iiinova — where your digital self keeps evolving

Sigrid Berg @sigridberg.bsky.social · 24/05/2026

The needs of outpatient oncology practices are much different than those of other subspecialty practices. As this article points out, if hospitals continue to refute this as they restructure, fewer and fewer oncologists will remain as burnout takes its toll.... www.medscape.com/viewarticle/...

medscape.com

EHR Burden in Oncology Is Taking a Toll. Is There a Fix?

As the documentation burden grows and patient portals overflow, oncologists are hoping to preserve what matters most — the relationship with their patients.

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Sigrid Berg @sigridberg.bsky.social · 10/01/2026

So proud as always of my wonderful city.

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Shematologist, MD @shematologist.medsky.social · 21/11/2025

It’s the most wonderful time of the year! Mark your calendars because #HCWvsHunger 2025 starts in just one week… And if you donated early due to the shutdown keep those receipts because we are going to find a way to count them. Let’s feed some more people 🍎 hcwvshunger.org

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Ryan Marino, MD @ryanmarino.bsky.social · 09/10/2025

The MMR vaccine is one of the most stunningly effective medical therapeutics in existence. It’s also safer than most of your everyday activities. This is simply an attempt to stop people from vaccinating.

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Josh Marshall @joshtpm.bsky.social · 31/08/2025

This “explicit” is a weird editorial choice. The constitution gives the president no power over this at all. It’s not ambiguous.

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Jake Scott, MD @jakescottmd.bsky.social · 31/08/2025

RFK Jr: “If you’ve ever compared an unvaccinated kid to a vaccinated kid… you see the bright eyes, the engagement, the social interactions, the curiosity. And you compare them to the child who even had one or two vaccines, and they’re completely different.“ This man is an existential threat.

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Josh Marshall @joshtpm.bsky.social · 26/08/2025

This is your Democratic campaign message for 2026

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Brendan Nyhan @brendannyhan.bsky.social · 24/08/2025

Just unbelievably stupid. I had no idea how dumb fascism would be when it came to America.

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Angry @angrystaffer.bsky.social · 11/08/2025

Trump on January 6: Nancy Pelosi stopped me from sending the DC National Guard to protect the Capitol. Trump tomorrow: the President of the United States has complete control over the DC National Guard. Make it make sense.

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Mindcite💥 @mindcite.bsky.social · 10/08/2025

Just think of all the money we waste on Social Security, Medicare, Medicaid, SNAP, FEMA, EPA, Veterans Benefits and children's cancer research! --Louis XIV and Melania Antoinette Trump

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Prof Gavin Yamey MD MPH @gavinyamey.bsky.social · 10/08/2025

RFK Jr must resign and I believe those of us who work in healthcare, public health, health research, or any related field should demand his resignation

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Gabriel Bosslet @gbosslet.bsky.social · 01/08/2025

The medical equivalent of this Resident: The BUN today was 91 Attending: That is too high you are fired

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Steve Herman @newsguy.bsky.social · 23/07/2025

More than two dozen retired senior US military officers and 22 former US ambassadors are among those telling a federal court that dismantling VOA is "unlawful and unwise," as it helped achieve important foreign policy goals and confirmed America's role as a beacon of democracy and freedom. #SaveVOA

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JJ in DC @jjindc.bsky.social · 12/07/2025

🇺🇸 A Different Kind of Outrage 😲 Everone at Foggy Bottom knows Dink. The joke is that he joined right after Benjamin Franklin. Most recently, after almost 4 decades of service, he was elected to head AFSA (the union for U.S. diplomats). He was fired yesterday. The disrespect is intentional.

John Dinkelman

Lots to process here folks...

While I suspected that, as the president-elect of the (former) "collective bargaining unit" (aka: "union"), I might be targeted for separation in dreaded DOGE-induced State Department layoffs, it still came as a bit of a surprise that I, along with hundreds of others, received my "pink slip" this morning from the Department of State.

But it was the sense of "here's your notice, clear your things by 5:00 pm, and don't let the door hit you on the way out" feeling of it all that really took me back. After devoting one's entire professional life to an organization, you'd think there would be a bit more, shall we say, nobility in the process. But alas, 'twas not to be.

Enough of this licking wounds. I'm fine. Really.

The things that REALLY matter in my life - the long-term things - are all well. The wife has yet to sue for divorce. The kids don't recoil in fear at the sound of my voice. And the Bishop has not sought my excommunication - at least not today. So, my life at the end of a 37-year run, I have nothing to do but thank the United States Government for the opportunity to represent my country around the world.

Perhaps it is mounting geriatric cynicism but... what kind of message has all this sent to those still devoted full time to the "diplomatic element of national power?" Will those considering entering such a profession - one that demands a similar level of responsibility, commitment, flexibility, judgement, dedication, and overtime as comparable private sector jobs that pay much more
- look favorably on such a career? Especially with the understanding that the customary expectations of career progression and security that comes (came) with federal service are no more? I'll leave that decision to them and hope that our nation can still attract the high caliber of diverse (yes, I said it), dedicated, patriotic Americans to staff the halls of our Embassies overseas and see to our national interests in the ways that ONLY the Foreign Service can.

