Kyle Fischer
@kbfischer.bsky.social
ER doc and health policy fellowship director in Maryland. Policy nerd for the HAVI.
This is absurd. Myocarditis was studied extensively during the pandemic. We know this because Makary himself would never shut up about it, while he would compare the rare risk of vaccine-related myocarditis to the imaginary scenario of people never getting covid.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
FDA chief says Biden administration withheld data on heart risk from Covid vaccines
Myocarditis is a known — but small — side effect risk of the mRNA Covid vaccines from Pfizer and Moderna, information that federal agencies have discussed openly since 2021.
www.nbcnews.com
December 5, 2025 at 2:23 PM
This is absurd. Myocarditis was studied extensively during the pandemic. We know this because Makary himself would never shut up about it, while he would compare the rare risk of vaccine-related myocarditis to the imaginary scenario of people never getting covid.
www.nbcnews.com/health/healt...
www.nbcnews.com/health/healt...
I could say something to minimize the research ("internet searches don't equal usage") but in reality, I'm just jealous that they thought to do the study and I didn't.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Internet Searches for Lorazepam Following the Release of The White Lotus
This cross-sectional study examines whether there was an uptick in online searches about lorazepam after the release of the third season of The White Lotus.
jamanetwork.com
November 24, 2025 at 1:59 AM
I could say something to minimize the research ("internet searches don't equal usage") but in reality, I'm just jealous that they thought to do the study and I didn't.
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Reposted by Kyle Fischer
I am trying and struggling to remember a previous time when multiple state officials publicly rebuked a CMS administrator for spreading misinformation
kffhealthnews.org/news/article...
kffhealthnews.org/news/article...
November 3, 2025 at 8:19 PM
I am trying and struggling to remember a previous time when multiple state officials publicly rebuked a CMS administrator for spreading misinformation
kffhealthnews.org/news/article...
kffhealthnews.org/news/article...
An absolutely tragic case that's worth a read. Definitely some learning points in it.
www.nytimes.com/2025/10/05/w...
www.nytimes.com/2025/10/05/w...
It’s Just a Virus, the E.R. Told Him. Days Later, He Was Dead.
www.nytimes.com
October 6, 2025 at 12:38 AM
An absolutely tragic case that's worth a read. Definitely some learning points in it.
www.nytimes.com/2025/10/05/w...
www.nytimes.com/2025/10/05/w...
Reposted by Kyle Fischer
if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
a man is sitting at a table with a sign that says `` change my mind '' on it .
ALT: a man is sitting at a table with a sign that says `` change my mind '' on it .
media.tenor.com
September 25, 2025 at 3:05 PM
if a patient with opioid use disorder is admitted to ICU (eg for pneumonia) & they clearly tell you their dose of buprenorphine or methadone, we should just believe them and give it to them
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
in my experience they’re always correct & delaying tx to try to verify their perscription just causes misery
Free research idea:
"A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism."
I'd read that paper. It'd be a banger.
"A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism."
I'd read that paper. It'd be a banger.
September 24, 2025 at 1:40 AM
Free research idea:
"A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism."
I'd read that paper. It'd be a banger.
"A Qualitative Analysis of Physician Group Texts in the 24 Hours Following the Governmental Announcement of Tylenol Causing Autism."
I'd read that paper. It'd be a banger.
There was literally a CDC MMWR about feral cat colonies with rabies in the last week.
Very there-was-an-old-woman-who-swallowed-a-fly vibes nypost.com/2025/08/31/u...
Curtis Sliwa calls for feral cat ‘colonies’ to claw back at NYC rat problem: ‘Caped crusaders at night’
Guardian Angels founder Curtis Sliwa, the GOP mayoral candidate, said putting pairs of feral cats near rat-infested hot spots will solve the problem.
nypost.com
September 4, 2025 at 11:52 PM
There was literally a CDC MMWR about feral cat colonies with rabies in the last week.
Reposted by Kyle Fischer
This spring, the DOJ terminated $811 million in grants, $158 million of which was meant for gun violence prevention. In Chicago alone, seven organizations lost almost $16 million. The cuts, violence prevention organizers said, jeopardize the infrastructure they have worked to build.
