iiinova — where your digital self keeps evolving

Tom Cooney MD @pdxtom.bsky.social · 09/09/2026

Not sure what the message is here @pbotinfo.bsky.social @bikeportland.org Note placement of No Parking sign. NE Morris and MLK (Note: green paint and striping is new)

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Tom Cooney MD @pdxtom.bsky.social · 09/09/2026

Detailed evidence reviews that provide trustworthy recommendations for #influenza, #COVID19 and #RSV #vaccinations. All articles are free to the public. Evidence review for influenza: ja.ma/4xytloN Evidence review for COVID-19: ja.ma/3UwDGmB Evidence review for RSV: ja.ma/4wZKqXx #health

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Tom Cooney MD @pdxtom.bsky.social · 03/09/2026

Consistent with #Trump long record of bankruptcies..what happens when you elect a #kleptocrat who surrounds himself with incompetent sycophants. Unemployment rising, jobs report tanking, #diesel at record price. #MAGA #economy

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Tom Cooney MD @pdxtom.bsky.social · 29/05/2026

"The U.S., on average, has the poorest #health outcomes of any high-income country, and among the poorest of the high- and middle-income nations"

Highlights

Insurance coverage and access to care: The U.S. and Mexico are the only countries in the analysis where a substantial portion of the population lacks any form of health insurance. In the U.S., about 8 percent of the population, or about 27 million people, are uninsured. Mexico, however, recently announced a reform plan intended to close its coverage gap.
Affordability of care: For over four decades, the United States has spent more on health care than any other nation. In 2024, the U.S. spent 18 percent of gross domestic product on health care, nearly twice as much as the average OECD country, and among the highest rates in the world.
Care delivery: The U.S. have one of the lowest rates of physician graduates at 8.6 per 100,000 people, and the lowest rate of primary care physicians per 1,000 people.
Equity of outcomes: Americans die prematurely at among the highest rates. Men are more likely to die from avoidable causes than women, and the U.S. gap is among the largest. Maternal deaths occur at the highest rate among U.S. Black women. High U.S. suicide rates are far more elevated in rural areas.

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Tom Cooney MD @pdxtom.bsky.social · 02/03/2026

The @thelancet.com does not mince words "The destruction that #Kennedy has wrought in 1 year might take generations to repair, and there is little hope for US #health and #science while he remains at the helm. #RFKjr #MedSky www.thelancet.com/action/showP...

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Tom Cooney MD @pdxtom.bsky.social · 10/02/2026

Kudos to @drjanetj.bsky.social for her eloquent yet heart rendering perspective. #MedSky #Health #ICE "This is a humanitarian crisis. Patients are afraid to leave their homes for medical appointments, including for prenatal check-ups, or medical emergencies" www.acpjournals.org/doi/10.7326/...

The physicians continue, “And so, in order to uphold our professional covenants, we call for an immediate end to the violence and trauma that is being inflicted on our patients and our communities by ICE. We implore all in our medical community to use the power of your voices as well, to protect our patients and your own” (italics mine) (5).

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Tom Cooney MD @pdxtom.bsky.social · 07/02/2026

#Trump awards himself #Westminster Kennel Club trophy, declaring he is 'top dog'... #MAGA #DogSky

Image of Trump taking giant Westminster dog show trophy and the winning Doberman ripping at his sleave. Caption: "Donald Trump decides that he also needs the Westminster Kennel Club Trophy to feel whole.

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Tom Cooney MD @pdxtom.bsky.social · 03/02/2026

This ruling from Fed Judge Ana Reyes is magisterial in thoroughly discrediting #Noem and her illegal effort to deport #Haitians with Temporary Protected Status #TPS. #ICE ecf.dcd.uscourts.gov/cgi-bin/show...

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Tom Cooney MD @pdxtom.bsky.social · 31/01/2026

Judge orders release of 5-year-old detained by #ICE in #Minneapolis with harsh criticism of #DHS behavior www.washingtonpost.com/nation/2026/...

