iiinova — where your digital self keeps evolving

Since moving back to my hometown in a rural area, I am struck by how many parents there are who think the worst possible thing that could happen for their kids is for them to different from, better than, or happier than them in any way.

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rev_rend @revrend.bsky.social · 28/09/2026

I found a bunch of white chanterelles up in the Rogue Umpqua Divide the other day. They were excellent.

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rev_rend @revrend.bsky.social · 28/09/2026

I have lost about 70 lbs since starting a glp-1 for diabetes. It has transformed my life. I am more active than I have been for the last two decades or more. It's been life changing.

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rev_rend @revrend.bsky.social · 25/09/2026

I might be able to! You appear to have a weight and length I'm interested in. If you want to send me some pics, I'd love to see them!

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rev_rend @revrend.bsky.social · 24/09/2026

Are you kidding me with this? It should be a coastal rainbow trout with where I caught it. It looks so much like a redband trout though.

A heavily spotted rainbow trout with a gold body and brick red lateral line.

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rev_rend @revrend.bsky.social · 24/09/2026

Do you have the specs on it? Line weight and length? Model number? have come to realize that I really like slower rods like Winstons.

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rev_rend @revrend.bsky.social · 24/09/2026

It would be so embarrassing to fall for this shit so hard that you record an interview and put it out there for the whole world to see.

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rev_rend @revrend.bsky.social · 19/09/2026

I found some Levi's Action Slacks at a thrift store recently and they're amazing. Give me that high waist.

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rev_rend @revrend.bsky.social · 16/09/2026

We have a system that generates summaries of patient phone calls and it's kind of amazing.

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rev_rend @revrend.bsky.social · 14/09/2026

I saw anti-Trump stickers on the pumps out in Lakeview yesterday.

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rev_rend @revrend.bsky.social · 12/09/2026

You are correct. I’m currently out in the desert in SE Oregon. The night sky is incredible here.

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rev_rend @revrend.bsky.social · 11/09/2026

I'm about to file mine too! (If I can get my great grandfather's birth certificate...) College cost alone is enough reason to pursue this for our kids.

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rev_rend @revrend.bsky.social · 09/09/2026

I've been spending a lot of time alone in the woods the past year. Feels like stepping out of one world and going into another that's a lot more manageable.

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rev_rend @revrend.bsky.social · 08/09/2026

This right here ranks very highly on why I'm working on establishing proof of our Canadian citizenship for me and my kids. I am not going anywhere, but I want them to have broader horizons.

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rev_rend @revrend.bsky.social · 06/09/2026

I started dismissing these patients after this. Especially with public health, where I bore the costs for referrals, I just wouldn't do it. They can abuse their kids elsewhere. They aren't acting out of love at all. It's selfish social signalling. But it's the doctors' fault...

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rev_rend @revrend.bsky.social · 06/09/2026

As we were trying to do treatment, his mom was weeping because he was so scared. She still refused to do any proven prevention. This one was kind of a turning point for me. She was hurting her son. Bad parent. But she refused to do anything to help him.

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rev_rend @revrend.bsky.social · 06/09/2026

I once had a patient who kept coming in with more and more problems. He was in pain. His mother absolutely refused to take any of my recommendations for prevention over the course of multiple visits because I recommended fluoride.

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rev_rend @revrend.bsky.social · 06/09/2026

I have seen so many other traits that run alongside MAHA beliefs that I can't believe they are just naturally organic responses to experiences with doctors. And I've run into plenty of doctors who have these traits who have slowly adopted MAHA beliefs since COVID.

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rev_rend @revrend.bsky.social · 06/09/2026

Many come in looking for a rubber stamp approving their ideas, cannot have good faith discussions, fight when they get standard of care recommendations. They use these interactions as post-facto rationalization for how they got where they are.

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rev_rend @revrend.bsky.social · 06/09/2026

I've certainly had poor experiences with providers for my kids that have left me on my own to move care forward. Our health care system sucks. But my experience as a provider is that parents are either on the MAHA journey or they aren't before they bring their kids in for social reasons.

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rev_rend @revrend.bsky.social · 02/09/2026

I've said it before and I'll say it again... Can't trust Reed College alumni.

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rev_rend @revrend.bsky.social · 31/08/2026

fishing mountain creeks in southeastern Oregon. I mostly enjoy the solitude when I fish. I go to places that are almost dangerous to access to avoid people. But it is nice to occasionally stop when I'm out and talk to strangers. It does help keep me grounded in a way.

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rev_rend @revrend.bsky.social · 31/08/2026

Stopped on a creek today in the Cascade foothills. Had a tenkara rod out. A few guys and a kid stopped, came down and watched me hook into a few fish and land one. The kid wanted to talk fly patterns. We all talked about portable fly rods, big fish in small creeks, and ... 1/2

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rev_rend @revrend.bsky.social · 30/08/2026

A very popular dental group on Facebook made digging up PPP receipts a ban-worthy offense because every time some old dipshit would bitch about student loan forgiveness someone would find they got hundreds of thousands in free PPP money and say "this you?"

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rev_rend @revrend.bsky.social · 24/08/2026

I'm volunteering with a research project in the Alvord Desert in SE Oregon that involves a lot of travel into the surrounding mountains. I am doing intense, complicated calculations on the fuel situation in preparation.