As Trump Pushes for Troops in Chicago, City Leaders Say His Cuts Could Fuel Crime
Local leaders want federal funding reinstated to maintain Chicago’s progress in reducing gun violence.
www.thetrace.org
August 30, 2025 at 8:11 PM
This spring, the DOJ terminated $811 million in grants, $158 million of which was meant for gun violence prevention. In Chicago alone, seven organizations lost almost $16 million. The cuts, violence prevention organizers said, jeopardize the infrastructure they have worked to build.
Reposted by Kyle Fischer
Thank you @acepnation.bsky.social for standing with us. My time in the emergency department has shaped my commitment to ensuring the health of our communities.
www.emergencyphysicians.org/press-releas...
www.emergencyphysicians.org/press-releas...
ACEP Statement on CDC Leadership Departures
Dr. Debra Houry has been a true champion for public health and emergency care, and as a valued member of the ACEP family, her leadership at the CDC has set a remarkable standard.
www.emergencyphysicians.org
August 30, 2025 at 4:47 PM
Thank you @acepnation.bsky.social for standing with us. My time in the emergency department has shaped my commitment to ensuring the health of our communities.
www.emergencyphysicians.org/press-releas...
www.emergencyphysicians.org/press-releas...
Want to learn about awesome work going on in the violence prevention space? Check out the lightning talks from folks doing incredible work! Full list of awardees in the thread if you want to browse what KP/HAVI are funding!
hria.zoom.us/webinar/regi...
hria.zoom.us/webinar/regi...
August 27, 2025 at 2:11 AM
Want to learn about awesome work going on in the violence prevention space? Check out the lightning talks from folks doing incredible work! Full list of awardees in the thread if you want to browse what KP/HAVI are funding!
hria.zoom.us/webinar/regi...
hria.zoom.us/webinar/regi...
I'll start to seriously think about AI taking my job as soon as hospitals discover jotforms.
...or really any of the other 1000 options to avoid sending pdfs back and forth.
...or really any of the other 1000 options to avoid sending pdfs back and forth.
August 27, 2025 at 1:32 AM
I'll start to seriously think about AI taking my job as soon as hospitals discover jotforms.
...or really any of the other 1000 options to avoid sending pdfs back and forth.
...or really any of the other 1000 options to avoid sending pdfs back and forth.
Reposted by Kyle Fischer
Treating #gunviolence as a #publichealth crisis saves lives. These cuts are wrongheaded.
Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social
Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social
Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk.
Health officials are intensifying their criticism of the “One Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…
www.thetrace.org
August 5, 2025 at 11:31 PM
Treating #gunviolence as a #publichealth crisis saves lives. These cuts are wrongheaded.
Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social
Most Gun Violence Victims Are Enrolled in Medicaid. Trump’s Cuts Are Putting Them at Risk. www.thetrace.org/2025/07/medi... by @fairrionam.bsky.social @thetrace.org CC: @ruthz.bsky.social @kbfischer.bsky.social
Reposted by Kyle Fischer
Boarding in U.S. emergency departments – in anecdote and in real data – continues to rise.
Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable.
#medsky
www.healthaffairs.org/doi/abs/10.1...
Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable.
#medsky
www.healthaffairs.org/doi/abs/10.1...
Hospital ‘Boarding’ Of Patients In The Emergency Department Increasingly Common, 2017–24 | Health Affairs Journal
When hospital beds are scarce, patients “board” in the emergency department until an inpatient bed becomes available. Using national data on 46.2 million hospitalizations, 2017–24, we documented risin...
www.healthaffairs.org
August 5, 2025 at 9:26 PM
Boarding in U.S. emergency departments – in anecdote and in real data – continues to rise.
Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable.
#medsky
www.healthaffairs.org/doi/abs/10.1...
Prolonged ED stays are well-established contributors to adverse events. Another creeping "status quo" that simply isn't acceptable.
#medsky
www.healthaffairs.org/doi/abs/10.1...
