Joe Thomas, MD, FHM
@docwithbowtie.bsky.social
He/His. Hospitalist. #MedTwitter Bow tie enthusiast. Deputy Editor of Digital Media, Journal of Hospital Medicine. Side of #Drums/Music. Shouts into political void mine, not representing any organization. https://youtu.be/foaTUq40Dmc?si=bXXivSbV7eB7AAUQ
Pinned
Hello, BlueSky! I’m a hospitalist physician who loves bow ties and uses social media for education and advocacy especially in public health and reproductive justice. I make videos (talking and drumming) about these and other topics on the clock app and other places.
In a time when hundreds of people, many of them previously healthy and most of them unvaccinated are getting seriously ill due to #measles, Bobby Kennedy is making light of their situation and spreading anti-vax lies.
I don’t mock addiction, but don’t use your story to detract from public health.
I don’t mock addiction, but don’t use your story to detract from public health.
February 14, 2026 at 1:09 PM
In a time when hundreds of people, many of them previously healthy and most of them unvaccinated are getting seriously ill due to #measles, Bobby Kennedy is making light of their situation and spreading anti-vax lies.
I don’t mock addiction, but don’t use your story to detract from public health.
I don’t mock addiction, but don’t use your story to detract from public health.
Calling #Olympics athletes (and Bad Bunny) anti-American because they think America can do better is not how we improve.
Wishing harm on these athletes and their #patriotism (bc that’s what it is) should not be who we are. Same in reverse: Supporting Trump doesn’t merit harmful wishes, either.
Wishing harm on these athletes and their #patriotism (bc that’s what it is) should not be who we are. Same in reverse: Supporting Trump doesn’t merit harmful wishes, either.
February 13, 2026 at 6:18 PM
Calling #Olympics athletes (and Bad Bunny) anti-American because they think America can do better is not how we improve.
Wishing harm on these athletes and their #patriotism (bc that’s what it is) should not be who we are. Same in reverse: Supporting Trump doesn’t merit harmful wishes, either.
Wishing harm on these athletes and their #patriotism (bc that’s what it is) should not be who we are. Same in reverse: Supporting Trump doesn’t merit harmful wishes, either.
Contact your Senators today or tomorrow and tell them to vote NO on the SAVE Act! It’s an unconstitutional poll tax and no, it does not mean Democrats want undocumented immigrants to vote.
Video below.
In writing: open.substack.com/pub/docwithb...
Video below.
In writing: open.substack.com/pub/docwithb...
February 13, 2026 at 12:09 AM
Contact your Senators today or tomorrow and tell them to vote NO on the SAVE Act! It’s an unconstitutional poll tax and no, it does not mean Democrats want undocumented immigrants to vote.
Video below.
In writing: open.substack.com/pub/docwithb...
Video below.
In writing: open.substack.com/pub/docwithb...
Three things that are undeniable:
1. Black people portrayed as monkeys is an old racist trope
2. The President meant to channel that with the AI video.
3. Barack Obama was a better president and man than Trump has ever been or will be, and everyone knows it.
1. Black people portrayed as monkeys is an old racist trope
2. The President meant to channel that with the AI video.
3. Barack Obama was a better president and man than Trump has ever been or will be, and everyone knows it.
February 8, 2026 at 12:00 PM
Three things that are undeniable:
1. Black people portrayed as monkeys is an old racist trope
2. The President meant to channel that with the AI video.
3. Barack Obama was a better president and man than Trump has ever been or will be, and everyone knows it.
1. Black people portrayed as monkeys is an old racist trope
2. The President meant to channel that with the AI video.
3. Barack Obama was a better president and man than Trump has ever been or will be, and everyone knows it.
Reposted by Joe Thomas, MD, FHM
February's JHM features multiple articles about seeking promotion!📈
🤔How to take our values and professional goals and align with promotion requirements? 🥼 What to keep in mind?
Check out the article!
🎥 @docwithbowtie.bsky.social
📝 Dr. Valerie Lang et al
🔗 bit.ly/4ryHQpb
🤔How to take our values and professional goals and align with promotion requirements? 🥼 What to keep in mind?
Check out the article!
🎥 @docwithbowtie.bsky.social
📝 Dr. Valerie Lang et al
🔗 bit.ly/4ryHQpb
February 7, 2026 at 7:52 PM
February's JHM features multiple articles about seeking promotion!📈
🤔How to take our values and professional goals and align with promotion requirements? 🥼 What to keep in mind?
