Hunter, ER doc, believer in democracy. I’m here to rant, combat medical misinfo, shitpost, and get social therapy. Posts aren’t medical advice. This is the only platform I am currently on. If you find “me” elsewhere, it isn’t me.
A whole of people are about to find out how the world actually works, and they aren't going to like it.
He/him/or whatever, because fuck the “get pronouns out of your emails” shitweasels.
Public Key
npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y Profile Code
nprofile1qqstch3fju05rsrv6m9qdjs8xgnsrxss8fg28eys5sy2dk8aunhjgdspz3mhxue69uhhyetvv9ujuerpd46hxtnfduqs6amnwvaz7tmwdaejumr0dsndlkc5
Show more details
Published at
2026-05-20T23:34:02Z Event JSON
{
"id": "6091804f28cb0e1d87f6090e823b5058ffecb09c69aad992a3a0c328ee2a0054" ,
"pubkey": "bc5e29971f41c06cd6ca06ca073227019a103a50a3e490a408a6d8fde4ef2436" ,
"created_at": 1779320042 ,
"kind": 0 ,
"tags": [
[
"proxy",
"https://mstdn.social/users/mcnado",
"activitypub"
],
[
"L",
"pink.momostr"
],
[
"l",
"pink.momostr.activitypub:https://mstdn.social/users/mcnado",
"pink.momostr"
],
[
"-"
]
],
"content": "{\"name\":\"McNadoMD\",\"about\":\"Hunter, ER doc, believer in democracy. I’m here to rant, combat medical misinfo, shitpost, and get social therapy. Posts aren’t medical advice. This is the only platform I am currently on. If you find “me” elsewhere, it isn’t me. \u2029\u2029A whole of people are about to find out how the world actually works, and they aren't going to like it.\u2029He/him/or whatever, because fuck the “get pronouns out of your emails” shitweasels.\",\"website\":\"https://mstdn.social/@mcnado\",\"picture\":\"https://media.mstdn.social/accounts/avatars/109/260/484/497/317/743/original/8742005745bdf6bc.png\",\"nip05\":\"[email protected] \"}" ,
"sig": "d140facd19fd8f28049a040641fbc0156ebed9563994d5e10a78696645ba0dd831ecb8cf229d6de3c9dd31bc0d00df88ee079e5eddf33e487448253fd34da012"
}
Last Notes npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD the way they gas everyone is using gas “grenades”. They are cannisters of gas or smoke making chemicals, and a fuel/propellant. They burn the material in the cannister (usually using oxidation of aluminum) and it releases fumes that are the gas/smoke. Sometimes the material is an irritant intentionally, and sometimes it is smoke that was never meant to be teargas and is toxic as fuck. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD check out the material safety data sheets on the grenade manufacturer’s website (they were still posted a few days ago). There’s also a DoD study looking at this issue from the 1990s that covers what metals are in what colors of smoke grenade. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD If you have a democratic senator, call them and demand they replace Schumer as minority leader. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Can’t reform this. ICE agents leaving mockups of the Vietnam-era card decks that special forces used to leave after capturing or killing targets. https://www.9news.com/article/news/local/colorado-advocacy-group-ice-agents-left-death-cards/73-4a285026-ed8b-4929-b896-adc83436df71 npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Ell Oh Ell! Trump is throwing Bovino under the bus to try to make everyone forget that Trump ordered nazi goons to come shoot Americans. Buddy, we hate Bovino, but we all know he’s some pathetic patsy acting out his deranged SS fantasy. You are the guy who ordered it. You are the guy who allowed it to happen, cheered it on, and backed it up with threats of military force. Bovino is a cog in your machine. Fuck Bovino, but moreover, fuck the man bringing this all upon us, and that man is Trump. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Support the people of Minneapolis. Whether they shut the city down, whether they peacefully protest, whether they burn every federal asset they can find, support them. ICE is killing people because nazi fuckheads said they can, and our job today as We the People is to support our fellow citizens as they respond. Yesterday 50,000+ people used peaceful “approved” protest, and today ICE responded by executing a man. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I dunno man, I just think that if you are detaining someone half your height who has a fuzzy blue animal winter hat and a cartoon backpack on, you might be the baddies. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I put my kid to bed earlier. He’s around the age of the kid ICE agents used as bait today. He would be fucking terrified. I would want to shoot the fuckers. ICE agents are evil bastards, the lot of them. There is not a single good human in ICE, because anyone who is good and remains supporting that mission is no longer a good person. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I could say many things about the #snowmageddon that is about to pound parts of the US, but for now I’ll leave it at this: Do NOT use charcoal to try to heat your home. You and everyone in your home will die. (Also, don’t burn anything else in an open grill/firepit situation to heat your home. Carbon monoxide from incomplete combustion will kill you. If you don’t have a fireplace with a flue, you can’t heat your home with fire). Drain your pipes if power goes out, and bundle up. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD For those of you in Colorado, please be careful with fire and sparks. We have had an unusually high number of grass fires and structure fires in recent weeks. It is absurdly dry right now, and the wind isn’t helping. Don’t toss your cigarette butts. Watch your welding and grinding cinders. Don’t shoot blackpowder over dry vegetation. Use spark arrestors on your ATVs and fire pits. Above all, be careful and aware. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Everyone in the US needs to set the expectation during the Dem primaries that we expect accountability. We aren’t looking for peace and reconciliation. We are looking for erasure of the Trump years, expunging of his minions from our government, prosecution of anyone who broke the law to support his nazi regime, and then, when that is done, enacting laws to make it much harder for the next fascist twerp to do this again. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Also, if you want to know when troops are sent to somewhere, find their Strava and Garmin (and Grindr) profiles online. The special operations guys on overseas deployments have tightened that shit up, but I’ll bet the ground pounders stationed stateside haven’t. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Wait, the bar started by the guy who famously let his really popular other bar become a nazi bar has become a nazi bar? I, for one, am shocked. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD “Dems are just blue MAGA” Y’all are either unbelievably stupid and entitled rock dwellers, or you work for the Republicans. Biden, Obama, Clinton — never had widespread deployment of convoys of untrained fuckheads dragging citizens from cars while teargassing school children. They didn’t gut DOJ and ignore court orders. They didn’t openly ask for bribes. They didn’t put 70,000 people in camps. Get fucked. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Dear fellow Healthcare workers in hospitals: If you don’t know (*absolutely, clearly, KNOW*) what your hospital’s policy is with respect to ICE wandering the halls, ASK now. Find out. My health system has us redirect ICE to non-patient waiting areas, call security and admin, and not disclose anything about patients. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So folks, I’ve seen two videos of ICE kidnapping people today that I am certain are fake. Why? They both have multiple officers who are Greg Bovino. He’s a fucking asshole nazi pencildick, but he’s also one dude. He’s a very recognizable dude. He’s a dude who is closely tailed by the press. He is not, to anyone’s knowledge, a face stealer. The other odd feature of these videos? Prominently shown agent of color standing there unmasked. Odd. Stay aware. The AI videos are very good. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD For the record — every time ICE agents stand on someone’s lawn, refusing to leave, after being repeatedly instructed to do so by the property owner, they are breaking the law. The offense is criminal in many states, so it is indeed “more” of a crime than, say, entering the US without papers. Anyway, thought the bootlickers might chew on that leather for a second. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD It is perfectly legal to boycot businesses that support ICE operations. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD My take-home from videos of local cops disregarding the law and constitution to help ICE is that if you ever are in the position of deciding whether or not you have to hand over Anne Frank, call your friends, call your neighbors, and get a crowd. Surround the agents AND the local cops, call them nazis, and they’ll fuck back off to their hotel rooms and posts. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD You ever try to feed hundreds of people living in hotels for days? Find the food. Protest. Rinse. Repeat. If they have to eat pop tarts, they’ll eventually quit or leave. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Just remember: this massive federal force in Minneapolis has not home base, no supplies, no food, no protected hospital, no gasoline. They are staying in your hotels, eating in your restaurants, and filling up at your stations. Starve the fucking nazis. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD If the only two areas of the US economy that are thriving are provision of healthcare, and AI, the economy is deeply fucked. Recall that most Americans pay for healthcare services through job-provided health insurance. Can’t pay healthcare workers if everyone loses insurance coverage. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD At this rate, ICE is going to single-handedly undo any progress the US has made in homicide rates recently. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So is MPD going to start arresting all these goons in unmarked vehicles with illegal plates, who are driving recklessly, and assaulting people? Seems like if the feds don’t want to cooperate, they can fuck right off. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Today a rad tech trained in ultrasound guided IV placement walked into a room for a patient like none she’d ever seen, put on a “I got this” face, and fucking crushed putting in a line while multiple very anxious people stared at her. I could perhaps have managed a central line. We could probably have placed an IO needle. One takes time and the other has shit flow rates and hurts like a bitch. She got the right line at the right time, and saved a patient. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Small government Republicans want taxpayers to pay massively profitable oil companies to steal Venezuelan oil. Fuck off and choke on a bag of dicks. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Trump: “I’m in charge of Venezuela” Buddy, you have no formal ground presence there, you don’t speak the language, and the people don’t like you. You also can’t even run the country you already supposedly have. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So we dropped bombs, flew in, kidnapped some asshole and his wife, and left, and now Trump wants us to believe that we effected change there, while the entire government otherwise remains unchanged? Not sure why this would work. If the people hated Maduro, they probably hate his VP and government. If they didn’t hate him, they’ll be set against any US involvement. Anyway, this is just a scam. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So which Dem has the gonads to run on the “I’m gonna just fucking force any US oil company involved in Venezuela to give their shit back to the people” platform? npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Aaaaaand our asshole President says it out loud. Openly admits this is about “opening Venezuela’s oil reserves”. Oil wars man. Republicans and oil wars. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD “Remember that time the US forced regime change and everyone lived happily ever after?” No. No I don’t. I remember Somalia. I remember WMD. I remember Libya. That’s the bullshit I grew up with. This spray-tanned, aspirin-munching, demented old racist isn’t going to save Venezuela. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD A year or two from now, nearly everyone in the Republican party will exclaim that they were privately always against Trump and really truly were trying to stop the damage behind the scenes. Our job is to tell them to fuck off into the sun. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD When I was in high school we spent NYE having a LAN party every year. We’d drag our giant CRT monitors, towers, snarls of CAT5, piles of CD-Rs, cases of Mtn Dew and Bawls, pizza, and snacks into someone’s parents’ basement, and play Unreal Tournament or Counterstrike or whatever until our eyes bled. It was fucking great. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD “Freezing childcare payments” to states is the same as “kicking babies and toddlers out of daycare”. That’s what it does. It makes working parents into daily caregivers. It takes kids out of their social group, out of educational settings where many get some learning and hot meals. It takes at least one parent out of the workplace, and means fewer dollars changing hands in the local economy. It also disproportionately affects women and minorities, which is precisely the point. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD In case you were wondering, the Chinese have already won any future space race because Trump is gutting NASA as we speak. Republicans voted for this. They also can stop it any time they want. It is a choice. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Many US hospitals are dealing with a surge in influenza A patients, and a resulting large increase in hospital admissions. This is a classic example of the numerous public health failings of our current management of respiratory viruses. If you came to my little trauma center for trauma last night, you wouldn’t have had an ICU bed available. If you came in with a serious heart attack, you might have waited hours to be seen. Flu in many people is affecting healthcare for all people npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Hospital’s full. Nearby are either at physical or staffed capacity. Masks and vaccines people. That’s all it takes to stop this shit. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD A quick list of common vaccine injuries: - becoming an adult - having to go to that social event you hoped to miss - still gotta go to work - both legs remaining functional - getting stuck with only a measly a day of fever instead of a week of heinous illness - getting an ouchie on your arm - leaving the office with a Snoopy band-aid like a total child - missing out on the opportunity for cervical cancer or dementia npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Merry Christmas ya filthy animals npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD generally speaking, the flu we see up here starts in the southern hemisphere. This one just got a late start so the vaccine strains had already been chosen. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Btw, for those wondering: this flu sucks. I am not seeing a wave of critically ill young adults this year, which is great. I am seeing a wave of pretty ill older adults (admitted someone under 60 today), as well as many ill children. Some of these folks won’t walk out of the hospital, some will walk out with their health forever changed, and many will be ok until they get the bills. If you want to stay healthy, wear an N-95 in public spaces. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Just over here admitting very sick flu A patients, and realizing this fact: Almost every single flu A death in the US this year was/is preventable. How? We can design, produce, and distribute an mRNA vaccine to any flu strain in weeks if we want. We could make one that targets this flu A, and run a public campaign to get people vaccinated. If data on other similar mRNA flu shots holds, it would be very effective. RFK and Trump have *chosen* to kill kids and grandparents. A CHOICE. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Yeah, my Christian Republican dudes, Christmas is totally a season for dragging people from their homes and beating them in the streets before sending them to another country with absolutely nothing but the clothes on their back. Pretty sure that’s exactly what baby Jesus wanted for the three kings, and that guy with the drums. Y’all are sick fucks. Burn in hell. Fuck. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Update: FDA *has* decided to classify binders as medical devices and sent regulatory letters to manufacturers. For example: https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/genderbender-llc-720842-12162025 npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD If FDA really starts going after the manufacturers of binders to claim that a binder is a medical device, we all need to start reporting every single piece of shapewear. Create a public record that can be pulled up in court and force FDA to explain how a binder and, say, spanx, are different in a way that isn’t just hateful targeting of a vulnerable group. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD The Kennedy Center nonsense is yet another litmus test for who in Congress is a gutless bottom feeder, and who isn’t. Anyone in Congress questioning if the name is enshrined in law is a fucking coward. They know it is. This isn’t some unclear area of law. The name cannot be changed without legislation. They are all just too fucking afraid to say anything. When Trump’s grip loosens, they need to be remembered as the feckless urinal cakes that they are. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Trump and the Republicans have cancelled grants that fund research for preventing Sudden Infant Death Syndrome and research into the health of rural kids. Anyone want to explain to me why those things aren’t important to Republicans? npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD All these young whippersnappers gotta train up. The Bondi shooters were taken down by an older guy drinking coffee, and a geriatric couple. Also, this is a great example of Australian gun control working. In both cases, the shooters were disarmed because they had to stop to reload, and were unable to fire on the rushing hero. In the US, they would likely have had a box magazine fed rifle, making this a much harder move. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD If anyone wants to know what the Bondi Beach shooting would have looked like, look at Vegas 2017. The difference is what we call means restriction. The Australia shooters couldn’t own assault weapons. They have an unarmed, unsuspecting, dense crowd, and were pretty ineffective in their assault (car assaults on marketplaces, for instance, often have higher casualties). In the US, this would have been an absolute disaster. These guys had to reload, they had to crank a bolt between shots. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD A USAF aircraft, flying with no transponder, nearly caused a collision with a JetBlue passenger jet near Venezuela. Maybe Hegseth should focus on safety for a bit since his forces have consistently shown a culture of recklessness. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Weak Donald and his sloppy secretary Kegseth have so little respect in the world they can’t even keep our soldiers safe in Syria. Sad. But seriously, maybe if we hadn’t allowed Turkey to roll over our YPK allies in Syria, we wouldn’t still have boots on the ground over there. Fucking awful that our men and women are being shot up in Syria two weeks before Christmas while SECDEF parties it up and kills fishermen in the Caribbean. Maybe he should focus on protecting our people deployed. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD We don’t win back democracy by fucking around fighting other voters. We win by making this a class war. Phenomenally rich people are using everyone. Tax them into submission. We could buy schools, hospitals, roads, fishing ponds, public hunting land, hiking trails, public buses, healthcare, skate parks and dirtbike tracks, you name it. We just all need to realize that Zuckerberg and Musk are full of shit and won’t leave, and if they do, we still win. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Trump’s on about shithole countries again. Y’know, countries with out of control corruption, inflation, vicious police forces, and abusive governments. Or as it also known, the US under Trump. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Congress could legislate that any immigrant who served in the US military, and was honorably discharged or still serving, is automatically granted citizenship. They could do that. They just are instead choosing to let Trump’s nazis deport our veterans. Anyway, enabling nazis is the same as being a nazi, for those fence straddling snotnoses amongst us. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Look, the video of this (US citizen) gal in New Orleans being chased into her home by an ICE agent should be horrifying. Thing is, I see these every day. What is strikes me, though, is how badly she SMOKED that fucking nazi. That dude was gassed, and didn’t stand a chance. What a fucking loser. His family should disown him just for being that much of a fucking embarrassment. Anyway, kudos to her for making a nazi feel like an inadequate scumbag. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Young men are turning to the far right because they are fucking losers. Thanks for coming to my talk. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So Trump and RFK want babies to be susceptible to hepatitis B virus. Hep B can kill you. It also often causes life-long infection, and raises the risk of liver cancer. The virus persists on surfaces for weeks, and spreads easily in healthcare settings. Studies done years ago when it was prevalent in the US (before vaccines dramatically reduced it) showed that healthcare workers who contracted it often had no known high risk blood exposure. This is insanity. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD In case you or your neighbor or family member is considering not vaccinating a kiddo, please take this into consideration: When a child is in my ER at 2 am with fussiness and a fever, and we can’t identify a cause, the next step heavily depends on whether they are vaccinated or not. If they are vaccinated, risk is low. If not, we start talking about doing lumbar punctures, blood cultures, and other invasive tests, because they are at risk of meningitis and other serious infections. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I, for one, am shocked that this Supreme Court, of all that have ever been, would overrule a lower court and allow the clearly unconstitutional Gerrymander in Texas to stand. Shocked and appalled. Never saw it coming. /s Anyway, fuck John Roberts and his band of bought and paid for creeps. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Folks, my crews have been running calls for “breathing problems” and finding elderly patients who are in cardiac arrest or extremely ill, and the ones who make it to the hospital and get tested often have influenza. Please consider wearing an N-95 mask in public if you are at risk of severe disease from the flu, are elderly, or have an infant at home. Seriously. I don’t like CPR calls. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD MRI is a finite resource. They are big, heavy, expensive to run and maintain, and require large amounts of helium to cool. The scans on them take a long time, so throughput is low. Monitoring is hard, because it all has to be done with stuff that doesn’t stick to, or heat up from exposure to, a huge magnet. MRI technicians are in high demand. Many hospitals don’t have MRI overnight. MRI is never routine in healthy people. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Either the White House doc is a lying sack of shit, or taxpayers have been pissing away money for decades. We do MRIs of the abdomen to look for specific cancers, or evaluate the common bile duct, but it is not a routine study, and certainly not a normal part of a yearly physical at any age. We use MRI to image the heart to work up cardiomyopathy — failing heart muscle —, but otherwise it is not a typical way to look at the heart. It is never routine. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Narcoterrorism is when a drug cartel beheads someone and rolls the head onto the dance floor of a club to terrify locals. It is when cartels assassinate mayors in public to make a point. Drug running is not terrorism. Drug dealing js not terrorism. Drug production is not terrorism. Drug use is not terrorism. Those are, depending on jurisdiction, crime. Zero boats in Venezuelan waters are crewed by narcoterrorists. (And it wouldn’t matter if they were) npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So what the fuck is the US gonna do — shoot down an airliner over Venezuela? This is all bullshit. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Major news in US seems to be mostly ignoring the Pete Hegseth is a war criminal news, but if anyone out there is wanting your Monday headline: “US Secretary of War accused of war crimes!” npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD US servicemembers and leaders have been prosecuted, demoted, jailed, or fired, over the years because of civilian casualties or abuse. It has not, in recent history, been the culture of the US military or civilian leadership, to intentionally kill civilians. There are many examples of extrajudicial strikes by the US, but even there, US officials made an effort to legally justify them and some caused serious scandals. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD What is different today is Hegseth proactively ordering the killing of civilians in any situation where we typically would not have intentionally done so. It is a different culture, mindset, and mission. So yeah, the US has killed (or been responsible for the deaths of) hundreds of thousands of civilians over the years. We also have stopped ethnic cleansing operations. It is a complex history. What we are doing now, and how we are discussing it, is different. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD To everyone out here saying “yeah but the US has always been slaughtering civilians intentionally”, please take a moment to fuck off into the sea. I’m not here to defend the myriad examples of recent US military operations where thousands of civilians died, but the military did, in fact, attempt to limit casualties. SEALs in Afghanistan died after they let a goatherd go who had discovered them. Dozens of Marines died in Fallujah in clearing operations when we could have carpet bombed. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD The only way this bullshit with the US Navy executing people, and Israeli border cops shooting men who have surrendered, is if other world powers start banning leaders of both countries from travel, and sanctioning them. The US is a rogue state unless Dems manage to overcome the very high bar of overt election meddling, and other nations are going to have to decide how much they care. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Pete Hegseth and Donald Trump ordered the murder of over 80 sailors, ostensibly because they might have been trafficking drugs to somewhere. Donald Trump also pardoned a guy who trafficked enormous volumes of cocaine into the US. None of this is about drugs, drug use, or safety of Americans. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Not defending the dude’s actions, but contrary to the Trump narrative, the shooter in DC was an interpreter for US special forces for years. He wasn’t “just some guy”. He’s a combat veteran, probably with awful PTSD, who served the US for 5 years. But anyway… npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD NBCNews carrying water for Putin today. You know why Russia says the leaked call is an attempt to disrupt negotiations? Because it is. Because someone with access to that call recognized that Witkoff is a doormat foreign agent, and figured the world needed to know that. So yeah, it’s disruptive. So is, y’know, negotiating FOR Russia as the US envoy. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD A lot of people have apparently never heard of the dot com crash, and it shows. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I talk a lot of shit on various Christian churches and organizations in the US for many reasons, but I want to take a second to recognize the folks out there praying and bringing attention to ICE facilties, at times being teargassed, assaulted, and detained. Good in you. I see y’all. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Trump’s Dept of Education saw the US nursing shortage and said “How can we help make this worse”, and then they did. Dept of Ed has reclassified nursing degrees so they are no longer considered professional degrees. This functionally means that the loan caps for nursing students are much lower. You know what the US needs? Barriers to people going into nursing. /S npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Everyone needs to start asking Republicans if they are going to bail out billionaire-funded AI companies when the bubble pops. Make it awkward early and often. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD The fact that other reporters continue to interact with POTUS after he called a female reporter a piggy is mindboggling to me. The guy is an attention whore. Just tell his staff that only RT and Newsmax are showing up until he apologizes. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Rumor has it Trump’s DHS plans to target Spanish speaking churches over the Christmas holiday. White Christians, who are always so afraid of a war on Christmas, should protect the churches and prevent DHS from accessing them. They won’t, but they should. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Watching a bunch of ICE goons get the fear in their eyes as they realize they are in the woods, surrounded by a growing crowd of angry teens, being video taped on 40 phones, is hilarious. Like y’all, your tactical plan was trash. You’re lucky the kids didn’t start throwing rocks or you’d all be fucked. Doesn’t pay to roll into a hostile community to kidnap someone’s dad. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD it isn’t procedures, or even ability to pay. It is staffing. Simple staffing. Private-equity owned ERs have the bare minimum for every level of staff from cleaners to physicians. When it is busy, people die from errors, neglect, and unrecognized deterioration. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD For those wondering about the flu A strain we’re hearing about, it is a case of antigenic drift, or really, one subtype that was present all year that just became predominant over time. It is not a case of the feared antigenic shift, which is when multiple strains mix genetic material (usually due to co-infection of a vector with both strains), and the resulting strain has features from both and large changes in pathogenicity and antigen presentation. This is bad seasonal flu, not pandemic flu. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So who’s gonna investigate the former Florida AG who gave Epstein a free pass? npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I don’t think Trump’s guys realize that most of us are looking forward to Clinton, JP Morgan, and every other person and organization linked to Epstein, getting taken down. They’re all complicit. Fuck ‘em. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD A bunch of Republican senators are now claiming they didn’t know about the million dollar handout to J6 senators that’s in the funding bill they all voted for. Fuck off. Y’all put it in there! npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Sure, fuck those dems, but more importantly, remember that NONE OF THIS WOULD BE HAPPENING IF IT WEREN’T FOR REPUBLICANS! This is REPUBLICAN policy, REPUBLICAN priorities, REPUBLICAN majorities, and a REPUBLICAN president. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Seeing a lot of articles on the influenza in other countries being bad this year. It just hit Colorado a few weeks ago, and my sample size is very small, but I have already hospitalized people for it. Get the shot, and wear an N-95 in public if you are someone who doesn’t do well with respiratory illness. Also, flu has multiple antivirals available with prescription. Worth getting tested if you don’t want to get wicked sick and are at risk. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD I, for one, am shocked that Republicans are going to try to ban abortion in exchange for keeping healthcare vaguely affordable, after Senate Democrats gave up all of their leverage. Shocked. Stunned. Never would have seen it coming. /s npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Tell your Republican auntie about the 1 year old getting drive-by pepper sprayed by ICE. Then show her the video. These folks need to know. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Jesus fucking christ, Republicans are now pushing the old “most people don’t use their insurance, so those dollars are fraud” line. No, you dipshits, that’s just how ALL insurance works. Everyone pays in, gambling that they may use it, and the insurance company gambles that they won’t need it, and at the end of the day, your $1000 here pay into someone’s $10,000 bill there. That’s why you can run up 100k in ICU charges, while paying much less than that for insurance. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD So at the end of the day, FUCK the Republicans who are taking away our healthcare. We can still be angry with the weasels who let Schumer make them vote for a deal while he pretended not to support it. We can still primary Schumer. We can still want more aggressive Dems, but we need to focus the anger where it belongs, and that is on the Republicans who have voted multiple times a year for 15 years to take away our healthcare. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD What I want is Dems with a pair of ovaries to fucking fight. What we have is a disorganized caucus with no control. McConnell is an evil fuck, but he had absolute control over his caucus. Schumer never has and never will. Partly that is because Democrats think too much. Partly it is because they have independents caucusing with them. Partly it is because Schumer is a guy working for the same billionaires as McConnell. Remember, it was Dems who killed the public option when Obama wanted it. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Ok, after some consideration: At the end of the day, Republicans are taking away people’s healthcare. Democrats made a stand, longer than usual for them, and it absolutely tarnished the Republican brand. Millions of people are going to lose their healthcare coverage nonetheless, and that is solidly on the Republicans, and will likely kick them in the ass in 2026. Dems offered a month of off-ramps, and Thune and Johnson said no. Elections matter. Punish the Republicans. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Democrats just sold your ability to access healthcare. They got one year of SNAP funding back, and they fund a few government departments for 3 years. Basically the Democrats got nothing, starving families get a year of relief before we do this again, and Republicans stole your health insurance and whatever leverage Democrats ever have until January 2026. Primary these cowardly fucks. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Rumor has it Senate Dems are cooking up some backroom bullshit to let Republicans gut your healthcare coverage, so they can claim they are bipartisan. Call your Senators. Call your Reps. Tell them not to negotiate with terrorists and to hold strong against the Republicans. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD While Americans are missing weddings, funerals, and work meetings due to the Republican shutdown, and families are starving from SNAP cuts, again due to the Republican shutdown, the Republican president flew to Florida in a taxpayer-funded jet to play golf. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Republicans will propose every unworkable alternative to just providing health insurance. Literally every other developed nation has this figured out. Some better, some worse, but nobody spends as much money to have such terrible outcomes as the United States, and every Republican proposal makes either access, care, or both worse. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Ah yes, the pivot to “See, Obamacare is trash!”, nevemind that there is replacement proposed, the predecessor was awful, and the way it is broken right now is entirely due to the Republicans’ intentional sabotage. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD welcome to how about 2/3 of the US healthcare system works. It is indeed lunacy. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Democrats said “we’ll vote to re-open the government, without trying to fix any of the absolute horrors the Republicans have created, if Republicans will fund health insurance subsidies for one more year”. Republicans said “fuck you, we’re going to starve children and take your healthcare”. That’s it. That’s today’s shutdown development. npub1h30zn9clg8qxe4k2qm9qwv38qxdpqwjs50jfpfqg5mv0me80ysmqmzz24y McNadoMD Everyone needs to remind Democratic leadership that, if we ever manage to come back from this current disaster made by Trump, it isn’t Trump who we care about being held accountable. It is the minions, the party leaders, the ICE agents, the DOGE dorks, and all of the petty officials who have openly violated laws over and over again.