Sign in

Nate Lerfald

@natelerfald.medsky.social
3.6K followers 4.7K following 146 posts

Father, Husband, Educator, Internist, Chair (he/him). Routine self-care includes mental health care. Our work should make our lives better. #medsky #GIMsky #medskywellbeing #celtics

PostsRepliesMedia
Reposted by Nate Lerfald
Scott Dworkin @dworkin.bsky.social · 27/09/2026
Andy Beshear spent $2.5 million. 46,000 Kentuckians are finding out what it bought. www.dworkinsubstack.com/p/great-news...
16520
Reposted by Nate Lerfald
Emma Evans @trance.bsky.social · 19/09/2026
MEANWHILE YOU CAN JUST GET A CAT THEY ARE AWESOME
Han, my cat, a white kitty with a black nose and a black head smudge...as a kitten.
7894
Reposted by Nate Lerfald
Rachel Maddow @maddow.bsky.social · 09/09/2026
trump and congressional republicans take food stamps away from 4000 kids in west virginia: www.newsfromthestates.com/article/4000...
newsfromthestates.com
4,000 fewer West Virginia children have SNAP since One Big Beautiful Bill Act passed
About 4,000 fewer West Virginia children have federal food assistance benefits as of May, a year after President Donald Trump’s One Big Beautiful Bill Act passed last summer, according to data from th...
901395789
Reposted by Nate Lerfald
Ryan Marino, MD @ryanmarino.bsky.social · 08/09/2026
A society that makes the basic human right to healthcare dependent on employment status does not value the lives of workers
210531
Reposted by Nate Lerfald
👻👹 boo-rit 👹👻 @britculpsapp.bsky.social · 15/08/2026
IF WATER WORKED YOU WOULDN’T NEED TO KEEP DRINKING IT
David Wolfe & @DavidWolfe
X.com
IF MEDICINE WORKED YOU WOULDN'T NEED TO REFILL YOUR PRESCRIPTION
7:00 PM • 8/13/26
302557366
Reposted by Nate Lerfald
Robert Reich @rbreich.bsky.social · 15/03/2026
Remember: There is nothing natural or inevitable about extreme inequality; it’s the result of an economic system that values wealth and power over human dignity and justice. It doesn't have to be this way.
20097432948
Reposted by Nate Lerfald
Phil McDuff @mcduff.bsky.social · 15/03/2026
I'm deadly serious with this. A huge reason we're in the mess we're in is because the media treats evidenced policy like housing the homeless and decriminalising drugs as absurd, outrageous nonsense, and "you can't even say blackboard any more because of woke" as serious and meaningful.
171251437
Reposted by Nate Lerfald
Robert Reich @rbreich.bsky.social · 12/03/2026
Since 1994, immigrants have paid more in taxes than they receive in benefits every year. Do not believe the lies you hear about immigrants. They are good for society and the economy.
19880313109
Reposted by Nate Lerfald
Jessica Valenti @jessicavalenti.bsky.social · 09/02/2026
The Heritage Foundation has released a 250-year roadmap to “save America.” The document is a how-to guide for subjugating girls & young women: a detailed plan to push them out of college, funnel them into early marriage and motherhood, and then trap them there. jessica.substack.com/p/theyre-com...
jessica.substack.com
They're Coming for Our Daughters
The conservative plan to shrink girls’ futures
23048162649
Reposted by Nate Lerfald
Claudia Waggoner @rudylake.bsky.social · 08/02/2026
094
Reposted by Nate Lerfald
Jeff Rueter @jeffrueter.bsky.social · 25/01/2026
Kare 11 local news just read, in full, this statement from Michael and Susan Pretti, the parents of Alex Pretti. "Please get the truth out about our son."
Statement from Michael and Susan Pretti
Parents of Alex Jeffrey Pretti

“We are heartbroken but also very angry.

Alex was a kindhearted soul who cared deeply for his family and friends and also the American veterans whom he cared for as an ICU nurse at the Minneapolis VA hospital. Alex wanted to make a difference in this world. Unfortunately, he will not be with us to see his impact.

I do not throw around the ‘hero’ term lightly. However, his last thought and act was to protect a woman. The sickening lies told about our son by the administration are reprehensible and disgusting. Alex is clearly not holding a gun when attacked by Trump’s murdering and cowardly ICE thugs. He had his phone in his right hand and his empty left hand is raised above his head while trying to protect the woman ICE just pushed down, all while being pepper sprayed. 

