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Saul Hymes, MD, FAAP

@iddochymes.bsky.social
2.5K followers 4.9K following 294 posts

Pediatric infectious disease division chief at Albany Med in NY. Antibiotic Steward. Pro-science, pro-vaccine, pro-choice. LQBTQIA+ ally. UChicago alum, Columbia alum, worked at Stony Brook Children’s. My views are my own. He/him. #medsky #pedsidsky #idsky

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Reposted by Saul Hymes, MD, FAAP
Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 05/08/2026
@catgyoung.bsky.social #medsky www.ovid.com/jnls/pidj/ab...
One of the largest US studies ever conducted on the MMR vaccine and autism has just been published, analyzing more than 2.5 million children.  Researchers found no association between receiving the first MMR vaccine before age 2 and childhood autism.
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Reposted by Saul Hymes, MD, FAAP
Glenn Fleishman @glennf.com · 05/08/2026
I had forgotten that I had run a “pro-vax” article in The Magazine by @iddochymes.bsky.social in 2013! the-magazine.org/15/give-it-y... At that time, anti-vax was a fringe but growing movement. People like Saul hoped knowledge and outbreaks would prevent it from metastasizing.
the-magazine.org
Give It Your Best Shot — The Magazine
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Congresswoman Ayanna Pressley @pressley.house.gov · 03/07/2026
For America's 250th, I read Frederick Douglass’ speech, “What to the Slave is the Fourth of July?” on the House floor—for the first time in history. His speech endures as a mirror & mandate for us all—to confront our inequities while fighting for an America as good as its promise.
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Aaron Rupar @atrupar.com · 03/07/2026
Mamdani: "As we mark 250 years ... we see the wealthiest country -- one where children go to sleep hungry while the world's first trillionaire hungers for more ... we see masked agents terrorizing our streets, eating food cooked by undocumented neighbors before spiriting them away in unmarked vans"
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Amesh Adalja @ameshaa.bsky.social · 16/06/2026
“A penicillin allergy label is not simply an allergy diagnosis recorded in the medical record. It is a prescribing determinant that influences antibiotic selection throughout a patient’s life.” www.healio.com/news/allergy...
healio.com
Pediatric penicillin allergy labels raise mortality, staph colonization risk
Among pediatric patients, the risks for methicillin-resistant Staphylococcus aureus colonization, surgical site infections and all-cause mortality were each heightened if they had penicillin allergy l...
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Reposted by Saul Hymes, MD, FAAP
Amesh Adalja @ameshaa.bsky.social · 12/06/2026
“Ebola virus and hantavirus, those are the least of our worries,” www.healio.com/news/infecti...
healio.com
Experts: Measles is top infectious threat this summer, not Ebola or hantavirus
Infectious disease experts say measles — not Ebola or hantavirus — is the biggest infectious threat to the mega-events that will be held in the Unites States this summer.Ahead of the World...
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Reposted by Saul Hymes, MD, FAAP
Aaron Rupar @atrupar.com · 10/06/2026
WHITESIDES: The truth is the cheapest form of energy on a per unit basis is daytime solar. Is that not true? CHRIS WRIGHT: It depends-- WHITESIDES: No it doesn't depend! It's true. You are amazingly misleading the American public. WRIGHT: It depends-- WHITESIDES: No!
