Natalie (prev “NanouTheNomad”)
@drnataliestahl.bsky.social
Harm reduction | addiction & family med | public heath | band geek | MD, MPH via Bowdoin, UW, Emory, Lawrence FMR, and @yaleadm | she/her |
Opinions my own.
#medsky #harmreduction #fmrevolution
Opinions my own.
#medsky #harmreduction #fmrevolution
Pinned
Following along with @elizabethjacobs.bsky.social posts, depressed already 😢
Here is the link to the ACIP livestream if you want to follow along with the goat rodeo.
m.youtube.com/watch?v=Lpth...
m.youtube.com/watch?v=Lpth...
Advisory Committee on Immunization Practices (ACIP) - December 4, 2025 - Day 1 of 2
YouTube video by Centers for Disease Control and Prevention (CDC)
m.youtube.com
December 4, 2025 at 1:59 PM
Following along with @elizabethjacobs.bsky.social posts, depressed already 😢
Reposted by Natalie (prev “NanouTheNomad”)
Going to be an awful day for anyone who appreciates vaccines, as Kennedy's ACIP meets today. The agenda is up and even the person representing CDC in the first session is a hard-core antivaxxer (Mark Blaxill). Starting today at 8am Eastern.
www.cdc.gov
December 4, 2025 at 11:44 AM
Going to be an awful day for anyone who appreciates vaccines, as Kennedy's ACIP meets today. The agenda is up and even the person representing CDC in the first session is a hard-core antivaxxer (Mark Blaxill). Starting today at 8am Eastern.
Reposted by Natalie (prev “NanouTheNomad”)
Every year since 1988, the United States has recognized World AIDS Day — until now.
Why not? Maybe because the Trump administration doesn’t want to acknowledge that its foreign aid cuts led to nearly 150,000 deaths from AIDS, according to Boston University researchers.
Shameful.
Why not? Maybe because the Trump administration doesn’t want to acknowledge that its foreign aid cuts led to nearly 150,000 deaths from AIDS, according to Boston University researchers.
Shameful.
Trump Administration Will No Longer Commemorate World AIDS Day
www.nytimes.com
December 1, 2025 at 10:02 PM
Every year since 1988, the United States has recognized World AIDS Day — until now.
Why not? Maybe because the Trump administration doesn’t want to acknowledge that its foreign aid cuts led to nearly 150,000 deaths from AIDS, according to Boston University researchers.
Shameful.
Why not? Maybe because the Trump administration doesn’t want to acknowledge that its foreign aid cuts led to nearly 150,000 deaths from AIDS, according to Boston University researchers.
Shameful.
Reposted by Natalie (prev “NanouTheNomad”)
In the Holocaust, Nazis captured my grandpa’s sister Sheinale (Yiddish for "beautiful") & her family & executed them in a forest in Lithuania. Their bodies are in an unmarked forest grave.
In contrast, Covid vaccines saved an estimated 20 million lives in their 1st year of use.
See the difference?
In contrast, Covid vaccines saved an estimated 20 million lives in their 1st year of use.
See the difference?
Just when I thought I'd seen it all........
endpoints.news/new-acip-cha....
endpoints.news/new-acip-cha....
December 1, 2025 at 11:22 PM
In the Holocaust, Nazis captured my grandpa’s sister Sheinale (Yiddish for "beautiful") & her family & executed them in a forest in Lithuania. Their bodies are in an unmarked forest grave.
In contrast, Covid vaccines saved an estimated 20 million lives in their 1st year of use.
See the difference?
In contrast, Covid vaccines saved an estimated 20 million lives in their 1st year of use.
See the difference?
I am not someone who enjoyed learning math in school, but I do think some standard of math proficiency is a reasonable ask of our elected officials.
November 30, 2025 at 9:24 PM
I am not someone who enjoyed learning math in school, but I do think some standard of math proficiency is a reasonable ask of our elected officials.
Ok so if I keep my apartment at 70°F, and take a hot shower when I get home, and wear long sleeved shirt & light sweater & heated blanket that has a battery pack so I can wear it around my torso like a shawl, then I can feel truly warm/comfortable walking around 🙃🥶
November 30, 2025 at 4:30 AM
Ok so if I keep my apartment at 70°F, and take a hot shower when I get home, and wear long sleeved shirt & light sweater & heated blanket that has a battery pack so I can wear it around my torso like a shawl, then I can feel truly warm/comfortable walking around 🙃🥶
If ever you wonder why drug user activists and harm reductionists in fields like mine talk about the value of a safe supply: read this.
Can drugs themselves cause harm? Sure, sometimes, just as alcohol does, around the world, every day….
www.theguardian.com/society/2025...
Can drugs themselves cause harm? Sure, sometimes, just as alcohol does, around the world, every day….
www.theguardian.com/society/2025...