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rev_rend @revrend.bsky.social · 17/08/2026

Have you ever been to Warm Spring Creek falls near there? I've lived here about my whole life and only recently found out about that one. It's stunning.

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rev_rend @revrend.bsky.social · 14/08/2026

I just drove across all this (western Oregon to Denver) and doing it in reverse tomorrow. The west kicks so much ass.

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rev_rend @revrend.bsky.social · 14/08/2026

Lol. I visited my aunt in NC ages ago and her daughter, who grew up there, suggested we go to the mountains. Immediately my aunt said to her, "honey, we're from Oregon. There are no mountains here."

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rev_rend @revrend.bsky.social · 09/08/2026

Right now society decided we have to pay for practice and education debt, skyrocketing auxiliary pay, and fighting to get claims paid with our patients' checkbooks. Even then, we are eating a lot of that. Real income has been on a steady decrease in dentistry at least for decades.

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rev_rend @revrend.bsky.social · 09/08/2026

People do. It is the subtext of all auxiliary lobbying at the state level. Our salaries are a relatively small cost of healthcare now. Something like 8-9% last I checked.

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rev_rend @revrend.bsky.social · 09/08/2026

One reason I'm such a big fan of the private practice/small group model is that the time my employees spend on admin now can go to better patient experience. When my admin burden goes down, I don't fire employees to increase profit. We make the practice better in other ways.

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rev_rend @revrend.bsky.social · 09/08/2026

Substitute fly fishing for birding in my case. Very much so.

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rev_rend @revrend.bsky.social · 06/08/2026

One of my favorite classmates told her husband that he most definitely was not going to be pursuing a new job in the trades because she was going to be a dentist and he was going to prioritize taking care of their kids.

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rev_rend @revrend.bsky.social · 06/08/2026

My dental school class was loaded with examples of this. And it also had examples of how society pressures high status women to compromise their careers and status so their husbands can pursue their third or fourth crack at a career.

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rev_rend @revrend.bsky.social · 29/07/2026

Okay. Yeah. I'm not saying this is a small group. I don't even know what point you're trying to make. Have a good one.

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rev_rend @revrend.bsky.social · 29/07/2026

Maybe something wasn't clear. What I meant is that the senator's message seems directed at what, in my experience, is an audience that is extremely online. I run into loads of conservative patients with whom this does not resonate.

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rev_rend @revrend.bsky.social · 29/07/2026

And sadly, the population I've treated that was most likely to reject preventive public health measures was Medicaid recipients. FWIW, I did a lot of COVID vaccination and was strict in masking protocols. Ran into a lot more than just fluoride fights.

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rev_rend @revrend.bsky.social · 29/07/2026

I am but a dentist, though I practice in a very conservative, rural area that skews older. This message feels like it is mostly speaking to a very online audience. Many of my patients are fairly all in on good public health stuff. That said, it gets worse the younger the person is.

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rev_rend @revrend.bsky.social · 23/07/2026

It has completely changed my life in remarkable ways. I'm pushing 50 and am more fit and active than I've been for at least two decades. I'm getting outdoors more, doing fairly vigorous exercise, and just generally happier.

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rev_rend @revrend.bsky.social · 09/07/2026

To make matters worse, the state has a very high proportion of older, non-working residents. My town has passed one school bond in about 50 years because the district is filled with elderly Californian retirees who couldn't care less about the community. The state is a retirement home.

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rev_rend @revrend.bsky.social · 09/07/2026

There is something very wrong with the culture of government in Oregon. The only thing that matters seems to be inclusive process. Nobody in government succeeds or fails on whether programs deliver for people.

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rev_rend @revrend.bsky.social · 09/07/2026

And it's also cool that the state has a universal health plan board coming up with an analogous plan that every resident and provider would be forced into without negotiation.

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rev_rend @revrend.bsky.social · 09/07/2026

Anyway, it's pretty cool to be told by both the state and the public that the problem with OHP is that practice owners like me who have over $600K in student loans won't participate in a plan that pays less each year and loads me up with huge expenses and liabilities.

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rev_rend @revrend.bsky.social · 09/07/2026

It is bleak hearing the average Oregon Republican talk about this stuff. They absolutely refuse to place any blame on Trump or Congress. They 100% fall back on "the state is wasting money/'Kotex' is stealing it."

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rev_rend @revrend.bsky.social · 07/07/2026

This is one of the coolest 4K discs I've ordered.

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rev_rend @revrend.bsky.social · 29/06/2026

This is just normal Reed College shit. The only thing wrong here is that she wasn't the founder of something interesting like C.h.u.n.k. 666.

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rev_rend @revrend.bsky.social · 10/06/2026

True! That one was especially painful for me. I was living in SEC country at the time. All my coworkers hated Auburn, but I caught so much shit regardless.

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rev_rend @revrend.bsky.social · 10/06/2026

I'm putting you on a list, Core.

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rev_rend @revrend.bsky.social · 10/06/2026

25 years ago, I ran into a Russian guy in a cafe in Bukhara, Uzbekistan wearing a University of Oregon sweatshirt. My beloved alma mater has been working on the global brand for a while.

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