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Ryan Marino, MD

@ryanmarino.bsky.social

Human Doctor • Toxicology • Addiction • Emergency • #WTFentanyl & more often just WTF • drugs are misunderstood but people are misunderstood more • he/him • YouTube.com/@RyanMD • #MedSky

52,406 Followers  |  666 Following  |  18,035 Posts  |  Joined: 08.05.2023
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Posts by Ryan Marino, MD (@ryanmarino.bsky.social)

Pres Trump told me tonight the US had identified possible candidates to take over Iran, but they were killed in the initial attack.

"The attack was so successful it knocked out most of the candidates," Trump told me. "It's not going to be anybody that we were thinking of because they are all dead. Second or third place is dead."

Pres Trump told me tonight the US had identified possible candidates to take over Iran, but they were killed in the initial attack. "The attack was so successful it knocked out most of the candidates," Trump told me. "It's not going to be anybody that we were thinking of because they are all dead. Second or third place is dead."

complete insanity

02.03.2026 03:10 — 👍 7023    🔁 1750    💬 540    📌 448

They’ll go even lower still

02.03.2026 04:33 — 👍 2    🔁 0    💬 0    📌 0

I’m actually not sure we can come back from “prediction markets for war crimes”, as a society. I think this might be it for us.

02.03.2026 02:45 — 👍 2625    🔁 484    💬 36    📌 25

I wish the government wanted us healthy

02.03.2026 04:31 — 👍 6    🔁 0    💬 0    📌 0
Preview
New research decodes hidden bias in health care LLMs Northeastern University researchers have found a way to signal when an LLM is using race to make a decision in health care settings.

Plus there’s horrible biases built into these LLMs

news.northeastern.edu/2026/01/20/p...

02.03.2026 01:19 — 👍 28    🔁 10    💬 0    📌 1

Hence why “responsible regulation of AI” is one of my top three campaign priorities.

02.03.2026 01:14 — 👍 545    🔁 71    💬 9    📌 3

16% of the time it works perfectly

02.03.2026 04:25 — 👍 2    🔁 0    💬 1    📌 0

Flipping a coin is literally better!

02.03.2026 04:23 — 👍 69    🔁 1    💬 2    📌 0

Ladies and Gentlemen, the New York Times.

02.03.2026 02:41 — 👍 330    🔁 59    💬 6    📌 1
Screenshot of text: 

First, it’s a mistake to say that Trump got America into war on Saturday. What he did was respond to a war that Iran has been waging against the United States since 1979.

Screenshot of text: First, it’s a mistake to say that Trump got America into war on Saturday. What he did was respond to a war that Iran has been waging against the United States since 1979.

Cool hey did anything happen *before* 1979 between the United States and Iran

02.03.2026 02:37 — 👍 3429    🔁 538    💬 52    📌 28
our big beautiful president looking like a wet mummy

our big beautiful president looking like a wet mummy

AH

01.03.2026 21:15 — 👍 3112    🔁 229    💬 280    📌 447

Highly concerning finding and raises questions of accountability when these errors lead to mortality and morbidity.

Source article here: www.nature.com/articles/s41...

01.03.2026 23:37 — 👍 41    🔁 17    💬 0    📌 1

I bet he would never use this product for himself or his family

01.03.2026 23:40 — 👍 27    🔁 0    💬 2    📌 0

Stop using these things good god

01.03.2026 23:39 — 👍 278    🔁 10    💬 5    📌 0

84% of the time, “ChatGPT Health” killed a customer using their paid service as advertised

01.03.2026 23:27 — 👍 1454    🔁 713    💬 34    📌 49
Preview
‘Unbelievably dangerous’: experts sound alarm after ChatGPT Health fails to recognise medical emergencies Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases

Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases. www.theguardian.com/technology/2...

27.02.2026 19:47 — 👍 1203    🔁 691    💬 42    📌 185

Here is @aoc.bsky.social thankfully telling everyone exactly what to do to stop a concentration camp from being built where you live.

Please take it to heart and take action.

22.02.2026 19:06 — 👍 5619    🔁 1880    💬 56    📌 33
All at once, everyone is anti-war from the comfort of American apartments. A country filled with people who do not know what it is like to have bombs dropped on them. Who have never had their internet cut during
protests so the world cannot see what is happening. Who have never lived under a regime where dissent can get you killed.
Where dancing can get you arrested. Where showing your hair can get you beaten.
Where tomorrow is never guaranteed.
And now those same voices are telling
Iranians how to feel.

All at once, everyone is anti-war from the comfort of American apartments. A country filled with people who do not know what it is like to have bombs dropped on them. Who have never had their internet cut during protests so the world cannot see what is happening. Who have never lived under a regime where dissent can get you killed. Where dancing can get you arrested. Where showing your hair can get you beaten. Where tomorrow is never guaranteed. And now those same voices are telling Iranians how to feel.

Yes, I am anti-war with Iran. I did not think that needed clarification. The only people who truly benefit from war are the billionaires who profit from it. But being anti-war does not require mourning a dictator.
The Iranian people have been desperate for years. A kind of desperation that no American can fully understand. The authoritarian control enforced by the Islamic Revolutionary Guard Corps is not just a human rights violation. It is a human rights catastrophe. A sustained system of repression designed to silence, imprison, torture, and kill its own population.

