Ryan Marino, MD
@ryanmarino.bsky.social
50K followers 640 following 16K posts
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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ryanmarino.bsky.social
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...
The Myth(s) of Fentanyl Exposure
YouTube video by Ryan Marino, MD
www.youtube.com
ryanmarino.bsky.social
They should have him profile RFK Jr. next
Reposted by Ryan Marino, MD
ryanmarino.bsky.social
If this were the plot of a show it would be considered too absurd to be believable
zeteo.com
“Pentagon Leakers Practice Beating Polygraphs Amid Trump's 'Idiotic' Leak Crackdown”

Donald Trump and Pete Hegseth are waging a war on leakers – but ‘this stuff only works if you let it get to you,’ says one Pentagon official. @swin24.bsky.social @andrewperez.bsky.social -
zeteo.com/p/trump-hegs...
Pentagon Leakers Practice Beating Polygraphs Amid Trump's 'Idiotic' Leak Crackdown
The president and Defense Secretary Pete Hegseth are waging a war on leakers – but ‘this stuff only works if you let it get to you,’ says one Pentagon official.
zeteo.com
Reposted by Ryan Marino, MD
grudgie.bsky.social
“ICE needs to go into Chicago because the Chicago police are incapable of protecting the city but ICE can’t protect themselves so the Chicago police must protect them”

God I hate fascism so much
Reposted by Ryan Marino, MD
ncred.bsky.social
"How does it feel to be locked up unlawfully" 🤣🤣🤣🤣 My kinda carrying on! Keep it up.
Reposted by Ryan Marino, MD
gravelinfluencer.bsky.social
Not the main point, but this section on the Medicaid work requirements shows that the Republican model of "efficiency" is simply creating a ridiculous new bureaucracy that will force people off Medicaid.
To implement the program, CMS will have to create "rules engines" for software developers to be able to account for a person's time, he explained. "What are the rules for work hours? How do you have to actually adjudicate it? For example, what if you're paid a salary, but there's no hours on there? So we are going to adopt a process ... Maybe, for example, we'll divide the salary you have by $15 an hour ... and then we'll just give you credit for that many hours." Another example: "What does it mean if you're at school 'halftime,' how many hours is that?" he added. "And then, if you're doing community engagement, who's allowed to credential you for community engagement? Do they have to be a 501(c)(3)? So we've been spending a lot of time on that."
Reposted by Ryan Marino, MD
dansinker.com
The defining factor of all of these folks across the entire administration is how much they despise all of us.
Reposted by Ryan Marino, MD
ketanjoshi.co
- Grim that media barons are buying up mainstream media and making them fascism-enabling propaganda engines

- ULTAGRIM that so many of the big-name journalists escaping that fire are voluntarily leaping directly into a completely separate newsletter website trap set by the same fascists
Substack’s “Nazi problem” won’t go away after push notification apology
Substack may be legitimizing neo-Nazis as “thought leaders,” researcher warns.
arstechnica.com
Reposted by Ryan Marino, MD
oliviamesser.bsky.social
I kind of can’t believe this Bari Weiss quote is even real, and yet www.nytimes.com/2025/10/06/b...
“I know that there are some people in this room who don’t believe that my marriage should have been legal … and that’s ok. Because we’re all Americans who want lower taxes.”
Reposted by Ryan Marino, MD
mskellymhayes.bsky.social
"There just isn’t enough time. There’s only what we manage to make of it—what we build, what we protect, what we remember to carry to the car. The gas mask. The snacks. The question we forgot to ask. The name of the person taken." My latest.
The Emergency Is the Atmosphere
“It’s meant to exhaust us. It’s meant to destroy us."
organizingmythoughts.org
ryanmarino.bsky.social
You mean he is breaking the law and violating his oath of office?
Reposted by Ryan Marino, MD
angierasmussen.bsky.social
Banning “dangerous gain-of-function” pathogen research is actually just banning pathogen research. TB causes chronic disease, the supposed cornerstone of the MAHA movement. Hard to see ending TB research on treatments as anything but another targeted attack on science in service of destroying it.
ryanmarino.bsky.social
"The only thing they think they control in their life is the fork at the end of their arm"
ryanmarino.bsky.social
You can’t convince me they actually want to win elections
Reposted by Ryan Marino, MD
themountaingoats.bsky.social
they don’t want you to know how they treat prisoners because it will grieve you to know it, which is natural and human, and because of your normal human reaction you will want the system changed. It’s important to them that your natural aversion to how the system works not be engaged.
Reposted by Ryan Marino, MD
nerdjpg.com
Turns out having a welfare state and a hoarding capitalist class isn’t actually sustainable
unusual whales @unusual_whales
X.com
Germany has proposed raising the retirement age to 73 to prevent the collapse of the pension system, per Reuters
Reposted by Ryan Marino, MD
apnews.com
U.S. Secretary of State Marco Rubio insisted “no one has died” as a result of U.S. foreign aid cuts. In Myanmar, the grieving father of a 2-year-old boy who died after their food rations were cut calls such claims a lie.
Starving children screaming for food as US aid cuts unleash devastation and death across Myanmar
U.S. Secretary of State Marco Rubio has repeatedly said “no one has died" because of his government’s decision to gut its foreign aid program.
bit.ly
Reposted by Ryan Marino, MD
malar0ne.bsky.social
Amidst the shutdown, it looks like the next meeting of the Advisory Committee on Immunization Practices, which was scheduled for October 22-23, is being rescheduled.
Screenshot of 2025 schedule, which gives Sep 18 - 19 and then "2025 meeting, TBD"
Reposted by Ryan Marino, MD
courtneymilan.com
Cigna stop sending me LLM services without identifying them as such challenge
Reposted by Ryan Marino, MD
Reposted by Ryan Marino, MD
ryanmarino.bsky.social
I found a foreigner who is committing crimes and ruining the country, and they put him in charge of CMS