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Jack Iwashyna

@iwashyna.bsky.social

7.9K followers 1.5K following 5.6K posts

I work at Johns Hopkins to help patients + their loved ones heal from critical illness. I mentor clinicians and other scholars to become exceptional scientists. Democracy is a Social Determinant of Health (#SDoH). Preserve it Also #ICU #Baltimore

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Jack Iwashyna @iwashyna.bsky.social · Jun 26

“On Not Betraying Our Trainees, Especially Now”

I won an Extraordinary Achievement Award from the Critical Care Assembly last month

The @atscommunity.bsky.social premier journal @atsblueeditor.bsky.social TODAY published the remarks I made on that occasion

www.atsjournals.org/doi/10.1164/...

On Not Betraying Our Trainees, Especially Now | American Journal of Respiratory and Critical Care Medicine | Articles in Press

www.atsjournals.org

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Jack Iwashyna @iwashyna.bsky.social · 8h

#RXnorm master code file???

Everybody downloads it from NLM, but NLM downloads ( www.nlm.nih.gov/research/uml... ) appear to be offline because of the Trump admin's govt shutdown. Does anyone have a copy they can share with me?

RxNorm Files

www.nlm.nih.gov

Reposted by Jack Iwashyna

utopia deferred @utopia-defer.red · 1d

This aged pretty well 😎

Olúfẹ́mi O. Táíwò @olufemiotaiwo.bsky.social · Feb 5

that said: I think the "it's not fascism unless they're good at it" brand of analysis probably isn't the move

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Reposted by Jack Iwashyna

Renee DiResta @noupside.bsky.social · 1d

“Who was president in 2020?” is the question of our time

Senator Jim Banks V
@SenatorBanks
Follow g..
The 2020 Census was a fraud. The Biden admin used a shady "privacy" formula that scrambled the data and miscounted 14 states.
It included illegal immigrants and handed
Democrats extra seats. Americans deserve a fair count and l'm fighting to fix it.
Zinited Statcs SScnate
MASHNORON DEYNN
October 6, 2025
an. Thow arewutn
Socretary
U.S. Department of Commerce Washington, DXC 20230
Dear Secretary Lutaick:
I urge you to investigate and correct erroes from the 2020 Census that handed disproportionntd political power to Democrats and illogal alicns. The Census Burcau adoptod a now and opaque
voting districts. As preparod by the Biden administration, the 2020 Censas roports miscountod the population of fourteen states, ' wrongly allocating six congressional scats aod Electoral
xx conwuu tmora uy, toc taroro tu mot đoo tnn Cunu lc pung t imber of votine districts. And the reoorts de aniovety inchaded ilecnl nhens widhout track those aliens' citiz enship status, If left uncorrected, these erroes will coetinue diluting the political power of American citizens.
Consus data plays a crucial role in allocating political roprescntation and goverment funding
Under the Constitution, cach state gets Congressional represcotutives and Electoeal College votes- based on "the whole number of persons" within the state." The number of persoes is in
tum clabaabod by a consttubocalty-mandalcd dcccacaal ccavas. Pcual agcco nely on census data to allocate billions of dollars in federal funding, much of which hinges ee opulation. And states use consus data to deaw congrossicnal and voting districts, »hich the
The it eiy of tie soaren alie n tor dur at ce hor inc ae oam toy ee n
nght wilbout statsica ly signilicant ciroo.
Diffcrcntial privacy is opaque and liable to mistakcn count totals. Sure cnough, the 2020 Ccnsus ovarocunted the noculation in cicht states and undercounted it in six." Tihe most extrcmi andercount was Arkansas, at 5.04%, and the larg…

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Reposted by Jack Iwashyna

Julie Rovner @julierovner.bsky.social · 1d

Sir, you signed the law guaranteeing back pay for furloughed workers in 2018...

Aaron Rupar @atrupar.com · 1d

Q: Is it the White House's position that furloughed workers should get backpay?

TRUMP: I would say it depends on who we're talking about

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Jack Iwashyna @iwashyna.bsky.social · 2d

“Accounting convention and IRS regulations do not allow you to immediately "expense" the cost of acquiring a fixed asset. Because fixed assets have a long productive life, you can expense only a portion of their purchase price each year as you use them. This yearly expense is called depreciation”

Reposted by Jack Iwashyna

Artologica aka Michele Banks @artologica.net · 2d

The next opening in the Women Artists of the DMV mega-show is October 8 at Maryland Hall in Annapolis www.womenartistsofthedmv.com/marylandhall

women artists of the DMV Maryland Hall flyer

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Jack Iwashyna @iwashyna.bsky.social · 2d

Hey now

Jack Iwashyna @iwashyna.bsky.social · 2d

Or how any of this is done honestly for human capital and reputation based businesses

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Jack Iwashyna @iwashyna.bsky.social · 2d

I think I am a long way away from understanding depreciation

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Jack Iwashyna @iwashyna.bsky.social · 2d

And these two pages are chock full of stuff I unfortunately cannot transcribe adequately into Alt text

Sidewise pages about income revenue sales profit

Text: Accrual Basis vs. Cash Basis
• The two major ways of running a company's books cash basis or accrual basis-differ on when the company records expenses and income.
• If income is measured when cash is received and expenses are measured when cash is spent, the business is said to be operating on a cash basis-just like your checkbook.
• If income and expenses are measured when the transactions occur —regardless of the physical flow of cash-the business is said to be operating on an accrual basis. More later.