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Tom Cooney MD @pdxtom.bsky.social · 31/01/2026

We Do Care | New England Journal of Medicine www.nejm.org/doi/pdf/10.1... " #Physicians throughout #Minnesota bear witness to the devastation that U.S. Immigration and Customs Enforcement #ICE is wreaking. They implore physicians everywhere to raise their voices." #health #healthcare #MedSky

When our patients go without medical care,
the harm is not theoretical. It is measurable. Fear
doesn’t just keep people away from clinics and
EDs, it pushes patients into crisis. We know what
happens when the symptoms that signal a medical
crisis are ignored in the hope that they will just
go away. When their conditions worsen, patients
arrive in EDs and hospitals with advanced cases of
illness. We have seen the cost of waiting: appendixes
rupture, mild infections transform into lifethreatening
sepsis, patients end up on ventilators
in the ICU because they could not get medications
they needed. And sometimes, it is too late; those
hours of waiting in fear become their last.

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Tom Cooney MD @pdxtom.bsky.social · 26/01/2026

Portland #PDX Willamette River with the Steel Bridge in foreground, then Broadway and Fremont bridges.

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Tom Cooney MD @pdxtom.bsky.social · 15/12/2025

"Ninety-four percent of facilities reported severe occupational staffing shortages for Medical Officer occupations, and 79 percent of facilities reported severe shortages for Nurse occupations." #VA #healthcare #physicians #nurses

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Tom Cooney MD @pdxtom.bsky.social · 10/12/2025

"the top 10% of income-earners earn more than the other 90% combined" "Fewer than 60,000 people – 0.001% of the world’s population – control three times as much #wealth as the entire bottom half of humanity" #inequality #poverty #plutocracy www.theguardian.com/inequality/2...

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Tom Cooney MD @pdxtom.bsky.social · 08/12/2025

Speaking of #cars killing us... reader.theoregonian.com/senior-in-mo... "The woman was using her scooter near the intersection of Pacific Avenue and Oak Street on Saturday morning when she was reportedly struck and killed" 1750 ft between cross-walks @oregondot.bsky.social on busy 4-lane road.

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Tom Cooney MD @pdxtom.bsky.social · 26/11/2025

Fascinating: Topological turning points across the human lifespan #brain "findings suggest that in Western countries .. adolescent topological development extends to around 32 years old, before brain networks begin a new trajectory of topological development" www.nature.com/articles/s41...

a The distribution of ages (years) across each dataset (dHCP = Developing Human Connectome Project; BCP = Baby Connectome Project; CALM = Centre for Attention Learning and Memory; RED = Resilience in Education and Development; ACE = Attention and Cognition in Education; HCPd = Human Connectome Project Development; HCPya = Human Connectome Project Young Adult; camCAN = Cambridge Centre for Ageing and Neuroscience; HCPa = Human Connectome Project Ageing). b A histogram and density plot of sex distribution across age for the entire sample. c Methods schematic demonstrating that fiber tracking was performed for all participants, each registered to an age-appropriate AAL90 atlas, followed by harmonization using the ComBat algorithm37 across the atlases and datasets. Next, two thresholding analyses were conducted—variable density and density-controlled. For variable density analysis, networks were thresholded to an age-specific average density (70% of raw density) to preserve variation in network density across the lifespan. For the density-controlled analysis, all networks were thresholded to exactly 10% density91 to allow for direct topological comparisons, which are not biased by differences in total connectivity.

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Tom Cooney MD @pdxtom.bsky.social · 24/11/2025

#Trump Is Weak and Failing, and #Media Is Finally Saying So newrepublic.com/article/2035... via @newrepublic.com

Marcotte: I think history will look back, and the thing that will be most striking is that while all these elite journalists and politicians and businessmen kissed the ring and bowed down and were afraid of Trump, people in their jammies and slippers—ordinary people—when they see ICE coming into their neighborhood, they confront them in the street. And the courage of ordinary people in this moment has been quite stunning, especially when you compare it to the elite in this country.