Please get the truth out about our son. He was a good man. Thank you.
1962469712671
Reposted by Nate Lerfald
Scott Smith @canaansdad1987.bsky.social · 17/11/2025
Wow. I don't think there could possibly be a more powerful video. Please share far and wide. #USDemocracy
210465
Reposted by Nate Lerfald
castawayfarm.bsky.social @castawayfarm.bsky.social · 26/10/2025
Feeding America has a page where you can input your zip code and it'll show you all of the food banks near you overlaid on a map. If you need it, it's there. If you don't need it, think about donating money if you have it and your time if you don't. www.feedingamerica.org/find-your-lo...
feedingamerica.org
Find Your Local Food Bank | Feeding America
Find the Feeding America member food bank nearest you. Over 200 member food banks can connect you with free food, food pantries, soup kitchens, and mobile pantries in your community.
10829898
Reposted by Nate Lerfald
Kelly @broadwaybabyto.bsky.social · 28/10/2025
Your ability to eat should not depend on your productivity Your ability to get healthcare should not depend on your productivity Your ability to get housing should not depend on your productivity Saying “be more productive!” To those who are struggling devalues human life. It aids fascism.
9867732690
Nate Lerfald @natelerfald.medsky.social · 15/05/2025
Anyone who thinks the #celtics are better without Tatum literally know nothing about basketball. Big difference is increased Kornet and Pritchard minutes plus elimination game. Same as prior years
000
Nate Lerfald @natelerfald.medsky.social · 15/05/2025
Luuuuuukkke!!!!
000
Reposted by Nate Lerfald
Bren @kindofnerdy.bsky.social · 12/05/2025
Republicans' budget scheme is a death sentence for rural hospitals and maternal care. Cutting Medicaid will devastate already-strained healthcare systems, leaving pregnant women and new moms without access to life-saving care. Does that make America great? #DontMessWithMedicaid
Republican Medicaid Cuts could shutter Rural Hospitals and maternity care
98144
Reposted by Nate Lerfald
Ruth Zakarin @ruthz.bsky.social · 07/05/2025
I wish more people understood that grants aren’t handouts. They are payments for services the government can’t provide without contracting with nonprofits & universities. We are out here doing the work of keeping people safe and the country functioning. The government needs us. The country needs us.
6498142
Reposted by Nate Lerfald
Andy Behrman @electroboyusa.bsky.social · 27/03/2025
We must raise $400 ASAP to stay on schedule -- chip in $20, $35, $50, $100, $150 or more! We've come so far but we can't let Heidy down -- we have to relocate her and replace her belongings that she lost in the Eaton fire in LA! Click on the "Donate and Share" box below and show your love 💞 :
39765
Reposted by Nate Lerfald
Malena-PRO-CHOICE 🌊 🟦🟧Fighting Tyranny! @malena.bsky.social · 26/04/2025
The headline should read: 𝐑𝐎𝐆𝐔𝐄 𝐓𝐑𝐔𝐌𝐏 𝐀𝐃𝐌𝐈𝐍𝐈𝐒𝐓𝐑𝐀𝐓𝐈𝐎𝐍 𝐈𝐋𝐋𝐄𝐆𝐀𝐋𝐋𝐘 𝐃𝐄𝐏𝐎𝐑𝐓𝐒 𝟐 𝐘𝐄𝐀𝐑-𝐎𝐋𝐃 𝐓𝐎𝐃𝐃𝐋𝐄𝐑 𝐔𝐒 𝐂𝐈𝐓𝐈𝐙𝐄𝐍! It should be in 2 inch font above the fold & on the front page. www.politico.com/news/2025/04...
politico.com
Judge says 2-year-old US citizen appears to have been deported with ‘no meaningful process’
The girl was deported Friday with her mother to Honduras, despite her father’s efforts to keep her in the United States.
901690718
Reposted by Nate Lerfald
Katrina Green, MD FAAEM, FAMWA (she/her) @kgreenmd.bsky.social · 15/04/2025
Are you a women in medicine looking for somewhere to help advocate for healthcare? Join us at @amwa-doctors.bsky.social, where we are advancing women physicians and improving the health of women with a vision for a thriving healthy, equitable world. #MedSky #WomenInMedicine
amwa-doc.org
Home - American Medical Women's Association
The American Medical Women's Association (AMWA) is a multispecialty organization focused on advancing women in medicine, advocating for equity and improving healthcare.