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Saul Hymes, MD, FAAP @iddochymes.bsky.social · 03/06/2026
A New Beginning
infectious-ideas.org
A New Beginning
Hi folks, it's been a while! I've been busy. You've been busy. We've all been pretty busy. Let's catch up! The last time I wrote a blog post was in 2014. Since then, a lot has happened… In the world, uh, well, COVID-19--that's a big one! I think anyone reading this lived through that in some way or another.[1] I'll have more to say for sure in future posts about what that experience was like for me (and for us all) and what we might be able to learn from it—with regard to current infectious disease events like Hantavirus and Ebola, and with regard to the broader concern of simply being humans. In my personal life, my children are older, with one about to leave for college this coming fall. That’ll be a hoot, definitely going to be some tears…and maybe some blog posts! In my professional life, I left Stony Brook Medicine in 2021 and started a position at Albany Med in pediatric infectious diseases and am now in the division chief role there. You can read an updated version of my bio in the About page on this site. This new leadership role has given me plenty to think about and write about. And in the United States, it seems like public health is in free fall. Following a rise in distrust during and after the COVID-19 pandemic, we now have an administration that, regardless of how you voted, I think we can all agree is making a lot of cuts: defunding NIH research, defunding the [CDC and public health], defunding international medical cooperation and aid, and the list goes on. Whether you agree with those cuts on a personal political level or not is not really important[2]. But what is important is that the medical and scientific community nearly unanimously agree that these policy changes will make us less safe from outbreaks and diseases at home and abroad. So while I wait for Americans to get sicker and my workload to go up, meanwhile, it’s already not a great time to be a pediatric infectious disease doctor. Pediatricians are not trusted right now (shall we talk about vaccines and Vitamin K?) and neither are infectious disease specialists (see COVID distrust above). So being both? As my kids would say, it’s lowkey not great rn. But you focus on doing what’s right, and what you know the science backs up. And sometimes you get to be a punching bag. It’s not right, but it’s the job right now. And really it’s the job as it’s always been. Because, while I said a lot had happened…and it has…things are worse only by degree; they are not worse by kind. In 2026, as in 2014, the medical field is still contending with fear about injections, people using a computer to look things up, and conflicts over science vs religion & tradition among many other issues. And so, now, as then, in addition to focusing on doing what’s best for my patients, along with a healthy dose of escapism, I figured shouting into the void via this blog might be of some use. Talk to you all again soon. --- * For those who didn’t, well, hello to my toddler readers! Look at you being all precocious! Or hello to my ghost readers. Spooky! ↩︎ * Okay, I lied. It’s profoundly important. The fact that Americans either don’t understand the impact of the loss of public health infrastructure, or do understand but don’t care, is a symptom of the larger problem of media bubbles and an uninformed electorate—which will in turn lead to inability of both people and government to fulfill either side of the social contract both as regards public health specifically as well as the larger public good in every way. But I digress. ↩︎
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Saul Hymes, MD, FAAP @iddochymes.bsky.social · 01/06/2026
For anyone who might have known me on social media from the OG MedTwitter era, you might recall I used to have a blog, Infectious Ideas. Well, after a long time, I've decided to restart it: infectious-i... Currently, it's archives of the old blog, but new content is coming soon!
infectious-ideas.org
Infectious Ideas
Taking (Live)stock: Antibiotic resistance, farm antibiotic use, what we can do about it Antibiotic resistance is a topic that is increasingly in the news and on the minds of our patients, providers, and even our government . We all know we… Read more → Originally Published at https://the-magazine.org/36/script-doctor/index.html Long before I wanted to admit it out loud, or even just to myself, I knew my grandfather was losing his mind. Not in any sort of crazy sense. Just that literally,… Read more → Doctor Who? Doctor Geek! How our geeky interests may become our geeky careers I recently wrote a piece on my origins as a physician-writer. In it, I explored how writing allows physicians and other health professionals to understand our… Read more → A couple of months ago I wrote a piece for The Magazine entitled Carry On , also located on this blog [[Blogging/The Magazine Pieces/Carry On|here]]. In it, I discussed how some of the devastating genetic diseases actually persist because… Read more → To say that vaccination remains an extremely hot-button issue is an understatement. Thirteen years after Andrew Wakefield began a controversy over the MMR vaccine and autism, and 2 years after the author of that controversy was discredited… Read more → Originally Published at https://the-magazine.org/28/a-separate-peace/index.html Shivering in the brisk October air, I stood clutching a small pudding cup, licking the plastic spoon. Standing — no, hiding — on the roof with a friend and… Read more → There are times that medical school and residency feel like a sheltered island. When you start medical school, what you will eventually choose for a residency seems an eternity away, but by 3rd or certainly 4th year, most of you will have… Read more → I recently came into contact, through Twitter , with an aspiring doctor and former journalist named Chantal Mendes who was interested in interviewing me about what it was like to be a pediatrician and an infectious disease doctor. My… Read more → Originally Published at https://the-magazine.org/24/carry-on/index.html When my mother was pregnant