iiinova — where your digital self keeps evolving

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Charlie Warzel @cwarzel.bsky.social · 30/09/2026

There is a moment at the very very end of Abdul El-Sayed's podcast with Ezra Klein (book recommendation section) where he talks about the idea of "speaking truth to pain" and this will be staying with me for an extremely long time. www.nytimes.com/2026/09/25/o...

But there’s also something about truth to pain. We talk a lot about truth to power, but I think it’s actually a lot harder to speak truth to pain. I say that as someone who went to medical school, realizing that in a lot of our politics right now, we’ve got to get a lot better at speaking truth to pain if we’re going to get through some of these challenges that we have.

What does “truth to pain” mean?

It’s one thing to look power in the eye and say: You’re wrong about this. But there’s a way in which pain is very difficult to reason with. Because when somebody is in their pain, they’re in their trauma. They see that pain, and they may not see what’s causing it.

I remember just very explicitly being in a trauma ward with a gunshot wound patient and watching this big guy with his hand on his gunshot wound. All the folks are trying to pull his hand off his pain, that point of his gunshot wound, this clear vulnerability.

And this emergency room doctor had the presence of mind to be like: Everyone, stop. And she looks him in the eyes, and she’s like: I get that really hurts, and I’m so sorry that you’re here. You don’t want to be here. We don’t want you to be here. But if you don’t let us fix this, you could die. So I’m going to take your hand, and I’m going to move it off, OK? Because I need to get there so that you can live.

She was speaking truth to pain. He understands he’s at the hospital, he needs care, but he also doesn’t want anybody to touch the wound. Which is a natural thing. And I think it is a really great metaphor for how we think about a lot of these challenges we talked about today.

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gostin.bsky.social @gostin.bsky.social · 25/09/2026

Today, the US dissented from the UNGA Political Declaration on PPPR. The political & operational impacts include a deepening geopolitical schism in global health. The US put sovereignty & ideology above international cooperation & health security

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Apoorva Mandavilli @apoorvanyt.bsky.social · 25/09/2026

The US and the EU rejected a declaration by member countries of the UN that pledged international collaboration and solidarity in preparing for and responding to pandemics. Yes, you read that right. 🎁 🔗 www.nytimes.com/2026/09/25/u...

nytimes.com

U.S. Rejects U.N. Declaration on Preparing for Future Pandemics (Gift Article)

Most member nations spoke in support of the declaration, but some rich countries had strong objections.

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Radley Balko @radleybalko.bsky.social · 25/09/2026

Raskin made a holy shit observation on MS Now this afternoon: Since taking office, Trump has made a million dollars per hour for himself. Every hour, he has made more than twice the president’s annual salary.

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Madhu Pai, MD, PhD @madhupai.bsky.social · 25/09/2026

At UNGA, one “leader” called climate change a hoax, while another leader spoke the truth and warned the world about the impending climate disaster apnews.com/article/un-c...

apnews.com

Nepal's climate-connected catastrophe is a warning to the rest of the world, prime minister tells UN

A month after deadly floods, Nepal's prime minister says the climate-connected catastrophe is a warning to the rest of the world.

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Gavi @gavi.org · 25/09/2026

A new study spanning 30 years and 194 countries and territories estimates that epidemics may be linked to the loss of around 17,500 health workers from the global workforce each year, with the greatest impact falling on countries that can least afford it. Read more: bit.ly/4rrqMTc

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Dorit Reiss @doritreiss.bsky.social · 20/09/2026

"On September 9, the toll for children who have died from suspected or confirmed measles cases since March 15 passed 1,000, according to the Directorate General of Health Services of Bangladesh." www.npr.org/2026/09/09/g...

npr.org

Whatever happened to the measles outbreak that shocked a country this year?

Bangladesh has seen over 50,000 confirmed or suspected cases of measles this year. The death toll among children just surpassed 1,000. How are officials trying to bring the outbreak under control?

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Médecins Sans Frontières @msf.org · 17/09/2026

“By the time these children reach us, they are not only malnourished.” At Mudug Regional hospital in Somalia, our colleagues are seeing that healthcare facility closures are forcing families to travel further for malnutrition treatment.

msf.me

Somalia: MSF calls for treatment for malnutrition to be restored across Mudug | MSF

In Mudug, central Somalia, children are arriving late for malnutrition treatment, after health facilities have closed across the region.

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Indi Trehan @inditrehan.bsky.social · 13/09/2026

Fiat lux, everywhere and anywhere.

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Climate Dad @climatedad.bsky.social · 12/09/2026

The red line escaping along with any dreams we might have of a decent future for our children.

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BEACON @beaconbio.bsky.social · 11/09/2026

Florida reports 111 locally acquired dengue cases, with transmission concentrated in Hillsborough County, where a possible dengue‑associated death is under investigation. beaconbio.org/en/report/?reportid=b…

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Our World in Data @ourworldindata.org · 11/09/2026

Stunting is one of the leading measures used to assess childhood malnutrition. It indicates that a child has failed to reach their growth potential as a result of disease, poor health, and malnutrition. A child is defined as “stunted” if they are too short for their age.

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Indi Trehan @inditrehan.bsky.social · 04/09/2026

Very cool article. "The central drama of the modern world is innovation against suffering, and we have made incredible progress so far. But we are doing far worse than we could." Hasta la victoria siempre.

worksinprogress.co

Every disease is a policy failure

Few people know how much medicine has progressed in their lifetimes. Fewer know how much faster it could be progressing.

