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Wes Rogers

@wesmd.bsky.social
2.2K followers 1.5K following 171 posts

Infectious Diseases MD at NYU #IDSky Formerly fellow at WCM Antibiotic Steward | Amateur Classicist Pronomina: is/eius/ei/eum/eo

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Reposted by Wes Rogers
Alicia Ault @aliciaault.bsky.social · 02/10/2026
CDC reporting a big increase in cases of a rare fungal disease that primarily attacks the brain and has a 60-70% fatality rate. Increase likely not due to a rise in referrals or detection, per this MMWR paper. #IDSky #EpiSky #NeuroSky #fungusamongus
cdc.gov
Cladophialophora bantiana Detections
This report describes 48 confirmed cases and one probable case of C. bantiana in clinical samples from 2009–2026.
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The Journal of Infectious Diseases @jidjournal.bsky.social · 02/10/2026
Meropenem–Colistin Combination Mitigates Porin-Associated Carbapenem Resistance Development in Ertapenem-Mono-Resistant Enterobacterales 🔁 Repost 🔗 t.co/1eQbLlRwnp
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Ilan Schwartz @germhuntermd.bsky.social · 02/10/2026
Shorter is also better in ICU patients Timsit, Roberts, @angelahuttner.bsky.social, Daneman &c State-of-the-Art in AJRCCM @atsblueeditor.bsky.social For most ICU patients with (suspected) infections, abx can be 🛑 at 5-7d w clinical improvement academic.oup.com/ajrccm/advan... #IDSky #CritCareSky
Duration of antibiotic therapy in sepsis and severe infections in critically ill patients decision pathway. 

Day 1 empiric therapy: sampling (culture) before therapy, clinical exams, consider alternate diagnosis;

48-72h Tailor treatment and switch to targeted therapy where possible, PK optimization, source control

Indications for extended courses: endocarditis (4-6 weeks), brain abscess (6-12 weeks), spondylodiscitis (6-12w), prosthetic joint infection (6-12 w), incomplete removal abscess, empyema, retained prosthesis: individualized

Day 5-7: 

if Patients NOT responding or positive cultures: reassess treatment, individualize according to source control, immune status, high risk microbiology (S aureus, candida), possible suboptimal therapy (MDR), intravascular devices, ? role of serial PCT for stopping early questioned