Check out the article!
🎥 @docwithbowtie.bsky.social
📝 Dr. Valerie Lang et al
🔗 bit.ly/4ryHQpb
🤔How to take our values and professional goals and align with promotion requirements? 🥼 What to keep in mind?
Check out the article!
🎥 @docwithbowtie.bsky.social
📝 Dr. Valerie Lang et al
🔗 bit.ly/4ryHQpb
The racist yt Christian-nationalist organization is putting on an alternate #halftime show that displays those values. But let’s face it, #BadBunny is definitely going to put on a better show than #KidRock.
Ending: duet w/ @iamsofiabella.bsky.social #SuperBowlLX
Ending: duet w/ @iamsofiabella.bsky.social #SuperBowlLX
February 7, 2026 at 2:51 PM
The racist yt Christian-nationalist organization is putting on an alternate #halftime show that displays those values. But let’s face it, #BadBunny is definitely going to put on a better show than #KidRock.
Ending: duet w/ @iamsofiabella.bsky.social #SuperBowlLX
Ending: duet w/ @iamsofiabella.bsky.social #SuperBowlLX
Currently watching #SchittsCreek to honor Catherine O’Hara.
Looks like I’m gonna play Becoming on my laptop once for each time I see a commercial for the movie about the current First Lady. 🤷🏾♂️
Looks like I’m gonna play Becoming on my laptop once for each time I see a commercial for the movie about the current First Lady. 🤷🏾♂️
February 1, 2026 at 11:45 PM
Currently watching #SchittsCreek to honor Catherine O’Hara.
Looks like I’m gonna play Becoming on my laptop once for each time I see a commercial for the movie about the current First Lady. 🤷🏾♂️
Looks like I’m gonna play Becoming on my laptop once for each time I see a commercial for the movie about the current First Lady. 🤷🏾♂️
#OwlImpression If you’re a parent or you just (actually) care about children, you know that this administration is wrong in every way.
- Vote out GOP this year
- Call your Senators (no ⬆️💰for 🧊)
- Donate to Your local immigrant coalition funds
Immigrant law defense funds
- Vote out GOP this year
- Call your Senators (no ⬆️💰for 🧊)
- Donate to Your local immigrant coalition funds
Immigrant law defense funds
February 1, 2026 at 8:55 PM
#OwlImpression If you’re a parent or you just (actually) care about children, you know that this administration is wrong in every way.
- Vote out GOP this year
- Call your Senators (no ⬆️💰for 🧊)
- Donate to Your local immigrant coalition funds
Immigrant law defense funds
- Vote out GOP this year
- Call your Senators (no ⬆️💰for 🧊)
- Donate to Your local immigrant coalition funds
Immigrant law defense funds
#Duet with @hollywoodtramp
#NickiMinaj, a former undocumented immigrant, is betraying other undocumented immigrants (many of whom are here through legal means awaiting citizenship before the administration took it from them) by throwing her lot in with fascists.
#NickiMinaj, a former undocumented immigrant, is betraying other undocumented immigrants (many of whom are here through legal means awaiting citizenship before the administration took it from them) by throwing her lot in with fascists.
February 1, 2026 at 4:39 PM
#Duet with @hollywoodtramp
#NickiMinaj, a former undocumented immigrant, is betraying other undocumented immigrants (many of whom are here through legal means awaiting citizenship before the administration took it from them) by throwing her lot in with fascists.
#NickiMinaj, a former undocumented immigrant, is betraying other undocumented immigrants (many of whom are here through legal means awaiting citizenship before the administration took it from them) by throwing her lot in with fascists.
Can someone please explain to #BabyWithBowtie that the little springy doorstops are meant to be flicked so they make a funny noise and NOT TO PUT IN YOUR MOUTH, BABY NO-
February 1, 2026 at 12:52 AM
Can someone please explain to #BabyWithBowtie that the little springy doorstops are meant to be flicked so they make a funny noise and NOT TO PUT IN YOUR MOUTH, BABY NO-
Do y’all ever think about people who you haven’t heard from in a long time, but you’re okay with that because you wouldn’t be surprised to find out they were at J6 or have joined ICE?
January 31, 2026 at 3:03 AM
Do y’all ever think about people who you haven’t heard from in a long time, but you’re okay with that because you wouldn’t be surprised to find out they were at J6 or have joined ICE?
Got a person at Sen. Gillibrand’s office today. I had to explain that though the Senate voted to separate DHS funding yesterday, there are still restrictions to place and implement as they negotiate funds.
