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
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Ryan Marino, MD
@ryanmarino.bsky.social
· Feb 13
The Myth(s) of Fentanyl Exposure
YouTube video by Ryan Marino, MD
www.youtube.com
I made this video about what is really going on with these “fentanyl exposure” stories because I got tired of explaining the same thing over and over: www.youtube.com/watch?v=215h...
Reposted by Ryan Marino, MD
So far there is no evidence that this did not occur.
The claim "RFK Jr was not bitten by a zombie" is not an evidence-based claim because studies have not ruled out the possibility that RFK Jr was indeed bitten by a zombie.
The claim "RFK Jr was not bitten by a zombie" is not an evidence-based claim because studies have not ruled out the possibility that RFK Jr was indeed bitten by a zombie.
November 22, 2025 at 4:41 PM
So far there is no evidence that this did not occur.
The claim "RFK Jr was not bitten by a zombie" is not an evidence-based claim because studies have not ruled out the possibility that RFK Jr was indeed bitten by a zombie.
The claim "RFK Jr was not bitten by a zombie" is not an evidence-based claim because studies have not ruled out the possibility that RFK Jr was indeed bitten by a zombie.
Reposted by Ryan Marino, MD
I wrote about the absurdity of the COPs failing to make fossil fuels the villain.
"We have spent 30 years trying to arrive at the place we should have started: that fossil fuels must go."
"We have spent 30 years trying to arrive at the place we should have started: that fossil fuels must go."
The UN Climate Process Still Doesn't Understand the Assignment
The original sin of the UN's work was to fail to center coal, oil, and gas as the primary villains in the entire enterprise.
www.gravityisgone.com
November 24, 2025 at 7:12 PM
I wrote about the absurdity of the COPs failing to make fossil fuels the villain.
"We have spent 30 years trying to arrive at the place we should have started: that fossil fuels must go."
"We have spent 30 years trying to arrive at the place we should have started: that fossil fuels must go."
Reposted by Ryan Marino, MD
Out today: “The State of Texas makes every inmate seem like the most evil, horrible [person]. We demonize them, and we don’t see the trauma of people like Pam Perillo.”
Pam Perillo’s Sisterhood of the Condemned
She's a death row survivor, but she doesn't think she's really any different from her friends who are still set to die.
www.texasobserver.org
November 24, 2025 at 7:30 PM
Out today: “The State of Texas makes every inmate seem like the most evil, horrible [person]. We demonize them, and we don’t see the trauma of people like Pam Perillo.”
Reposted by Ryan Marino, MD
This is a story about how America’s world-leading cancer and dementia research system was destroyed by frauds and naifs who broke the law.
There must be consequences.
There must be consequences.
Some incredible details in this piece
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
November 22, 2025 at 10:12 PM
This is a story about how America’s world-leading cancer and dementia research system was destroyed by frauds and naifs who broke the law.
There must be consequences.
There must be consequences.
Reposted by Ryan Marino, MD
Some incredible details in this piece
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
November 22, 2025 at 8:15 PM
Some incredible details in this piece
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
*one DOGE faction was planning the future of the US government at a venture capital firm
*illegally communicating on Signal to avoid transparency laws was deeply embedded into organizational culture to be taken for granted
Reposted by Ryan Marino, MD
Climate change is going to push global food inflation to extreme highs over the coming decade.
Most people don’t realise how precarious most of agriculture globally is right now.
Most people don’t realise how precarious most of agriculture globally is right now.
November 24, 2025 at 5:08 PM
Climate change is going to push global food inflation to extreme highs over the coming decade.
Most people don’t realise how precarious most of agriculture globally is right now.
Most people don’t realise how precarious most of agriculture globally is right now.
Emmanuel walked away from his mom’s fruit stand to find a bathroom. She looked for him all over Houston, and after several hours, she filed a missing person’s report with Houston PD. Houston firefighters found him within 24 hours. But police turned him over to ICE, who held him captive for 48 days.
Emmanuel, a 15-year-old with intellectual disabilities, wandered away from his mom’s fruit stand in October.