if Clinical improvement: STOP antibiotics
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Patrick Ching @patrickching.bsky.social · 02/10/2026
30-d #benznidazole is noninferior to standard 60-d tx (either benznidazole or nifurtimox) & had ⬇️drug side effects for #Chagas disease #TropMed #IDSky #TrypanosomaCruzi @thelancetinfdis.bsky.social www.thelancet.com/journals/laninf/article/PIIS1473-3099(26)00436-6
thelancet.com
Efficacy and safety of alternative benznidazole and nifurtimox regimens for adults with chronic Trypanosoma cruzi infection (TESEO): an open-label, randomised, non-inferiority phase 2b trial
Benznidazole 150 mg once daily for 30 days showed non-inferior efficacy and the lowest rate of drug-related adverse events among the regimens tested, supporting its adoption as the preferred benznidaz...
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Reposted by Wes Rogers
Congresswoman Pramila Jayapal @jayapal.house.gov · 01/10/2026
ICE has notified me that another person has died in their custody. This is the 58th death under ICE’s watch since Trump returned to office. That’s 58 too many. We need to dismantle ICE, eliminate private, for-profit detention centers, and reform our broken immigration system.
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Alicia Ault @aliciaault.bsky.social · 01/10/2026
A fifth person has died from measles in Pennsylvania. #IDsky #EpiSky #pediatrics #MMR #vaccines
nbcnews.com
Pennsylvania reports 5th measles-related death in the state
The state’s outbreak is the largest in the U.S.
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José Molina @josemolinagb.bsky.social · 30/09/2026
Bad news for patients with MDR infections… Merck has announced that imipenem/relebactam supply will be discontinued in US by the end of September. Guess this will extend to Europe soon? We definitely need new payment models for antibiotics 🙁 www.cidrap.umn.edu/antimicrobia... #IDsky #AMSsky #AMR
Source: https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?AI=Imipenem%20Anhydrous%2C%20Cilastatin%2C%20and%20Relebactam%20Anhydrous%20Injection&st=d
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Ryan Goodman @rgoodlaw.bsky.social · 21/09/2026
He is not wrong. "There are reasonable grounds to believe that the reported 68 attacks that killed 223 people constituted crimes against humanity of murder under customary international law" - United Nations Special Rapporteur on U.S. Killing “Narco-Terrorists” at Sea www.ohchr.org/sites/defaul...
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Indivisible ❌👑 @indivisible.org · 21/09/2026
While their drivers are being gunned down by Trump’s secret police, DoorDash is raking in blood money. The company pulled in a massive $4.45 billion in revenue (and $200 million in pure profit) just last quarter, vaulting CEO Tony Xu into billionaire status on the backs of unprotected gig workers.
DOORDASH STAYS SILENT EVEN AFTER A SECOND DOORDASHER IS SHOT BY ICE
28-year-old Wilber Rafael Garcés Perez was DoorDashing when he was shot in the back by an ICE agent in Austin, Texas yesterday. This follows the fatal shooting of Johan Sebastián Durán Guerrero in Maine in July 2026.
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The Tennessee Holler @thetnholler.bsky.social · 21/09/2026
An @DoorDash driver. They are hunting brown people. #AbolishICE
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Wes Rogers @wesmd.bsky.social · 22/09/2026
One of the tricky parts of Strep mitis in blood cultures. Almost 10% endocarditis, but also 20+% contaminant.
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id-journal.bsky.social @id-journal.bsky.social · 21/09/2026
SMG bacteremia in 253 pts: 29.6% neutropenia, 9.5% pneumonia, 8.7% endocarditis. 47% had ≥3+ blood cultures📈; 22.9% contaminants, mostly single bottle🩸.
academic.oup.com
The Clinical Significance of Streptococcus mitis bacteremia
AbstractIntroductionExcept for their role in bacterial endocarditis, non-pneumococcal Streptococcus mitis group (SMG) bacteria have traditionally been regarded as commensals of the oropharynx. Widespread adoption of matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry has increased identification of these organisms and has led to increased concern about their clinical significance. We evaluated SMG bacteremia in a large multicenter cohort to characterize associated clinical syndromes and better define their clinical relevance.MethodsWe performed a retrospective review of all adult patients from 2017 to 2025 who had SMG bacteremia at three hospitals within the Texas Medical Center. SMG bacteremia was defined as isolation of S. mitis, S. mitis/oralis, or S. mitis group as determined by MALDI-TOF. Clinical syndromes were identified through chart review and assigned using consistent classification approaches informed by physician documentation, imaging, and microbiologic data.ResultsAmong 253 patients, neutropenia-associated bacteremia was most common (29.6%) followed by pneumonia (9.5%), infective endocarditis (8.7%), skin, soft tissue, or bone infections (7.9%), and other identified sources (12%). No clear source was identified in 9.5% of cases. Only 22.9% were classified as contaminants. High-grade bacteremia was common, with 47% of cases having ≥ 3 positive blood culture bottles. In contrast, patients in whom SMG was regarded as contaminant nearly always had only a single bottle positive.ConclusionSMG bacteremia was associated with a broad spectrum of clinical syndromes, with most isolates being regarded as representing clinically significant infection.