with me, she and my father underwent screening for Tay-Sachs disease. She was an Ashkenazi Jew; he was not Jewish. Common in Eastern… Read more → Much has been written so far today about Jenny McCarthy joining The View as host, replacing Elisabeth Hasselbeck (who will apparently be joining Fox News in a not entirely surprising turn of events). Excellent pieces by Seth Mnookin ,… Read more → The question a story like this prompts, is why? Why, in the face of easy, accessible vaccination do people still not vaccinate their children? There are currently 34 reported cases in a Measles outbreak in Brooklyn, NY. All were… Read more → It's that time of year again: the birds are singing, the sun is shining, it's getting warmer... You know what that means—yes, its Lyme disease season! What's that? You didn't learn about the two seasons in school growing up? Lyme season… Read more → Autism and Lyme Disease? This is a thing?? Apparently I just moved out from a rock that I've been living under since 2008, when a paper was published linking Lyme seropositivity with autism in a cohort of children. I'm astonished, given… Read more → In the days since my article on vaccines I have received a lot of feedback. Many readers have been very supportive but some have taken issue with some of my arguments, my mode of presentation, or raised questions that I did not answer.… Read more → Originally Published at https://the-magazine.org/15/give-it-your-best-shot/index.html During my pediatric residency, I took care of a three-week-old girl who went deaf from bacterial meningitis due to Haemophilus influenzae type b , an… Read more → Just a very short post today with some food for thought. I spent a good portion of my day yesterday struggling to ascertain whether insurance would pay for certain specific testing on a post-mortem specimen from a patient--that is, a… Read more → Another week, another post; this one on Jewish ritual circumcision...wait, what? How is this an infectious disease issue, you may ask? I’m not spoiling the ending...you’ll have to read to find out. First, a meta-post: my apologies for the… Read more → A recent article by Jane Brody earlier this week in the New York Times discussed the overuse of an antibiotic group called fluoroquinolones . While she had the right idea, I think her approach and some of her data are at best flawed and at… Read more → Today’s post isn’t about medicine, or infections, or antibiotics; rather, it’s about children. 11 years ago today, a horrific act of terror robbed the world of almost 3,000 people. Those women and men were mothers and fathers to children… Read more → As I have discussed in a [[Blogging/On Cows...|previous post]] here, Pertussis, also known as whooping cough, is increasing in prevalence. There are outbreaks this year across the country, building on previous outbreaks last year and in… Read more → Just a quick post tonight. Anybody who has any awareness of or interest in the the Patient Protection and Affordable Care Act (PPACA) or “Obamacare”, which pretty much means anyone who has ever received medical care, hasn’t been living… Read more → It can be all too easy for those of us who work in the medical field to forget why it is we do what we do for a living. And when we do remember why , it can feel difficult to understand how we face what we face on a daily basis. But during… Read more → Today’s topic is vaccines and vaccination. And you thought I’d be writing about farm animals ... From the Latin for “cow,” vaccination owes its name to the first virus used in a vaccine: Cowpox or Vaccin ia virus. Edward Jenner first… Read more → Call me old-fashioned, but I thought an introduction would be in order. My name is Saul Hymes. I am currently an Assistant Professor of Pediatrics in the Division of Pediatric Infectious Disease at Stony Brook Long Island Children’s… Read more → I had never really seen the point of blogging [1] . So why am I here, you ask? I think it just comes down to it being the right time. Which is not to say it is the first time... The internet is littered with the corpses of the… Read more →
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Amesh Adalja @ameshaa.bsky.social · 20/05/2026
Ebola DRC update
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Illoumalnati @illoumalnati.bsky.social · 21/04/2026
Thinking about what it would look like if you set the Punisher's violence to Orinoco Flow, realizing that's just Deadpool, and going, "oh."
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Illoumalnati @illoumalnati.bsky.social · 23/04/2026
Move over Hemingway, "Elon Musk, please help" clocks in at a cool four words
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House Democrats @housedemocrats.bsky.social · 24/03/2026
Average gas prices have increased to $3.98. A month ago, gas prices were $2.95. You can thank Donald Trump.
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Reposted by Saul Hymes, MD, FAAP
Brad Lander @bradlander.bsky.social · 25/03/2026
According to documents filed this morning by the U.S. Attorney for the Southern District of NY, ICE has been lying for a year — not only to the public, but to the courts and to prosecutors — about being authorized to make arrests at 26 Federal Plaza and other immigration courts. (1/2)
Documents filed this morning by the U.S. Attorney for the Southern District of NY exposing how ICE has been lying for a year — not only to the public, but to the courts and to prosecutors — about being authorized to make arrests at 26 Federal Plaza and other immigration courts. Documents filed this morning by the U.S. Attorney for the Southern District of NY exposing how ICE has been lying for a year — not only to the public, but to the courts and to prosecutors — about being authorized to make arrests at 26 Federal Plaza and other immigration courts.
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Robert Reich @rbreich.bsky.social · 25/03/2026
146 workers died in the Triangle Shirtwaist Factory fire on this day in 1911. The bosses responsible were never held accountable for the awful working conditions that sparked the blaze. Remember this today as politicians and their corporate backers attack workplace safety.
