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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

52,413 Followers  |  666 Following  |  18,044 Posts  |  Joined: 08.05.2023
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Posts by Ryan Marino, MD (@ryanmarino.bsky.social)

Can’t stress enough that it’s actually extremely economically beneficial for everybody in a community if fewer people overdose and die

03.03.2026 04:12 — 👍 212    🔁 43    💬 2    📌 0
Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Map showing Washington Heights and East Harlem with highlighted areas: Washington Heights BID and 125th Street BID in red, 5-min walking buffer in orange, and 10-min walking buffer in blue, with OnPoint Washington Heights and OnPoint East Harlem.

Opening of overdose prevention centers in New York City was not associated with significant changes in neighborhood foot traffic or consumer spending, suggesting no observed economic harms near these #HarmReduction sites.

ja.ma/403HXgS

27.02.2026 16:45 — 👍 62    🔁 24    💬 0    📌 3

Almost like shutting down safe consumption sites and funneling money away from harm reduction and into abstinence grifting makes things less safe and increases harms. This is consistent with decades of data and was completely predictable.

03.03.2026 04:00 — 👍 142    🔁 50    💬 3    📌 1

Ten people were killed

03.03.2026 03:52 — 👍 105    🔁 32    💬 1    📌 0
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Seized Art, Eavesdropping Guards: Parents Describe a Clampdown at Dilley Detention Center as Kids Shared Their Stories Detainees told ProPublica that art supplies have been removed in room searches, immigrants have lost access to Gmail and staff hover within earshot during video calls.

www.propublica.org/article/dill...

26.02.2026 17:28 — 👍 14    🔁 9    💬 0    📌 1

I would feel like I’m letting people down lol

03.03.2026 03:28 — 👍 13    🔁 0    💬 1    📌 0

DC journalists have a golden opportunity.

Just say something like "since they will be honoring an avowed enemy of free speech and a free press, I will not be attending the Correspondents' Association dinner this year."

It's telling how many will not, even when handed to them on a silver platter.

03.03.2026 01:40 — 👍 1680    🔁 320    💬 40    📌 22
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Q: "Do you think that Donald Trump should be deposed by this Committee?"

Hillary Clinton: "Absolutely."

"Donald Trump has been held civilly liable for sexual assault by a jury of his peers … That is behavior that fits a pattern if one were looking for a pattern."

03.03.2026 01:30 — 👍 4540    🔁 1319    💬 112    📌 118
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ICE pens deal to use Marana private prison as immigration detention center Immigration and Customs Enforcement is moving forward with plans to reopen a privately run prison near Marana, Ariz., for use as a detention center for hundreds of people taken into federal immigratio...

Marana/Tucson AZ fighting:

"I’m proud of the fight our community has waged against this horrendous detention center... Hundreds have protested in Marana and they join with millions across the country."

"We will continue to look for any way to shut it down."

www.tucsonsentinel.com/local/report...

02.03.2026 22:25 — 👍 1785    🔁 613    💬 58    📌 12
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Pardoned Capitol rioter who said Jan. 6 officer 'needs to be put down' charged Pardoned Jan. 6 rioter Jake Lang has been charged with making threatening statements about one of the officers he faced off with at the Capitol

Pardoned Jan. 6 rioter Jake Lang has been charged with making threatening statements about one of the officers he faced off with at the U.S. Capitol. He told Metropolitan Police Cmdr. Jason Bagshaw that he should be “put down like a dead dog” and "hung" in front of the Capitol.

03.03.2026 03:10 — 👍 783    🔁 338    💬 58    📌 16

“Many of their commanders are especially delighted with how graphic this battle will be zeroing in on how bloody all of this must become in order to fulfill and be in 100% accordance with fundamentalist Christian end of the world eschatology.”

03.03.2026 03:09 — 👍 465    🔁 220    💬 31    📌 36

Reminder that all US troops currently engaging in the War of Aggression waged by Trump are there voluntarily, just how all national guard troops that helped ICE did so voluntarily. People have a choice to be there or not. They have a choice to follow illegal orders or not.

03.03.2026 03:09 — 👍 498    🔁 123    💬 21    📌 8
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Trump puts a medal on a veteran

02.03.2026 17:25 — 👍 813    🔁 120    💬 260    📌 152
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U.S. Troops Were Told Iran War Is for “Armageddon,” Return of Jesus Advocacy group reports commanders giving similar messages at more than 30 installations in every branch of the military

EXCLUSIVE: At more than 30 installations, U.S. commanders told troops the war on Iran is a Christian war.