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
A Disabled Child’s Mom Reported Him Missing. He Was Locked Away by Federal Immigration Authorities for 48 Days.
Emmanuel, a 15-year-old who has an intellectual disability, walked away from his mom’s fruit stand in October. Houston Police called ICE.
thebarbedwire.com
November 24, 2025 at 6:29 PM
Emmanuel walked away from his mom’s fruit stand to find a bathroom. She looked for him all over Houston, and after several hours, she filed a missing person’s report with Houston PD. Houston firefighters found him within 24 hours. But police turned him over to ICE, who held him captive for 48 days.
Reposted by Ryan Marino, MD
Emmanuel, a 15-year-old with intellectual disabilities, wandered away from his mom’s fruit stand in October.
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
A Disabled Child’s Mom Reported Him Missing. He Was Locked Away by Federal Immigration Authorities for 48 Days.
Emmanuel, a 15-year-old who has an intellectual disability, walked away from his mom’s fruit stand in October. Houston Police called ICE.
thebarbedwire.com
November 24, 2025 at 3:03 PM
Emmanuel, a 15-year-old with intellectual disabilities, wandered away from his mom’s fruit stand in October.
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
She reported him missing to Houston police. But instead of reuniting them, the city turned him over to ICE.
“They’re failing all of us,” his mom said.
thebarbedwire.com/2025/11/24/d...
Reposted by Ryan Marino, MD
Every Democrat in Congress should put out a video saying troops have an obligation to refuse unlawful orders. Make them prosecute all of you. This isn't a close call.
I'd add Republicans too if I thought any of them had the courage to actually cross Trump on this.
I'd add Republicans too if I thought any of them had the courage to actually cross Trump on this.
Hegseth is now threatening to recall Sen. Mark Kelly to active duty in order to court martial him.
November 24, 2025 at 5:52 PM
Every Democrat in Congress should put out a video saying troops have an obligation to refuse unlawful orders. Make them prosecute all of you. This isn't a close call.
I'd add Republicans too if I thought any of them had the courage to actually cross Trump on this.
I'd add Republicans too if I thought any of them had the courage to actually cross Trump on this.
Reposted by Ryan Marino, MD
“Within the White House, Trump and his lieutenants aren’t planning on letting up…Trump has told some advisers that he wants RICO prosecutions and conspiracy charges leveled against the six Democrats, a source with direct knowledge of the matter tells Zeteo…
zeteo.com/p/how-we-gre...
zeteo.com/p/how-we-gre...
November 24, 2025 at 6:19 PM
“Within the White House, Trump and his lieutenants aren’t planning on letting up…Trump has told some advisers that he wants RICO prosecutions and conspiracy charges leveled against the six Democrats, a source with direct knowledge of the matter tells Zeteo…
zeteo.com/p/how-we-gre...
zeteo.com/p/how-we-gre...
Making America Healthy with objectively toxic chemicals that persist in the environment for thousands of years
The EPA has approved two new pesticides with "forever chemicals" that will be used on food.
The agency has also announced plans for four additional approvals.
The approved pesticides will be used on vegetables such as romaine lettuce, broccoli and potatoes.
The agency has also announced plans for four additional approvals.
The approved pesticides will be used on vegetables such as romaine lettuce, broccoli and potatoes.
November 24, 2025 at 6:19 PM
Making America Healthy with objectively toxic chemicals that persist in the environment for thousands of years
Reposted by Ryan Marino, MD
The CDC is lying to you about vaccines and autism. The CDC webpage about vaccines and autism now misrepresents the science and lies to the public about vaccines and autism. It’s just part of RFK Jr.'s ongoing war on vaccines. sciencebasedmedicine.org/the-cdc-is-l...
