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
Why can’t I attach a file that is open?
Reposted by Ryan Marino, MD
rheumcat.bsky.social
They just killed NHANES.

Every US public health student learns about this study.

It’s given us all sorts of important knowledge about the health of Americans and they just ended it.
ryanmarino.bsky.social
Devastating and hard to say anything other than just evil
Reposted by Ryan Marino, MD
shematologist.medsky.social
NHANES is an invaluable tool that many researchers including myself use to report on conditions in the general population.

Like the fact that ~40% of 12-21yo females are iron deficient.

Tinyurl.com/JAMAFe

And so much more important work.

But they’re destroying it all.
Reposted by Ryan Marino, MD
whitneyzahnd.bsky.social
NHANES gave the first clear evidence that too many Americans had too much lead in their blood leading to unleaded gasoline requirements, and its data are part of children's growth charts ubiquitous in pediatricians' offices.

Make Our Children Healthy Again??

www.cdc.gov/nchs/nhanes/...
Reposted by Ryan Marino, MD
isaacerbele.bsky.social
The. FUCK.
ryanmarino.bsky.social
NHANES runs mobile clinics that travel the country measuring height, weight, & blood pressure while collecting blood and urine samples. These samples are our only national source for tracking everything from blood sugar to hormones, heavy metals, and more.

The entire operation has been eliminated.
kcklatt.bsky.social
Everyone across biomedicine should be very loud about this so this team's RIF status gets reversed. Nhanes has been key for tracking obesity & diabetes rates, identifying high blood lead levels in kids in the 70s, tracking progress on cholesterol lowering, guiding nutrient fortification programs etc
Reposted by Ryan Marino, MD
joho.bsky.social
Thank you @cphickie.bsky.social who has been tracking these guys for as long as I can remember. 10-15 years ago.
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Chris Hickie
*****
A sad but necessary sequel to "We Want Them
Infected"
Reviewed in the United States on October 13, 2025
Dr. Howard's previous book "We Want Them Infected" meticulously documented the lies and disinformation of anti-science contrarian physicians during the COVID-19 pandemic. WWTI was a wake-up call to the damage these physicians could do if allowed to continue unopposed. Well, continue with minimal opposition these physicians did, and, just as thoroughly, Dr. Howard has documented here in
"Everyone Else is Lying to You" how these disinformers parlayed their prevarications into positions of power within the HHS. Like WWTI, EEILTY was a book I had to take a chapter at a time, due mostly to the overwhelming dismay at how few people did anything to oppose this clearly coordinated overthrow of the US public health system. As someone who professionally worries about anti-vaccinationism, I followed in real time much of what Dr. Howard has written, but the amount of disinformation put forth by and on behalf of these physicians is much better appreciated through the narrative-specific chaptering of EEILTY. In the final chapter of this book, Dr. Howard writes "I can only hope that future medical leaders learn from these mistakes and show some backbone." To that I agree and state that a great place to start learning from these mistakes is this book. --Chris Hickie MD, PhD
Reposted by Ryan Marino, MD
originalsp.in
Korol is a US citizen. Her family hasn’t heard from her since she was taken, public charges haven’t been released—what crime did she even commit? 2nd-Degree Woodwinding?—and there has been no explanation for her “renditioning” across state lines.

We’ve moved into a new phase of Trump lawlessness.
originalsp.in
A musician, Oriana Korol, was peacefully playing clarinet with her protest band outside ICE facilities in Portland, OR.

When the band started playing “Ghostbusters,” ICE thugs suddenly poured outside, slammed her into the mud, arrested her and took her to a jail 9 miles away in Vancouver, WA.
Musician playing ‘Ghostbusters’ outside ICE facility is arrested by agents
‘Taking us citizens out of state to detain them without charge is a new action from the Feds and should be opposed,’ her band said
www.independent.co.uk
Reposted by Ryan Marino, MD
pritzkerposting.bsky.social
Chicago: Zero Regard for Safety, ICE Escalation in Chicago Leaves Baby in Harm’s Way
ryanmarino.bsky.social
AI-induced psychosis seems incredibly likely from a fake person (who doesn’t actually exist) that is designed to make you think it wants to have sex with you
ryanmarino.bsky.social
If his skin were any thinner it wouldn’t be compatible with life
premthakker.bsky.social
NEW: Pentagon officials are forcing staff to watch Pete Hegseth's "Warrior" speech he forced generals to listen to.

Officials are even "testing" staff to see if they watched — and are threatening consequences if they lie about watching it or if they mock it, sources tell @swin24.bsky.social and I.
The Pentagon Is Ordering Staff to Watch Hegseth’s ‘MAGA Garbage’ Speech… Or Else
Defense Department sources tell Zeteo that staff have been warned that if they don’t watch or read the speech, or if they speak negatively of it, they could face severe consequences.
zeteo.com
ryanmarino.bsky.social
One cool thing about advocating for diversity in health sciences is that you can actually live longer and have better quality of life (and suffer less) simply by telling racists they suck and their opinions are not valid
healthbegins.bsky.social
"[DEI] policies are not just about providing fair opportunities to all students. They are a matter of life and death."

