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Kyle Fischer

@kbfischer.bsky.social
1.1K followers 191 following 138 posts

ER doc and health policy fellowship director in Maryland. Policy nerd for the HAVI.

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Kyle Fischer @kbfischer.bsky.social · 16/09/2026
Does he really think it won't be his legacy too? Everyone who has even vaguely followed this knew a public health catastrophe would happen as a result of RFK Jr. Cassidy could have tanked the nomination, but he chose not to. It's Cassidy's legacy too.
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Kyle Fischer @kbfischer.bsky.social · 08/08/2026
Public health note about this article: The pills that tested positive for cocaine and fentanyl are almost certainly NOT what was advertised to the buyer. Hard to know, but he probably thought he was buying MDMA and/or a benzo. You don’t have to like the guy to want to prevent overdoses!
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Seth Trueger @mdaware.org · 17/07/2026
Bart Say the Line meme:
Outbreak of cyclosporiasis occurring in michigan.

The CDC has a cyclospora lab, DOGE downsized it last year.
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Jaime Harrison @jaimeharrison.bsky.social · 03/06/2026
History will not remember this Court as conservative. It will remember it as the Court that dismantled some of the most important civil rights and democratic safeguards of the last century.
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Jaime Harrison @jaimeharrison.bsky.social · 03/06/2026
The Roberts Court has become an unelected super legislature, rewriting decades of settled law, weakening voting rights, stripping away freedoms, and shielding the powerful from accountability. This is not judicial restraint. This is judicial activism in a black robe.
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Kyle Fischer @kbfischer.bsky.social · 12/05/2026
Slightly increase a band FKA Sticks
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Kyle Fischer @kbfischer.bsky.social · 08/05/2026
Check out my thoughts on this study in @thetrace.org!
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Kyle Fischer @kbfischer.bsky.social · 17/04/2026
Trump's pardons have taken $113 million away from victims of crime. Immoral and unconscionable. www.thetrace.org/2026/04/trum...
thetrace.org
Trump’s Pardons Are Costing Shooting Survivors Millions
A Trace analysis found that revenue once generated by fining white-collar criminals is drying up — now that the president has pardoned so many of them.
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Philadelphia Center for Gun Violence Reporting @pcgvr.org · 09/04/2026
The SaFETy score predicts FV risk in general samples of young adults in the ED.
acpjournals.org
Multisite External Validation of a Clinical Screening Tool for Interpersonal Firearm Violence Risk | Annals of Internal Medicine
Background: Screening tools for interpersonal firearm violence (FV) are needed to facilitate prevention. Objective: To validate the 4-item, 10-point SaFETy (Serious fighting, Friend weapon carrying,…
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Kyle Fischer @kbfischer.bsky.social · 24/02/2026
Personally, I can’t wait to see the Indiana Bears rebrand.
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Kyle Fischer @kbfischer.bsky.social · 21/02/2026
Having grown up in Wisconsin, all forms of cheese consumption are socially acceptable. If quesadillas can help spread that culture of cheese acceptance, then I’m all for it.
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Philadelphia Center for Gun Violence Reporting @pcgvr.org · 21/02/2026
"Will support proven, community-driven strategies to reduce shootings, homicides, and retaliatory violence."
gov.ca.gov
Governor Newsom awards $107 million to prevent gun violence and improve community safety across state | Governor of California
Official website of the State of California
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Philadelphia Center for Gun Violence Reporting @pcgvr.org · 08/02/2026
By changing the way gun violence is covered, reporters can take an active role in minimizing harm to injured people, communities, and society—and even make an important contribution toward preventing gun violence.
pcgvr.org
Five years of work. One concise guide. Free to view and download now. – Philadelphia Center for Gun Violence Reporting
News coverage of gun violence often inadvertently perpetuates stereotypical narratives about the people and communities most impacted. Typical coverage focuses on individual episodes of gun violence…
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Kyle Fischer @kbfischer.bsky.social · 30/01/2026
Dr. Flint is correct, though I would go a step further and just say “Avoid tramadol” and leave it at that.