The CDC is lying to you about vaccines and autism
The CDC webpage about vaccines and autism now misrepresents the science and lies to the public about vaccines and autism. It's just part of HHS Secretary Robert F. Kennedy Jr.'s continuing war on vacc
sciencebasedmedicine.org
November 24, 2025 at 1:57 PM
The CDC is lying to you about vaccines and autism. The CDC webpage about vaccines and autism now misrepresents the science and lies to the public about vaccines and autism. It’s just part of RFK Jr.'s ongoing war on vaccines. sciencebasedmedicine.org/the-cdc-is-l...
Reposted by Ryan Marino, MD
“By focusing on mostly arterial streets and closing key network connection gaps” when building new bike lanes, Boston was able to increase both “the number of people biking, and the percentage of all traffic they make up.” The number of bikes counted on the network went up by 55%.
The latest evaluation of bike lane projects in Boston continues to show that if you build bike infrastructure, people will use it.
Full report: www.boston.gov/sites/defaul...
Full report: www.boston.gov/sites/defaul...
November 24, 2025 at 3:23 PM
“By focusing on mostly arterial streets and closing key network connection gaps” when building new bike lanes, Boston was able to increase both “the number of people biking, and the percentage of all traffic they make up.” The number of bikes counted on the network went up by 55%.
Reposted by Ryan Marino, MD
What a strange framing and characterization. How does one describe his blatantly dishonest, racist question about taxes as “press[ing] the Mayor-elect on his policy proposals”? In what way does this lying troll emerge as a “winner“?
November 24, 2025 at 11:50 AM
What a strange framing and characterization. How does one describe his blatantly dishonest, racist question about taxes as “press[ing] the Mayor-elect on his policy proposals”? In what way does this lying troll emerge as a “winner“?
Reposted by Ryan Marino, MD
I just feel we need to keep saying, over and over, that the problem with DOGE was not its failure to cut spending. the problem with DOGE is that it CUT GLOBAL AID LEADING TO THE DEATHS OF 600K PEOPLE AND COUNTING. 1
DOGE is one of the greatest failures of the Trump administration. The next Democratic administration should pick up that issue and actually work to cut government waste, fraud, and abuse. I’d suggest starting by taking a look at Elon Musk’s government contracts.
November 24, 2025 at 5:17 PM
I just feel we need to keep saying, over and over, that the problem with DOGE was not its failure to cut spending. the problem with DOGE is that it CUT GLOBAL AID LEADING TO THE DEATHS OF 600K PEOPLE AND COUNTING. 1
Reposted by Ryan Marino, MD
DOGE was always a very thinly disguised con to dress up data theft and extraction class destruction of federal corporate oversight as innovative, and it's important to remember that part of the reason it worked so well is that the press helped legitimize it
hey don't be so hard on yourselves; it delivered oceans of sensitive government and citizen data to billionaires
Musk’s DOGE Quietly Killed Off After Delivering Almost Nothing
The agency disbanded eight months ahead of schedule.
www.thedailybeast.com
November 24, 2025 at 2:42 PM
DOGE was always a very thinly disguised con to dress up data theft and extraction class destruction of federal corporate oversight as innovative, and it's important to remember that part of the reason it worked so well is that the press helped legitimize it
One of the craziest things about people buying ivermectin prescriptions from scam artists like Dr. Drew and the other clingers is that ivermectin is already available without a prescription for considerably cheaper!
This is funny to me because it's obviously a bad idea for an anti parasitic with relatively narrow indications to be made OTC, however this will financially hurt grifters like Peter McCullough and The Wellness Company who sell ivermectin prescriptions online.
November 24, 2025 at 5:05 PM
One of the craziest things about people buying ivermectin prescriptions from scam artists like Dr. Drew and the other clingers is that ivermectin is already available without a prescription for considerably cheaper!
Reposted by Ryan Marino, MD
When the prison guards went on strike, many inmates said they were doing so to preserve their ability to do things like this.
A @nytimes.com investigation has found that state prison guards have been credibly accused of engaging in such behavior — putting inmates in restraints and then assaulting them — far more often than was previously known.
Restrained, Beaten, Asphyxiated: New York Prison Guards’ Brutality Grows
www.nytimes.com
November 24, 2025 at 3:30 PM
When the prison guards went on strike, many inmates said they were doing so to preserve their ability to do things like this.
