Natalie (prev “NanouTheNomad”)
@drnataliestahl.bsky.social
Harm reduction | addiction & family med | public heath | band geek | MD, MPH via Bowdoin, UW, Emory, Lawrence FMR, and @yaleadm | she/her |
Opinions my own.
#medsky #harmreduction #fmrevolution
Opinions my own.
#medsky #harmreduction #fmrevolution
Pinned
Things I’ve learned at #AMERSA25:
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
November 15, 2025 at 7:42 PM
Things I’ve learned at #AMERSA25:
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
- I love AMERSA folks and especially our MA contingent even more than I thought
- lots about LAI Bupe
- lots about 42cfr part 2
- I need a new contacts prescription - I absolutely cannot read slides that everyone else can 😂🧐
Things I’ve learnedthis conference
November 15, 2025 at 7:40 PM
Things I’ve learnedthis conference
I cannot
Trump: I had an MRI and the result was outstanding.
Reporter: Was it your brain?
Trump: I have no idea what they analyzed, but whatever they analyzed, they analyzed it well.
Reporter: Was it your brain?
Trump: I have no idea what they analyzed, but whatever they analyzed, they analyzed it well.
November 15, 2025 at 6:03 AM
I cannot
🤔 I’m no housing expert but this seems unlikely
JD Vance: "A lot of young people are saying housing is way too expensive. Why is that? Because we flooded the country with 30 million illegal immigrants who were taking houses that ought by right go to American citizens."
November 14, 2025 at 7:20 AM
🤔 I’m no housing expert but this seems unlikely
we used to really look at people who were taking 100mg, 130mg, 150mg, 180mg of methadone who missed one week of dosing and tell them: "you've lost your tolerance you need to start back at 30mg"
I mean I'm sure there are still places that do this now BUT IT IS SO BAD
I mean I'm sure there are still places that do this now BUT IT IS SO BAD
November 12, 2025 at 4:08 AM
we used to really look at people who were taking 100mg, 130mg, 150mg, 180mg of methadone who missed one week of dosing and tell them: "you've lost your tolerance you need to start back at 30mg"
I mean I'm sure there are still places that do this now BUT IT IS SO BAD
I mean I'm sure there are still places that do this now BUT IT IS SO BAD
i strolled to my local baseball field, and it was lovely to see a touch of aurura despite the city lights and houses, and to see a true splash of color with camera on 10sec exposure, but woooooowwww it is COLD and wintry all of a sudden and makes sense that all my neighbors weren't out there w me
November 12, 2025 at 3:19 AM
i strolled to my local baseball field, and it was lovely to see a touch of aurura despite the city lights and houses, and to see a true splash of color with camera on 10sec exposure, but woooooowwww it is COLD and wintry all of a sudden and makes sense that all my neighbors weren't out there w me
Reposted by Natalie (prev “NanouTheNomad”)
Totally. If people are open to setting cutting back goals, I'll basically give them as homework and follow up. Sometimes they meet their goal, sometimes they don't but brush it off, and sometimes it's the start of a deeper conversation.
I don't argue with people trying moderation, but instead encourage setting a specific plan and being honest if they can't do it: "[R]esearch shows that attempting moderation often still leads to abstinence, since failures at cutting back help people realize they need to quit." @maiasz.bsky.social
November 10, 2025 at 3:48 PM
Totally. If people are open to setting cutting back goals, I'll basically give them as homework and follow up. Sometimes they meet their goal, sometimes they don't but brush it off, and sometimes it's the start of a deeper conversation.
this tracks
If you're an ID doc and your favorite antibiotic isn't doxycycline you're lying
November 11, 2025 at 4:45 AM
this tracks
the ACA is FAR from perfect and not what I *wanted* or *want* but it is obvious that leaning further away from regulation and patient rights, and more towards capitalism will be... worse
November 10, 2025 at 5:23 AM
the ACA is FAR from perfect and not what I *wanted* or *want* but it is obvious that leaning further away from regulation and patient rights, and more towards capitalism will be... worse
Reposted by Natalie (prev “NanouTheNomad”)
Tonight was a very bad night.
November 10, 2025 at 3:09 AM
Tonight was a very bad night.
Reposted by Natalie (prev “NanouTheNomad”)
Following up on this. This remains a ‘cave is minutes or hours away’ situation. If you want to impact how this plays out you need to contact senators literally now. I want to add additional points of context. What I’m relaying is what I’ve picked up from highly reliable sources.
Sounds like the squishes in the senate caucus are ready to pull the plug with no ACA changes. This is real. If you want to register your opinion you shld call yr senator in the next hour. They not only want to reopen w/nothing. They want cover from their colleagues who still want to hold out.
November 9, 2025 at 10:42 PM
Following up on this. This remains a ‘cave is minutes or hours away’ situation. If you want to impact how this plays out you need to contact senators literally now. I want to add additional points of context. What I’m relaying is what I’ve picked up from highly reliable sources.
