Sign in

Joe Wright MD

@joewright.bsky.social
629 followers 546 following 600 posts

Writing/thinking about: impoverished people w/substance use disorders and their spaces within cities. DUSP@MIT. Day job: primary care / addiction med, for people without homes. www.joewrightmd.com SIGNAL: joewright.72

PostsRepliesMedia
Joe Wright MD @joewright.bsky.social · 06/10/2026
reposting so it’s saved in my timeline!
010
Reposted by Joe Wright MD
Moby Dick @mobydickatsea.bsky.social · 03/10/2026
Ahab is for ever Ahab, man. This whole act’s immutably decreed.
541796
Joe Wright MD @joewright.bsky.social · 02/10/2026
sorry to hear that might want to delete this thread your profession is disgraced when you fail to optimize
010
Joe Wright MD @joewright.bsky.social · 02/10/2026
I hope you’ve figured out how to turn this into miles that get you lounge access, early boarding, and a gently smug facial expression, otherwise it’s all a waste
110
Joe Wright MD @joewright.bsky.social · 02/10/2026
I didn’t know that first part — I need to read more!
000
Joe Wright MD @joewright.bsky.social · 02/10/2026
if you thought the “single family zoning was part of racism” argument was kind of an academic structural / theoretical point, really you only have to barely scratch the f-ing surface to find it alive and very individually defended, as well as also broadly structural
162
Reposted by Joe Wright MD
rahaeli @rahaeli.bsky.social · 01/10/2026
I've said it before, I've said it again: Bluesky has a disproportionate and extremely loud percentage of users who think it's morally righteous to abuse people as long as it's for a good enough cause, and an even larger percentage of users who specialize in justifying why causes are good.
128643
Joe Wright MD @joewright.bsky.social · 02/10/2026
I think the sexual abuse scandals were a deep setback to the forces in the Church that emphasized authority and misogyny, and that this as much as any alliance with evangelicals was part of the rise and fall of anti-abortion political primacy — the biggest anti abortion cardinals went down
110
Joe Wright MD @joewright.bsky.social · 02/10/2026
As a non Catholic I was in a diocesan youth against nuclear war group in the 80s and I’ve often run across / worked with Catholic Worker types in my work and what I have taken from this is that the Church contains many multitudes of politics
120
Joe Wright MD @joewright.bsky.social · 02/10/2026
you made me curious about this as well and I found this theconversation.com/how-the-cath...
theconversation.com
How the Catholic Church helped change the conversation about capital punishment in the United States
Catholic opposition to the death penalty is relatively new in the church’s history, but has helped shape public debate.
100
Joe Wright MD @joewright.bsky.social · 30/09/2026
Which is why I just subscribed, exactly _because_ this interview isn’t for me. This too is a function of the Black press— it turns out that to those interested in understanding the community, it is better to just listen to conversations within it, than to expect to be directly addressed;
000
Joe Wright MD @joewright.bsky.social · 30/09/2026
When I was young in a diverse but internally segregated high school, the idea of Black institutions confused me. As I get older I have ever more understanding of why that work—ie, the long term version of what Michael Harriot or others build—is essential. This interview requires a Black media.
100
Joe Wright MD @joewright.bsky.social · 29/09/2026
A movie review, of sorts, from @mashagessen.bsky.social which becomes a brief essay about Israelis reckoning and not reckoning with the nature of what they have done www.nytimes.com/2026/09/28/o...
nytimes.com
Opinion | There Is a Word So Powerful It Need Be Spoken Only Once (Gift Article)
The film that makes a powerful statement without ever raising its voice.
001
Joe Wright MD @joewright.bsky.social · 28/09/2026
I’m from Sacramento and I loved that movie so so much. And the way Greta Gerwig talks about her mom makes it clear this wasn’t her mom, exactly, nor was Lady Bird her. Also I absolutely love everything about how good and caring a psych nurse the mom is to the drama teacher
100
Joe Wright MD @joewright.bsky.social · 28/09/2026
www.npr.org/transcripts/...
npr.org
This 1983 Feminist Film Was Set In The Dystopian Future, So Basically Right Now
Born in Flames was made by pioneering underground filmmaker Lizzie Borden. She vanished from screens for decades, and now her work is being rediscovered.