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David S. Bernstein @dbernstein.bsky.social · 07/03/2026
So according to the WSJ a US Senator conspired with another country to manipulate the US into starting a war, am I getting this right
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Rep. Alexandria Ocasio-Cortez @ocasio-cortez.house.gov · 15/02/2026
We can't fall into right-wing populism’s lie that the most vulnerable in society are to blame for wealth inequality in our countries. We need to build movements that tell the truth: the story of wealth inequality is not a cultural one, but a class one.
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Governor JB Pritzker @govpritzker.illinois.gov · 15/02/2026
If we don’t want to repeat history – then for God’s sake in this moment we better be strong enough to learn from it.
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Robert Reich @rbreich.bsky.social · 15/02/2026
If this country was truly “pro-life,” we would have Medicare for All, a Green New Deal, gun reform, universal child care, and a living wage. The right-wing agenda isn’t about “life.” It’s about control.
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George Conway ⚖️🇺🇸 @gtconway.bsky.social · 09/02/2026
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Aaron Rupar @atrupar.com · 08/02/2026
BASH: Is this measles outbreak a consequence of the administration undermining support for vaccines? DR OZ: I don't believe so. Secretary Kennedy has been advocating for measles vaccines BASH: Oh, come on
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Sean T. Collins @seantcollins.com · 09/02/2026
I'm hardly the first person to note this, but it's enormously instructive that our President and his followers saw the message "THE ONLY THING MORE POWERFUL THAN HATE IS LOVE" and understood it, correctly, as an attack on them
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Governor Tim Walz @governorwalz.mn.gov · 28/01/2026
I made a promise to Alex’s parents to continue to tell his story. An ICU nurse at the VA, an outdoorsman, a deeply generous, compassionate friend and family member, and a true son of Minnesota. Rest in peace, Alex.
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Forbes @forbes.com · 27/01/2026
789 cases have been reported so far
forbes.com
South Carolina Measles Outbreak Becomes Largest In U.S. History Since First Elimination
789 cases have been reported so far
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jamelle @jamellebouie.net · 27/01/2026
if bovino is out and conservatives are turning on noem then there is a real opportunity to demand that miller resign too.
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Kevin M. Kruse @kevinmkruse.bsky.social · 27/01/2026
Exactly right. Bovino's leaving? Great, get Noem to resign. Noem resigns? Great, defund and dismantle ICE. Go after Stephen Miller too. Bring charges against ICE thugs at the state and local level. Lawsuits. New state laws restricting them. Every possible angle.
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Chris Murphy @chrismurphyct.bsky.social · 20/01/2026
I flew down to south Texas today to do my job - investigate why people are dying in ICE detention centers. I was just illegally denied entry to Dilley Detention Center. Because they have something to hide.
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Adam Schwarz @adamjschwarz.bsky.social · 19/01/2026
Danish Parliament Deputy Speaker Lars-Christian Brask: "If I could come with some advice, it would be for the Senate & House to start to take control of political power in America because with this erratic & mad behaviour, you have to ask the question, is the President capable of running the US?"
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jamelle @jamellebouie.net · 17/01/2026
next reporter who interviews stephen miller should ask him point blank if his goal in minneapolis is to kill more americans
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Mikki Brock @mikkibrock.bsky.social · 13/11/2025
Maybe it’s just the Humanities professor in me, but let it be noted that events of today (ahem) have demonstrated the value of being able to assess a large volume of qualitative data and do careful textual analysis with deep attention to context.
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Jonathan Howard @joho.bsky.social · 12/11/2025
Remember, Prasad began his campaign against the pediatric COVID vaccine months before there was a pediatric COVID vaccine. Here he is spreading fake numbers about the death rate and treating vaccine side effects worse than death. More... www.youtube.com/watch?v=KROy...
youtube.com
2/2021: Months before a vaccine for kids existed, Vinay Prasad gives reasons not to give one,
YouTube video by Jonathan Howard
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Tim Lahey @timlaheymd.bsky.social · 12/11/2025
“The fact that children in 2025 are suffering from diseases that should have been consigned to history is not just a public health failure. It is a moral failure. Access to vaccines is not a privilege — it is a human right.” Or, at least, it should be #bioethics
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Pete Buttigieg @petebuttigieg.bsky.social · 12/11/2025
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Chris Hayes @chrislhayes.bsky.social · 13/11/2025
Something absolutely perfect about Larry Summers riffing about the scourge of woke cancel culture being unfair to predatory men in a friendly email to his pal JEFFREY EPSTEIN.