031
Reposted by Nate Lerfald
Al (not ai) GDad1x7 @gdad1x7.bsky.social · 26/03/2025
22752221
Reposted by Nate Lerfald
Jillian Bybee, MD @lifeandpicu.bsky.social · 18/03/2025
I feel so grateful to work in a place that understands the value of coaching. I benefitted from this program a few years ago, and I’m now proud to be a coach on this team. I love seeing the difference it makes in the #wellbeing of my physician and APP colleagues. #PedsICU #MedSky
071
Nate Lerfald @natelerfald.medsky.social · 16/03/2025
The post office is not a business! It is a service. What is the “business model” for the police, military, FBI, judicial system…? Govt services don’t “lose” money, they are funded. USPS charges for stamps/shipping to offset costs and this is misused for comparison with for profit businesses
140
Reposted by Nate Lerfald
MeidasTouch @meidastouch.com · 03/03/2025
CRASH 📉📉📉 The Atlanta Fed’s GDPNow model now estimates U.S. real GDP growth for Q1 at -2.8%, down even further from last week’s forecast of -1.5%. Just a month ago, the estimate was about +4%.
61597313461
Reposted by Nate Lerfald
Margaret J @whatyihavegod.bsky.social · 22/02/2025
how people treat you is not a reflection of your worth. how people treat you is not a reflection of your worth. how people treat you is not a reflection of your worth. how people treat you is not a reflection of your worth. how people treat you is not a reflection of your worth. 🧘🏿‍♀️🧘🏿‍♀️🧘🏿‍♀️🧘🏿‍♀️
053
Reposted by Nate Lerfald
Maureen Dubreuil, MD MSc @spondymd.bsky.social · 23/01/2025
If not immediately reversed, Trump's effective shut down of the NIH is going to cause permanent damage to the reputation of US as a leader in science. www.science.org/content/arti...
science.org
Trump hits NIH with ‘devastating’ freezes on meetings, travel, communications, and hiring
Researchers facing
063
Reposted by Nate Lerfald
Jillian Rigert, DMD, MD, ACC @jillianrigert.bsky.social · 22/01/2025
021
Nate Lerfald @natelerfald.medsky.social · 20/01/2025
As a lifetime WVU fan (and a lifelong cheerer against Ohio State) a reminder of what we will do for our kids. OH-IO. #ohiostate
060
Reposted by Nate Lerfald
tales-typoz @tales-typoz.bsky.social · 18/01/2025
Love this! 👇👇👇👇👇
211312
Reposted by Nate Lerfald
Fucking Bitch Kate 🪷 @kateculliton.bsky.social · 17/01/2025
Don’t look away.
279
Reposted by Nate Lerfald
Nicki Macklin @nickimacklin.bsky.social · 05/01/2025
(1/6) A THREAD: 🌟🌟🌟Kindness in Healthcare: A Poor Cousin No More? 🌟🌟🌟 Excited to share our latest publication in BMJ Leader: bmjleader.bmj.com/content/8/4/... This article (now open access as Editor's Choice!) delves into the underappreciated role of kindness in healthcare.
bmjleader.bmj.com
Kindness: Poor cousin or equal kin to Compassion and Empathy in the Healthcare Literature? A Scoping Review
Objective This scoping review seeks to understand how kindness, compassion and empathy are defined and conceptualised within existing healthcare services literature. Introduction Little consensus exi...
374
Reposted by Nate Lerfald
Adam Grant @adamgrant.bsky.social · 07/01/2025
Bad bosses keep people stuck in dead-end jobs. Good bosses create opportunities for people to grow and advance. Great bosses encourage people to pursue growth and advancement even if it means leaving for another organization.
214618
Reposted by Nate Lerfald
W.ORTH Women in Orthopaedics @laurahamilton.bsky.social · 05/01/2025
Protect yourself from burnout with hobbies and exercise. All I do is family/ work/ volunteer. This year I hope to make time for some sort of exercise I can do with minimal commitment - calisthenics? And also to force myself to do some art which I love but can never justify. All tips welcome 🙏
publishing.rcseng.ac.uk