Brain damage, blindness and death: the global trail of trauma left by methanol-laced alcohol
Methanol, a cheap relative of ethanol, is entering the supply chain, causing thousands of deaths around the world
www.theguardian.com
November 30, 2025 at 3:40 AM
If ever you wonder why drug user activists and harm reductionists in fields like mine talk about the value of a safe supply: read this.
Can drugs themselves cause harm? Sure, sometimes, just as alcohol does, around the world, every day….
www.theguardian.com/society/2025...
Can drugs themselves cause harm? Sure, sometimes, just as alcohol does, around the world, every day….
www.theguardian.com/society/2025...
Reposted by Natalie (prev “NanouTheNomad”)
seasonal reminder that if someone says they don't drink:
-it's none of your business why
-hosts should have several non-alcoholic beverage options
-the holidays can be a tough period for non-drinkers
-many jokes about not drinking are bad
-people are burned out and might just be tired
-it's none of your business why
-hosts should have several non-alcoholic beverage options
-the holidays can be a tough period for non-drinkers
-many jokes about not drinking are bad
-people are burned out and might just be tired
November 28, 2025 at 3:50 PM
seasonal reminder that if someone says they don't drink:
-it's none of your business why
-hosts should have several non-alcoholic beverage options
-the holidays can be a tough period for non-drinkers
-many jokes about not drinking are bad
-people are burned out and might just be tired
-it's none of your business why
-hosts should have several non-alcoholic beverage options
-the holidays can be a tough period for non-drinkers
-many jokes about not drinking are bad
-people are burned out and might just be tired
Reposted by Natalie (prev “NanouTheNomad”)
Homeland Security doesn’t grasp the fact that the first Thanksgiving was about making “room at the table” for European “invaders.”
November 27, 2025 at 11:57 PM
Homeland Security doesn’t grasp the fact that the first Thanksgiving was about making “room at the table” for European “invaders.”
Well things in this country are very bad awful, but I didn’t have to work today, and I got to see niblings delight in fun with leaves, so that was very nice
November 29, 2025 at 4:40 AM
Well things in this country are very bad awful, but I didn’t have to work today, and I got to see niblings delight in fun with leaves, so that was very nice
Today I talked to a patient who is doing SO well a few months after I met them in ("oh! you're the one who always brought me candy!"), and another patient brought me the most hilarious/sweet gift. yes it's 1:30am on Thanksgiving and I am writing notes, but I am grateful for my job!
November 27, 2025 at 6:32 AM
Today I talked to a patient who is doing SO well a few months after I met them in ("oh! you're the one who always brought me candy!"), and another patient brought me the most hilarious/sweet gift. yes it's 1:30am on Thanksgiving and I am writing notes, but I am grateful for my job!
Why oh why is MassHealth so obsessed with restricting access to monoproduct burpenorphine? I truly do not understand.
November 27, 2025 at 6:29 AM
Why oh why is MassHealth so obsessed with restricting access to monoproduct burpenorphine? I truly do not understand.
You know, sometimes I really regret letting the hospital suck up my energy and attention until 8pm, and sometimes I’m like “well, it’s better than reading the absurd news of the day”
November 26, 2025 at 7:41 AM
You know, sometimes I really regret letting the hospital suck up my energy and attention until 8pm, and sometimes I’m like “well, it’s better than reading the absurd news of the day”
Reposted by Natalie (prev “NanouTheNomad”)
1. A landmark study was just published in The Journal of Pediatrics.
It found a 68% reduction in suicidality for trans youth getting HRT.
It also found only 7 of more than 400 stopped taking HRT... and of those that did, 4 still identified as gender-diverse.
Transgender care saves lives.
It found a 68% reduction in suicidality for trans youth getting HRT.
It also found only 7 of more than 400 stopped taking HRT... and of those that did, 4 still identified as gender-diverse.
Transgender care saves lives.
Study In The Journal Of Pediatrics Finds Trans Youth Care Lowers Suicidality, Few Detransition
The groundbreaking study found that suicidality dropped for transgender youth receiving hormone therapy by nearly 70%, with only 7 patients of 432 discontinuing treatment.
www.erininthemorning.com
November 24, 2025 at 11:01 PM
1. A landmark study was just published in The Journal of Pediatrics.
It found a 68% reduction in suicidality for trans youth getting HRT.
It also found only 7 of more than 400 stopped taking HRT... and of those that did, 4 still identified as gender-diverse.
Transgender care saves lives.
It found a 68% reduction in suicidality for trans youth getting HRT.
It also found only 7 of more than 400 stopped taking HRT... and of those that did, 4 still identified as gender-diverse.
Transgender care saves lives.
Reposted by Natalie (prev “NanouTheNomad”)
Not the worst thing about this of course, but the idea that medieval Europe judicially executed 2% of the population is ludicrous. Even at the highest peaks you get nowhere close to 1 in every 50 people. That's wartime massacres territory.