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Tom Cooney MD @pdxtom.bsky.social · 24/11/2025

Amanita mascaria #Mushroom season in #Oregon. Not one of our edibles (contains several biologically active agents, at least one of which, muscimol, is known to be psychoactive)

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Tom Cooney MD @pdxtom.bsky.social · 22/11/2025

#Vaccines do NOT cause #autism. Joint statement from @acpimphysicians.bsky.social @ameracadpeds.bsky.social @idsainfo.bsky.social #AMA @aafp.org and many others shorturl.at/PjAUa Medical researchers have spent more than 25 years thoroughly studying this. Vaccines are not linked to autism.

Statement from Leading Medical, Health and Patient Advocacy Groups
on CDC Autism Website Changes
Nov. 20, 2025—Our organizations, representing autistic individuals, their families, medical
professionals and public health workers, are alarmed that the Centers for Disease Control
and Prevention is promoting the outdated, disproven idea that vaccines cause autism.
Medical researchers across the globe have spent more than 25 years thoroughly studying
this claim. All have come to the same conclusion: Vaccines are not linked to autism.
This false rumor distracts from pressing, urgent issues in children’s health. Amplifying this
claim and encouraging unnecessary investigations only worsens parents’ fears; it will not
lead to better therapies, improved support for caregiving families, or changes in health
care, education, and society in ways that would help children with autism thrive. Rather
than devoting needed resources right now to support people with autism and their families
in every community, our taxpayer-funded health agencies are using public resources to
spread harmful rumors. Autistic people are valued members of society and, like all of us,
deserve research that helps health care and other systems address genuine needs.
Today, our organizations reject this latest attempt to create fear around routine childhood
immunizations. Vaccines rank among our greatest medical success stories. Thanks to
vaccines, serious diseases that once made thousands sick every year and caused life-long
health issues have become rare. We cannot risk losing this progress. Together, we call on
the CDC to return to its long history of promoting evidence-based information in the service
of protecting the health and well-being of all Americans.

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Tom Cooney MD @pdxtom.bsky.social · 19/11/2025

Between 2010 and 2023, yearly #deaths caused by #cars and trucks striking #pedestrians rose 70 percent So much for #VisionZero #transportation @oregondot.bsky.social @bikeportland.org www.washingtonpost.com/business/int...

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Tom Cooney MD @pdxtom.bsky.social · 18/11/2025

The National Gallery of Art is such a stunning place. The architect, John Russell Pope, didn't live long enough to see it built. #DC #art And it is free to visit.

Widescreen view of the atrium of The National Gallery of Art with its beautiful fountain, circle of columns, and spectacular rotunda ceiling.

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Tom Cooney MD @pdxtom.bsky.social · 05/11/2025

That's One Big Beautiful Ballot map. #election #vote #Virginia wapo.st/4qKoSMO

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Tom Cooney MD @pdxtom.bsky.social · 05/11/2025

Kudos to #Maine for soundly rejecting the anti-democratic Ballot Measure 1. It would have adding a voting ID requirement and adjusting absentee voting regulations. #voting #democracy

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Tom Cooney MD @pdxtom.bsky.social · 18/10/2025

#WarRavagedPortland #NoKingsDay Massive turnout. The group starting from Convention Center is still crossing Steel Bridge after 45 minutes

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Tom Cooney MD @pdxtom.bsky.social · 18/10/2025

#NoKingsDay Keeping #PDX Portland weird We the People.

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Tom Cooney MD @pdxtom.bsky.social · 18/10/2025

#NoKingsDay getting started at #PDX Convention Center before marching on to join up the main march in downtown

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Tom Cooney MD @pdxtom.bsky.social · 17/10/2025

If the squeaky wheel gets the grease, what does the squeaky sneaker get? reader.theoregonian.com/lawsuit-clai...

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Tom Cooney MD @pdxtom.bsky.social · 17/10/2025

Pretty clear the public wants #GOP to extend the credits and end the shutdown... "Despite Budget Concerns, 78% of Public Say #Congress Should Extend the Enhanced #ACA Tax Credits Set to Expire Next Year, Including Most #Republicans and #MAGA Supporters"

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Tom Cooney MD @pdxtom.bsky.social · 05/09/2025

Neil Young at Chateau St Michelle. Is that a Harvest Moon?

Neil Young on stage with an orange ‘harvest moon’ above right.

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