The amount of effort this administration is putting into making sure lower income folks don’t have food is really…. Extraordinary
November 9, 2025 at 3:23 PM
The amount of effort this administration is putting into making sure lower income folks don’t have food is really…. Extraordinary
Reposted by Natalie (prev “NanouTheNomad”)
Rosalind Franklin appreciation post. 🧬
November 7, 2025 at 8:45 PM
Rosalind Franklin appreciation post. 🧬
1. If not for Republicans we could have had a public option -
2. Where exactly can one purchase one’s own “much better health care” without insurance?!?!
2. Where exactly can one purchase one’s own “much better health care” without insurance?!?!
he’s still spiraling. this isn’t how it works, the math doesn’t math, and congress won’t do it
November 8, 2025 at 3:50 PM
1. If not for Republicans we could have had a public option -
2. Where exactly can one purchase one’s own “much better health care” without insurance?!?!
2. Where exactly can one purchase one’s own “much better health care” without insurance?!?!
Reposted by Natalie (prev “NanouTheNomad”)
Massachusetts governor says she'll fully fund SNAP benefits in November.
November 7, 2025 at 10:20 PM
Massachusetts governor says she'll fully fund SNAP benefits in November.
Seriously?
Why have three branches of the government?
Why have three branches of the government?
🚨 BREAKING: The Supreme Court has granted the Trump administration’s emergency appeal to temporarily block a lower court order requiring full SNAP food aid payments during the shutdown, allowing Trump to continue with partial payments instead.
November 8, 2025 at 2:36 AM
Seriously?
Why have three branches of the government?
Why have three branches of the government?
Reposted by Natalie (prev “NanouTheNomad”)
Air traffic controllers are resigning due to the stress inflicted by the government shutdown, a union president warned
Air Traffic Controllers Union Head Gives Dire Warning About How This Shutdown's Different
Nick Daniels, president of the National Air Traffic Controllers Association, said workers have gone too long without paychecks to work safely.
www.huffpost.com
November 7, 2025 at 6:06 PM
Air traffic controllers are resigning due to the stress inflicted by the government shutdown, a union president warned
Reposted by Natalie (prev “NanouTheNomad”)
"World's first potential trillionaire has killed 600,000 people, including 400,000 children" is the only headline that anyone should ever read about Elon Musk
One analytical model shows that, as of November 5th, the dismantling of U.S.A.I.D. has already caused the deaths of 600,000 people, two-thirds of them children. https://newyorkermag.visitlink.me/jUzNSc
The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands
The short documentary “Rovina’s Choice” tells the story of what goes when aid goes.
newyorkermag.visitlink.me
November 7, 2025 at 1:33 AM
"World's first potential trillionaire has killed 600,000 people, including 400,000 children" is the only headline that anyone should ever read about Elon Musk
One trillion dollars is an absurd amount of money for one human to have. I am a very privileged person (I’m no orthopedic surgeon or investment banker, but I’m a doctor!) and it would take me more than 4 million years to earn that much money!
November 7, 2025 at 4:29 AM
One trillion dollars is an absurd amount of money for one human to have. I am a very privileged person (I’m no orthopedic surgeon or investment banker, but I’m a doctor!) and it would take me more than 4 million years to earn that much money!
I had not heard about “6, 7” before last week, and now I have seen it on every form of social media, talked about it with coworkers, and had a 20 minute discussion about it with my 8 yo nibling 😂 (“you need to move your hands like this”)
November 7, 2025 at 4:22 AM
I had not heard about “6, 7” before last week, and now I have seen it on every form of social media, talked about it with coworkers, and had a 20 minute discussion about it with my 8 yo nibling 😂 (“you need to move your hands like this”)
Reposted by Natalie (prev “NanouTheNomad”)
One analytical model shows that, as of November 5th, the dismantling of U.S.A.I.D. has already caused the deaths of 600,000 people, two-thirds of them children. https://newyorkermag.visitlink.me/jUzNSc
The Shutdown of U.S.A.I.D. Has Already Killed Hundreds of Thousands
The short documentary “Rovina’s Choice” tells the story of what goes when aid goes.
newyorkermag.visitlink.me
November 6, 2025 at 9:00 PM
One analytical model shows that, as of November 5th, the dismantling of U.S.A.I.D. has already caused the deaths of 600,000 people, two-thirds of them children. https://newyorkermag.visitlink.me/jUzNSc
Reposted by Natalie (prev “NanouTheNomad”)
Mamdani: "New York will remain a city of immigrants, a city built by immigrants, powered by immigrants, and as of tonight, led by an immigrant."
November 5, 2025 at 4:40 AM
Mamdani: "New York will remain a city of immigrants, a city built by immigrants, powered by immigrants, and as of tonight, led by an immigrant."
survived involuntary urgent care shift. horray!
November 5, 2025 at 3:59 AM
survived involuntary urgent care shift. horray!
For the record:
- SNAP benefits did not increase “many fold” during Biden’s term
- disaster aid during, INFLATION contributed to ⬆️ SNAP costs
- we spend $100 billion/year (equivalent to 1.5 months of military spending) to help feed 1 in 8 Americans… seems like a good deal
- SNAP benefits did not increase “many fold” during Biden’s term
- disaster aid during, INFLATION contributed to ⬆️ SNAP costs
- we spend $100 billion/year (equivalent to 1.5 months of military spending) to help feed 1 in 8 Americans… seems like a good deal
November 5, 2025 at 3:29 AM
For the record:
- SNAP benefits did not increase “many fold” during Biden’s term
- disaster aid during, INFLATION contributed to ⬆️ SNAP costs
- we spend $100 billion/year (equivalent to 1.5 months of military spending) to help feed 1 in 8 Americans… seems like a good deal
- SNAP benefits did not increase “many fold” during Biden’s term
- disaster aid during, INFLATION contributed to ⬆️ SNAP costs
- we spend $100 billion/year (equivalent to 1.5 months of military spending) to help feed 1 in 8 Americans… seems like a good deal