November 24, 2025 at 12:58 AM
Not the worst thing about this of course, but the idea that medieval Europe judicially executed 2% of the population is ludicrous. Even at the highest peaks you get nowhere close to 1 in every 50 people. That's wartime massacres territory.
Its hard to keep up with the bad news
Hearing news that Carl Dieffenbach, the Director of the Division of AIDS at #NIH (NIAID), has been removed from his position because he was "not aligned with HHS/OMB."
Russell Vought continues to remove great scientists as part of the Project 2025 mission to politicize and destroy NIH.
🧪 1/
Russell Vought continues to remove great scientists as part of the Project 2025 mission to politicize and destroy NIH.
🧪 1/
November 24, 2025 at 12:16 PM
Its hard to keep up with the bad news
Reposted by Natalie (prev “NanouTheNomad”)
An extraordinary, beautiful, and heartbreaking piece by writer & environmentalist Tatiana Schlossberg (Caroline Kennedy’s daughter).
My prayers go out to her and her family.
www.newyorker.com/culture/the-...
My prayers go out to her and her family.
www.newyorker.com/culture/the-...
A Battle with My Blood
When I was diagnosed with leukemia, my first thought was that this couldn’t be happening to me, to my family.
www.newyorker.com
November 22, 2025 at 2:41 PM
An extraordinary, beautiful, and heartbreaking piece by writer & environmentalist Tatiana Schlossberg (Caroline Kennedy’s daughter).
My prayers go out to her and her family.
www.newyorker.com/culture/the-...
My prayers go out to her and her family.
www.newyorker.com/culture/the-...
Reposted by Natalie (prev “NanouTheNomad”)
these are some messed up times
November 21, 2025 at 5:30 PM
these are some messed up times
Reposted by Natalie (prev “NanouTheNomad”)
Your periodic reminder that there’s nothing magical about meth for causing dental decay! Stimulants of all varieties dry out the mouth, and *that* causes tooth decay. Lots of other meds do this, too. If a med makes your mouth dry, it can mess with your teeth.
To avoid drug-related dental issues:
To avoid drug-related dental issues:
November 21, 2025 at 5:53 PM
Your periodic reminder that there’s nothing magical about meth for causing dental decay! Stimulants of all varieties dry out the mouth, and *that* causes tooth decay. Lots of other meds do this, too. If a med makes your mouth dry, it can mess with your teeth.
To avoid drug-related dental issues:
To avoid drug-related dental issues:
Reposted by Natalie (prev “NanouTheNomad”)
Kelly: "I never expected after serving 25 years in the Navy flying combat missions over Iraq and Kuwait, flying the Space Shuttle, that now I've got to worry about my personal safety and that of my wife, Gabby Giffords, who was already nearly assassinated, because of something the president said."
November 21, 2025 at 2:08 AM
Kelly: "I never expected after serving 25 years in the Navy flying combat missions over Iraq and Kuwait, flying the Space Shuttle, that now I've got to worry about my personal safety and that of my wife, Gabby Giffords, who was already nearly assassinated, because of something the president said."
Reposted by Natalie (prev “NanouTheNomad”)
If you receive an illegal order, you have a duty to disobey.
This isn’t controversial.
A President calling for the execution of anyone who reminds service members of this oath is showing us why the duty to disobey illegal orders is so important in the first place.
This isn’t controversial.
A President calling for the execution of anyone who reminds service members of this oath is showing us why the duty to disobey illegal orders is so important in the first place.
November 21, 2025 at 12:14 AM
If you receive an illegal order, you have a duty to disobey.
This isn’t controversial.
A President calling for the execution of anyone who reminds service members of this oath is showing us why the duty to disobey illegal orders is so important in the first place.
This isn’t controversial.
A President calling for the execution of anyone who reminds service members of this oath is showing us why the duty to disobey illegal orders is so important in the first place.
hive mind, I need help!
Lawrence just passed an anti-camping ordinance that has stricter rules within 1000ft of a school.
is there a GIS program or similar resource that would make it easy to map this?
Lawrence just passed an anti-camping ordinance that has stricter rules within 1000ft of a school.
is there a GIS program or similar resource that would make it easy to map this?
November 19, 2025 at 11:03 PM
hive mind, I need help!
Lawrence just passed an anti-camping ordinance that has stricter rules within 1000ft of a school.
is there a GIS program or similar resource that would make it easy to map this?
Lawrence just passed an anti-camping ordinance that has stricter rules within 1000ft of a school.
is there a GIS program or similar resource that would make it easy to map this?
Things I’ve learned at #AMERSA25:
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
November 15, 2025 at 7:42 PM
Things I’ve learned at #AMERSA25:
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
Things I’ve learnedthis conference
November 15, 2025 at 7:40 PM
Things I’ve learnedthis conference