,' Dr. Offit said. 'So one can only assume that we’re not picking flu strains this year.'" Fundamentally, that's a form of mass murder. www.nytimes.com/2025/02/26/u...

nytimes.com

F.D.A. Cancels Meeting of Vaccine Experts Scheduled to Advise on Flu Shots

The cancellation plays into fears among scientists who worry that Robert F. Kennedy Jr. will use his position as health secretary to sow doubts about vaccines.

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Reposted by Howard Greller, MD

Marlow Stern @marlownyc.bsky.social · 01/03/2025

this ‘jurassic park’ story 😭

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Reposted by Howard Greller, MD

Shematologist, MD @shematologist.medsky.social · 02/03/2025

This is going to be a big problem. Not typically on pubmed (a free online database of medical literature) on Saturday nights but heard it was down and had to check for myself.

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Reposted by Howard Greller, MD

Kendra "Gloom is My Beat" Pierre-Louis @kendrawrites.com · 01/03/2025

A fun fact about vitamin A supplementation is it can kill you

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Reposted by Howard Greller, MD

Popehat @kenwhite.bsky.social · 28/02/2025

As an offshoot of this thread, let’s talk about what happens if federal, state, or local officials text, email, call, or show up at your door wanting to talk to you about what you said about the President. I have a theme, a thesis, a throughline, a leitmotif, which is SHUT YOUR FUCKING MOUTH. /1

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Reposted by Howard Greller, MD

Katie Phang @katiephang.bsky.social · 27/02/2025

NEW: “Kennedy paused a multimillion dollar project to create a new Covid-19 vaccine in pill form on Tuesday, and the Food and Drug Administration canceled an advisory committee meeting on updating next season’s flu vaccine.” newrepublic.com/post/192059/...

newrepublic.com

RFK Jr. Takes a Sledgehammer to Two Major Vaccine Developments

Robert F. Kennedy Jr. is already implementing his dangerous anti-vax views at HHS.

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Reposted by Howard Greller, MD

Jess Piper @piperformissouri.bsky.social · 27/02/2025

The Department of Ed has a form to snitch on DEI policies in schools. I’d be a shame if we broke it with thousands of responses… enddei.ed.gov

enddei.ed.gov

Department of Education FormLock

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Reposted by Howard Greller, MD

Alexandria Ocasio-Cortez @aoc.bsky.social · 22/02/2025

Also if you feel strongly about Eric Adams, you should call your city councilmember to express that and ask for their position. You’d be surprised. Hochul’s stance is highly disappointing but it doesn’t come from nowhere. Press all your electeds. City elections are in 5 months. Ask candidates too.

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Reposted by Howard Greller, MD

Opinion Editor @ Bluesky @dly.bsky.social · 23/02/2025

pee holes are in a horrible spot, we should pee out of our fingertips for ease and convenience

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Reposted by Howard Greller, MD

Mary Wood @maryrosewood.bsky.social · 23/02/2025

After Ta-Nehisi Coates’ ‘Between the World and Me’ was censored in my classroom, I learned that regular people have a duty and a way to fight injustice. Here’s one example of how we can push back. I’m grateful to be a plaintiff in this case. www.naacpldf.org/press-releas...

naacpldf.org

South Carolina Educators, Students and Renowned Author Challenge State’s Racially Discriminatory Censorship Law

Today, the Legal Defense Fund (LDF) and Tyler Bailey of Bailey Law Firm, LLC filed a federal civil rights lawsuit on behalf of the South Carolina State Conference of the NAACP, South Carolina educator

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Reposted by Howard Greller, MD

American College of Medical Toxicology @acmtmedtox.bsky.social · 21/02/2025

Excellence in Review—Heartfelt thanks to our Journal of Medical Toxicology 2024 peer reviewers. ⁦ SEE FULL LIST HERE >> rdcu.be/d90Hn @heshiegreshie.bsky.social @kimnoshie.bsky.social @toxicacmt.bsky.social @jlovemd.bsky.social @toxicologist12.bsky.social

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