iiinova — where your digital self keeps evolving

Joanna Hart @joannahart.bsky.social · 25/09/2026

May we always strive to the one who is present, not the fixer, when the moment calls. ❤️

Joanna Hart @joannahart.bsky.social · 21/08/2026

Whatever your foreign policy opinions, my heart is with the sailors and families back at home as this deployment ends. As a kid who grew up missing (and being infinitely proud of) a dad at sea on Navy ships, the impact of a 9-month deployment on families is not abstract.

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Amy G Dala, MD @amygdalamd.bsky.social · 20/08/2026

Me as an author: what’s taking so long for the review Me as reviewer: dammit I’m not doing more work for free Me as editor: please please please please please accept to review and thank you thank you thank you I love you #academicmedicine

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KFF @kff.org · 16/07/2026

Compared to other adult workers, direct care workers are more likely to be age 50+, female, Black or Hispanic, or immigrants. They are also more likely to have a high school degree or less, work part-time, be low-wage, and have Medicaid or be uninsured: on.kff.org/3SPqKaJ

The KFF bar chart shows a breakdown of the different demographics and socioeconomic characteristics of direct care workers compared to all other adult workers in the US.

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NPR @npr.org · 11/07/2026

Should patients who choose euthanasia be able to die by having their vital organs removed for donation? The ethical concerns are substantial.

n.pr

A new proposal for organ donation sparks concern

Should patients who choose euthanasia be able to die by having their vital organs removed for donation? The ethical concerns are substantial.

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Jess Calarco @jessicacalarco.com · 29/05/2026

This is bad. Bad for researchers. Bad for science. Bad for universities. Bad for professional associations. For example: 1. Every award would be vetted by political appointees, who could overrule peer reviewers and deny the award if it doesn't advance the president's priorities. 1/🧵

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NPR @npr.org · 25/05/2026

Over 550 men in California have fallen ill after cutting natural or factory-made stone countertops. But epidemiologists say this isn't just a California problem.

n.pr

Thousands of U.S. countertop workers could have damaged lungs, safety expert says

Over 550 men in California have fallen ill after cutting natural or factory-made stone countertops. But epidemiologists say this isn't just a California problem.

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Joanna Hart @joannahart.bsky.social · 21/05/2026

Big Tobacco has not gone away. Just changed shape.

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Amy Bradstreet @onbradstreetfarm.bsky.social · 09/05/2026

Yeah, we don’t have hospitals, dentists, or physicians.

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KFF Health News @kffhealthnews.org · 28/04/2026

Every state won awards from a $50 billion rural transformation fund. But the money can’t replace Medicaid dollars. It must build durable systems: electronic health records, broadband, telehealth. That means community health care providers may end up sharing the billions with corporate giants.

kffhealthnews.org

Big Companies Position Themselves for Payday From $50B Federal Rural Health Fund - KFF Health News

A $50 billion federal fund is supposed to modernize rural health with electronic health records, AI, telehealth, and more. But community clinics and rural health advocates fear that the contractors ad...

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Joanna Hart @joannahart.bsky.social · 22/04/2026

This is the perhaps the worst part: “This is lost time for all of us,” Dr. Lauer said. “Instead of spending their time doing science and hopefully making discoveries that will make us all healthier, they’re rewriting grant applications.” www.nytimes.com/2026/04/22/s...

nytimes.com

Pace of N.I.H. Funding Slows Further in Trump’s Second Year

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Joanna Hart @joannahart.bsky.social · 13/02/2026

As a West Philly baseball mom and volunteer for our local rec league, this article is spot on. The kids out there need safe play spaces and rec sports—and not just the robust programs in the northeast with snack bars, real bathrooms in club houses, and recruiting systems.

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Joanna Hart @joannahart.bsky.social · 10/02/2026

Incredibly proud to be part of this team emphasizing the importance of integrating palliative and supportive care principles into routine pulmonary and critical care!

