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Logan Pirkl

@loganpirkl.bsky.social

University of Minnesota - COP Alumni | PGY-1 Hennepin Healthcare | Emergency Medicine Clinical Pharmacist | Husband, Father, and Lifelong Learner. #SkyRx #MedRx #FOAMED

285 Followers  |  267 Following  |  21 Posts  |  Joined: 11.11.2024  |  1.9065

Latest posts by loganpirkl.bsky.social on Bluesky

WTH is this? Is this public health in the U.S. now? The president just spewing non-sense on social media?

Thank God #MAHA is prioritizing "Gold standard science".

Also when did the Tylenol in pregnancy hysteria extend to children?

26.09.2025 16:49 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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MONDAY: US throws Argentina a financial life raft

TUESDAY: Argentina doubles soybean sales to China, β€œfurther pricing out” American farmers.

@axios.com
www.axios.com/newsletters/...

24.09.2025 11:54 β€” πŸ‘ 3425    πŸ” 1358    πŸ’¬ 306    πŸ“Œ 196
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This ought to be engraved somewhere.

23.09.2025 02:56 β€” πŸ‘ 17436    πŸ” 6175    πŸ’¬ 322    πŸ“Œ 194
Andexanet Alfa + Thrombembolism  #emergencymedicine #criticalcare
YouTube video by EMSwami Andexanet Alfa + Thrombembolism #emergencymedicine #criticalcare

Time to Ditch Andexanet Alfa?
-ANNEXA-1: No mortality benefit, incr VTE
-Real world data: Rech 2025 (PMID:40700941) no improved outcomes, 9% incr VTE w/ andexanet alfa (NNH = 11)

Mounting evidence that andexanet offers no benefit while increasing complications

youtube.com/shorts/7DGcv...
#EMIMCC

17.09.2025 13:38 β€” πŸ‘ 10    πŸ” 5    πŸ’¬ 0    πŸ“Œ 1

Um...what?

14.09.2025 11:58 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

The man whose supposed signature is on the check is the current president of the United States"

10.09.2025 14:05 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

"Inside the 50th-birthday book for Jeffrey Epsteinβ€”a man charged with sex traffickingβ€”is a photo of a massive, novelty size check, seeming to reference the sale of a human being from one powerful man to another...

10.09.2025 14:05 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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You Really Need to See Epstein’s Birthday Book for Yourself This time, the conspiracy theorists were right.

www.theatlantic.com/technology/a...

10.09.2025 14:05 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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NY MAG: β€œThose who resigned in protest over Gaza say its enablers are rewriting history… 15 Biden officials who resigned on the architects of the disastrous policy…”
nymag.com/intelligence...

08.09.2025 17:02 β€” πŸ‘ 171    πŸ” 34    πŸ’¬ 5    πŸ“Œ 2
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Gutted: How Deeply Trump Has Cut Federal Health Agencies More than 20,500 workers have left or been pushed out of federal health agencies, a ProPublica analysis found. Staffers say the cuts will leave their agencies less equipped to conduct studies, perform...

a heartbreaking - gutting - overview of the scientists we have lost so far under this administration by my colleagues @bxroberts.org @anniewaldman.bsky.social and @pratheekrebala.bsky.social

projects.propublica.org/federal-heal...

21.08.2025 13:50 β€” πŸ‘ 39    πŸ” 26    πŸ’¬ 1    πŸ“Œ 2

Vital thread about the terrorist attack on CDC πŸ‘‡

17.08.2025 17:29 β€” πŸ‘ 154    πŸ” 51    πŸ’¬ 6    πŸ“Œ 2
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Editorial: That meeting was sickening. Putin loved it Sickening. Shameful. And in the end, useless. Those were the words that came to mind when we watched the Alaska Summit unfold. On our screens, a blood-soaked dictator and war criminal received a roy...

Sickening. Shameful. And in the end, useless.

Those were the words that came to mind when we watched the Alaska Summit unfold.

16.08.2025 04:32 β€” πŸ‘ 9840    πŸ” 2967    πŸ’¬ 544    πŸ“Œ 219
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'Early mover' in Feeding Our Future scam sentenced to 28 years The Minnesota U.S. Attorney’s Office says Abdiaziz Farah played an important role in a conspiracy to fleece taxpayer-funded child nutrition programs out of hundreds of millions of dollars during the p...

