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Ronald Hirsch

@signaturedoc.bsky.social
921 followers 808 following 773 posts

Utilization review Medicare regulatory nerd. Road cyclist. 3v CAD s/p stenting (see proile pic). Fully vaccinated, still N95 masking on planes. Vote blue. Opinions my own, not those of employer

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Ronald Hirsch @signaturedoc.bsky.social · 29/09/2026
Did Trump/Musk's DOGE protect sensitive information? The government watchdog GAO has doubts... www.gao.gov/products/gao...
gao.gov
U.S. GAO - DOGE: Congress and the Public Lack Assurance That Systems and Data Were Protected at Multiple Agencies
An executive order required federal agencies to establish Department of Government Efficiency teams to implement the administration's goals. We...
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Ronald Hirsch @signaturedoc.bsky.social · 24/09/2026
With all the mayhem in DC, it seems overlooked that they may have finally solved the Tylenol Murders from 1982! www.spokesman.com/stories/2026...
spokesman.com
Idaho officials solved a cold case that may have a connection to the infamous 1982 'Tylenol murders'
BOISE – Idaho law enforcement believe a man found dead after poisoning himself in a Boise church 44 years ago could have a connection to the 1982 Tylenol killings, an unsolved string of homicides that...
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Ronald Hirsch @signaturedoc.bsky.social · 22/09/2026
I wonder if Pete Hegseth at @deptofwar.bsky.social knows that RFK Jr and @hhsofficial.bsky.social still calls his department the "Department of Defense" in the 2027 "Medicare & You" booklet sent to every Medicare beneficiary. Embarassing for Hegseth and Trump!!!!
section of Medicare & You booklet referring to Department of Defense not Deaprtment of War
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Ronald Hirsch @signaturedoc.bsky.social · 21/09/2026
ICYMI, the federal ban on hunting, fishing, shooting, building roads, and more through our national parks is published. But don't worry, Trump thinks "American hunters... are the greatest conservationists the world has ever known." Yeah, right... public-inspection.federalregister.gov/2026-19416.p...
public-inspection.federalregister.gov
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Ronald Hirsch @signaturedoc.bsky.social · 18/09/2026
#AirportScrubSighting SEATAC Just Say No
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Ronald Hirsch @signaturedoc.bsky.social · 31/08/2026
I thought @theonion.com was satire? If they are going to report real news, I am cancelling my subscription. theonion.com/dept-of-inte...
theonion.com
Dept. Of Interior Sets Aside 2.3 Million Acres For Future Trumps To Enjoy
WASHINGTON—Calling the act a forward-looking attempt to preserve the nation’s most precious natural treasures for the president’s descendants, the Department of the Interior announced Monday that it w...
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Ronald Hirsch @signaturedoc.bsky.social · 28/08/2026
Trump blames Biden for the cattle shortage- "due in part to the policies of the prior Administration's War on Cattle, the United States herd has fallen to its lowest level in 75 years." public-inspection.federalregister.gov/2026-17842.p...
static.klipy.com
Donald Trump: I Don't Take Any Responsibility
ALT: Donald Trump: I Don't Take Any Responsibility
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Ronald Hirsch @signaturedoc.bsky.social · 25/08/2026
RFK Jr just murdered two more Americans. www.pa.gov/agencies/hea...
pa.gov
Pennsylvania Department of Health Confirms Two Measles-Associated Deaths
Pennsylvania Department of Health Confirms Two Measles-Associated Deaths
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Ronald Hirsch @signaturedoc.bsky.social · 25/08/2026
Told my 5 and 7 year old granddaughters that Dolly Parton died. They said, "you mean that lady who sent us all those books? That's so sad."