I.C.E. is already funded, so no additional funds, but also:
I.C.E. is already funded, so no additional funds, but also:
January 30, 2026 at 3:39 PM
Got a person at Sen. Gillibrand’s office today. I had to explain that though the Senate voted to separate DHS funding yesterday, there are still restrictions to place and implement as they negotiate funds.
I.C.E. is already funded, so no additional funds, but also:
I.C.E. is already funded, so no additional funds, but also:
Another callback to 2020-21: nothing threatens my faith in humanity more than seeing the xenophobic comments, especially from people who claim to be Christians, about people who should be our neighbors, many of whom are here legally even if they are currently undocumented.
January 29, 2026 at 2:40 PM
Another callback to 2020-21: nothing threatens my faith in humanity more than seeing the xenophobic comments, especially from people who claim to be Christians, about people who should be our neighbors, many of whom are here legally even if they are currently undocumented.
A moment of levity and nostalgia. Take a deep breath and then call your Senators. Check out @EmilyinYourPhone.bsky.social for greater explanations on why this is important.
#Owl #OwlImpression #90sThrowback #TootsiePop
#Owl #OwlImpression #90sThrowback #TootsiePop
January 28, 2026 at 12:01 PM
A moment of levity and nostalgia. Take a deep breath and then call your Senators. Check out @EmilyinYourPhone.bsky.social for greater explanations on why this is important.
#Owl #OwlImpression #90sThrowback #TootsiePop
#Owl #OwlImpression #90sThrowback #TootsiePop
Whitney Cummings perfectly encapsulates why “MAGA comedian” is an oxymoron.
This “joke” pattern of “two things definitely can’t be true, obviously the left are hypocrites” must kill at the RNC and clearly for #Rogan’s #DunningKruger audience.
Still might be the funniest comedian MAGA has. 🤷🏾♂️
This “joke” pattern of “two things definitely can’t be true, obviously the left are hypocrites” must kill at the RNC and clearly for #Rogan’s #DunningKruger audience.
Still might be the funniest comedian MAGA has. 🤷🏾♂️
January 27, 2026 at 1:03 PM
Whitney Cummings perfectly encapsulates why “MAGA comedian” is an oxymoron.
This “joke” pattern of “two things definitely can’t be true, obviously the left are hypocrites” must kill at the RNC and clearly for #Rogan’s #DunningKruger audience.
Still might be the funniest comedian MAGA has. 🤷🏾♂️
This “joke” pattern of “two things definitely can’t be true, obviously the left are hypocrites” must kill at the RNC and clearly for #Rogan’s #DunningKruger audience.
Still might be the funniest comedian MAGA has. 🤷🏾♂️
Lots of #Whataboutism when it comes to m*rd*r victims. Don’t let it obscure the real problem, which is an organization 🧊that is harming Americans and needs to be melted. #AbolishICE
January 26, 2026 at 9:28 PM
Lots of #Whataboutism when it comes to m*rd*r victims. Don’t let it obscure the real problem, which is an organization 🧊that is harming Americans and needs to be melted. #AbolishICE
Reposted by Joe Thomas, MD, FHM
It appears I am, once again, a Seattle #Seahawks fan. Because I remain a #NotThePatriots fan. #GoBills
January 26, 2026 at 4:45 PM
It appears I am, once again, a Seattle #Seahawks fan. Because I remain a #NotThePatriots fan. #GoBills
In 2020 it was healthcare workers who were anti-vax or anti-mask.
In 2026 (before, too, but esp now), it’s healthcare workers supporting ICE.
They just unalived one of our own, which only affirms that supporting ICE is traitorous to our profession (but we knew that already).
In 2026 (before, too, but esp now), it’s healthcare workers supporting ICE.
They just unalived one of our own, which only affirms that supporting ICE is traitorous to our profession (but we knew that already).
January 25, 2026 at 12:21 AM
In 2020 it was healthcare workers who were anti-vax or anti-mask.
In 2026 (before, too, but esp now), it’s healthcare workers supporting ICE.
They just unalived one of our own, which only affirms that supporting ICE is traitorous to our profession (but we knew that already).
In 2026 (before, too, but esp now), it’s healthcare workers supporting ICE.
They just unalived one of our own, which only affirms that supporting ICE is traitorous to our profession (but we knew that already).