Yes, I am anti-war with Iran. I did not think that needed clarification. The only people who truly benefit from war are the billionaires who profit from it. But being anti-war does not require mourning a dictator. The Iranian people have been desperate for years. A kind of desperation that no American can fully understand. The authoritarian control enforced by the Islamic Revolutionary Guard Corps is not just a human rights violation. It is a human rights catastrophe. A sustained system of repression designed to silence, imprison, torture, and kill its own population.

I am not claiming bombs equal liberation.
But it is also not accurate to pretend that we are currently free and stable. We are already subjugated. Subjugated by our own regime.
When conversations fixate on hypothetical future chaos while refusing to acknowledge present oppression, they erase what is already happening to us.

I am not claiming bombs equal liberation. But it is also not accurate to pretend that we are currently free and stable. We are already subjugated. Subjugated by our own regime. When conversations fixate on hypothetical future chaos while refusing to acknowledge present oppression, they erase what is already happening to us.

But watching those deaths immediately weaponized to invalidate Iranian grief and Iranian relief is something else entirely.
Watching people who were silent when tens of thousands of Iranians were brutally killed suddenly find their voices now, and use those voices not to mourn universally, but to undermine Iranian pain, exposes a selective morality that is difficult to ignore.
How privileged you must be to betray your people when hundreds of children were killed today

But watching those deaths immediately weaponized to invalidate Iranian grief and Iranian relief is something else entirely. Watching people who were silent when tens of thousands of Iranians were brutally killed suddenly find their voices now, and use those voices not to mourn universally, but to undermine Iranian pain, exposes a selective morality that is difficult to ignore. How privileged you must be to betray your people when hundreds of children were killed today

Everyone should read this

“All at once, everyone is anti-war from the comfort of American apartments. A country filled with people who do not know what it is like to have bombs dropped on them. Who have never had their internet cut during protests so the world cannot see what is happening...”

01.03.2026 20:33 — 👍 42    🔁 15    💬 1    📌 2
Preview
Longevity and ‘wellness’ craze breaks untested drugs out of the lab Health influencers promise an astonishing range of benefits from peptides, almost none of them tested in humans

Peptides - the building blocks of proteins - are promoted by health influencers as having all kinds of benefits.

But the claims are often thinly evidenced. Here we run the rule over the hopes and hype around four popular peptide supplements.

www.ft.com/content/0f68...

27.02.2026 10:10 — 👍 36    🔁 11    💬 3    📌 3

He is the most unqualified/disqualified of all!

01.03.2026 20:30 — 👍 2    🔁 0    💬 0    📌 0

She does have a doctorate but it’s about as relevant to the job as a doctorate in underwater basket weaving, and she only uses her credentials to grift

01.03.2026 19:59 — 👍 2    🔁 0    💬 0    📌 0

The entire premise of his industry is immoral and he personally steals and destroys human works of value so no I don’t respect him

01.03.2026 19:55 — 👍 0    🔁 0    💬 0    📌 0

Casey Means is a wellness guru, a grifter, that promotes without care to product safety. Does not disclose that she does not use said product. Gets paid to pretend she is personally endorsing. She is NOT an honest person.

Say No to Casey Means as Surgeon General.
She does not care about your health

01.03.2026 18:28 — 👍 65    🔁 18    💬 0    📌 1

Would it surprise you to learn Makary sells a cookbook

01.03.2026 18:19 — 👍 0    🔁 0    💬 1    📌 0

Johns Hopkins public health needs to be shut down until we get to the bottom of why they love using inappropriate derivations

01.03.2026 18:18 — 👍 0    🔁 0    💬 1    📌 0
Preview
Opinion | Casey Means' Cringey Senate Hearing Should Sink Her Surgeon General Bid The nominee revealed her fundamental confusion between individual healthcare and public health

“Before even getting to her views on public health issues, there is absolutely nothing in Means' background to suggest she would be qualified to serve as surgeon general. No clinical experience, no public health training - just a large social media presence with a sketchy business background”

01.03.2026 18:13 — 👍 178    🔁 43    💬 7    📌 2
Preview
Letter to FTC: Investigate Casey Means' Potential Violations of Influencer Marketing Standards - Public Citizen February 4, 2026 Chris Mufarrige Director, Bureau of Consumer Protection Federal Trade Commission 600 Pennsylvania Avenue, NW Washington, DC 20580…

Our Surgeon General nominee doesn’t have a license to practice medicine but does have a pending FTC complaint for failing to disclose her financial relationships the majority of times she promoted (woo) products during the period between Jan 1, 2024-Aug 8, 2025 (from her own financial disclosures)

01.03.2026 18:06 — 👍 185    🔁 73    💬 7    📌 5

BTW Can someone in the press ask our FDA Director if he still believes that 300K Americans die every year from medical errors or if he’s ready to admit he gets a lot really wrong

01.03.2026 17:53 — 👍 57    🔁 4    💬 2    📌 0

Makary lacks an inquisitive mind and struggles with basic scientific skills like observation and counting but the best scientists are not podcasters

01.03.2026 17:49 — 👍 71    🔁 5    💬 7    📌 0

“Is he the best scientist?”

“If you listen to his podcast…”

01.03.2026 17:47 — 👍 107    🔁 11    💬 4    📌 0