A systematic review of the prevalence of burnout in orthopaedic surgeons | The Annals of The Royal College of Surgeons of England
Introduction Professional burnout is a syndrome of emotional exhaustion, depersonalisation and low sense of personal achievement related to the workplace. Orthopaedic surgeons train and practise in hi...
192
Nate Lerfald @natelerfald.medsky.social · 04/01/2025
I knew it! Hypertensive urgency “not a thing”
040
Reposted by Nate Lerfald
lbr549.bsky.social @lbr549.bsky.social · 02/01/2025
It’s a sign of strength and intelligence.
03512
Reposted by Nate Lerfald
Liz (or Lizzie) Kim 김혜성 💫 @lizzielizliz.bsky.social · 01/01/2025
I’ve decided fighting for equality is akin to taking three steps forward and one or two steps back. It feels frustrating but we do move forward. One foot in front of the other. Don’t stop.
2046364
Reposted by Nate Lerfald
California Dreamin’… 😎 @jerasikehorn.bsky.social · 01/01/2025
Are you paying ATTENTION, yet?! 👇 Apparently, many of you aren’t, are you?!
701187492
Nate Lerfald @natelerfald.medsky.social · 01/01/2025
Could two followers please copy and re-post this tweet to show that someone is always there? National Suicide Prevention Hotline Call: 0800 689 5652 (UK) 1-800-273-8255 (USA) 1.833.456.4566 (Canada)
032
Reposted by Nate Lerfald
Nate Lerfald @natelerfald.medsky.social · 08/12/2024
Reposting is the new “like”
0113
Nate Lerfald @natelerfald.medsky.social · 31/12/2024
“Think of UBI as a vaccine”. #medsky
080
Reposted by Nate Lerfald
The Eldritch Fae, Nia ETQ. FREE LINK @blogofmanythings.art · 31/12/2024
So there is this thing, and it's super cool! You turn it on and it reminds you to be accessible. It reminds you to either 1. Add alt text Or 2. Get help from a volunteer at alt4me Our brains aren't always wired to remember, and that's ok! /nofeed/
34518
Reposted by Nate Lerfald
Rhea Liang @liangrhea.bsky.social · 31/12/2024
My fave icebreaker is 'let's do some brief introductions.' The #MedEd pitfall of many 'icebreakers' is they are unrelated to what follows, add extraneous cognitive load, and can make people deeply uncomfortable (introverts, neurodiverse, CALD etc) which all works against subsequent learning.
74710
Reposted by Nate Lerfald
Dr Farbod @emergencybod.medsky.social · 30/12/2024
#TipsForNewDocs You too will be a patient one day. Remember that. With every word you speak, every look you give and every standard you accept, remember that.
416632
Reposted by Nate Lerfald
Shematologist, MD @shematologist.medsky.social · 30/12/2024
Just your regular reminder.
1225758
Reposted by Nate Lerfald
Andy Pasternak @tubadrew.bsky.social · 30/12/2024
Thanks to the @WSJhealth for including me in this article. Primary care clinicians have been reduced to data entry pawns in the high-stakes game that MA plans play to get more $$ from @CMSGov. It's time for the @AmerMedicalAssn and @aafp to stop this. www.wsj.com/health/healt...
wsj.com
UnitedHealth’s Army of Doctors Helped It Collect Billions More From Medicare
The biggest Medicare Advantage insurer presented physicians with checklists of potential diagnose.; “I didn’t think I was obese,” one suspicious patient told his doctor.
23114
Reposted by Nate Lerfald
Liz Highleyman @lizhighleyman.bsky.social · 29/12/2024
This is a rare side effect & a good example of relative vs absolute risk. Yes, risk was about 2x as high among semaglutide users -- but that meant 1.4-2.5 more cases in 10,000 person-years. A lot of people are really eager to over-emphasize the risks of GLP-1 agonists. www.ajmc.com/view/semaglu...
ajmc.com
Semaglutide Linked to Increased Risk of Rare, Debilitating Eye Condition
Patients with type 2 diabetes who use semaglutide have more than double the risk of severe optic nerve damage than those who don’t use the drug.
4214
Reposted by Nate Lerfald
California Dreamin’… 😎 @jerasikehorn.bsky.social · 30/12/2024
Gotta love Jimmy! ❤️🌈✨
610331