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Seth Trueger @mdaware.org · 28/01/2026
“ @acepnation.bsky.social opposes federal and state initiatives which require physicians and health care facilities to refuse care to undocumented persons or to report suspected undocumented persons to immigration authorities. ERs are required by federal law to provide stabilization to all persons”
emergencyphysicians.org
Emergency Departments Should be Safe Zones for Patients
The American College of Emergency Physicians (ACEP) is committed to ensuring that emergency departments remain places where all individuals can safely seek emergency medical care without fear. Patient...
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Kyle Fischer @kbfischer.bsky.social · 28/01/2026
Now that EMS in The Pitt is giving appropriate, weight-based opioids to patients, perhaps med schools might think about actually teaching this? :::readers: Kyle’s biggest pet peeve in all of medical education is that 100% of trainees report to me that theyve never been taught how to dose opioids:::
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Seth Trueger @mdaware.org · 07/01/2026
friendly reminder: the adage is "one bad apple spoils the bunch"
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Aaron Rupar @atrupar.com · 07/01/2026
Walz: "Do you have no decency? We have someone dead in their car for no reason whatsoever. I don't want to be right about this, but I said if they do this they're gonna create a chaotic situation where someone innocent is gonna get killed. And they did it."
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Dan Diamond @ddiamond.bsky.social · 08/01/2026
After ICE agents shot woman, a neighbor approached and said he was a doctor and wanted to help, witness tells @byaaroncdavis.bsky.social Instead, ICE agents kept him away from the scene, she says.
ICE agents kept neighbor who was doctor from shooting scene, witness says
Aaron Davis
Video from Emily Heller's phone, which she shared with The Washington Post, shows the driver of the SUV slumped forward and not moving after the ICE shooting.Officers in camouflage and carrying weapons surround the vehicle and then keep anyone, even a neighbor who identifies himself as a doctor, from approaching the car to administer first aid, according to the video.
"Can I go check a pulse?" the neighbor says loudly, taking a step in the direction of the officers. "No, back up now," one of the agents says. "I'm a physician," the neighbor protests. "I don't care," the agent replies. "Give us a second, we have medics" on the way.
Heller estimated it took 15 minutes for paramedics to arrive, in part, it seemed, because their ambulance was blocked from advancing to the scene by the ICE vehicles.
Five or so first responders ultimately approached the car on foot, Heller said. They spent minutes with the woman who was shot and then carried her
"by her limbs" the length of two or three houses before they could get to an intersection where they could load the woman into an ambulance, Heller said.
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Kyle Fischer @kbfischer.bsky.social · 05/01/2026
RFK Jr. trimmed the vaccine schedule without listening to anyone who knows medicine... www.nytimes.com/2026/01/05/h...
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Thomas Abt @thomasabt.bsky.social · 01/01/2026
Here's me on NPR talking with Michelle Martin about what's happening in Baltimore and around the country. They dropped some of the specifics about the city from the discussion, so let me add those back below. www.npr.org/2026/01/01/n...
npr.org
Baltimore's crime rate dropped dramatically in 2025. A look at what the city did
Baltimore's crime rate dropped dramatically in the past year. NPR's Michel Martin asks Thomas Abt, a criminology professor at the University of Maryland, what Baltimore did right.
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Kyle Fischer @kbfischer.bsky.social · 17/12/2025
The @americanheart.bsky.social folks! When you decide you're so committed to the procedures of EBM that you completely ignore common sense. Also, the whole thing about alcohol possibly lowing CV risk 🤦‍♂️ www.ahajournals.org/doi/10.1161/...
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Kyle Fischer @kbfischer.bsky.social · 05/12/2025
This is absurd. Myocarditis was studied extensively during the pandemic. We know this because Makary himself would never shut up about it, while he would compare the rare risk of vaccine-related myocarditis to the imaginary scenario of people never getting covid. www.nbcnews.com/health/healt...
nbcnews.com
FDA chief says Biden administration withheld data on heart risk from Covid vaccines
Myocarditis is a known — but small — side effect risk of the mRNA Covid vaccines from Pfizer and Moderna, information that federal agencies have discussed openly since 2021.
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Kyle Fischer @kbfischer.bsky.social · 24/11/2025
I could say something to minimize the research ("internet searches don't equal usage") but in reality, I'm just jealous that they thought to do the study and I didn't. jamanetwork.com/journals/jam...
jamanetwork.com
Internet Searches for Lorazepam Following the Release of The White Lotus
This cross-sectional study examines whether there was an uptick in online searches about lorazepam after the release of the third season of The White Lotus.
