Kyle Fischer's Avatar

Kyle Fischer

@kbfischer.bsky.social

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

1,075 Followers  |  186 Following  |  116 Posts  |  Joined: 17.10.2023  |  2.1442

Latest posts by kbfischer.bsky.social on Bluesky


I have a similar stress dream where I find out halfway through the semester that I signed up for a class I totally forgot about and never went to.

25.02.2026 00:56 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I have a similar stress dream where I find out halfway through the semester that I signed up for a class I totally forgot about and never went to.

25.02.2026 00:54 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Personally, I can’t wait to see the Indiana Bears rebrand.

24.02.2026 01:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Smart kid! Parents must be rocket scientists if something!

22.02.2026 22:45 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Having grown up in Wisconsin, all forms of cheese consumption are socially acceptable. If quesadillas can help spread that culture of cheese acceptance, then I’m all for it.

21.02.2026 22:45 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Governor Newsom awards $107 million to prevent gun violence and improve community safety across state | Governor of California Official website of the State of California

"Will support proven, community-driven strategies to reduce shootings, homicides, and retaliatory violence."

21.02.2026 15:09 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

Congrats! Hope you’re savoring it!

10.02.2026 00:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Five years of work. One concise guide. Free to view and download now. – Philadelphia Center for Gun Violence Reporting News coverage of gun violence often inadvertently perpetuates stereotypical narratives about the people and communities most impacted. Typical coverage focuses on individual episodes of gun violence…

By changing the way gun violence is covered, reporters can take an active role in minimizing harm to injured people, communities, and societyβ€”and even make an important contribution toward preventing gun violence.

08.02.2026 00:07 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

How could we forget the death panel!

04.02.2026 00:43 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Dr. Flint is correct, though I would go a step further and just say β€œAvoid tramadol” and leave it at that.

30.01.2026 19:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Emergency Departments Should be Safe Zones for Patients The American College of Emergency Physicians (ACEP) is committed to ensuring that emergency departments remain places where all individuals can safely seek emergency medical care without fear. Patient...

β€œ @acepnation.bsky.social opposes federal and state initiatives which require physicians and health care facilities to refuse care to undocumented persons or to report suspected undocumented persons to immigration authorities. ERs are required by federal law to provide stabilization to all persons”

28.01.2026 02:11 β€” πŸ‘ 37    πŸ” 14    πŸ’¬ 1    πŸ“Œ 0

Now that EMS in The Pitt is giving appropriate, weight-based opioids to patients, perhaps med schools might think about actually teaching this?

:::readers: Kyle’s biggest pet peeve in all of medical education is that 100% of trainees report to me that theyve never been taught how to dose opioids:::

28.01.2026 02:42 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Just make sure they don’t accidentally make it look like a caduceus! The staff of a man who transported souls to the underworld is a bad look on a doc!

21.01.2026 00:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

friendly reminder: the adage is

"one bad apple spoils the bunch"

07.01.2026 20:24 β€” πŸ‘ 11    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Walz: "Do you have no decency? We have someone dead in their car for no reason whatsoever. I don't want to be right about this, but I said if they do this they're gonna create a chaotic situation where someone innocent is gonna get killed. And they did it."

07.01.2026 21:19 β€” πŸ‘ 19725    πŸ” 5932    πŸ’¬ 520    πŸ“Œ 238
ICE agents kept neighbor who was doctor from shooting scene, witness says
Aaron Davis
Video from Emily Heller's phone, which she shared with The Washington Post, shows the driver of the SUV slumped forward and not moving after the ICE shooting.

ICE agents kept neighbor who was doctor from shooting scene, witness says Aaron Davis Video from Emily Heller's phone, which she shared with The Washington Post, shows the driver of the SUV slumped forward and not moving after the ICE shooting.

Officers in camouflage and carrying weapons surround the vehicle and then keep anyone, even a neighbor who identifies himself as a doctor, from approaching the car to administer first aid, according to the video.
"Can I go check a pulse?" the neighbor says loudly, taking a step in the direction of the officers. "No, back up now," one of the agents says. "I'm a physician," the neighbor protests. "I don't care," the agent replies. "Give us a second, we have medics" on the way.
Heller estimated it took 15 minutes for paramedics to arrive, in part, it seemed, because their ambulance was blocked from advancing to the scene by the ICE vehicles.
Five or so first responders ultimately approached the car on foot, Heller said. They spent minutes with the woman who was shot and then carried her
"by her limbs" the length of two or three houses before they could get to an intersection where they could load the woman into an ambulance, Heller said.

Officers in camouflage and carrying weapons surround the vehicle and then keep anyone, even a neighbor who identifies himself as a doctor, from approaching the car to administer first aid, according to the video. "Can I go check a pulse?" the neighbor says loudly, taking a step in the direction of the officers. "No, back up now," one of the agents says. "I'm a physician," the neighbor protests. "I don't care," the agent replies. "Give us a second, we have medics" on the way. Heller estimated it took 15 minutes for paramedics to arrive, in part, it seemed, because their ambulance was blocked from advancing to the scene by the ICE vehicles. Five or so first responders ultimately approached the car on foot, Heller said. They spent minutes with the woman who was shot and then carried her "by her limbs" the length of two or three houses before they could get to an intersection where they could load the woman into an ambulance, Heller said.

After ICE agents shot woman, a neighbor approached and said he was a doctor and wanted to help, witness tells @byaaroncdavis.bsky.social

Instead, ICE agents kept him away from the scene, she says.

08.01.2026 00:06 β€” πŸ‘ 372    πŸ” 172    πŸ’¬ 15    πŸ“Œ 10

Brilliant!

08.01.2026 00:13 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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RFK Jr. trimmed the vaccine schedule without listening to anyone who knows medicine...

www.nytimes.com/2026/01/05/h...

05.01.2026 22:12 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Baltimore's crime rate dropped dramatically in 2025. A look at what the city did Baltimore's crime rate dropped dramatically in the past year. NPR's Michel Martin asks Thomas Abt, a criminology professor at the University of Maryland, what Baltimore did right.

Here's me on NPR talking with Michelle Martin about what's happening in Baltimore and around the country. They dropped some of the specifics about the city from the discussion, so let me add those back below. www.npr.org/2026/01/01/n...

01.01.2026 18:37 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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Apparently my midwestern self is still in there, because I saw the card and thought, β€œThey did make a movie with Escanaba in the title!”

29.12.2025 02:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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The @americanheart.bsky.social folks! When you decide you're so committed to the procedures of EBM that you completely ignore common sense. Also, the whole thing about alcohol possibly lowing CV risk πŸ€¦β€β™‚οΈ
www.ahajournals.org/doi/10.1161/...

17.12.2025 00:03 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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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

@kbfischer is following 18 prominent accounts