Reposted by Ryan Marino, MD
It’s neither the lawful answer nor is it the oath they took.
BLITZER: I want to be precise. Should members of the US military obey clearly illegal orders?
McCLAIN: You're asking an enlisted person for their opinion on what they think is legal. That's a pretty slippery slope. Follow your commander in chief. That's the oath that you took
(Not a no!)
McCLAIN: You're asking an enlisted person for their opinion on what they think is legal. That's a pretty slippery slope. Follow your commander in chief. That's the oath that you took
(Not a no!)
November 24, 2025 at 4:58 PM
It’s neither the lawful answer nor is it the oath they took.
Reposted by Ryan Marino, MD
A @nytimes.com investigation has found that state prison guards have been credibly accused of engaging in such behavior — putting inmates in restraints and then assaulting them — far more often than was previously known.
Restrained, Beaten, Asphyxiated: New York Prison Guards’ Brutality Grows
www.nytimes.com
November 24, 2025 at 1:50 PM
A @nytimes.com investigation has found that state prison guards have been credibly accused of engaging in such behavior — putting inmates in restraints and then assaulting them — far more often than was previously known.
Reposted by Ryan Marino, MD
You know what, I'm just gonna re-up this post
November 24, 2025 at 3:04 PM
You know what, I'm just gonna re-up this post
Reposted by Ryan Marino, MD
A reminder that gas-powered leafblowers are nightmare devices that are bad for you, bad for your lawn, and very bad for the environment. They fume and scream and kill the world all so you can messily and ineffectively move leaves around, leaves which are generally supposed to stay where they fell.
November 24, 2025 at 2:58 PM
A reminder that gas-powered leafblowers are nightmare devices that are bad for you, bad for your lawn, and very bad for the environment. They fume and scream and kill the world all so you can messily and ineffectively move leaves around, leaves which are generally supposed to stay where they fell.
Next they’re gonna want to count everybody’s Jewish grandparents
Nalin Haley, the son of former 2024 presidential candidate and South Carolina Gov. Nikki Haley, said that naturalized citizens should not be allowed to hold public office. Read more: https://bit.ly/4paM8CF
November 22, 2025 at 8:06 PM
Next they’re gonna want to count everybody’s Jewish grandparents
Reposted by Ryan Marino, MD
I can attest to the small glimpse I had of this when I had Lyme disease. There’s a core group of folks (I was one) who had a tick bite that gave us a bacterial disease that cleared up after a while with medications. Unpleasant and sometimes severe, but defined. And then there was another cohort…
Please hear me when I say that
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
November 22, 2025 at 6:20 PM
I can attest to the small glimpse I had of this when I had Lyme disease. There’s a core group of folks (I was one) who had a tick bite that gave us a bacterial disease that cleared up after a while with medications. Unpleasant and sometimes severe, but defined. And then there was another cohort…
Reposted by Ryan Marino, MD
Please hear me when I say that
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
A year-long investigation reveals how mothers lost children after being radicalised by uplifting podcast tales of births without midwives or doctors
As Esau Lopez was asphyxiated for the first 17 minutes of his life on Earth, the atmosphere in the room remained serene, even ecstatic. Acoustic music crooned from a speaker in a modest two-bedroom apartment in a suburb of Pennsylvania. “You are a queen,” murmured one of three friends in the room.
Only Esau’s mother, Gabrielle Lopez, felt something was wrong. She was pushing hard, but her son would not be born. “Can you help [him] out?” she asked, as Esau crowned. “Baby is coming,” the friend replied. Four minutes later, Lopez asked again, “Can you grab [him]?” Another friend murmured, “Baby is safe.” Six minutes passed. Again, Lopez asked, “Can you grab [him]?” Continue reading...
www.theguardian.com
November 22, 2025 at 2:38 PM
Please hear me when I say that
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence
1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements
2) they pre-date the age of social media
3) they exist because we have not addressed medical sexism and specifically obstetric violence