Zeke McKinney, MD, MHI, MPH
zekemd.bsky.social
Zeke McKinney, MD, MHI, MPH
@zekemd.bsky.social
510 followers 1.4K following 150 posts
- #PublicHealth & work hazard doc - Clinic: env. exposures - Research: firefighters, vax hesitancy, informatics - Other: random nerdy stuff #medsky #OccEnvMed
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Drinking water and getting some sleep 😅

Ibuprofen is not bad too...
My arm hurts but I could deal with that. I felt pretty crummy in the afternoon, but it's worth it 🤷🏽‍♂️
Yay COVID and flu vaccines! Take care of yourself and others!!
So doctors (or all clinicians) - don't forget to take care of yourself!!

P.S. IHI added a fifth aim, now the Quintuple Aim -- health equity.
Ten years later (~2017; after my residency), the Triple Aim expanded to the Quadruple Aim, including improving clinician well-being (health, joy of work, etc.).

How can someone care for others when they are not caring for their self?
The good news is that this isn't a new or unconsidered issue.

Does everyone remember the Institute for Healthcare Improvement (IHI) Triple Aim (improving cost, improving quality, improving experience) -- circa 2007? [I was in medical school then.]
TL;DR - doctors don't take enough care of themselves as a function of unspoken expectations and ultimately prioritizing taking care of their patients and succeeding in their training/career.
Reposted by Zeke McKinney, MD, MHI, MPH
RFK Jr. and his toady Jay Bhattacharya have just dismantled the Advisory Committee to the NIH Director, an outside group of advisors who provide guidance on a range of topics.

They will be likely be replaced with another layer of toadies. Toadies all the way down.
NIH director is replacing his top outside advisory board
Some worry new members of the long-running Advisory Committee to the Director will mirror agency chief Jay Bhattacharya’s views
www.science.org
Reposted by Zeke McKinney, MD, MHI, MPH
Let’s talk about Covid myths!! I’ll provide sources on these so you can look at the info yourself.

First big myth: getting the initial vax series gave you permanent immunity!
Nnoooooope! Six months out, the protection wanes to 20%

jamanetwork.com/journals/jam...
Reposted by Zeke McKinney, MD, MHI, MPH
Ann @agvbergin.net · Jun 18
I keep reading heat preparation materials that don't mention how heat affects air quality.

One of the best learning resources I've seen on this is the Met Office's case study of the ozone event that was part of the August 2003 heatwave.

storymaps.arcgis.com/stories/eab2...
An Exceptional Ozone Episode in August 2003
A large pollution event in Summer 2003
storymaps.arcgis.com
Reposted by Zeke McKinney, MD, MHI, MPH
"The closure of these residency programs translates to "a reduced pipeline of trained occupational health and safety professionals" and "will impair the ability of academic centers to train OEM physicians to maintain and improve the health, safety, and productivity of workers in the United States".
Reposted by Zeke McKinney, MD, MHI, MPH
"The researchers found that, on average, it costs Medicaid $179,000 to save a year of life ... less than the combined public and private spending on interventions like safety inspections for cars or the removal of asbestos from buildings"
Reposted by Zeke McKinney, MD, MHI, MPH
#Medicaid Matters & SAVES LIVES

"The expansion of Medicaid has saved more than 27,000 lives since 2010, according to the most definitive study yet on the program’s health effects...deaths fell not only among older enrollees but also among those in their 20s and 30s"
As Congress Debates Cutting Medicaid, a Major Study Shows It Saves Lives
www.nytimes.com
Reposted by Zeke McKinney, MD, MHI, MPH
Congress is pushing 6-month #Medicaid checks—fueling #churn that cuts coverage for families. It raises costs, worsens health, & hits Black, Indigenous & Latine communities hardest.

MN shows what works: continuous coverage. We shouldn’t go backward.

#KeepFamiliesCovered #MedSky #StopTheCuts
The harm of #Medicaid churn & how to help keep people covered & healthy
YouTube video by Nathan Chomilo
youtube.com
Thanks for sharing! I have no experience with EAT yet but I should look into it more.
@qdurandmoreau.bsky.social - I assume you are/were not at #AOHC2025? I thought this might be the year for us to meet in person! Then again, I also cannot fault anyone for hesitating to travel to the US at this point... 😅😭
Thanks!! Dr. Blackstock is a legend on this stuff!! ✊🏾🖤
You know, folks are wondering why I'm always wearing a shirt and tie in work settings... 👀
Great opening talk by Dr. John Clarke at #AOHC2025 on implicit bias! He's the Medical Director for Occ. Med. at @astrazeneca.bsky.social. Implicit bias is so critical in medicine, not only in terms of taking care of our patients, but also in how we (esp. Black physicians) present ourselves. 🩺✊🏾