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Kevin Elliott @kjephd.bsky.social · 26/10/2025
Might be time to update your priors; it might not have been typhus that tore through Napoleon's army on the Russian campaign but rather two other fevers—one foodborne, the other from body lice phys.org/news/2025-10...
phys.org
DNA from Napoleon's 1812 army identifies pathogens likely responsible for the army's demise during retreat from Russia
In the summer of 1812, French emperor Napoleon Bonaparte led about half a million soldiers to invade the Russian Empire. But by December, only a fraction of the army remained alive. Historical records...
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Hakeem Jeffries @hakeem-jeffries.bsky.social · 16/10/2025
Karoline Leavitt is a complete disgrace. Her violent and unhinged rhetoric is going to get someone killed. These extremists are sick people.
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George Gantsoudes @pedsortho.bsky.social · 17/10/2025
If you are going to a protest this weekend, please remove biometrics for unlocking your phone, and also learn how to instantly lock your phone with your power button.
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Matt Belloni @mattbelloni.bsky.social · 18/09/2025
Writers Guild protest is starting now at the Disney gate in Burbank….
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Contagion® @contagionlive.bsky.social · 09/09/2025
🚨ICYMI: Last week, Florida became the first US state to end all vaccine mandates 💉 IDSA President Tina Tan warns this could heighten risks of vaccine-preventable diseases, leaving vulnerable groups most at risk #IDsky #MEDsky #PEDssky Listen to our interview: www.contagionlive.com/view/florida...
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Contagion® @contagionlive.bsky.social · 09/09/2025
Dr. Pranita Tamma discusses how an analysis of infection source and treatment patterns found no evidence that combination therapy improves outcomes in patients with drug-resistant Pseudomonas, consistent with prior studies and clinical trials. #IDsky #Medsky
contagionlive.com
Are There Benefits to Combination Therapy for Drug-Resistant Pseudomonas Infections?
Pranita Tamma, MD, MHS, continues her conversation about a study she was involved in that compared ceftolozane-tazobactam and ceftazidime-avibactam. She discusses how an analysis of infection source a...
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Robert Reich @rbreich.bsky.social · 09/09/2025
The 400 richest Americans are now worth a record $6.6 trillion, after getting $1.2 trillion richer over the past year alone. Meanwhile, the rest of the country is getting squeezed by tariffs and high prices for groceries, utilities, and health care. The system is broken.
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The Washington Post @washingtonpost.com · 17/08/2025
Federal agents violently detained a food delivery driver as he emerged from a D.C. coffee shop Saturday morning. The incident captured on video showed the officers throwing him to the ground and beating him before sweeping him away in an unmarked vehicle. wapo.st/45Egtkc
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Jess Piper @piperformissouri.bsky.social · 14/08/2025
👇🏻
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George Takei @georgetakei.bsky.social · 14/08/2025
The moment he named his platform “Truth Social” we were headed this way.
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The Bulwark @thebulwark.com · 31/07/2025
Epstein victims lawyer Spencer Kuvin: "We now know from the words of the President himself that Virginia was right all along, and that she was trafficked out of Mar-a-Lago.”
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Gregg Gonsalves @gregggonsalves.bsky.social · 31/07/2025
#MartyMakary is a peddler of misinformation. A study came out on Monday saying: "In this nationwide cohort study, no increased risk of 29 adverse events was observed after vaccination with the updated COVID-19 mRNA vaccine [...] in approximately 1 million adults." Trust the data, not this fool. 1/
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Acyn @acyn.bsky.social · 01/08/2025
Virginia Giuffre’s brother: I think we were shocked by it—especially the use of the term “stolen.” Because she’s not an object. She’s a person. Someone who was recruited at Mar-a-Lago—his property… it just kind of makes us wonder… how much he knew
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Kevin M. Kruse @kevinmkruse.bsky.social · 01/08/2025
“The president cut your health care so he could build himself a golden ballroom” is a pretty easy message to sell
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Ryan Goodman @rgoodlaw.bsky.social · 18/07/2025
What an important point by @jkbjournalist.bsky.social back in February and ever more relevant. "Pam Bondi was Florida's attorney general 2011-2109 ... So questions should be asked about why she didn't take up the [Epstein] case -- or launch a probe -- when she was attorney general in Florida."
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UW Infectious Disease Fellowship Program @uwidfellowship.bsky.social · 19/07/2025
On NPR’s 1A podcast, Dr Rachel Bender-Ignacio discusses the future of US HIV funding… podcasts.apple.com/us/podcast/t... The Future Of US Funding For H… - 1A - Apple Podcasts
podcasts.apple.com
The Future Of US Funding For HIV Treatment And Prevention
Podcast Episode · 1A · 07/17/2025 · 33m
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