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.
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2026-08-20T16:19:54Z Event JSON
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Last Notes npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The thing about this baby who was shot by cops in Mississippi that bothers me most is the (perhaps inaccurate) reporting that an adult was stealing diapers. Who. Fucking. Cares. Why does an adult need to steal diapers? What kind of bullshit society do we live in where baby supplies are something so hard to afford that someone might steal them? npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD In case anyone feels Luigi Mangione’s actions could never be justified: He took one life. He took a life from a man whose career was dedicated to letting people die. For months afterwards, insurers in the US reversed care denials, approved care, and played nice. There is no doubt in my mind that lives were saved by this change. On balance, I’m not sure what is “right” here, but it is clear Luigi Mangioni saved some lives. Should it take an assassination to effect change in this system? No. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Republicans in the Senate, with one exception, just voted to fund concentration camps and unaccountable squads of out-of-control ICE agents, while continuing to defund hospitals and schools. Ask yourselves — does closing hospitals to fund concentration camps align with your values? npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD How we spend money to save lives has always been fucked up. When I was in training, the hospital started an ECMO program. The quoted cost per week at that time was between $60,000 and $100,000. Many of the intended recipients of this treatment would not survive. I made exactly zero friends the day this was presented and hyped to my residency group, when I asked how many lives would be saved spending that money on residential alcohol treatment programs. ECMO is sexy. Therapy isn’t. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Suppose you don’t think kids can figure out if they are trans, or maybe the whole trans thing confuses you. Suppose that. Now ask yourself, do you think the people hating on trans people are going to stop with trans people? Will shutting down clinics that provide that care be where it stops? Fuck no. They’ll come for gays, they’ll come for unmarried women, they’ll come for Catholics or Muslims. They’ll come for the homeless and the elderly. Trans kids are just their gateway to evil. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Oh FOR FUCK’S SAKE! Ivermectin doesn’t do shit for hantavirus. I know. I treated multiple cases in residency. Can we stop with the antihelminthic for viruses shit already?!? It was an OK theory, but it hasn’t panned out, and dumb motherfuckers who just can’t seem to live their lives without pissing away their savings on some grifter’s horseshit need to find a better snake oil. Jesus. Fuck. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Used to be, if you had someone with a weird infection your local lab couldn’t sort out, you could send samples to CDC for testing. Now those labs are “pausing” testing. So anyway, Republicans are trying to kill you. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you are a US taxpayer, Donald Trump just gave Mike Flynn an undisclosed number of millions of dollars of your money. Flynn, who undermined the US constitution, sold out our democracy, was fomenting violent uprising at the end of 2020, sued the US for $50 million. Trump just settled with him. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD In light of the blackouts in Cuba, US threats to stop power in Iran, Israeli strikes on Lebanon, and Russian strikes on Ukraine’s power grid, I will remind everyone that trying manually ventilate patients who can’t breathe for themselves is exhausting, technically challenging, and often fatally inadequate. It is very hard to sit there manually delivering 6 cc/kg of air with the right pressure, inspiratory time, and expiratory time, over and over again, for hours. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Deploying the poorly-vetted, untrained, violent, unaccountable mob we call ICE to airports is hilarious. You want guns lost in the secure area? This will accomplish that. You want people running or driving across taxiways and runways? This will do it. ICE agents are the biggest group of serial fuck ups I have ever seen. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD “Wait, the rad tech just told me the patient in 13 has boy parts” Yes, yes she does. Her med list reflects puberty blockers. Her medical history lists gender dysphoria. Her out patient notes clearly document her treatment. It’s almost like she is receiving excellent services and the treatment is working. Also, unrelated to her reason for visit and changes exactly fuckall, so let’s all continue to treat the female human we were treating 2 minutes ago and stop being fucking weirdos. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump’s DOJ is letting the fuckheads involved in Breonna Taylor’s murder off the hook. For those who have memory holed it — EMT Taylor was off duty at home when police, using a fraudulently obtained warrant, opened fire through the door and window of the home, killing the EMT. She was unarmed, and they have never presented evidence that she posed a threat or was involved in criminal activity. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD STOP BOMBING HOSPITALS. Especially you, Israel. Fuck’s sake… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD AI doesn’t kill people any more than a firearm kills people. Someone turned it loose and pulled the metaphorical trigger. Maybe there are AI enabled weapons systems with autonomous firing decisions active out there, but some dipshit made the call to deploy them, and that’s the responsible party. Me sending a dog across a property line to retrieve a bird I shot doesn’t mean the dog trespassed. I get the ticket. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gutting Iran’s means of economic survival, while destroying civil infrastructure, and gutting the major leadership structure, sure seems like a way to create an unstable and desperate situation where millions of people wind up needing foreign aid. Maybe next time letting crazy religious nuts call the shots should be ruled out. We don’t need another Libya or Iraq or Syria. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Vinay Prasad, of “let’s let COVID kill everyone while we don’t actually work on COVID wards” fame is leaving FDA. See, thing is, grifters gonna grift, and grifting is limited when you work for Uncle Sam. Vinay is a complete and utter piece of shit opportunist, responsible for hundreds, if not tens of thousands, of deaths, and he can’t make that dirty bank while he works for us. Fuck him. I wish him the worst as he goes back to private life. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Say what you will, but Republicans are remarkably consistent in their targeting of young girls. Whether it is raping, trafficking, harassing, or bombing, they are always all-in. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If BBC’s reporting is correct, what we are seeing in Iran right now is the same playbook Israel used in Gaza. They aren’t sticking to military targets. They are targeting society, and the country’s culture and heritage. To what extent US targeting is following their lead is unclear, but hospitals, schools, historic landmarks, and civil infrastructure are being destroyed with the clear intent of collective punishment. It is abhorrent, heinous, and criminal. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Israel once again being super cool good guys and blowing up a hospital in Iran. I’ve said it for years, across multiple conflicts in multiple areas: STOP BOMBING HOSPITALS YOU COWARDLY FUCKS npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…k4xy true, so perhaps we shouldn’t be doing “decapitation strikes” at all. Iran’s leaders are garbage humans, but there’s been no major shift in recent months compared to the last 40 years in terms of their cruelty, killing, or threat to the West. Same shit, different day. The difference is Trump wanted to kill a guy so he could fancy himself a strong leader and distract from the child rape allegations. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Gotta give it to him — Trump didn’t waste our time and draw our allies into this with a complex web of lies and public speeches the way Bush did. I suppose if you’re gonna lie about WMD to start shit in the middle east, you might as well be efficient about it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD This may shock some folks, but it is OK to simultaneously say that Khomeini had it coming and is a piece of shit who deserved what he got, and to say that a US president shouldn’t be assassinating foreign leaders without authorization from Congress. We can do that. We can have complex discussions. It is possible. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So here’s the thing about killing Khamenei — he’s just a fucking guy. Let’s reverse this. If Iran smoked Trump, would the racist, sexist, religious nuttery in the US end? Fuck no. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…qrmx y’all unclear about the linear passage of time or what? Harris wasn’t president in 2025, when Israel flattened Gaza with the public consent of Trump, while Trump joked about turning it into a resort. Harris didn’t set up a “board of peace” to carve up the spoils. Get fucked. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…qrmx yeah, so how’d 2025 work out there? Oh that’s right, there is no Gaza or Palestine anymore. It’s being divided up for displacement and development. Nice work! npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The coolest thing about bombing Iran is that Trump’s DOJ is still illegally hiding the FBI reports about him raping a 13 year old girl. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Remember when Kamala was gonna get us in all of the wars. Oh man. We were real close to that. Phew. /s npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD NBCNews headline: “When home births go wrong, will hospitals take walk ins?” Yes you clickbait fucks. EMTALA. That’s the whole deal. Any hospital with an Emergency shingle out, who accepts federal dollars, takes anyone anytime. That is essentially all actual hospitals with emergency departments. We don’t sit there and go “oh, they fucked up at home, no service for them!”. In fact, most of us are going to take you VERY seriously if you are coming in in labor because we hate ER deliveries. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD When I was a Boy Scout, we got kicked out of public schools for meetings because the scouts were discriminating against gay leaders. Today, almost 30 years later, scouts are discriminating as policy once again, this time to keep the drunk, abusive, religious radical in charge of our military happy. Scouts never learn. The organization is rotten from the top, and has been since I walked out of a meeting and never went back. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The US Border Patrol abandoned a man from SE Asia in the middle of a blizzard. He was blind. He was not near his home. They called nobody and told nobody. If I discharged a blind person into a blizzard from my ER, I’d lose my license, my house, and my job. Fuck these nazi goons. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Trump got his peepee slapped by SCOTUS so now we get to have a war again to make him feel like a man. Fuckin’ hoser. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Folks, don’t drive drunk with your kids in your car (or at all). Please. For fuck’s sake. We’ve had too many seriously fucked up or dead kids lately with drunk parents who survived. If you hit it too hard, take a fucking break for a few hours somewhere. Call a grandparent. Phone a friend. Just please don’t get behind the wheel shithammered with your kiddos in the car. They can’t take your keys. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Nah, NYT, America didn’t unravel in Minneapolis. Minneapolis started the fight that will save it. They showed the rest of us how to politely run the nazis out of town without feeding the media narrative. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Hi friends outside the US! Please feel free to boo JD Vance and Trump at the Olympics. Tell them how you feel. Make them feel unwelcome. We appreciate it! npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Hey #emergencymedicine #toxicology peeps! Anyone in PDX interested in a fun experiment being run right now might consider doing a study of heavy metal levels in the blood of people gassed by ICE during recent and upcoming marches. We know many gas grenades have heavy metals in them, so there may be a publishable public health concern here. Just a thought after recent events… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD A local police chief was called by a woman’s partner, he called someone at ICE, and ICE un-kidnapped her. Great. What I want to know is: 1. Why this time? 2. Who did he call and why did they release this person? 3. Why aren’t/can’t other police departments do this? I doubt it was an act of resistance. I suspect it was a someone knew someone situation. I hope I’m wrong. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Btw — Dems can replace Schumer as minority leader any time they want. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD For those who didn’t hear, ICE shot another human today, this time in Arizona. No good details that I can find, so who knows what happened and why. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD It’s not that a bunch of staunch Republicans saw a man get murdered by ICE and said “My god, that is the line!”. They were fine with every other instance. It is that a pile of Republicans have been looking for a way to get away from the Trump party, and this finally gave them social cover to back out. Glad they are doing it. Still don’t trust ‘em. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Folks, the dyes used in smoke grenades can cause photosensitivity. If you are covered in that crap, brush off dry powder, wash the rest off completely with copious soapy water, and cover up your skin for a few days. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD No, CEOs, we don’t need “de-escalation”. We need the nazi ICE thugs to get the fuck out and be held accountable. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you want to treat cold injuries (frostbite), you need to know if you can get the patient off scene and into long-term warming. Do NOT thaw someone’s frozen hands/fingers if they are going to immediately freeze them again. Repeated freezing causes far more injury. Wrap frozen fingers/toes in a clean dressing, and protect them. For warming, use lukewarm water or body heat if possible. Hot air can cause burns if you aren’t VERY careful. Rewarming is extremely painful. Be ready. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you want to be able to help people with asthma/reactive airway conditions who can’t breathe after tear gas, Primatene Mist inhalers are available over-the-counter and are better than nothing. If you want to stop extremity hemorrhage, read up on CAT tourniquet use, get some, and practice with them a bit (don’t tighten the windlass, or they won’t work as well next time). If you want to get irritant agents off of skin/eyes, use plain tap water, lots of it. Do NOT add anything to it. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If someone is shot in front of you, first of all, seek cover. If it is safe to render aid, your first order of business is hemorrhage control. Bleeding extremity? Tourniquet now, re-asses later. Extremity wound you can’t tourniquet? Wound packing. Chest, abdomen,or neck wound? Chest seal/occlusive dressing. The key to combat medicine is speed. Act decisively, then get the casualty out of the hot/warm zone and to somewhere you can re-assess them. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If you are going to a protest where shit may get real, here’s (part) of my med kit I carry to these: 1. Nitrile gloves 2. NAR CAT tourniquets 3. Roller gauze and/or wound packing 4. Chest seals 5. Blister treatments (molefoam, cloth tape) 6. Clean water in a bike squeeze bottle (for eye irrigation) 7. Trauma shears 8. Surgical masks 9. Safety glasses 10. Snacks 11. Tampons and pads 12. P-100 respirator with vapor cartridges 13. Shop towels I also carry a helmet. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD So guys, I see people saying “time to buy a gun”. No the fuck it isn’t. It is time to go learn how to use one. Then buy a safe. Then buy a gun if you want one. Your likelihood of being killed or injured by a firearm is markedly higher if you have one jn your home. You are more likely to be killed by your own firearm than you are to protect yourself with it. Your kids can be injured. Someone can steal it and use it in a crime. Firearms aren’t something you forget under a pillow. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I have guns. I have a concealed weapons permit. It is absolutely entirely legal for me to be filming ICE with a firearm on my person. It is not a reason to shoot me. If ICE is tackling me and my firearm becomes visible, that is also not a reason to shoot me. If it were, we’d be shooting all these unmarked goons running around with openly displayed sidearms. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD I assume the NRA will come out to support the guy shot by ICE, since carrying a firearm in the US is perfectly legal npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD To be clear, I am not advocating violence. I am advocating defense. When the people of Boston protested the Crown, they threw snowballs and ice (and were shot), and they ransacked merchant ships. That is the context of “peaceful” protest as the founders experienced it. It wasn’t “walking with signs”. Doesn’t mean we can’t do that, but the rest of us in America need to support our fellow citizens even if a few snowballs fly and a few tea shipments wind up soggy. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Some guys I wound up hunting with today were going on and on about the virtues of the Mango Mussolini. What I learned is this — it doesn’t matter what reality shows. It doesn’t matter what facts, videos, and events show. Some percentage of dudes in this country just refuse to acknowledge that Trump is a liar, does not actually follow through on many things, and is a corrupt dictator. They see him as honest, hard working, and infallible. We aren’t going to win over those folks. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…0evn well y’know, coming on the heels of the hyper-realistic LOTR, it was hard to compete. Everyone clearly knows elves can snowboard down stone castle stairs on a shield whilst firing a bow. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Perhaps the most important thing to remember about antivax politicians and doctors is that nearly all of them are vaccinated. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Man am I glad I’m not 17 right now. Teenage me would definitely have been making a hobby out of fucking with ICE agents and wound up beaten up in some detention center. Older me is making a list and checking it twice, because we are going to get our motherfucking country back one day, and when we do, we’re going to put these feckless walking snotrockets in jail. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Real big tough hero men, these fucking nazi shitbags are, arresting a 5 year old at school and shipping him out of state. Choke on a giant duck penis you absolute scumbag fucknozzles. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Y’all — if Trump deploys the military in Minnesota, he’ll likely federalize the guard too. By the time courts take it up, it won’t matter. What will matter is how many people PEACEFULLY protest. If the city shows up to say fuck off without a complete riot, Trump loses. Yeah, there will be the same shit we saw in LA, but as long as people aren’t going to crazy, the overall view the rest of America will see is troops beating the fuck out of grannies and teachers. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Good thing folks voted their conscience and didn’t for Genocide Joe. Has worked out. A+ job. Fucking morons. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD It is perfectly legal to boycot businesses that support ICE operations. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD At this rate, ICE is going to single-handedly undo any progress the US has made in homicide rates recently. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Never seen a defensive shooter reach into a window, and fire again with his firearm held sideways, after clearly disabling the target already. Also never seen someone keep their cellphone up and recording while shooting someone in the head — well, except for those guys in Syria with the penchant for burning humans in cages. What a coincidence. Fuck #Nazice npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD If we are going to withold all federal dollars for a particular program when fraud is found in a state, I think we can start by turning off all healthcare funding to Florida. See how it goes. This Minnesota childcare payments nonsense is racism. It is racism on the backs of children and working parents, and it is goddamn disgusting. Every Republican should be ashamed, and the Christians among them should reflect on their evil stunt. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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 npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Look, I’m sure there is a totally reasonable explanation for a married guy like Trump to have been hanging out on private islands with three of the most well known serial pedophiles in the last decade of news. It’s not these guys, who raped children on their private islands, would have been child rapid while Trump was there, or would have made any gross comments about children, or otherwise indicated that they were child rapists. I’m sure he had no clue and was there for the fishing. /s npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…n926 Grandma got run over by a Waymo… npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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? npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Maybe if Kash Patel spent less time galavanting on a private jet, and more time making sure FBI and ATF were doing the job they are supposed to be doing (instead of things like performative support of ICE), we wouldn’t have a school shooter loose still. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD “…ICE agents went to East African restaurants in the neighborhood Tuesday, closed the doors, and demanded people’s IDs. They found only US citizens…” This is unconstitutional. It is anathema to the idea of freedom that our Founding Fathers clearly expressed. Go watch Hunt for Red October. Find the scene where Vasily and Ramius are talking about Vasily’s plans in the US. Even Hollywood knows this is bullshit. https://www.mprnews.org/story/2025/12/10/federal-agents-use-chemical-irritant-in-somali-neighborhood-of-minneapolis npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Every once in a while someone doesn’t read my bio and is shocked that I slam a few PBRs and rantpost absolute Republican bait. My dude(s/eses), this account exists for the previously clearly stated purposes of fighting medical misinfo and for social therapy. If you don’t want to be part of my therapy session, that’s you’re deal. I could scream into a void or at a bunch of super cool people willing to scroll past my shit, and it’s all a win. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD Y’all, I can post medical education posts, and I can tell folks tips for getting good care in the US, and I can give insight to fucking with insurance companies, but honestly it seems too damn mundane when kids are freezing in Gaza, dying in hospital bombings in Lviv, and getting PTSD from ICE raids in Michigan. Hurts my goddamned soul. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD The thing about assholes like Musk, Thiel, and Zuckerberg, is that they could pay 75 cents of every dollar they make into taxes and live better than nearly everyone in the world. Much of their net worth increases is not realized income (it isn’t money in a bank account or pocket), it is investments that are theoretically worth more. Nonetheless, if someone has, say 10 million a year in actual income, if they paid 75% into taxes, they’d still be making 2.5 million *a year* in cash. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj McNadoMD @nprofile…p6ac another Kavanaugh stop. Everyone needs to call these out by name. Kavanaugh needs to go to his grave known only for two things: 1. Being a rape-accused shitbag 2. Allowing Americans to be detained without charge based solely on the color of their skin. That is his legacy. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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. npub12c9dvk6zgvkk0caykg983nua99fa4h3344ctw302kexczn448nhqm95uuj 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.