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Joanna Hart @joannahart.bsky.social · 27/01/2026

“I was able to recognize my mother, who…spent nights with me, and my husband and younger brother, who would visit during the mornings and afternoons. My constant and singular thought during that time was this: If they could see me, then I was safe.” www.nytimes.com/2026/01/27/d...

nytimes.com

How Losing My Limbs Turned Me Into a Different Kind of Cook

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JAMA @jama.com · 04/01/2026

Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types. ja.ma/3KW7LI0

Table titled "Guidance for Communicating With Patients About Medical Numbers". Columns: Recommendation, Potentially Problematic Communication, and Preferred Communication. Examples include using numbers to convey risk and providing context.

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JAMA Network Open @jamanetworkopen.com · 31/10/2025

Promotion delays in academic pediatrics cost physicians up to $3 million in lost earnings and widen pay gaps, highlighting the need for fair, timely advancement for a sustainable pediatric workforce. ja.ma/4nvdscM

Three graphs show NPV in millions of dollars vs. wage rate, comparing promotion timelines. Early promotion yields the highest NPV gains with increasing wage rates, while stalled/no promotion has lower returns. Pediatric subspecialties NPV increases with wage, with a range shown.

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JAMA Network Open @jamanetworkopen.com · 22/10/2025

Targeted investment to boost screening rates in FQHCs could result in 1.87 million additional people screened and help narrow longstanding disparities in cervical cancer prevention. ja.ma/43zs57R

Two bar graphs show national screening percentages. Graph A shows demographic subgroups, with categories like "Overall" and "Uninsured." Graph B breaks down screening by geographic region: Northeast, Midwest, South, West. Both compare 'Screened (status quo),' 'Reference,' and 'Screened (after improvement)'.

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American Thoracic Society (ATS) @atscommunity.bsky.social · 30/09/2025

The ATS and CAPC are proud to introduce a new collaborative series of seven modules on ATS Ed+ for clinicians treating patients with serious illnesses. Earn CME! #pallipulm @anandiyermd.bsky.social @donsullivan.bsky.social @pallipulm.bsky.social Learn more: atsedplus.thoracic.org/capc/palliat...

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Dimitri Drekonja, MD, MS @dimitridrekonja.bsky.social · 30/09/2025

I work with Veterans. If I told them that they "killed people and broke things for a living" they would (rightfully) tell me to go to hell. Those that have had to kill someone in the line of duty most often view it with sadness, regret, and one of the worst experiences of their lives.

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Joanna Hart @joannahart.bsky.social · 19/09/2025

Reading Lost & Found by Kathryn Schulz and found her descriptions of ICU life impeccable, eg: “unless you work there, a hospital is no kind of place to spend so much time. Like a storefront church, its physical presence is at odds with its existential responsibilities. In an ICU, you are aware…

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Sabrina @hbgmd.bsky.social · 10/09/2025

🤔 Ever wonder if our ICU families experience trauma? Esp those w a trauma history? D Ashana & colleagues 👀 at just that thru interviews w 26 family members, just out in #journal_CHESTCritCare: www.chestcc.org/article/S294... #OpenAccess @joannahart.bsky.social @accpchest.bsky.social

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The Rural Impact Podcast @ruralimpactpodcast.bsky.social · 10/09/2025

Because all roads to quality of rural life are paved by policy, we're pleased to help spread the word about the @rururbbridge.bsky.social ‪Beyond Resistance Campaign Virtual Launch. Wednesday, September 10, 2025 7:00pm ET Find the link to register: ruralurbanbridge.org

ruralurbanbridge.org

Rural Urban Bridge Initiative

The Rural Urban Bridge Initiative invites liberals and progressives to think differently, talk differently, and act differently in order to understand the causes of the rural-urban divide and then do ...

