Kyle Fischer's Avatar

Kyle Fischer

@kbfischer.bsky.social

ER doc and health policy fellowship director in Maryland. Policy nerd for the HAVI.

1,054 Followers  |  185 Following  |  102 Posts  |  Joined: 17.10.2023  |  1.8652

Latest posts by kbfischer.bsky.social on Bluesky

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FDA chief says Biden administration withheld data on heart risk from Covid vaccines Myocarditis is a known β€” but small β€” side effect risk of the mRNA Covid vaccines from Pfizer and Moderna, information that federal agencies have discussed openly since 2021.

This is absurd. Myocarditis was studied extensively during the pandemic. We know this because Makary himself would never shut up about it, while he would compare the rare risk of vaccine-related myocarditis to the imaginary scenario of people never getting covid.
www.nbcnews.com/health/healt...

05.12.2025 14:23 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Internet Searches for Lorazepam Following the Release of The White Lotus This cross-sectional study examines whether there was an uptick in online searches about lorazepam after the release of the third season of The White Lotus.

I could say something to minimize the research ("internet searches don't equal usage") but in reality, I'm just jealous that they thought to do the study and I didn't.
jamanetwork.com/journals/jam...

24.11.2025 01:59 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I still don't know how he didn't see this coming...

21.11.2025 20:24 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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I am trying and struggling to remember a previous time when multiple state officials publicly rebuked a CMS administrator for spreading misinformation

kffhealthnews.org/news/article...

03.11.2025 20:19 β€” πŸ‘ 37    πŸ” 15    πŸ’¬ 3    πŸ“Œ 0

I read the article a few hours ago and that quote stood out to me as well. I actually considered emailing the doc directly because it's such a completely insane take. Then I stopped myself when I realized I didn't know what I would actually say beyond, "you know that's crazy, right?"

06.10.2025 00:50 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.

An absolutely tragic case that's worth a read. Definitely some learning points in it.

www.nytimes.com/2025/10/05/w...

06.10.2025 00:38 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a man is sitting at a table with a sign that says `` change my mind '' on it . ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .

if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them

in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery

25.09.2025 15:05 β€” πŸ‘ 58    πŸ” 9    πŸ’¬ 7    πŸ“Œ 1

β€œConfirming” methadone doses before treating the patient is a harmful, stigma-based policy that needs to end full stop.

25.09.2025 22:56 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Free research idea:
"A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism."

I'd read that paper. It'd be a banger.

24.09.2025 01:40 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Do the Grouse Grind hike quickly and try not to feel like you’re dying.

…or take a relaxing bike ride around Stanley Park

22.09.2025 23:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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You and @drsandman11.medsky.social wrote a great 3 tweet summary that caused me to check the score…

05.09.2025 00:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

There was literally a CDC MMWR about feral cat colonies with rabies in the last week.

04.09.2025 23:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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As Trump Pushes for Troops in Chicago, City Leaders Say His Cuts Could Fuel Crime Local leaders want federal funding reinstated to maintain Chicago’s progress in reducing gun violence.

This spring, the DOJ terminated $811 million in grants, $158 million of which was meant for gun violence prevention. In Chicago alone, seven organizations lost almost $16 million. The cuts, violence prevention organizers said, jeopardize the infrastructure they have worked to build.

30.08.2025 20:11 β€” πŸ‘ 42    πŸ” 23    πŸ’¬ 0    πŸ“Œ 1
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ACEP Statement on CDC Leadership Departures Dr. Debra Houry has been a true champion for public health and emergency care, and as a valued member of the ACEP family, her leadership at the CDC has set a remarkable standard.

Thank you @acepnation.bsky.social for standing with us. My time in the emergency department has shaped my commitment to ensuring the health of our communities.
www.emergencyphysicians.org/press-releas...

30.08.2025 16:47 β€” πŸ‘ 441    πŸ” 107    πŸ’¬ 14    πŸ“Œ 4
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Grant Awardees β€” Kaiser Permanente Center for Gun Violence Research and Education Explore $3.2M grants by Kaiser Permanente Center for Gun Violence Research. Meet researchers and organizations driving innovative, equity-focused solutions in gun violence intervention and prevention.