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Ronald Hirsch @signaturedoc.bsky.social · 20/08/2026
Amazing story and fantastic reporting by @retractionwatch.com www.doximity.com/newsfeed/2dc...
doximity.com
Exclusive: Death of girl in Chinese gene-editing trial was never made public
Parents want accountability after study went disastrously wrong, Science and Retraction Watch investigation reveals
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Ronald Hirsch @signaturedoc.bsky.social · 14/08/2026
#AirportScrubSighting OHare terminal 1 #Don’tDoIt 
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Ronald Hirsch @signaturedoc.bsky.social · 14/08/2026
#AirportScrubSighting OHare terminal 1 #Don’tDoIt 
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Ronald Hirsch @signaturedoc.bsky.social · 13/08/2026
#AirportScrubSighting O’Hare terminal 2 #Don’tDoIt
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Peter Morley ♿️ @petermorley.bsky.social · 12/08/2026
NEVER FORGET: Most of the people who wear a mask and work for ICE are the same people who refused to wear a mask during the height of Covid. COWARDS!
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Ronald Hirsch @signaturedoc.bsky.social · 07/08/2026
A whole industry destroyed by the demise of the penny
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Ronald Hirsch @signaturedoc.bsky.social · 06/08/2026
GAO says DOGE data is flawed, claims savings that should be attributed to Biden administration! www.gao.gov/products/gao...
gao.gov
U.S. GAO - DOGE Wall of Receipts: More Transparency Needed on How Savings Are Derived from Contract, Grant, and Lease Terminations
The President established the Department of Government Efficiency to transform federal spending. DOGE instructed agencies to review federal contracts...
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Ronald Hirsch @signaturedoc.bsky.social · 04/08/2026
Oh no! Another negative vitamin D trial? Say it ain’t so! jamanetwork.com/journals/jam...
jamanetwork.com
Addition of High-Dose Vitamin D3 to Standard Treatment for Metastatic Colorectal Cancer
This randomized clinical trial assesses whether high-dose vitamin D3, compared with standard-dose vitamin D3, added to standard chemotherapy improves progression-free survival in patients in the US Na...
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Morgan J Freeman @mjfree.bsky.social · 03/08/2026
Most Glorious Day in US History 🇺🇸🇺🇸🇺🇸 Pay them now!!!
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Ronald Hirsch @signaturedoc.bsky.social · 31/07/2026
#AirportScrubSighting Orlando terminal B Just say “no”
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Adam Kinzinger @adamkinzinger.substack.com · 29/07/2026
Just really feeling appreciative today that Donald John Trump rushed the Covid vaccine through and took it himself and told everyone to. Good job Trump MAKING THE COVID VACCINE
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Ronald Hirsch @signaturedoc.bsky.social · 27/07/2026
Is this the future of medical care in the US under RFK Jr? Those will money can buy care without regulation or oversight? www.science.org/content/arti...
science.org
Exclusive: Death of girl in Chinese gene-editing trial was never made public
Parents want accountability after study went disastrously wrong, Science and Retraction Watch investigation reveals
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WeRateDogs @weratedogs.com · 22/07/2026
This is Bailey. All of his toys got washed at the same time. He is interpreting this as some sort of ritualistic sacrifice. 13/10 I would sleep with one eye open (TT: goldenlifeofbailey)
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Ronald Hirsch @signaturedoc.bsky.social · 22/07/2026
#AirportScrubSighting Logan Airport United Club 6-21-2026 #JustSayNo
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Ronald Hirsch @signaturedoc.bsky.social · 16/07/2026
RFK Jr wants hospitals to give patients healthier foods but his cuts to CDC making cyclospora outbreak worse. So now hospitals are pulling healthy food off menus to avoid sickening patients. Good work MAHA! @altcdc.altgov.info www.beckershospitalreview.com/quality/publ...
beckershospitalreview.com
Michigan hospital cafeterias pull leafy greens amid cyclospora outbreak
Michigan hospital cafeterias pull leafy greens to reduce cyclosporiasis risk as cases surge statewide, protecting patients and staff.
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Dave Draeger @davedraeger.bsky.social · 30/06/2026
Weird how this never applies to the Second Amendment.
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Ronald Hirsch @signaturedoc.bsky.social · 30/06/2026
Rehabbing a golf course is "of paramount interest to the US" so all environmental review and laws can be ignored??? US Enemy #1 resides in the White House! public-inspection.federalregister.gov/2026-13408.p...
public-inspection.federalregister.gov
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Ronald Hirsch @signaturedoc.bsky.social · 30/06/2026
Jay Bhattacharya strikes again- denying World Trade Center first responders and people affected by the debris access to care for heart disease through the World Trade Center Health Program. public-inspection.federalregister.gov/2026-13176.p...
public-inspection.federalregister.gov
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Hillary Rodham Clinton @hillaryclinton.bsky.social · 27/06/2026
Maybe Vance doesn't know this part of history because it's in one of the books his administration has banned. The difference between the Watergate era and now is that back then, Republicans actually did something about a law-breaking president. Today, they only roll over for their cult leader.