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Jeremy Berg @jeremymberg.bsky.social · 03/09/2026

My quote of the day Man is always marveling at what he has blown apart, never at what the universe has put together, and this is his limitation. Loren Eiseley

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Jen Taub @jentaub.bsky.social · 17/08/2026

“A single-payer universal health care system could cover every American, save more than 100,000 lives a year, and still cost $1 trillion less than the system it would replace, according to a new preprint study led by researchers at the Yale School of Public Health.” ysph.yale.edu/news-article...

ysph.yale.edu

Universal Health Coverage Could Save $1 Trillion and 114,000 Lives Every Year, Yale Study Projects

A single-payer universal health care system could cover every American, save more than 100,000 lives a year, and still cost $1 trillion less than the system it

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Indi Trehan @inditrehan.bsky.social · 28/08/2026

The narrative uni's are using is all wrong. It is NOT about money for the U or faculty. It is about the US gov't having an obligation to its rich, advanced society to protect it and improve quality of life. We protect it by contracting defense companies to build weapons the gov't can't manufacture.

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Indi Trehan @inditrehan.bsky.social · 26/08/2026

Agreed…but also needs to be paired with eliminating private school vouchers.

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Joel @itsjoels.bsky.social · 25/08/2026

This is the letter kids got at the end of Dolly’s Imagination Library. I defy you to read this and not cry.

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Onisillos @onisillos.bsky.social · 21/08/2026

What a perverse situation: countries with too few doses yearn for them and countries with an overabundance spurn them. theconversation.com/why-millions...

theconversation.com

Why millions of people around the world will contract measles in 2026

Measles is making a comeback around the world. In places with low vaccination rates, a few cases can quickly become an epidemic.

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Indi Trehan @inditrehan.bsky.social · 20/08/2026

Today's outstanding paper of the day. Simple, safe, quickly scalable intervention with clear physiologic rationale and clear, clinically meaningful outcomes. Another great study from Chandy John and team. Hasta la victoria siempre.

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Indi Trehan @inditrehan.bsky.social · 19/08/2026

Was cool to work on this new @who.int guideline on fluids in ill children and (re-)learn so much about fluids, physiology, sepsis, and chemistry, while getting to meet several legends in the field. iris.who.int/items/44f893...

iris.who.int

WHO guideline on fluid management of acutely ill children

This WHO guideline is the first stand-alone WHO guideline on fluid management in acutely ill children. It addresses gaps in fluid management identified during updates of previous WHO guidance on paedi...

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Indi Trehan @inditrehan.bsky.social · 18/08/2026

1st MODAM results. We show: 1) treatment of moderate wasting streamlined by switching to RUTF w/o loss of effectiveness; 2) MUAC alone sufficient to prioritize treatment. In a world that chooses to deny sufficient resources for child nutrition, we hope this informs future @who.int guidelines.

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World Food Programme @wfp.org · 14/08/2026

🆘 #SouthSudan: Food and nutrition assistance for hundreds of thousands of refugees could end in September due to funding shortfalls, WFP and @Refugees are warning. For families already living on the edge, losing this support would mean deeper hunger and greater risks. 🔗 bit.ly/4qgVDkJ

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John Scalzi @scalzi.com · 14/08/2026

Why wait

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ProPublica @propublica.org · 13/08/2026

Without USAID funding to help buy food for refugees, the World Food Program rushed to prioritize families based on need, determining that only half the population would get food. Refugees learned which half they were in from a number stamped on the back of their ration card. (Published Dec. 2025)

propublica.org

After Trump Officials Cut Food Aid to Kenya, Children Starved to Death

“Brutal and traumatizing”: Interviews and a trove of internal documents show government officials and aid workers desperately tried to warn Trump advisers about impending disaster and death.

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Climate Dad @climatedad.bsky.social · 13/08/2026

The gently sloping line at the bottom is our world 252 million years ago, when temperatures increased by 8C across 60,000 years killing 90% of all species. It is a period known as The Great Dying. That vertical red line is the world our children live in.

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Jeremy Berg @jeremymberg.bsky.social · 12/08/2026

My quote of the day I am an optimist. It does not seem too much use being anything else. Winston Churchill

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Médecins Sans Frontières @msf.org · 11/08/2026

We carried out a malnutrition survey among displaced families in Baidoa, Somalia, in July. The findings are shocking. 🔴 1 in every 2 children screened is acutely malnourished. 🔴 1/3 of families surveyed are surviving on 1 meal a day. More details:

msf.me

Somalia: Survey of displaced families in Baidoa finds every second child malnourished | MSF

A recent MSF survey finds shocking levels of malnutrition among children in displacement sites in Baidoa, Somalia.

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Jeremy Berg @jeremymberg.bsky.social · 11/08/2026

My quote of the day I could tell you my adventures—beginning from this morning, said Alice... but it's no use going back to yesterday, because I was a different person then. Charles Dodgson (Lewis Carroll)

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Indi Trehan @inditrehan.bsky.social · 11/08/2026

Important work adding to our body of knowledge on post-treatment morbidity and mortality across a range of illnesses — hospitalization, wasting, TB, malaria…

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Zeke Hausfather @zekehausfather.com · 02/08/2026

I'm not sure folks have realized just how crazy the second half of 2026 and 2027 will be for global temperatures – on the back of a record-smashing El Niño event. Here is my latest estimate of where both years will end up compared to global temperatures since 1850.

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