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Jack Iwashyna @iwashyna.bsky.social · 2d

A P&L statement is an income statement not a balance sheet

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Jack Iwashyna @iwashyna.bsky.social · 2d

“Cost vs. Expense
• Two different terms, cost and expense, are used to describe how the company spends its money:
Manufacturing expenditures to build inventories are called costs.
All other business expenditures are called expenses.”

Text:

Cost vs. Expense
• Two different terms, cost and expense, are used to describe how the company spends its money:
Manufacturing expenditures to build inventories are called costs.
All other business expenditures are called expenses.
• Note: Using the terms cost and expense correctly will make it easier to understand how the Income Statement and Balance Sheet work together.
• Also note: An expenditure can be either a cost or an expense.
Expenditure simply means the use of cash to pay for an item purchased.

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Jack Iwashyna @iwashyna.bsky.social · 2d

Feel like maybe I shoulda been exposed to this earlier

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Reposted by Jack Iwashyna

Jonathan W. Gray @elmcitytree.blacksky.app · 3d

James Baldwin to Angela Davis in 1970, discussing white Americans:

Or, to put it another way, as long as white Americans take refuge in their whiteness— for so long as they are unable to walk out of this most monstrous of traps-they will allow millions of people to be slaughtered in their name, and will be manipulated into and surrender themselves to what they will think of-and justify—as a racial war. They will never, so long as their whiteness puts so sinister a distance between themselves and their own experience and the experience of others, feel themselves sufficiently human, sufficiently worthwhile, to become responsible for themselves, their leaders, their country, their children, or their fate. They will perish (as we once put it in our black church) in their sins—that is, in their delusions. And this is happening, needless to say, already, all around us.

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Jack Iwashyna @iwashyna.bsky.social · 2d

Ballerina may be the most effective advertisement for flame throwers ever

Jack Iwashyna @iwashyna.bsky.social · 3d

“Were you stuck in the elevator?”

“Yes. It was very scary”

Just flawless

a blurry picture of a woman in a dark room with blue and pink lights

Alt: a blurry picture of a woman in a dark room with blue and pink lights (it is Ana de armis)

media.tenor.com

Jack Iwashyna @iwashyna.bsky.social · 3d

Kudos to all the sailors who appropriately stop clapping when he suggests they should be used against fellow Americans, even when he pauses at the end to wait for it.

Victor Ray @victorerikray.bsky.social · 3d

The media trots out the "deplorable" comment from a decade ago to castigate the left. Once a week now Trump implies that the military should destroy democrats, and it is just how things are.

Aaron Rupar @atrupar.com · 3d

Trump to the Navy: "We have to take care of this little gnat that's on our shoulder called the Democrats."

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Jack Iwashyna @iwashyna.bsky.social · 3d

Also, why does he post these on x not truth.social?

Barb McQuade @barbmcquade.bsky.social · 3d

This is an old formula used by authoritarian regimes. Stoke chaos and blame scapegoats to justify the use of force.

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Jack Iwashyna @iwashyna.bsky.social · 3d

www.cdc.gov/chemical-eme...

Note that the CDC still has up information on treatment of exposure to riot control agents and their long term health effects

Riot Control Agents

Learn more about riot control agents and what to do if you are exposed.

www.cdc.gov

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Reposted by Jack Iwashyna

Paz Pardon me, is that a ghost in your pocket or @pazsays.bsky.social · 3d

logging on

Three small pancakes and a pancake fleck in a stainless steak pan making a screaming face.

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Reposted by Jack Iwashyna

Jack Tripper @chadstanton.blacksky.app · 3d

The fact they jumped straight to AI actors modeled after women when, if I’m not mistaken, male actors are a higher labor cost kind of says it all doesn’t it,

Dr. Damien P. Williams Wants A Better Sociotechnical Paradigm @wolvendamien.bsky.social · 3d

Like… it's kind of right there, no?

"AI" generated image of woman with dark hair sitting in a chair in front of posters with random shapes and symbols meant to look like images and text on movie posters, all superimposed with a post from k.w.bogen reading
"AI actresses can't negotiate. They can't say they'd prefer their bodies not be shown certgain ways. They can't refuse degrading scenes. They can't express distress about disturbing content. They can't ask the creators :why would you do that to me? Why put any woman through watching that? If AI film winds up being the path, we're about to see an entirely new generation (and more brutal depiction) of media misogyny."

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Jack Iwashyna @iwashyna.bsky.social · 4d

“Complacency is a sin”

~ Nick Cave

Jack Iwashyna @iwashyna.bsky.social · 5d

“Yet again, I agree with Bill Kristol”

Bill Kristol @billkristolbulwark.bsky.social · 5d

As a kid, I got into politics partly to do my bit fighting the Soviet Union.

Now we have a president who wants to turn us into a country that mimics the Soviet Union.

www.politico.com/news/2025/10...

Treasury Department considers minting a $1 Trump coin

The draft design of the coin, which was overseen by the Office of the U.S. Treasurer Brandon Beach, features Trump’s profile on one side of the coin.

www.politico.com

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Jack Iwashyna @iwashyna.bsky.social · 5d

Love it

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Jack Iwashyna @iwashyna.bsky.social · 5d

Despite it all, trans people remain people deserving of dignity and respect