Full list of Kaiser Permanente Center for Gun Violence Research and Education* grantees.
www.kpcenterforgunviolenceresearch.org/grant-awardees

*Obligatory "Powered by the Health Alliance for Violence Intervention"

27.08.2025 02:13 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Want to learn about awesome work going on in the violence prevention space? Check out the lightning talks from folks doing incredible work! Full list of awardees in the thread if you want to browse what KP/HAVI are funding!
hria.zoom.us/webinar/regi...

27.08.2025 02:11 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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The Top Fictional Characters Named Seth List of notable fictional characters whose name is Seth, including photos when available. The fictional characters named Seth below come from every kind of genre and medium, as this list includes movi...

www.ranker.com/list/fiction...

27.08.2025 01:49 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I'll start to seriously think about AI taking my job as soon as hospitals discover jotforms.

...or really any of the other 1000 options to avoid sending pdfs back and forth.

27.08.2025 01:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I watch it. It’s one of those shows that has no business being as funny as it is. Some episodes are so so, but others have me cracking up outloud by myself.

14.08.2025 00:12 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk. Health officials are intensifying their criticism of the β€œOne Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…

Treating #gunviolence as a #publichealth crisis saves lives. These cuts are wrongheaded.

Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social

05.08.2025 23:31 β€” πŸ‘ 6    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Hospital β€˜Boarding’ Of Patients In The Emergency Department Increasingly Common, 2017–24 | Health Affairs Journal When hospital beds are scarce, patients β€œboard” in the emergency department until an inpatient bed becomes available. Using national data on 46.2Β million hospitalizations, 2017–24, we documented risin...

Boarding in U.S. emergency departments – in anecdote and in real data – continues to rise.

Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable.
#medsky
www.healthaffairs.org/doi/abs/10.1...

05.08.2025 21:25 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Where might one Little Lebowski Urban Achiever find such a masterpiece?

03.08.2025 22:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk. Health officials are intensifying their criticism of the β€œOne Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…

Among those at greatest risk of losing healthcare insurance and services as a result of the Big Beautiful Bill Act are gun violence victims, who are mostly enrolled in Medicaid. Studies show that gun violence victims are more likely to have better outcomes in states with expanded Medicaid coverage.

29.07.2025 20:11 β€” πŸ‘ 24    πŸ” 20    πŸ’¬ 0    πŸ“Œ 2

What about existential dread? Qualify for pain clinic? Yeah or nah

18.07.2025 23:44 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

It’s crazy to me to think that when Coldplay first hit the scene, I made fun of them for being a Radiohead ripoff band. …and I still loved those albums!

18.07.2025 21:52 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

It’s a pretty wild indictment of some of these politicians’ political awareness that they didn’t think interest groups would continue to advocate for their own interests

14.07.2025 23:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

100%
Not an example of β€œforce,” but similarly, I find with LPs the biggest difference between me and a resident is the confidence to just go for it. Trainees are usually really cautious, inserting the needle super meticulously, which counterintuitively makes it harder.

13.07.2025 23:51 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Yup, they went all the way up to the shoulder.

09.07.2025 23:48 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Reminds me of the time in med school when my rural medicine attending with a side hustle cattle ranch invited me to the ranch (instead of clinic…) to learn some veterinary medicine. Spent the day doing manual pregnancy checks on cows in 20 degree weather…

09.07.2025 23:12 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Firearm Storage and Firearm Suicide This case-control study assesses the association between firearm storage practices and suicide method (firearm vs nonfirearm) among individuals who lived in a home with firearms in the last year of th...

Important new case-control study in @jama.com - Insecure firearm storage is associated w/adolescent suicide - but not adult suicide.

In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults.

jamanetwork.com/journals/jam...

09.07.2025 20:13 β€” πŸ‘ 52    πŸ” 16    πŸ’¬ 5    πŸ“Œ 1

@kbfischer is following 18 prominent accounts