Trump’s war on diversity in medical education could shorten Americans’ lives www.bmj.com/content/391/... by @gavinyamey.bsky.social @michaeldgreen.com via @bmj.com
www.bmj.com
Reposted by Ryan Marino, MD
gavinyamey.bsky.social
In our new piece in @bmj.com, @michaeldgreen.com & I argue that diversity matters when it comes to medical school admission not only for fairness, equality, & equity but also because research shows that population health outcomes are better with a diverse medical workforce

A matter of life & death
healthbegins.bsky.social
"[DEI] policies are not just about providing fair opportunities to all students. They are a matter of life and death."

Trump’s war on diversity in medical education could shorten Americans’ lives www.bmj.com/content/391/... by @gavinyamey.bsky.social @michaeldgreen.com via @bmj.com
www.bmj.com
Reposted by Ryan Marino, MD
Reposted by Ryan Marino, MD
drewharwell.com
Sam Altman went from “AI will cure cancer" to "ChatGPT porn" in less than a month
ChatGPT boss predicts when AI could cure cancer We made ChatGPT pretty restrictive to make sure we were being careful with mental health issues. We realize this made it less useful/enjoyable to many users who had no mental health problems, but given the seriousness of the issue we wanted to get this right.

Now that we have been able to mitigate the serious mental health issues and have new tools, we are going to be able to safely relax the restrictions in most cases.

In a few weeks, we plan to put out a new version of ChatGPT that allows people to have a personality that behaves more like what people liked about 4o (we hope it will be better!). If you want your ChatGPT to respond in a very human-like way, or use a ton of emoji, or act like a friend, ChatGPT should do it (but only if you want it, not because we are usage-maxxing).

In December, as we roll out age-gating more fully and as part of our “treat adult users like adults” principle, we will allow even more, like erotica for verified adults.
12:02 PM · Oct 14, 2025
·
1.2M
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Reposted by Ryan Marino, MD
kazlefay.bsky.social
ICE is randomly targeting peaceful protesters because the point is to terrorize the public into accepting martial law.

Indiscriminate attacks send the message that there’s nothing you can do to stay safe.

The regime wants you to cower at home and cede the streets of your city to their control.
Reposted by Ryan Marino, MD
kattenbarge.bsky.social
Whenever I see men complain about the male loneliness crisis or unique emotional/psychological issues faced by men, it’s very clear that they just don’t see women as full people capable of experiencing the exact same emotions they do
ryanmarino.bsky.social
Drug trafficking is not even a capital offense
Reposted by Ryan Marino, MD
gregdoucette.bsky.social
This is yet another reminder that the "you can just walk around with your papers and be fine!" is a lie: the cops routinely claim whatever documentation you provide is invalid

It's racism all the way down
paleofuture.bsky.social
"During the encounter, Greeley said they told her she 'doesn’t look like' a Greeley."

www.yahoo.com/news/article...
Chicago Tribune: Greeley, who was born at Illinois Masonic hospital and is adopted, carries a copy of her passport just in case she runs into federal agents.

“I am Latina and I am a service worker,” Greeley said. “I fit the description of what they’re looking for now.”

During the encounter, Greeley said they told her she “doesn’t look like” a Greeley.

“They said this isn’t real, they kept telling me I’m lying, I’m a liar,” Greeley recalled. “I told them to look in the rest of my wallet, I have my credit cards, my insurance.”
Reposted by Ryan Marino, MD
ryanmarino.bsky.social
NHANES runs mobile clinics that travel the country measuring height, weight, & blood pressure while collecting blood and urine samples. These samples are our only national source for tracking everything from blood sugar to hormones, heavy metals, and more.

The entire operation has been eliminated.
kcklatt.bsky.social
Everyone across biomedicine should be very loud about this so this team's RIF status gets reversed. Nhanes has been key for tracking obesity & diabetes rates, identifying high blood lead levels in kids in the 70s, tracking progress on cholesterol lowering, guiding nutrient fortification programs etc
ryanmarino.bsky.social
Is inflation good for you? From the geniuses at the Atlantic
Reposted by Ryan Marino, MD
maxkennerly.bsky.social
This is no more lawful than if Iran / North Korea / whoever blew up a couple American yachts in the Mediterranean for suspected drug trafficking. On the legal spectrum it sits in the middle of a Venn diagram between overt acts of military aggression, state-sponsored terrorism, and simple murder.
ryanmarino.bsky.social
I forgot about Kissinger’s! Ew!!