'Early mover' in Feeding Our Future scam sentenced to 28 years www.mprnews.org/story/2025/0...

07.08.2025 13:09 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Email from an nih.gov email address addressed to Jenna Norton saying they are removing the KICC meeting summary due to β€œunauthorized language”  including β€œhealth equity” and β€œracial/ethnic”

Email from an nih.gov email address addressed to Jenna Norton saying they are removing the KICC meeting summary due to β€œunauthorized language” including β€œhealth equity” and β€œracial/ethnic”

Jay Bhattacharya says that Program Officers made up banned words lists at NIH.

This is a real email I got at NIH. (Granted, before Jay started.) But nothing has changed since he joined.

I refused to censor the summary, so it remains unposted. And I have tried since Jay arrived.

06.08.2025 18:50 β€” πŸ‘ 236    πŸ” 95    πŸ’¬ 4    πŸ“Œ 6
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Now That They’re Free, Venezuelan Men Want the World to Know What They Endured in CECOT Venezuelan men deported by the Trump administration say they endured months of physical and mental abuse inside a Salvadoran prison. Though happy to be home, they say the fact that they were released ...

www.propublica.org/article/vene...

30.07.2025 14:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

SEVEN CAR LOADS OF MASKED ICE AGENTS. SEVEN. to grab a dad with a baby in the car. A dad who has a green card and in the process of becoming a citizen. COME ON.

(This is a @cbsnews.com.web.brid.gy video about the stop/arrest. Worth watching.)

26.07.2025 02:05 β€” πŸ‘ 349    πŸ” 158    πŸ’¬ 9    πŸ“Œ 3
We are desperately concerned for our journalists in Gaza, who are increasingly unable to feed themselves and their families. For many months, these independent journalists have been the world’s eyes and ears on the ground in Gaza. They are now facing the same dire circumstances as those they are covering. β€― 

Journalists endure many deprivations and hardships in warzones. We are deeply alarmed that the threat of starvation is now one of them.

We once again urge the Israeli authorities to allow journalists in and out of Gaza. It is essential that adequate food supplies reach the people there.

Joint statement on Gaza
from AFP, AP, BBC News and Reuters

We are desperately concerned for our journalists in Gaza, who are increasingly unable to feed themselves and their families. For many months, these independent journalists have been the world’s eyes and ears on the ground in Gaza. They are now facing the same dire circumstances as those they are covering. β€― Journalists endure many deprivations and hardships in warzones. We are deeply alarmed that the threat of starvation is now one of them. We once again urge the Israeli authorities to allow journalists in and out of Gaza. It is essential that adequate food supplies reach the people there. Joint statement on Gaza from AFP, AP, BBC News and Reuters

The Associated Press, AFP, BBC News & Reuters issued this joint statement about journalists in Gaza today with alt text:

24.07.2025 10:18 β€” πŸ‘ 150    πŸ” 95    πŸ’¬ 3    πŸ“Œ 10
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Static vs. cidal: it’s not complex; it’s simply incorrect | Antimicrobial Agents and Chemotherapy In the first sentence of their recent study (1), Gil-Gil and Berryhill cite a 2018 review article (2) to support the statement, β€œThe clinical outcomes of antibiotic treatments involving the administra...

We implore authors, peer reviewers,and journal editors to stop perpetuating the concept of static and cidal antibiotics, given the aforementioned evidence demonstrating it is a myth. In a clinical context, these terms are not complex. Rather,they are simply incorrect
journals.asm.org/doi/10.1128/...

22.07.2025 00:00 β€” πŸ‘ 24    πŸ” 9    πŸ’¬ 1    πŸ“Œ 4

Just wow.

19.07.2025 15:35 β€” πŸ‘ 1259    πŸ” 389    πŸ’¬ 36    πŸ“Œ 18
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The Trump Administration Is About to Incinerate 500 Tons of Emergency Food Federal workers warned for months that the high-energy biscuits would go to waste.

"Five months into its unprecedented dismantling of foreign-aid programs, the Trump administration has given the order to incinerate food instead of sending it to people who need it"
@hana-kiros.bsky.social, on spending $130,000 to burn food worth $800,000
www.theatlantic.com/health/archi...

15.07.2025 05:31 β€” πŸ‘ 4492    πŸ” 3226    πŸ’¬ 365    πŸ“Œ 623
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Justice Department Drops Case Against Plastic Surgeon Over Fake Covid-19 Cards

www.nytimes.com/2025/07/13/u...