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Open Forum Infectious Diseases @ofidjournal.bsky.social · 22/09/2026
Risk Factors Associated with Positive Intraoperative Valve Tissue Cultures and the Subsequent Impact on Infective Endocarditis Management and Outcomes ✅ Just Accepted 🔗 bit.ly/47ak5LU
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Gillian Brockell @gillianbrockell.com · 21/09/2026
More important than ever to use Habeas Flight Watch from @jjindc.bsky.social and @lexingtonalarm.bsky.social to get Habeas petitions as soon as someone is captured so they can’t be moved into the gulag archipelago. Especially for people in MN, NYC and Chicago!
The practice does not apply to detainees held at a detention facility in Adelanto, California or at temporary holding facilities in Minneapolis, New York City or suburban Chicago, the sources said. Judges have ordered ICE to list detainees in those facilities in the online locator promptly upon their arrival, as part of litigation over their detention practices.The HFW map showing airports in the eastern US where ICE flights go, some are red or green or yellow depending
On ICE flight schedules there
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Aaron Reichlin-Melnick @reichlinmelnick.bsky.social · 21/09/2026
NEW: @apnews.com confirms that ICE has begun electronically "disappearing" people in the agency's custody who have final orders of removal. As of last week, anyone jailed by ICE with a final order of removal will NOT appear in the ICE Online Detainee Locator System, making them effectively vanish.
apnews.com
AP Exclusive: ICE hides locations of thousands of detainees with final removal orders
U.S. Immigration and Customs Enforcement has stopped publicly revealing where it is holding most detainees who are subject to final deportation orders, in a move that has made it harder for lawyers an...
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Ilan Schwartz @germhuntermd.bsky.social · 13/09/2026
Outcomes After Antifungal Discontinuation in Immunocompromised Patients Treated for Histoplasmosis @nicobarrosid.bsky.social Review of 106 IC pts w histoplasmosis. 28 got <12m Rx (median 182d [123, 217]), 78 got >12m (median 453d [374, 690]). Similar outcomes academic.oup.com/ofid/advance...
KM survival curves comparing treatment duration groups (<12m and >=12m) in histoplasmosis related survival and all cause survival. The lines overlap
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Contagion® @contagionlive.bsky.social · 12/09/2026
A retrospective study across Cook County Department of Health clinics found that the novel 1-month 1HP regimen (isoniazid plus rifapentine) for latent TB infection had a completion rate comparable to standard longer regimens. #IDsky www.contagionlive.com/view/treatme...
contagionlive.com
Treatment of Latent Tuberculosis in a Trice | Contagion Live
A retrospective study of 225 patients across Cook County Department of Health clinics found that the novel 1-month 1HP regimen (isoniazid plus rifapentine) for latent TB infection had a completion rat...
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alix e. harrow @alixeharrow.bsky.social · 10/09/2026
sorry, but torturing the omelas kid is just a smart move, polling-wise. i personally wish there wasn't a kid in the omelas hole--of course i do!--but let's not get distracted by purity tests, here.
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St. John Barned-Smith @stjbs.bsky.social · 02/09/2026
ICE hasn’t paid for detainee medical care since October. Advocates call it the ‘death policy’ — my latest, w/ @kolyncheang.bsky.social. Spend some time with it www.sfchronicle.com/politics/art...
sfchronicle.com
ICE hasn’t paid for detainee medical care since October. Advocates call it the ‘death policy’
ICE owes millions in unpaid bills to hospitals and, in some cases, detainees themselves have been directly billed for care, records show.
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Starfire’s Deranged Neocon Foreign Policy Podcast @irhottakes.bsky.social · 04/09/2026
Honestly, the audacity of saying this while trying to purge the country of Haitians based on a lie he knowingly told is demonic.
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geoffrey @parsnip.bsky.social · 31/08/2026
i think it's bad that every statement from any segment of the federal government is presumptively an unvarnished lie
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Contagion® @contagionlive.bsky.social · 31/08/2026
A shortened, response-tailored antibiotic treatment of infective #endocarditis was associated with longer survival, but higher incidence of relapse. #IDsky #Medsky Read more: www.contagionlive.com/view/patient...
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Olúfẹ́mi O. Táíwò @olufemiotaiwo.bsky.social · 28/08/2026
no amnesty
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Wes Rogers @wesmd.bsky.social · 25/08/2026
In ID we already treat patients who return from Florida with unknown infections somewhat as if they are returning from another country. Soon we will have to start recommending vaccinations and prophylaxis before travel to Florida (or avoiding the trip). #IDSky www.tampabay.com/news/florida...
tampabay.com
Florida plans to drop 4 vaccine mandates, despite Trump support for some shots