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Adrianna McIntyre @adrianna.bsky.social · 03/11/2025
I am trying and struggling to remember a previous time when multiple state officials publicly rebuked a CMS administrator for spreading misinformation kffhealthnews.org/news/article...
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Kyle Fischer @kbfischer.bsky.social · 06/10/2025
An absolutely tragic case that's worth a read. Definitely some learning points in it. www.nytimes.com/2025/10/05/w...
nytimes.com
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.
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josh farkas 💊 @pulmcrit.bsky.social · 25/09/2025
if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
media.tenor.com
a man is sitting at a table with a sign that says `` change my mind '' on it .
ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .
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Kyle Fischer @kbfischer.bsky.social · 24/09/2025
Free research idea: "A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism." I'd read that paper. It'd be a banger.
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Kyle Fischer @kbfischer.bsky.social · 05/09/2025
There was literally a CDC MMWR about feral cat colonies with rabies in the last week.
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The Trace @thetrace.org · 30/08/2025
This spring, the DOJ terminated $811 million in grants, $158 million of which was meant for gun violence prevention. In Chicago alone, seven organizations lost almost $16 million. The cuts, violence prevention organizers said, jeopardize the infrastructure they have worked to build.
thetrace.org
As Trump Pushes for Troops in Chicago, City Leaders Say His Cuts Could Fuel Crime
Local leaders want federal funding reinstated to maintain Chicago’s progress in reducing gun violence.
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Deb Houry @drdebhoury.bsky.social · 30/08/2025
Thank you @acepnation.bsky.social for standing with us. My time in the emergency department has shaped my commitment to ensuring the health of our communities. www.emergencyphysicians.org/press-releas...
emergencyphysicians.org
ACEP Statement on CDC Leadership Departures
Dr. Debra Houry has been a true champion for public health and emergency care, and as a valued member of the ACEP family, her leadership at the CDC has set a remarkable standard.
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Kyle Fischer @kbfischer.bsky.social · 27/08/2025
Want to learn about awesome work going on in the violence prevention space? Check out the lightning talks from folks doing incredible work! Full list of awardees in the thread if you want to browse what KP/HAVI are funding! hria.zoom.us/webinar/regi...
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Kyle Fischer @kbfischer.bsky.social · 27/08/2025
I'll start to seriously think about AI taking my job as soon as hospitals discover jotforms. ...or really any of the other 1000 options to avoid sending pdfs back and forth.
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HealthBegins @healthbegins.bsky.social · 06/08/2025
Treating #gunviolence as a #publichealth crisis saves lives. These cuts are wrongheaded. Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social
thetrace.org
Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk.
Health officials are intensifying their criticism of the “One Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…
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Ryan Radecki MD MS @www.evidencetriage.com · 05/08/2025
Boarding in U.S. emergency departments – in anecdote and in real data – continues to rise. Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable. #medsky www.healthaffairs.org/doi/abs/10.1...
healthaffairs.org
Hospital ‘Boarding’ Of Patients In The Emergency Department Increasingly Common, 2017–24 | Health Affairs Journal
When hospital beds are scarce, patients “board” in the emergency department until an inpatient bed becomes available. Using national data on 46.2 million hospitalizations, 2017–24, we documented risin...
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The Trace @thetrace.org · 29/07/2025
Among those at greatest risk of losing healthcare insurance and services as a result of the Big Beautiful Bill Act are gun violence victims, who are mostly enrolled in Medicaid. Studies show that gun violence victims are more likely to have better outcomes in states with expanded Medicaid coverage.
thetrace.org
Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk.
Health officials are intensifying their criticism of the “One Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…
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Megan Ranney MD MPH @meganranney.bsky.social · 09/07/2025
Important new case-control study in @jama.com - Insecure firearm storage is associated w/adolescent suicide - but not adult suicide. In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults. jamanetwork.com/journals/jam...
jamanetwork.com
Firearm Storage and Firearm Suicide
This case-control study assesses the association between firearm storage practices and suicide method (firearm vs nonfirearm) among individuals who lived in a home with firearms in the last year of th...