Reposted by Kyle Fischer
Among those at greatest risk of losing healthcare insurance and services as a result of the Big Beautiful Bill Act are gun violence victims, who are mostly enrolled in Medicaid. Studies show that gun violence victims are more likely to have better outcomes in states with expanded Medicaid coverage.
Most Gun Violence Victims Are Enrolled in Medicaid. Trump's Cuts Are Putting Them at Risk.
Health officials are intensifying their criticism of the “One Big Beautiful Bill Act’’ that was signed into law by President Donald Trump this month, warning that the bill will have compounding…
www.thetrace.org
July 29, 2025 at 8:11 PM
Among those at greatest risk of losing healthcare insurance and services as a result of the Big Beautiful Bill Act are gun violence victims, who are mostly enrolled in Medicaid. Studies show that gun violence victims are more likely to have better outcomes in states with expanded Medicaid coverage.
Reposted by Kyle Fischer
Important new case-control study in @jama.com - Insecure firearm storage is associated w/adolescent suicide - but not adult suicide.
In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults.
jamanetwork.com/journals/jam...
In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults.
jamanetwork.com/journals/jam...
Firearm Storage and Firearm Suicide
This case-control study assesses the association between firearm storage practices and suicide method (firearm vs nonfirearm) among individuals who lived in a home with firearms in the last year of th...
jamanetwork.com
July 9, 2025 at 8:13 PM
Important new case-control study in @jama.com - Insecure firearm storage is associated w/adolescent suicide - but not adult suicide.
In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults.
jamanetwork.com/journals/jam...
In other words, secure storage [locked, unloaded] is IMPORTANT for reducing kids' suicide, but may not be sufficient for adults.
jamanetwork.com/journals/jam...
Reposted by Kyle Fischer
Leadership matters.
Community-based approaches to gun violence prevention save lives.
Kudos to Mayor Scott and his team for proving that investing in *people* works. A safer Baltimore is being built day by day, from the ground up.
@mayorbmscott.bsky.social #MD
Community-based approaches to gun violence prevention save lives.
Kudos to Mayor Scott and his team for proving that investing in *people* works. A safer Baltimore is being built day by day, from the ground up.
@mayorbmscott.bsky.social #MD
Baltimore is seeing the city’s fewest homicides in 50 years. Here’s why.
Multiple people have taken credit for the historic drop that mirrors a national decrease in violent crimes. Baltimore Mayor Brandon Scott says it’s due to a community-based approach to gun violence.
www.washingtonpost.com
July 9, 2025 at 10:52 PM
Leadership matters.
Community-based approaches to gun violence prevention save lives.
Kudos to Mayor Scott and his team for proving that investing in *people* works. A safer Baltimore is being built day by day, from the ground up.
@mayorbmscott.bsky.social #MD
Community-based approaches to gun violence prevention save lives.
Kudos to Mayor Scott and his team for proving that investing in *people* works. A safer Baltimore is being built day by day, from the ground up.
@mayorbmscott.bsky.social #MD
Someone I know in Wisconsin didn’t think the Medicaid cuts would affect them because they have BadgerCare and couldn’t be convinced that it’s the same thing.
NPR doing some stories on how it's confusing that Medicaid programs are called different things in different states
www.npr.org/2025/07/04/n...
@adrianna.bsky.social, Danielle Pavliv and I have a paper on this:
read.dukeupress.edu/jhppl/articl...
www.npr.org/2025/07/04/n...
@adrianna.bsky.social, Danielle Pavliv and I have a paper on this:
read.dukeupress.edu/jhppl/articl...
Medicaid's many different names may cause confusion about who's losing coverage
Medicaid programs go by so many different names across the country that advocates and experts warn people may not know they're losing their coverage until it's too late.
www.npr.org
July 8, 2025 at 7:10 PM
Someone I know in Wisconsin didn’t think the Medicaid cuts would affect them because they have BadgerCare and couldn’t be convinced that it’s the same thing.
