In 1998, a small residency program in Colorado lost its accreditation.

It wasn’t the kind of thing that you’d expect to change the course of academic medicine.

And yet, it *almost* did.

Earlier, I explained how the Match started. Now, I’ll tell you how it nearly collapsed.

🧵

Again: Healthcare workers are NOT mandated to report suspected self-managed abortion in ANY state. Even states with total abortion bans do NOT mandate reporting. NO ONE is a mandatory reporter of self-managed abortion. HHS has been very clear on this—it is a HIPAA violation.

Very hurt right now because I have had to meet with this admin person once a year and today was my last meeting with them. At the end, they told me 'Best of luck. I am proud of you. I don't agree with the decision you made (transitioning) but you're gonna do great.'

This 5.2 lb, 450-page stack of documents is my 2011 green card application. My husband & I applied for it on the basis of our same-sex marriage.

My green card was denied.

I want to share what codifying same-sex marriage means for families like ours. 🧵 1/

It's time to call out 'Medicare Advantage' for what it is: private insurance masquerading as universal coverage. You shouldn’t be able to appropriate the trust and faith people have in Medicare to sell a private product for personal profit that doesn’t have the same rules.

People who use banned drugs
People who cannot work
People who don’t work
People who are sick
People who are
People who
People
People deserve housing.

How the hell is this confusing

Today's Supreme Court case, 303 Creative, asks whether a website designer, Lorie Smith, can refuse to sell her product to same-sex couples.

But no same-sex couple has tried to buy her product. ADF sued on her behalf before anyone asked, which gives it control over the narrative.

Estrogen's impact on #microglia #lipid #metabolism is marked...and..erm..complicated! But this problem is in good hands. Great work Nick, and thank you for driving this project!

Sex.

Every clinician should be able to talk to young people about it.

Here are 10 simple steps to help you push through the embarrassment:

First day of my OBGyn rotation and wow, I have missed the OR. Also, UroGyn surgeries are super cool

Just finished my family med rotation and gave some of my evaluators the rubric used to assign grades. None of them had seen it before or were aware of the “specific language” the block was looking for. What even are grades in medical education?

On my peds rotation, I was examining a kiddo who came in with a head lac. Looked in the kiddo’s ear and found an eraser! Just a reminder to check all orifices on all kids regardless of why they’re presenting
#medtwitter

Scrubbed in for my first surgery! Tied my first sutures! Wrote my first tweet!