What's at stake here is genuinely deeper than the particular issue of COVID vaccination mandates. Effective policymaking and governance, or for that matter social coexistence, can't survive the rule "you may commit professional fraud if you feel like it."

13.07.2025 20:09 β€” πŸ‘ 1264    πŸ” 365    πŸ’¬ 33    πŸ“Œ 16

This doctor (allegedly):

- Destroyed $28,000 worth of vaccine doses

- Made about $100,000 by falsifying medical and public health records for around 2000 people

- Tricked children into thinking they were vaccinated by injecting saline

The implications of dismissing this case are enormous.

12.07.2025 22:21 β€” πŸ‘ 458    πŸ” 239    πŸ’¬ 24    πŸ“Œ 27

The limitation to children at high risk for severe COVID is particularly problematic for the youngest children eligible for vax where HALF of the ICU admittances were for those with NO underlying condition, per CDC data.

10.07.2025 17:38 β€” πŸ‘ 58    πŸ” 32    πŸ’¬ 2    πŸ“Œ 0
Leading Medical Professional Societies, Patient Sue HHS, Robert F. Kennedy, Jr. for Unlawful, Unilateral Vaccine Changes

IDSA, along with AAP, APHA, ACP and others, has filed a lawsuit against HHS/Secretary Kennedy to stop unlawful changes to vaccine policy and defend public health.
It is telling that learned societies uniformly oppose the vaccine policies of the HHS secretary.
www.idsociety.org/news--public...

07.07.2025 18:35 β€” πŸ‘ 130    πŸ” 43    πŸ’¬ 3    πŸ“Œ 1
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Pregnant Doc, Medical Groups Sue Over Kennedy's New Vax Recs Groups ask court to restore CDC's recommendation to vaccinate kids, pregnant people against COVID

BREAKING: Medical and public health organizations sued the Department of Health and Human Services and its secretary over changes to U.S. vaccine policy. @apha.org @idsainfo.bsky.social @acpimphysicians.bsky.social @mapublichealth.org @kristinafiore.bsky.social
www.medpagetoday.com/infectiousdi...

07.07.2025 21:10 β€” πŸ‘ 15    πŸ” 5    πŸ’¬ 0    πŸ“Œ 1

@lastweektonight.com have you guys done a piece on presidential libraries and foundations yet? Seems pertinent now with all 47 extorting companies for money and gifts to his "presidential foundation".

06.07.2025 14:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

January 6 pardons more accurate at predicting future crime than that computer from Minority Report

20.05.2025 04:53 β€” πŸ‘ 1200    πŸ” 130    πŸ’¬ 6    πŸ“Œ 7
https://emcrit.org/ibcc/pain/#clonidine #PharmSky

https://emcrit.org/ibcc/pain/#clonidine #PharmSky

Selection of PO alpha-2 agonists: when should we choose clonidine vs. guanfacine?

they're both great drugs with similar characteristics (esp if you dose the clonidine high enough)

this is the best answer I can come up with πŸ€·β€β™‚οΈπŸ‘‡

thoughts? what is everyone's favorite oral alpha-2 agonist? #EMIMCC

04.07.2025 12:21 β€” πŸ‘ 16    πŸ” 4    πŸ’¬ 3    πŸ“Œ 0
Medicaid By State: Alternative Names and Contact Information Medicaid and state specific Medicaid names, contact information and website links

Speaking of the bill, did you know that tons of people on Medicaid don’t actually know they are on it? Many states give alternate names to their Medicaid programs, such as DenaliCare in Alaska, Bayou Health in Louisiana, and STAR+PLUS in Texas.

www.medicaidplanningassistance.org/state-medica...

02.07.2025 14:00 β€” πŸ‘ 49    πŸ” 18    πŸ’¬ 3    πŸ“Œ 2

I just hope we collectively never forget who was for what in times like thisβ€”e.g., those so casually believe it’s okay to have a camp called β€œAlligator Alcatraz” and joke about who might be sent there in flagrant violation of decency, humanity, and democratic values. Should be a lifetime stain.

02.07.2025 01:15 β€” πŸ‘ 59    πŸ” 11    πŸ’¬ 2    πŸ“Œ 2

@loganpirkl is following 19 prominent accounts