Not to mention those who are still IN the Service. Can they really feel on Monday morning that they work for an organization that "has their backs?"

While I hope so, I'm not so sure. Again, that's up to them.

For all those in the Foreign Service - Departments of State, Commerce, Agriculture, USAID, APHIS, or USAGM - I promise you that, starting this Tuesday, I will do all I can to hold leadership's feet to the fire to make sure they live up to the commitments they have made to you and your families. AFSA remains the Professional Association of the Foreign Service.

It will do everything it can to make sure the professional standards we live by remain the standard the world's diplomats aspire to. I look forward to doing my part in this new chapter of my service to my country - and to you.

Regards,
-dink-

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Eric Topol @erictopol.bsky.social · 06/07/2025

Summary Table of the massive defunding of biomedical research in the United States www.nytimes.com/interactive/...

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Sigrid Berg @sigridberg.bsky.social · 05/07/2025

So research for any disease that predominantly affects non-white people will no longer be funded because it's DEI? Sickle cell can be a devastating disease, with significant impact on qualify of life and lifespan. This was incredibly meaningful, relevant research. www.wral.com/lifestyle/he...

wral.com

Sickle cell researcher fights back, calling NIH grant termination "racist" and "discriminatory"

A researcher at Duke University, speaks out after her NIH grant for sickle cell research was terminated. The $750,000 funding cut, justified by NIH as a move against diversity, equity, and inclusion i...

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The Atlantic @theatlantic.com · 15/06/2025

Robert F. Kennedy Jr.’s new CDC advisory committee is proof that America’s anti-vaccine era is truly beginning, Katherine J. Wu writes. theatln.tc/mnkSz8WC

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Senator Alex Padilla @padilla.senate.gov · 12/06/2025

If this is how this administration responds to a Senator with a question, you can only imagine what they're doing to farmworkers, to cooks, and to day laborers throughout California and across the country. We will hold this administration accountable.

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Pete Buttigieg @petebuttigieg.bsky.social · 12/06/2025

Today they have crossed a deep red line. We, the people, must hold the president and his appointees accountable for this outrageous abuse against American liberty.

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Alt NIH Bluesky 🧪 @altnih4science.bsky.social · 12/06/2025

These RFK Jr hires have MASSIVE conflicts of interest. Kulldorf, and all the Great Barrington people, took money from anti-science anti-vax billionaires through AIER, which is the rightwing billionaire thinktank that hosted the GBR. @aoc.bsky.social should skewer RFK Jr. on this.

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Ryan Marino, MD @ryanmarino.bsky.social · 12/06/2025

RFK Jr’s ACIP pick, Martin Kulldorff, said one of the most disturbing images from the pandemic was a toddler crying about having to wear a mask. I see toddlers cry about everything all the time, and I found it far more disturbing to see refrigerator trucks full of body bags outside of the hospitals…

Martin Kulldorff & @MartinKu...•9/10/23 S.••
"One of the most disturbing images of the Covid-19 pandemic was when a teacher .. forced a mask on a crying toddler ..
In some ways, the U.S. government.. treated all of us like toddlers, compelling us to endure draconian Covid measures" - @HRaleighspeaks

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Dr. Vin Gupta @vinguptamd.bsky.social · 17/05/2025

The “fluoride removal” bit is a solution in search of a problem. Fluoride levels in Florida are completely safe, help prevent cavities, and keep kids in school. Where’s the evidence it’s been remotely harmful? There isn’t any. No ethics, no morals, all smoke and mirrors.

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Prof Peter Hotez MD PhD DSc(hon) @peterhotezmdphd.bsky.social · 17/05/2025

theconversation.com/vaccination-...

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Marisa Kabas @marisakabas.bsky.social · 08/05/2025

unlike this smoothie recommended by the new surgeon general nominee, we’re cooked

IG post from Casey Means advertising a raw milk smoothie launch

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The Borowitz Report @borowitzreport.bsky.social · 07/05/2025

Today Trump said that India and Pakistan have been fighting "for centuries." Pakistan was formed in 1947. He really better do his homework if he expects to be Pope.

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mtsw @mtsw.bsky.social · 07/05/2025

They're trying to kill your kids

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Eric Columbus @ericcolumbus.bsky.social · 06/05/2025

🚨🚨 Deranged letter from Education Secretary Linda McMahon to Harvard’s president, cutting off federal funding for any new grants. Worth reading in full. It is NUTS.

