Brian Chow, MD

Eating local without iodized salt is how we get iodine deficiency and goiters in inland areas.

Not sure about the others, but orange is azithromycin to me.

When in Rome?

Wait! It’s not actual chocolate?!?

I made buttons. Can you guess which is winning at my hospital? #IDsky #TeamCefazolin #TeamOxacillin #AntimicrobialStewardship #ASP

During COVID, we saw what we already knew on full display: society depends on the uncelebrated people clocking in and out for far less than their work produces. Not on the billionaires constantly crowing about their importance.

A pediatrician in clinical practice making $1 million a year. 😂😂😂😂.

Abstract from research paper in Annals of Internal Med, July 15, 2025. Conclusion: "This nationwide cohort study did not find evidence supporting an increased risk for autoimmune, atopic or allergic, or neurodevelopmental disorders associated with early childhood exposure to aluminum-adsorbed vaccines..."

New Danish cohort study with over 1 million kids confirms safety of aluminum in childhood vax. They looked at 50 different conditions, including autoimmune, allergic & neurodevelopmental (eg autism).

This should end further debate on this topic (but probably won't).

Annals Intern Med 15 July 2025

Who carries $3000 in cash these days?
Who carries check books these days?
Apparently the Secretary of Homeland Security

Trump signs order ending union bargaining rights for wide swaths of federal employees President Trump's new executive order ends collective bargaining for wide swaths of federal employees, as part of his broader campaign to reshape the government's workforce. Unions are vowing to sue.

www.npr.org/2025/03/28/n...

Then they came for the trade unionists,and I did not speak out-Because I was not a trade unionist.

Ok #medsky, for those in academics, what is the most pedantic change your institution asked you to make in your CV? Mine is making sure all degrees have periods in between the letters.

Study in LA highlights real-world efficacy of doxyPEP Among patients prescribed doxycycline post-exposure prophylaxis, cases of syphilis, chlamydia, and gonorrhea fell by 86.4%. 89.7%, and 54.7%, respectively.

Study in LA highlights real-world efficacy of doxyPEP

Among patients prescribed doxycycline post-exposure prophylaxis, cases of syphilis, chlamydia, and gonorrhea fell by 86.4%. 89.7%, and 54.7%, respectively.

www.cidrap.umn.edu/s...

www.ilrc.org/red-cards-ta...

www.immigrationadvocates.org/legaldirecto...

immigrantjustice.org/know-your-ri...

6/6

-Ensure family knows the A number—likely the best way to track a detainee
5/x

-plan for legal representation (link to follow)
-assemble identity documents, travel documents, and documents proving presence in the US (leases, tax returns, medical records, etc)
-make contingency plans for dependents—appoint temporary guardians or alternate caregivers
4/x

Anticipatory guidance and counseling:

-If detained, ICE tries to have a medical screening exam withing 12 hours to continue medications, with a full visit in 2 weeks (unclear what will happen with sudden increase in detentions) 
-Counsel on examples of adminstrative warrant vs judicial warrant 
3/x

Things we can provide:

-Immigrant rights card (Red Card) (link to follow)
-Printed med list to carry with them 
-Clinic note showing presence in US for more than 2 years 
-Business card or something with contact information for clinic 

2/x

All right #MedSky. Many of us are wondering what we can do on an individual basis for our patient who fear detention or deportation. I put together a few concrete things clinicians can do.

Please comment on other ideas you may have. 1/x

And talk to the hospital lawyers about the local laws and policies.
California hospitals are designated by state law as sensitive spaces- so we have the backing of state law and county policy for our actions.

projectsouth.org/wp-content/u... Educate about the difference between an administrative warrant and a judicial warrant.

www.ilrc.org/red-cards-ta...

Educate patients and their families about their rights. Educate staff about these rights.

Hello, fellow alien life form. I hail from Melmack and follow @jtrebach.bsky.social for his tasty looking cats.

What is your galaxy of origin?

Ensure that people are aware of their constitutional rights. One way is to provide these cards to anyone who may encounter ICE- citizen or non-citizen, with or without legal status.

www.ilrc.org/red-cards-ta...

The NIH Sexual & Gender Minority Research Office website has been taken down.

LGBTQ+ people are disproportionately subjected to violence, discrimination & stigma, affecting their health outcomes.

Ignoring these facts endangers us all.
#MedSky #LGBT #LGBTQ #NIH #research #science

lacounty.gov/2025/01/15/l....

Immigrants in LA County, your public hospitals are here to serve you through thick and thin.

Like the new look.
Now just need to build a bot to file FOIA requests daily ad infinitum

Speaker Mike Johnson suggests 'conditions' needed on disaster aid for LA wildfires The GOP House speaker claimed California leaders “were derelict in their duty.”

California pays the Federal government $5 in taxes for every $1 of Federal funds received. Maybe California is the one who should put conditions on money

abcnews.go.com/amp/Politics...

Its competitor, Sriracha Clinic, closed because nobody could spell it correctly.