151
Joe Wright MD @joewright.bsky.social · 28/09/2026
youtu.be/pzgTHyEv5Ng?...
youtu.be
Lady Bird (2018) Trailer 1 (Universal Pictures) HD
YouTube video by Universal Pictures Australia
232
Joe Wright MD @joewright.bsky.social · 28/09/2026
youtu.be/seHuOmdcJqg?...
youtu.be
Mississippi Masala - U.S. Re-Release Trailer (2022)
YouTube video by JANUS
141
Joe Wright MD @joewright.bsky.social · 27/09/2026
The “club drugs” in the gay world and their overlap with rape-facilitating drugs in the straight one is a reminder that the gay club scene is often not as cute/hot as it imagines itself, but also, that straight men can often be so much terribly more straightforward about being awful.
010
Joe Wright MD @joewright.bsky.social · 27/09/2026
Here’s a snappy and helpful harm reduction take on ketamine from the gay world—it’s a complicated drug even in medical settings, even more so in social settings. (Can’t vouch for a rehab that doesn’t clearly have slots for Medicaid patients, but the video is good.) www.instagram.com/reel/DZdG3VW...
instagram.com
Instagram
Create an account or log in to Instagram - Share what you're into with the people who get you.
110
Joe Wright MD @joewright.bsky.social · 27/09/2026
The drug at lower doses has a stimulating and disinhibiting effect and then in higher doses is dissociative, with paralytic effects (you literally can’t move). The use of ketamine in the woman’s narrative is especially pernicious—being used at low doses by the men, who impose high doses on her.
110
Joe Wright MD @joewright.bsky.social · 27/09/2026
A drug whose primary effect is a feeling of dissociation, and at higher doses, has a paralytic effect, has always been a potential horror show when used in risky social settings, and that was/is true even in the gay world that pioneered its non medical use.
110
Joe Wright MD @joewright.bsky.social · 26/09/2026
the dark humor of healthcare workers is not new evidently
010
Joe Wright MD @joewright.bsky.social · 26/09/2026
000
Joe Wright MD @joewright.bsky.social · 26/09/2026
@josephvlee.bsky.social does not cover ticks in this book
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
The Aquinnah land story, and an exploration of complexities of sovereignty & cultural identity, can be found in “Nothing More Of This Land” by Joseph Lee, available everywhere AND from his family’s gift shop in the shops by the lighthouse. (I bought it from his mom!) www.josephvlee.com
josephvlee.com
JOSEPH LEE
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
So: our local zoonoses are absolutely caused by a dysfunctional relationship with nature but via patchwork symbolic _reforestation_ not _deforestation_, and entangled with property patterns that dispossessed people like the Aquinnah Wampanoag, who are still there and would like to have land back
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
But the “nature” is not on a natural scale—but on a patchwork scale and with an herbivore-dominated no-scary-animal ecology almost ideally suited to breeding new populations of ticks.
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
In other words as white property owners bemoan the “disruption of nature” that has caused the tick explosion, they / we are the ones who produce it. They retell this story by doing things like deeding land to conservation trusts instead of the tribe—to ensure that “nature” remains unperturbed.
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
the town of Oak Bluffs, the heart of this community, is not nearly as tick-friendly! (That said, Louis Sullivan’s annual 5k run—part of a long tradition of Black philanthropic support of Martha’s Vineyard Hospital—supported the hospital’s alpha-gal research this year.) www.wbur.org/news/2026/08...
wbur.org
As alpha-gal spikes on Martha's Vineyard, researchers launch first long-term study of patients
Researchers at Martha's Vineyard Hospital hope to learn how alpha-gal syndrome develops after someone is bitten by a lone star tick. The study will examine over 300 residents from the island over the ...
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
You can even see that the most tick-friendly pattern is culturally Anglo—my ancestors who experienced the lords’ enclosures and ran to the Americas to enclose land of their own. The Martha’s Vineyard Black community, wealthy and large, is clustered in a way that emphasizes community& interaction—
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
Being in Aquinnah really highlighted that cultural pattern of an agonized guilty/accusatory relationship to the spoiling of “pure” nature; a story about how “too much development” is causing tick borne disease instead of the _pattern_ of development.
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
…but a forest without deer predators. This summer I learned about how the Aquinnah Wampanoag need a housing trust as much as a nature trust. It wasn’t the Wampanoag who divided the land on the island into small plots—a pattern that, with property taxes, dispossessed them in their own town.