As kids go back to school, Florida leaders hope to strip away vaccine mandates, clashing with some of President Donald Trump’s recommendations.
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Alicia Ault @aliciaault.bsky.social · 25/08/2026
Florida proposes that "children would no longer have to get shots for chickenpox, Hepatitis B, Haemophilus influenzae type b, or Hib, and pneumococcal disease" to attend school. This has been expected for awhile. via @tampabaytimes.bsky.social #vaccines #pediatrics #IDSky #EpiSky #healthpolicy
tampabay.com
Florida plans to drop 4 vaccine mandates, despite Trump support for some shots
As kids go back to school, Florida leaders hope to strip away vaccine mandates, clashing with some of President Donald Trump’s recommendations.
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Alicia Ault @aliciaault.bsky.social · 25/08/2026
Two Lancaster County, Pennsylvania residents have died from measles. The state is not giving further identifying information but both were unvaccinated. #IDSky #publichealth #pediatrics #vaccines #MMR #EpiSky
pa.gov
Pennsylvania Department of Health Confirms Two Measles-Associated Deaths
Pennsylvania Department of Health Confirms Two Measles-Associated Deaths
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Abdul El-Sayed @abdulelsayed.bsky.social · 23/08/2026
We're being told that if we sacrifice the rights of some people, then the rest of us get to keep our rights. We all know that's some BS.
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Clinical Infectious Diseases @cidjournal.bsky.social · 23/08/2026
Clinical Impact of Rapid Molecular Diagnosis of Bloodstream Infections: A Randomized Controlled Trial ✅ Just Accepted ⭐ Editor's Choice 🔗 bit.ly/45ESMJb
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David Roberts @volts.wtf · 23/08/2026
I hope everyone caught this Lancet study confirming that Elon Musk & DOGE are responsible for genocidal levels of suffering & death.
thelancet.com
Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis
USAID funding has significantly contributed to the reduction in adult and child mortality across low-income and middle-income countries over the past two decades. Our estimates show that, unless the a...
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Kate Jackson @katejackson.bsky.social · 21/08/2026
No one had to think super hard about how to make a washing machine useful. A telephone. A vacuum cleaner. So why do our bosses have to constantly challenge us to find something, anything, for which AI might be helpful If your customers don’t find your product useful, that’s a you-problem
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Will Bunch @willbunch.bsky.social · 21/08/2026
How it's going
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Contagion® @contagionlive.bsky.social · 21/08/2026
In a large study, #fluoroquinolone prescribing emerged as key driver of AMR in multiple pathogens in a 14-year study period at US Veterans Affairs medical centers. #IDsky #Medsky Learn more: www.contagionlive.com/view/identif...
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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 21/08/2026
File this under the weird and wild: Patient gets gladular tularemia (Francisella tularenesis subspecies holaratica) after car vs deer accident #IDSky www.thelancet.com/journals/lan...
thelancet.com
Tularaemia after deer exposure in a vehicular collision
A 39-year-old man sustained facial lacerations from the body of a roe deer (Capreolus capreolus) and shattered glass after the animal, first struck by an oncoming vehicle, broke through his windshield...
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Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 17/08/2026
Please don’t waste time and money sending a test that tells you someone has bacteria in their urine. We know they do; it’s not sterile! #IDSky
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Clinical Infectious Diseases @cidjournal.bsky.social · 14/08/2026
Quantitative PCR Bacterial Levels Cannot Distinguish Recurrent UTI from Other Non-infectious Urinary Symptoms ✅ Just Accepted 🔗 bit.ly/4bOIGsy
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London Review of Books @lrb.co.uk · 16/08/2026
‘The impression of Scandinavia’s immense distance from Mediterranean Europe is a legacy of medieval parochialism and the shock of the Vikings. In reality, continental Denmark is only a four-week march from the Roman frontier.’ Michael Kulikowski on ancient Scandinavia. www.lrb.co.uk/the-paper/v4...
lrb.co.uk
Michael Kulikowski · Polar Bears in Rome: Roman Scandinavia
Over the past two generations, the boundaries of the classical world have been stretched to the steppe frontier of China...
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Tim Dickinson @timdickinson.bsky.social · 15/08/2026
we're at the "they're arming unaccountable masked men with electric torture gloves" stage of fascism
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Carl T. Bergstrom @carlbergstrom.com · 15/08/2026
These gloves don't cause neuromuscular incapacitation the way that a taser does. In fact, they only work when applied directly to bare skin. These aren't made for apprehending anyone. These have one and only one use: causing extreme pain to already-restrained captives. In plain language: torture.