New York Times story: Vance Downplays Watergate and Compares Himself to Nixon
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BJCampbell @bj25.bsky.social · 19/06/2026
Obama Center Reflecting Pool
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Ronald Hirsch @signaturedoc.bsky.social · 15/06/2026
The OMB and the Politicization of Science | New England Journal of Medicine www.nejm.org/doi/full/10.... Kudos to the Editors of @nejm.org for standing up for Science!!!!
nejm.org
The OMB and the Politicization of Science | NEJM
One of the great joys of working at a journal like ours is seeing the dramatic progress in patient outcomes that research can achieve over time. In the past few years, we’ve seen breakthroughs in c...
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Ronald Hirsch @signaturedoc.bsky.social · 13/06/2026
I sure hope the MAGAts are freaking out at the #WorldCup pre-game entertainment on Fox TV! Multi-ethnic and modern music! Not a country western tune to be heard.
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WeRateDogs @weratedogs.com · 12/06/2026
Here are the top 5 dogs of the week!
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Protik Islam-Jakobsson @protik.bsky.social · 10/06/2026
I've spoken with thousands of people in my life, but the most wonderful conversations I've ever had occurred as I was putting the kids to sleep. These moments of connection are concentrated doses of pure humanity, and it is in equal measures foolish and contemptible to outsource them to the spybot.
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Ronald Hirsch @signaturedoc.bsky.social · 10/06/2026
High-Dose Intravenous Vitamin C in Severe Burn Injury - More harm than help? jamanetwork.com/journals/jam... Dr Marik is going to be so disappointed 😁
jamanetwork.com
High-Dose Intravenous Vitamin C in Severe Burn Injury
This international randomized clinical trial evaluates the efficacy of high-dose intravenous vitamin C in reducing 28-day mortality and persistent organ dysfunction (dependence on mechanical ventilati...
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NY Times Pitchbot @nytpitchbot.bsky.social · 09/06/2026
When I fell asleep at the Garden, the Knicks were Winning. Then when I wake up, I see the Spurs have "won." It seems that in the 4th Quarter, the so-called referees kept "finding" Points for the Spurs. Rigged! Fake Game! by Donald J. Trump
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Ronald Hirsch @signaturedoc.bsky.social · 08/06/2026
Leaders Resign From ADA After Experts Booted From Meeting www.medpagetoday.com/special-repo... yes!!!!! Stand up for science!
medpagetoday.com
Leaders Resign From ADA After Experts Booted From Meeting
Resignations included the organization's president-elect and scientific sessions chair
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Ronald Hirsch @signaturedoc.bsky.social · 05/06/2026
Video: Police Tussle With Diabetes Experts at ADA Meeting www.medpagetoday.com/special-repo...
medpagetoday.com
Video: Police Tussle With Diabetes Experts at ADA Meeting
Researchers told they could no longer attend the annual scientific sessions
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JoJoFromJerz @jojofromjerz.bsky.social · 04/06/2026
“Daddy?” “Yes Johnny?” “Donald Trump deported my friends, closed my school, forced you to sell the family farm and took mommy’s cancer medicine away, so why did you vote for him again?” “Because we needed to paint the reflecting pool, son.”
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Ronald Hirsch @signaturedoc.bsky.social · 02/06/2026
#AirportScrubSighting ORD terminal 1 Don’t do it.
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Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 19/05/2026
“No cases [of pediatric deaths] were classified as certain in relation to COVID-19 vaccination”. This the topline sentence in the results from the executive summary of the report that Prasad, Makary, and Hoeg claimed to show that 10 children died from the COVID19 vaccine.