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JAMA @jama.com · 03/09/2025

Viewpoint: The One Big Beautiful Bill Act's significant #Medicaid cuts threaten rural health care access and economic stability. ja.ma/3HE9rEo

JAMA viewpoint: "The One Big Beautiful Bill Act—Implications for Rural Health Care" by M. Bryant Howren and Jed R. Hansen. Published September 3, 2025. doi: 10.1001/jama.2025.13518

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NPR @npr.org · 20/06/2025

A new documentary on PBS shows what it's like to care for adult family members and recounts the history of caregiving policy in the U.S. revealing why those caring for family are often on their own.

n.pr

Why is caregiving so hard in America? The answers emerge in a new film

A new documentary on PBS shows what it's like to care for adult family members and recounts the history of caregiving policy in the U.S. revealing why those caring for family are often on their own.

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American Thoracic Society (ATS) @atscommunity.bsky.social · 10/06/2025

Studies show that just one exposure to tear gas can increase the likelihood of respiratory illnesses. That's why in 2020, the ATS called for a moratorium on the use of tear gas and other chemical agents. Learn more about the damage tear gas causes (via @wired.com‬): www.wired.com/story/what-t...

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Jose Figueroa, MD, MPH @joefigs.bsky.social · 12/06/2025

Our new @JAMAHealthForum study adds more evidence on how Medicare Advantage plans enrolling veterans are maximizing profits by not paying for care. Veterans in high-veteran MA plans are much more likely to have surgical care paid by VA than plan itself—even when surgery occurs in non-VA hospitals…

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JAMA @jama.com · 04/06/2025

Varenicline, combined with behavioral counseling, increased vaping abstinence in youth who vape nicotine and do not regularly smoke tobacco. ja.ma/4jvML5W

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Joanna Hart @joannahart.bsky.social · 21/05/2025

☎️ a friend time: looking for folks in ADULT hospital/ICU settings who support patients’ family members who are KIDS. Many places have child life (especially those with co-located peds hospitals)—anyone not have that model? Interested in folks’ experiences on this topic and would love to connect!

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JAMA @jama.com · 16/05/2025

The White House's 2026 budget proposal recommends eliminating the Health Resources and Services Administration and cutting rural health funding by 25%, posing a threat to health care access and services in rural areas. jamanetwork.com/journals/jam...

jamanetwork.com

Federal Funds for Rural Health Care May Be Cut

This Medical News article discusses the impact that proposed federal funding cuts for rural health care programs would have on individuals and their communities.

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Joanna Hart @joannahart.bsky.social · 30/04/2025

I have had the good fortune to visit the Coal Workers Program of NIOSH in West Virginia. The team is incredible - dedicated to protecting generations of workers doing jobs most of us can barely imagine. I’m glad to hear the program has been (temporarily) restored. abcnews.go.com/amp/US/live-...

abcnews.go.com

'I want to live': Coal miners speak out as Trump strips away health protections

Even as President Trump vows to reinvigorate America's coal industry, critics say his administration has stripped away key health protections for miners.

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American College of Chest Physicians @accpchest.bsky.social · 18/04/2025

Recently, the U.S. Department of Justice sent letters to scholarly journals inquiring about their process and principles. As an organization, we respect and support the CHEST journal's editorial leadership and long-standing reputation. Read more here: www.chestnet.org/newsroom/che...

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PennLDI @pennldi.bsky.social · 18/04/2025

A new study finds that for rural breast cancer patients, living farther from care is associated with prolonged time to surgery (TTS). But rurality itself—independent of distance—is associated with shorter TTS. Read more: pubmed.ncbi.nlm.nih.gov/40143820/

pubmed.ncbi.nlm.nih.gov

The Effect of Rurality on Time to Surgery and Overall Survival among Women with Breast Cancer - PubMed

Although geographic proximity to care mediates the relationship between rurality and prolonged TTS, rurality has an intrinsic protective effect on TTS that is independent of the adverse effect of incr...