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
This didn’t play into the estate’s decision I don’t think, but it comes at a time when Martha’s Vineyard has a staggering burden of tick-borne disease. That tick burden is amplified by “conservation”-minded property owners who, like English aristocrats, surround big houses with big plots of “forest”
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
In Aquinnah: the Jackie Onassis estate just gave over a huge plot of land to a develop-nothing “pristine nature” conservation trust instead of the Aquinnah Wampanoag land trust. That’s an old pattern on Martha’s Vineyard. www.nytimes.com/2026/08/23/u...
nytimes.com
Jackie O’s Private Beach Is Open to All. But It’s a Hike. (Gift Article)
Caroline Kennedy and her family sold more than 330 acres of coastal land on Martha’s Vineyard to conservation groups. It comes with some caveats.
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
As soon as @colincarlson.bsky.social calls out that monster-movie narrative pattern, we recognize it as a distinctly white American mythology, the story that we will be punished for destroying “nature” …but a version of nature that can not be trusted to the care of non-white people who live there
100
Joe Wright MD @joewright.bsky.social · 26/09/2026
Epic and super interesting 🧵 (h/t @gavinyamey.bsky.social ) untangling environmental, epidemiological, and political issues. There is no “nature” without humans. The @colincarlson.bsky.social thread is about Ebola— but it got me thinking about Martha’s Vineyard, where I have family. My 🧵 below :
120
Reposted by Joe Wright MD
Oregon 🕎🎲 @oregonthedm.bsky.social · 25/09/2026
Most riveting thing I've seen all week
385113473085
Joe Wright MD @joewright.bsky.social · 24/09/2026
This is the cohort at most risk of opioid overdose. Page 15 of this link: www.mass.gov/doc/massachu...
Screen shot of Massachusetts report on opioid use disorder too long for alt text, go to page 15 of this document : https://www.mass.gov/doc/massachusetts-2024-opioid-involved-overdose-report-0/download
010
Joe Wright MD @joewright.bsky.social · 24/09/2026
not to mention Asteroid 23238 Ocasio-Cortez
030
Joe Wright MD @joewright.bsky.social · 23/09/2026
you’re welcome—looking at it online i think there are a lot more trains than wine! but the descriptions of these fancy wine folks being kind of sloppy around the edges —part of the alcohol problem she found herself in before the trains—stuck with me
001
Joe Wright MD @joewright.bsky.social · 23/09/2026
(and I’d love to get a drink! I have questions about alcohol and urban spaces that I’d bet you have some thoughts about)
010
Joe Wright MD @joewright.bsky.social · 23/09/2026
100% btw relevant to that and the original thread is this amazing memoir where the narrator has a stint in the fine wine industry where the gloss is hiding a lot of mess including for herself iupress.org/978025322283...
iupress.org
Boomer
This classic account of self discovery and railroad life describes Linda Grant Niemann's travels as an itinerant brakeman on the Southern Pacific. Boomer com...
200
Reposted by Joe Wright MD
Joe Wright MD @joewright.bsky.social · 23/09/2026
anyway respiratory viruses are not a bar’s greatest health hazards, the bar sells its greatest health hazards to pay its rent
031
Joe Wright MD @joewright.bsky.social · 23/09/2026
Maarva Andor: Resisting Medicalization, Resisting Empire
010
Joe Wright MD @joewright.bsky.social · 23/09/2026
anyway respiratory viruses are not a bar’s greatest health hazards, the bar sells its greatest health hazards to pay its rent
031
Joe Wright MD @joewright.bsky.social · 23/09/2026
But if you can’t see the suffering around the edges of all of those places, and sometimes right at their center, you’re kind of missing the bigger view
110
Joe Wright MD @joewright.bsky.social · 23/09/2026
As someone who drinks alcohol as part of my life and is fortunate not to be disabled by substance use disorder, I have plenty of love and nostalgia for all kinds of booze-soaked spaces in the cities where I’ve lived
110
Joe Wright MD @joewright.bsky.social · 23/09/2026
Let’s not get too nostalgic about the money that bars can make from the quiet depressed dyke at the end of the bar trying to hurry her path to liver failure, or the woman who hits her girlfriend when she gets drunk, and she gets drunk often
120
Joe Wright MD @joewright.bsky.social · 23/09/2026
It’s ok to want to run a bar and it’s ok to want a run a completely inclusive community space, but a bygone generation of politically-minded lesbians recognized the difference
110
Joe Wright MD @joewright.bsky.social · 23/09/2026
…Not to try to one-up the discourse but alcohol use disorder is a recognized, serious, and common disability; and it used to be that earnest political lesbians, gays and later even queers recognized the needs of their sober comrades and bemoaned the centrality of bars in queer culture
130