 This memorandum presents findings from an analysis of U.S. VAERS pediatric death reports following COVID-19 vaccines. This analysis was conducted in response to a request from the Office of Vaccines Research and Review (OVRR) for a structured causality assessment of VAERS reports of pediatric deaths following COVID-
staff have reviewed such reports previously as part of
CBER's routine, ongoing monitoring of incoming VAERS data, typically
(a) limitations inherent to passive surveillance databases, including unverified
(b) limitations in causality assessment including inability to eliminate or quantify incertainty, subjective variability and issues with reproducibility, inability to quantify relationship likelihood or relative contribution of vaccination, oversimplification of complex cases with variable quality information or confounding factors, and inability to definitively prove a connection between a vaccine and an adverse event. A VAERS query was conducted for all domestic reports of a death in a patient under 18 years old who received any COVID-19 vaccine, including both monovalent and bivalent formulations. The goal of this analysis is to provide causality assessment at the individual case level based on a systematic review of these reports by using structured causality assessment criteria.
(PTs) for specific adverse events.
medical officers reviewed and discussed each
individual case, including any available medical records and autopsy reports; overall causality assessment of each case was based on group discussion and consensus, ising the World Health Organization-Uppsala Monitoring Centre (WHO-UMC) system or standardized case causality assessment (1). Using this system, each case was classified into one of six categories (certain, probable/likely, possible, unlikely, conditional or unassessable) based on the strength of available evidence that the vaccine was causally related to the patient's death.
Results: A cumulative query of VAERS retrieved 96 unique …
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Digital Warrior - Combat Disinfo @digitalwarrior.bsky.social · 15/05/2026
1/ A convicted tax felon walked free after his mom bought a million-dollar dinner at Mar-a-Lago. That is not a joke. It happened. And somehow it is not even the worst thing on this list. Here are 10 moments you forgot. 🧵 #DV1 #ProudBlue #Voices4Victory #USDemocracy
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Ronald Hirsch @signaturedoc.bsky.social · 15/05/2026
Trump loves to pick on California health care fraud. Maybe he should look at his home state! And not just Rick Scott. www.justice.gov/opa/pr/owner...
justice.gov
Owner of Health Care Software Company Convicted of 1 Billion Dollar Medicare Fraud Conspiracy
A federal jury in the Southern District of Florida convicted the founder and owner of HealthSplash yesterday for his role in operating a platform that generated false doctors’ orders and prescriptions...
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Ronald Hirsch @signaturedoc.bsky.social · 14/05/2026
#AirportScrubSighting Denver 6:15 pm terminal B
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Aaron Rupar @atrupar.com · 13/05/2026
BURGUM: When the sun goes down, solar produces zero electricity HUFFMAN: I want to enter into the record this amazing new technology that apparently the secretary is unaware of -- it's a battery
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Ronald Hirsch @signaturedoc.bsky.social · 06/05/2026
When your anti-vaccine delusions are stronger than your love for your child, it’s a problem. www.propublica.org/article/more...
propublica.org
Babies Are Bleeding to Death as Parents Reject a Vitamin Shot Given at Birth
A lifesaving injection given at birth to prevent severe bleeding has become collateral damage of the anti-vaccine movement.
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Ronald Hirsch @signaturedoc.bsky.social · 02/05/2026
Did anyone on #Cardiology Bluesky talk about the negative Impella study? Did I miss it? ihttps://www.medscape.com/viewarticle/adoption-before-evidence-chip-bcis3-humbles-impella-2026a10009jh @jmksnow.bsky.social @jice-ep.bsky.social
medscape.com
Adoption Before Evidence: CHIP-BCIS3 Humbles Impella
The first RCT of microaxial flow pump support in high-risk PCI shows no benefit for Impella and some harm. John Mandrola, MD, asks why the device was approved for this use before supporting evidence.
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Thanh Neville, MD, MSHS @thanh-neville.bsky.social · 26/04/2026
As I watched the heavily armed secret service rush the administration to safety last night at the Correspondents' Dinner, I can't help but think how different this looks from the 100s of school shootings across the nation, which our government have addressed with thoughts and prayers.
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Ronald Hirsch @signaturedoc.bsky.social · 24/04/2026
#AirportScrubSighting DCA main corridor Just say no to airport scrubs
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