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"Online Rent-a-Sage" Bret Devereaux @bretdevereaux.bsky.social · 08/08/2026
This is something I'd like to see vigorously investigated instead of endless 'is college woke!?' pieces in The Atlantic and the NYT - because my sense is this is correct, humanities courses subsidize more expensive fields. But that prompts further questions about decisions being made to cut them.
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Gregory A. Hargreaves @bordergroves.bsky.social · 08/08/2026
Numbers update: The history class I’m about to teach this semester has a 10% larger enrollment and university tuition is also 10% higher than two years ago. My class will generate about $160,000 of revenue for the university. My pay will be under $7K or approximately 4%. Humanities fund uni sport
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Alicia Ault @aliciaault.bsky.social · 13/08/2026
Lyme-disease causing black-legged ticks are spreading in western North Carolina, per MMWR report on investigation in the Asheville area. #IDsky #EpiSky #arboviruses #virology #publichealth
cdc.gov
Southward Expansion of Ixodes scapularis ...
This report describes identification of blacklegged ticks during community-based tick surveillance at a residential property in North Carolina.
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Senator Chris Van Hollen @vanhollen.senate.gov · 13/08/2026
These are the actions of an authoritarian state. Instead of investigating the agent who killed Alex Pretti, Trump's DHS conducted sweeping surveillance of Minnesota organizations that were peacefully standing up to this Administration's lawlessness. Despicable.
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Matthew J Kuiper @matthewjkuiper.bsky.social · 13/08/2026
Worth reading. @nickkristof.bsky.social gives voice to brutalized Palestinians in the WB (& Gaza) and strikes a balance between hope for a change Israeli leadership and realism that “even if that happens…, Gazans will still suffer unconscionably, and the West Bank will remain oppressed and unequal.”
nytimes.com
Opinion | Israeli Settlers Are Out of Control (Gift Article)
If Netanyahu is ousted in October’s balloting, don’t expect peace to break out, but the worst violence might be reined in.
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Freya Harrison @friendlymicrobe.bsky.social · 10/08/2026
Absolutely stunning dual RNAseq/imaging work by @andresfloto.bsky.social & colleagues: subpopulations of P. aeruginosa with different transcriptomes exist in different niches (airway lumen, glands, blood vessels) in explanted #CysticFibrosis lungs 🤯 #MicroSky www.biorxiv.org/content/10.6...
Images of H&E stained slices through bronchiole and surrounding tissue, overlaid with coloured spots showing where expression of different P. aeruginosa transcripts was detected. Transcripts are detected throughout the large mucus plug in the lumen, and also to a lesser extent in the surrounding tissue.
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The Lancet Microbe @lancetmicrobe.bsky.social · 06/08/2026
New research article Effects of a community-based intervention bundle on household transmission of [ESBL]-producing Escherichia coli in rural Burkina Faso to target community-level drivers of [ #AMR] in sub-Saharan Africa www.thelancet.com/journals/lan... #IDSky #ClinMicro #OpenAccess #OA
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Esther van Kleef @esthervk.bsky.social · 10/08/2026
Changing antibiotic dispensing of #AMR is one thing. But does it actually reduce the problem? Our new paper, part II of the CABU EICO study, is now out! #IDSky #ClinMicro #OpenAccess #OA @ndm.ox.ac.uk @itmantwerp.bsky.social @oxprimarycare.bsky.social
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Jack Hopkins-The Original @therealjackhopkins.bsky.social · 06/08/2026
We have concentration camps on U.S. soil. That’s the post. It’s too much for anything else.
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Yael Schacher @yaelschacher.bsky.social · 09/08/2026
So many immigrants I've interviewed break down about this. "Monsanto Maler was one of several Haitian immigrants who traveled from Springfield for a check in...after an ankle monitor was attached to him, Maler was seen collapsing to the ground and crying." www.springfieldnewssun.com/local/hundre...
springfieldnewssun.com
Hundreds rally at site were Haitians required to check-in, get monitors after end of TPS
Hundreds of people gathered outside a federal immigration office Sunday morning to show support for Haitian immigrants from Springfield who were called to report for immigration check-ins.
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Better Things Are Possible @internethippo.bsky.social · 30/11/2025
It is *lunacy* for the ostensibly liberal opposition party to say we shouldn't limit any individual's wealth and power after watching a cadre of fascist billionaires systematically destroy this country. That's probably the single most important thing we *must* do!
The highest-ranking Democrat in the House went on to explain the concept as, "When you work hard and play by the rules in the United States of America, there should be no ceiling to the success that you can achieve."
The idea posits that everyone should have the government's support to pursue the American Dream without limiting the success available to those already at the top.
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