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Kris Brown | President, @BradyUnited.org @krisbrown.bradyunited.org · 09/07/2025
Leadership matters. Community-based approaches to gun violence prevention save lives. Kudos to Mayor Scott and his team for proving that investing in *people* works. A safer Baltimore is being built day by day, from the ground up. @mayorbmscott.bsky.social #MD
washingtonpost.com
Baltimore is seeing the city’s fewest homicides in 50 years. Here’s why.
Multiple people have taken credit for the historic drop that mirrors a national decrease in violent crimes. Baltimore Mayor Brandon Scott says it’s due to a community-based approach to gun violence.
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Kyle Fischer @kbfischer.bsky.social · 08/07/2025
Someone I know in Wisconsin didn’t think the Medicaid cuts would affect them because they have BadgerCare and couldn’t be convinced that it’s the same thing.
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Philadelphia Center for Gun Violence Reporting @pcgvr.org · 03/07/2025
Important to remember on days like today:
healthjournalism.org
12 harmful practices to avoid when covering gun violence
Journalists covering gun violence should be aware of these harmful practices and actively avoid engaging in them.
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Philadelphia Center for Gun Violence Reporting @pcgvr.org · 25/06/2025
On our home page: Surgeon General’s Advisory on Firearm Violence. PCGVR.org
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Kyle Fischer @kbfischer.bsky.social · 23/06/2025
This is 100% true. In 1996, I was 11 years old. My only memories of Clinton are Monica Lewinsky related. He has zero political capital with my generation.
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Kyle Fischer @kbfischer.bsky.social · 23/06/2025
For the life of me, I don’t understand why *anyone* would endorse a disgraced politician like Cuomo. It’s really, really gross. Even if they don’t like the other candidates, they could just sit it out. www.nytimes.com/2025/06/22/n...
nytimes.com
Cuomo Enlists Bill Clinton as Part of Late-Stage Bid to Fend Off Mamdani
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Kyle Fischer @kbfischer.bsky.social · 21/06/2025
Check out our new paper in Health Affairs Forefront on the importance of federal funding for firearm prevention! www.healthaffairs.org/content/fore...
healthaffairs.org
The Critical Role Of Federal Funding In Combating Firearm Violence | Health Affairs Forefront
Sustained federal funding from the CDC, NIH, and other federal agencies (e.g., the National Institute of Justice and the Bureau of Justice Assistance) is critical for answering fundamental research qu...
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Seth Trueger @mdaware.org · 12/06/2025
not linking the video because it’s full of antivax lies: in this video, lying antivaxxer RFKjr says a lot of antivaxx lies about childhood vaccines he’s coming for childhood vaccines. he’s going to try to take away childhood vaccines. notably, vaccines safely and effectively stop kids from dying
a post from @atrupar.com with a video of RFK spreading antivax lies.
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Quaid Morris @quaidmorris.bsky.social · 10/06/2025
The problem with NIH peer review is that there isn’t enough money to fund all the good grants
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Kyle Fischer @kbfischer.bsky.social · 10/06/2025
"In challenging cases, such as pneumonia without fever, all models generally failed to predict the correct diagnosis" LLMs will probably someday be great diagnosticians, but not yet. www.nature.com/articles/s41...
nature.com
Preliminary evaluation of ChatGPT model iterations in emergency department diagnostics - Scientific Reports
Scientific Reports - Preliminary evaluation of ChatGPT model iterations in emergency department diagnostics
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Andrew S. Kelly @askellyphd.bsky.social · 03/06/2025
This @washingtonpost.com headline, framing, and reporting is maddening. This is not a push to cut waste...it is a push to drastically cut health care, food assistance and housing assistance to pay for tax cuts. The reporting is ahistorical and misleading. It's stunning. 🧵
Washington Post Headline "The latest GOP push to cut waste and spending: Work requirements" and a picture of people at a job fair.
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Chip Brownlee @bychipbrownlee.com · 22/05/2025
Five nonprofits have filed a class-action lawsuit against the Trump administration to restore more than $820 million in federal grants for violence prevention and community safety programs.
thetrace.org
Trump’s Cuts Imperil Life-Saving Prevention Efforts, Lawsuit Says
Five nonprofits are suing the administration for canceling hundreds of millions of dollars for violence prevention.
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Kyle Fischer @kbfischer.bsky.social · 20/05/2025
People will die because of this bill. Not an exaggeration, a simple fact. To vote “yes” should be considered a profound moral failure.
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