Multiple posts on social media platforms by Republicans who are now cheering on kidnapping and murder, and who suddenly think a concealed carry weapon that WASN’T DRAWN is cause for murder.
Many claim to be Christian or in favor of 1A or 2A. Liars.
Many claim to be Christian or in favor of 1A or 2A. Liars.
January 24, 2026 at 10:12 PM
Multiple posts on social media platforms by Republicans who are now cheering on kidnapping and murder, and who suddenly think a concealed carry weapon that WASN’T DRAWN is cause for murder.
Many claim to be Christian or in favor of 1A or 2A. Liars.
Many claim to be Christian or in favor of 1A or 2A. Liars.
Just finished The Man Of Many Fathers by @roywoodjr.bsky.social in the best way: listening to audiobook while holding my 10-month-old son.
Funny parts, but more of it was frankly thoughtful and engrossing, with messages to HIS son that had me taking notes.
Mr. Wood, this book was great.
Funny parts, but more of it was frankly thoughtful and engrossing, with messages to HIS son that had me taking notes.
Mr. Wood, this book was great.
January 23, 2026 at 9:12 PM
Just finished The Man Of Many Fathers by @roywoodjr.bsky.social in the best way: listening to audiobook while holding my 10-month-old son.
Funny parts, but more of it was frankly thoughtful and engrossing, with messages to HIS son that had me taking notes.
Mr. Wood, this book was great.
Funny parts, but more of it was frankly thoughtful and engrossing, with messages to HIS son that had me taking notes.
Mr. Wood, this book was great.
Original post from @bullcityanna, words in black and white mine.
There is no reforming or educating this. When Trump talks about thugs and criminals, he thinks he means immigrants, but the actual thugs and criminals are the ones employed by ICE, kidnapping kids. #AbolishICE
There is no reforming or educating this. When Trump talks about thugs and criminals, he thinks he means immigrants, but the actual thugs and criminals are the ones employed by ICE, kidnapping kids. #AbolishICE
January 22, 2026 at 10:01 PM
Original post from @bullcityanna, words in black and white mine.
There is no reforming or educating this. When Trump talks about thugs and criminals, he thinks he means immigrants, but the actual thugs and criminals are the ones employed by ICE, kidnapping kids. #AbolishICE
There is no reforming or educating this. When Trump talks about thugs and criminals, he thinks he means immigrants, but the actual thugs and criminals are the ones employed by ICE, kidnapping kids. #AbolishICE
Facebook friend: “we used to be able to have differing opinions without blocking each other.”
Also FB friend: supports anti-trans legislation that harms people she interacts with daily.
Also laughed at me when I called J6 an insurrection (I was not the one who blocked her).
Also FB friend: supports anti-trans legislation that harms people she interacts with daily.
Also laughed at me when I called J6 an insurrection (I was not the one who blocked her).
January 21, 2026 at 5:11 PM
Facebook friend: “we used to be able to have differing opinions without blocking each other.”
Also FB friend: supports anti-trans legislation that harms people she interacts with daily.
Also laughed at me when I called J6 an insurrection (I was not the one who blocked her).
Also FB friend: supports anti-trans legislation that harms people she interacts with daily.
Also laughed at me when I called J6 an insurrection (I was not the one who blocked her).
Just saw someone comment on a post about ICE that if people think ICE wants to “waste time on legal folks” that we need to think again.
My brother in Christ, that’s like 95% of what they’re doing.
My brother in Christ, that’s like 95% of what they’re doing.
January 19, 2026 at 5:20 PM
Just saw someone comment on a post about ICE that if people think ICE wants to “waste time on legal folks” that we need to think again.
My brother in Christ, that’s like 95% of what they’re doing.
My brother in Christ, that’s like 95% of what they’re doing.
Turning my thoughts today to Dr. Martin Luther King Jr., á la James Taylor, but also trying not to gloss over his real message, his real legacy. And trying to acknowledge the precipice off of which we are falling in 2026.
open.substack.com/pub/docwithb...
#MLKDay #MartinLutherKingJr
open.substack.com/pub/docwithb...
#MLKDay #MartinLutherKingJr
January 19, 2026 at 12:14 PM
Turning my thoughts today to Dr. Martin Luther King Jr., á la James Taylor, but also trying not to gloss over his real message, his real legacy. And trying to acknowledge the precipice off of which we are falling in 2026.
open.substack.com/pub/docwithb...
#MLKDay #MartinLutherKingJr
open.substack.com/pub/docwithb...
#MLKDay #MartinLutherKingJr