The Military Religious Freedom Foundation has been “inundated” with more than 110 complaints.

One NCO said they were told the U.S. war is to bring about Armageddon and the return of Jesus…

03.03.2026 01:54 — 👍 8244    🔁 4145    💬 780    📌 2807

Christofascism is a far-right ideology merging fascist, authoritarian, and ultranationalist political doctrines with Christian theology, aimed at imposing a specific religious, cultural, and political order.

03.03.2026 03:10 — 👍 286    🔁 112    💬 9    📌 3

A shortage of large passenger charter planes due to DHS paying 10x the usual rates to ferry kidnapped migrants is threatening NCAA Tournament travel plans

03.03.2026 02:53 — 👍 409    🔁 168    💬 9    📌 9
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An ICE Detention Facility Is Coming to Surprise — Unless We Stop It. - Northwest Valley Indivisible A regional detention facility capable of holding thousands of immigrants is being planned for Surprise, AZ with consideration for what it will mean to the city. The opening of this facility will enabl...

ARIZONA: A reader sent us this petition from Northwest Valley Indivisible. Go tell the Surprise, AZ city council what you think about ICE's new detention warehouse there.

02.03.2026 14:47 — 👍 60    🔁 44    💬 1    📌 1

Really takes a lot to make Kaitlan Collins look like a brave journalist

03.03.2026 03:13 — 👍 51    🔁 2    💬 2    📌 0
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COLLINS: I mean, the president actually ran on not going to war Iran

SHEEHY: So, every single policy decision the president makes has to be the centerpiece of a campaign speech?

COLLINS: I think if you say you're not going to do something, and then you do it ...

03.03.2026 02:39 — 👍 2386    🔁 545    💬 151    📌 31

the same bros that think the US could successfully prosecute a land war in Iran think they could win a point off of Serena Williams at tennis

02.03.2026 20:18 — 👍 792    🔁 95    💬 13    📌 8

After they fight off a grizzly bear in hand-to-hand combat

02.03.2026 22:16 — 👍 96    🔁 1    💬 4    📌 0

yes and thank you for the excuse to share one of my all-time favorite tweets (from @longwall26.bsky.social)

02.03.2026 21:47 — 👍 4436    🔁 871    💬 83    📌 27
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not remotely true but go off queen

02.03.2026 21:52 — 👍 143    🔁 8    💬 6    📌 10

I love when people say harm reduction increases harms like that’s not a pure fallacy from someone who is intentionally illiterate

02.03.2026 22:15 — 👍 21    🔁 1    💬 1    📌 0

It is good to make fascists & bigots feel bad

02.03.2026 18:06 — 👍 162    🔁 27    💬 3    📌 1
Quote from Washington Times editorial board

"[Radical liberals] don't realize that, when they express contempt for the man who holds the country's highest office, they reveal their contempt for the Americans who put him there."

Quote from Washington Times editorial board "[Radical liberals] don't realize that, when they express contempt for the man who holds the country's highest office, they reveal their contempt for the Americans who put him there."

Uh no...we definitely realize it.

02.03.2026 11:57 — 👍 40168    🔁 6250    💬 4374    📌 1705
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Oligarchs Are Building The World's Biggest Propaganda Machine. Their Success Isn't Guaranteed. America's wealthiest, shittiest people are trying to hoover up the entirety of new and old media companies in a bid to pummel the plebs with propaganda. But what they want, and what they actually get,...

Over at the newsletter I wrote about the Paramount/Warner deal, how it's best viewed as a well-funded attack on informed consensus, and how we still have collective agency to determine whether or not it actually succeeds.

02.03.2026 18:02 — 👍 311    🔁 119    💬 4    📌 7
picture from the just-completed White House event of a side profile of Trump with a visible injury on his neck

picture from the just-completed White House event of a side profile of Trump with a visible injury on his neck

whoa -- this is new. Trump has a significant rash-like injury on his neck today in addition to his disfigured hand

(Saul Loeb/Getty)

02.03.2026 17:47 — 👍 7849    🔁 2217    💬 2888    📌 1992

Apparently Pearl Harbor wasn’t an invasion.

02.03.2026 17:22 — 👍 1459    🔁 283    💬 94    📌 15

lol no

02.03.2026 16:26 — 👍 3    🔁 0    💬 1    📌 0