Reposted by Kyle Fischer
Important to remember on days like today:
12 harmful practices to avoid when covering gun violence
Journalists covering gun violence should be aware of these harmful practices and actively avoid engaging in them.
healthjournalism.org
July 3, 2025 at 12:49 PM
Important to remember on days like today:
This is 100% true. In 1996, I was 11 years old. My only memories of Clinton are Monica Lewinsky related. He has zero political capital with my generation.
Both parties need to realize that millennials are *at best* completely indifferent to Bill Clinton.
June 22, 2025 at 11:49 PM
This is 100% true. In 1996, I was 11 years old. My only memories of Clinton are Monica Lewinsky related. He has zero political capital with my generation.
For the life of me, I don’t understand why *anyone* would endorse a disgraced politician like Cuomo. It’s really, really gross. Even if they don’t like the other candidates, they could just sit it out.
www.nytimes.com/2025/06/22/n...
www.nytimes.com/2025/06/22/n...
Cuomo Enlists Bill Clinton as Part of Late-Stage Bid to Fend Off Mamdani
www.nytimes.com
June 22, 2025 at 11:10 PM
For the life of me, I don’t understand why *anyone* would endorse a disgraced politician like Cuomo. It’s really, really gross. Even if they don’t like the other candidates, they could just sit it out.
www.nytimes.com/2025/06/22/n...
www.nytimes.com/2025/06/22/n...
Check out our new paper in Health Affairs Forefront on the importance of federal funding for firearm prevention!
www.healthaffairs.org/content/fore...
www.healthaffairs.org/content/fore...
The Critical Role Of Federal Funding In Combating Firearm Violence | Health Affairs Forefront
Sustained federal funding from the CDC, NIH, and other federal agencies (e.g., the National Institute of Justice and the Bureau of Justice Assistance) is critical for answering fundamental research qu...
www.healthaffairs.org
June 21, 2025 at 1:54 AM
Check out our new paper in Health Affairs Forefront on the importance of federal funding for firearm prevention!
www.healthaffairs.org/content/fore...
www.healthaffairs.org/content/fore...
Reposted by Kyle Fischer
not linking the video because it’s full of antivax lies:
in this video, lying antivaxxer RFKjr says a lot of antivaxx lies about childhood vaccines
he’s coming for childhood vaccines. he’s going to try to take away childhood vaccines.
notably, vaccines safely and effectively stop kids from dying
in this video, lying antivaxxer RFKjr says a lot of antivaxx lies about childhood vaccines
he’s coming for childhood vaccines. he’s going to try to take away childhood vaccines.
notably, vaccines safely and effectively stop kids from dying
June 12, 2025 at 10:35 PM
not linking the video because it’s full of antivax lies:
in this video, lying antivaxxer RFKjr says a lot of antivaxx lies about childhood vaccines
he’s coming for childhood vaccines. he’s going to try to take away childhood vaccines.
notably, vaccines safely and effectively stop kids from dying
in this video, lying antivaxxer RFKjr says a lot of antivaxx lies about childhood vaccines
he’s coming for childhood vaccines. he’s going to try to take away childhood vaccines.
notably, vaccines safely and effectively stop kids from dying
Reposted by Kyle Fischer
The problem with NIH peer review is that there isn’t enough money to fund all the good grants
June 10, 2025 at 8:09 PM
The problem with NIH peer review is that there isn’t enough money to fund all the good grants
"In challenging cases, such as pneumonia without fever, all models generally failed to predict the correct diagnosis"
LLMs will probably someday be great diagnosticians, but not yet.
www.nature.com/articles/s41...
LLMs will probably someday be great diagnosticians, but not yet.
www.nature.com/articles/s41...
Preliminary evaluation of ChatGPT model iterations in emergency department diagnostics - Scientific Reports
Scientific Reports - Preliminary evaluation of ChatGPT model iterations in emergency department diagnostics
www.nature.com
June 10, 2025 at 4:16 PM
"In challenging cases, such as pneumonia without fever, all models generally failed to predict the correct diagnosis"
LLMs will probably someday be great diagnosticians, but not yet.
www.nature.com/articles/s41...
LLMs will probably someday be great diagnosticians, but not yet.
www.nature.com/articles/s41...