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Shematologist, MD @shematologist.medsky.social · 02/04/2025

The crazy thing about firing all of these federal employees is that they tend to be underpaid, super hardworking, in it for the right reasons, idealistic people who could’ve worked in industry or pharma and made way more money but they truly believed in the mission and the good they were doing.

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Joanna Hart @joannahart.bsky.social · 14/03/2025

1/ Understanding of “what comes next” for patients with lung disease is critical as this forms the foundation of health decisions, coping, and how they fill the days of remaining life.

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Joanna Hart @joannahart.bsky.social · 05/03/2025

ICU folks, give this one (and the accompanying paper) a read. “Air hunger is a primal sensation that powerfully evokes anxiety and fear; it is a key instrument in torture.”

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ATS Blue Journal @atsblueeditor.bsky.social · 04/03/2025

Air Hunger Far Exceeds Dyspnea Sense of Effort during Mechanical Ventilation and a Weaning Trial Doctors view dyspnea as laborious breathing, but patients in a life-threatening situation perceive it as starvation of air @loyolapccm.bsky.social #medsky 🔗 tinyurl.com/brjxjtmp

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Joanna Hart @joannahart.bsky.social · 14/02/2025

The navigators are typically part of non-profit public health community organizations and incredibly helpful in helping people navigate the sometimes complex application process. This will reduce access to insurance coverage and health care.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 12/02/2025

Today in @jama.com , @codymullens.bsky.social & team find it is increasingly harder for Medicare rural beneficiaries to get common operations done. In 2020, 44% of rural Medicare recipients had to travel >60min for care, up from 37% in 2010. x.com/JAMA_current...

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Philadelphia Eagles @philadelphiaeagles.bsky.social · 10/02/2025

SUPER BOWL CHAMPIONS! THIS ONE’S FOR YOU PHILLY!

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Jack Iwashyna @iwashyna.bsky.social · 07/02/2025

I am very happy to explain quite simply to any reporter or congress person why this is devastating Bottom line: there are tons of costs shared between grants not attributable as the direct cost to a single grant, but essential to carrying out research. This removes support for all that

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David F. Warner @dwarnersoc.bsky.social · 07/02/2025

⚠️ Effective Monday 2/10/25, NIH indirect rate capped at 15%. Applies to existing & future grants. —> Deep budget cuts & program closures coming to a university near you. Is this the break the glass moment for university administrators who have been silent so far about the attack on science?

grants.nih.gov

NOT-OD-25-068: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates

NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Supplemental Guidance to the 2024 NIH Grants Policy Statement: Indirect Cost Rates NOT-OD-25-068. OD

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Benjamin Mason Meier @benjaminmasonmeier.bsky.social · 29/01/2025

Sen. Sanders: Do you agree with me that the United States should join every other major country on earth and guarantee health care to all people as a human right? RFK: Senator, I can’t give you a yes or no answer to that question. Sanders: Is health care a human right? Is health care a human right?

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Joanna Hart @joannahart.bsky.social · 29/01/2025

One alarming exchange from RFK Jr’s confirmation hearing I have not seen highlighted: when asked whether health care was a human right, he capitulated and his example of why it might not be is that if someone has smoked cigarettes for many years, they may not be entitled to health care.

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Alistair Thorpe @athorpe8.bsky.social · 17/12/2024

Exciting news that the Society for Medical Decision Making is now on Bluesky! Follow for all things related to advancing better health through better decisions and updates on the 2025 conference in Michigan! #MedicalDecisionMaking #SMDM #MedSky #AcademicSky

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Joanna Hart @joannahart.bsky.social · 02/12/2024

🎧I had the pleasure of talking with Sergio for the Critical Matters podcast. We talk about an important but overlooked aspect of how intensivists present decisions in family meetings, referencing a recent Critical Care Medicine paper (link in comments) soundphysicians.com/podcast-epis...

soundphysicians.com

Podcast Episode

Hosted by Dr. Sergio Zanotti, CMO of Sound Critical Care, the Critical Matters podcast explores a broad range of topics related to intensive care medicine.

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