THE SECRETARY OF EDUCATION
WASHINGTON, DC 20202
May 5, 2025
Dr. Alan Garber
Office of the President
Harvard University
Massachusetts Hall
Cambridge, MA 02138
Dr. Garber,
The Federal Government has a sacred responsibility to be a wise and important steward of American taxpayer dollars. Harvard University, despite amassing a largely tax-free $53.2 billion dollar endowment (larger than the GDP of 100 countries), receives billions of dollars of taxpayer largess each year. Receiving such taxpayer funds is a privilege, not a right. Yet instead of using these funds to advance the education of its students, Harvard is engaging in a systemic pattern of violating federal law. Where do many of these "students" come from, who are they, how do they get into Harvard, or even into our country—and why is there so much HATE? These are questions that must be answered, among many more, but the biggest question of all is, why will Harvard not give straightforward answers to the American public?
Harvard University has made a mockery of this country's higher education system. It has invited foreign students, who engage in violent behavior and show contempt for the United States of America, to its campus. In every way, Harvard has failed to abide by its legal obligations, its ethical and fiduciary duties, its transparency responsibilities, and any semblance of academic rigor. It had scrapped standardized testing requirements and a normalized grading system. This year Harvard was forced to adopt an embarrassing "remedial math" program for undergraduates.
Why is it, we ask, that Harvard has to teach simple and basic mathematics, when it is supposedly so hard to get into this "acclaimed university"? Who is getting in under such a low standard when others, with fabulous grades and a great understanding of the highest levels of mathematics, are being rejected?
Harvard has even been embroiled in humiliating plagiarism scandals, exposed clearly and plainly in the media, with respect to your then…

$running the institution in a totally chaotic way. Harvard alumnus and highly successful hedge fund manager Bill Ackman noted that, under her leadership, Harvard has become "a political advocacy organization for one party." Ackman has called for the resignation of Pritzker, concluding that the "[t)he mismanagement here is Penny Pritzker" and noting that any serious corporation would have removed her after a litany of recent failings and the fact that, incredibly, "Harvard is not in a good financial position." According to Ackman, one of the world's foremost finance experts, Harvard's so-called S53 billion endowment is "massively overstated as far as what it's really worth," and Harvard has irresponsibly taken out $8 billion in debt. If this is true, it is concerning evidence of Harvard's disastrous mismanagement, indicating an urgent need for massive reform-not continued taxpayer investment. If Harvard prefers not to change, then Harvard should have no problem using its overflowing endowment to fund its bloated bureaucracy. At its best, a university should fulfill the highest ideals of our Nation, and enlighten the thousands of hopeful students who walk through its magnificent gates. But Harvard has betrayed this ideal. Perhaps most alarmingly, Harvard has failed to abide by the United States Supreme Court's ruling demanding that it end its racial preferencing, and continues to engage in ugly racism in its undergraduate and graduate schools, and even within the Harvard Law Review itself. Our universities should be bastions of merit that reward and celebrate excellence and achievement. They should not be incubators of discrimination that encourage resentment and instill grievance and racism into our wonderful young Americans. The above concerns are only a fraction of the long list of Harvard's consistent violations of its own legal duties. Given these and other concerning allegations, this letter is to inform you that Harvard should no longer seek GRANTS from the fede…$

Federal Agencies. The Administration's priorities have not changed and today's letter marks the end of new grants for the University.
These requests will advance the best interests of Harvard University, so it can reclaim its status as a respected educational institution for the future leaders of America. Thank you for your attention to this matter!
Sincerely,
Linda E. McMahon
Secretary of Education

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Ryan Marino, MD @ryanmarino.bsky.social · 04/05/2025

Low levels of fluoride added to water reduce chronic diseases, increase life expectancy, and increase quality of life, while reducing individual and societal costs. I don’t understand how stupid you have to be to not understand how this works and still feel so confident you would oppose those things

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Mike Brown @plutokiller.com · 02/05/2025

I just got the official email from the NSF about the drastic cuts and I think the correct translation is "if you are a young researcher who still wants to do science strongly consider leaving the United States if you can." which, really, is not an ideal message to be sending.

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Don Moynihan @donmoyn.bsky.social · 02/05/2025

Both Rubio's tweet, and the response, are remarkable artifacts. You have a Secretary of State tweeting right wing talking points to defend Neo Nazis, and the country where Nazis originated telling him to sod off.

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Ryan Marino, MD @ryanmarino.bsky.social · 02/05/2025

Measles was completely eradicated in the United States by the MMR vaccine. It is not possible for anything to be better than that. It is journalistic malpractice to present this as anything other than stupidity, lies, and outright fraud.

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Dr. Lucky Tran @luckytran.com · 02/05/2025

The COVID vaccines have been taken by billions of people, saved millions of lives, and are some of the most rigorously tested medical products in history. Someone who has zero experience in vaccine development should not be influencing the approval process. This will kill people.

Kennedy Issues Demands for Vaccine Approvals That Could Affect Fall Covid Boosters
The plans amount to an extraordinary flex of Robert F. Kennedy Jr.’s power as health secretary to make decisions ordinarily left to career scientists at the Food and Drug Administration.

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Angie Rasmussen @angierasmussen.bsky.social · 01/05/2025

Yesterday: “Do your own research” (Don’t) Today: “MMR has aborted fetus debris” (It doesn’t) What will it be tomorrow? Clot shot, turbo cancer, 5G, or mRNA makes you magnetic? Looking forward to watching the HHS Secretary trying to stick a nickel on his arm.

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