Matt Brignall
@mattbrignall.bsky.social
Record collector, jazz student, primary care provider. Think I am funnier than I am.
Pinned
Matt Brignall
@mattbrignall.bsky.social
· Sep 14
Scene: summer 2027, me standing on a hill overlooking another US city burning to the ground. Speaking to no one in particular as the gun battle inches closer.
"You know, the world was a much better place when we had a mainstream media that most people accepted as truth."
"You know, the world was a much better place when we had a mainstream media that most people accepted as truth."
The inept public health system worked just fine til these dumbasses fed it to the woodchipper
January 14, 2026 at 7:32 PM
The inept public health system worked just fine til these dumbasses fed it to the woodchipper
Riiiiight. I tangled with her a bunch. I was front line public health at the time, and her Brownnose propaganda was often 100% wrong
January 13, 2026 at 6:14 PM
Riiiiight. I tangled with her a bunch. I was front line public health at the time, and her Brownnose propaganda was often 100% wrong
She was "leftylawyer" or something on Twitter, right? She was really into mask martyrdom in late mask order days.
January 13, 2026 at 6:42 AM
She was "leftylawyer" or something on Twitter, right? She was really into mask martyrdom in late mask order days.
This is about the fifth week since last January where I've thought "this has been the worst week in US history since... Gettysburg? Bull Run?"
It is probably hyperbole, but it might not be.
It is probably hyperbole, but it might not be.
January 13, 2026 at 6:41 AM
This is about the fifth week since last January where I've thought "this has been the worst week in US history since... Gettysburg? Bull Run?"
It is probably hyperbole, but it might not be.
It is probably hyperbole, but it might not be.
Is that the Andy Coe one?
January 13, 2026 at 6:32 AM
Is that the Andy Coe one?
One of many reasons this is worse than Kent State: these people are thumping their chests like they are glad. Another: we are now investigating the victim, not the shooter.
And we all remember Kent State 50+ years later.
And we all remember Kent State 50+ years later.
Bovino on the officer who killed Renee Good: "Hats off to that ICE agent"
January 13, 2026 at 4:19 AM
One of many reasons this is worse than Kent State: these people are thumping their chests like they are glad. Another: we are now investigating the victim, not the shooter.
And we all remember Kent State 50+ years later.
And we all remember Kent State 50+ years later.
It is always, *always*, the person who spent the pandemic blogging who accuses us of overdoing the public health outreach.
Here on earth, the response is the US was not aggressive enough, leading to many more deaths compared to similar countries. As I said then, roll up yer sleeves, Marty.
Here on earth, the response is the US was not aggressive enough, leading to many more deaths compared to similar countries. As I said then, roll up yer sleeves, Marty.
January 12, 2026 at 12:48 AM
It is always, *always*, the person who spent the pandemic blogging who accuses us of overdoing the public health outreach.
Here on earth, the response is the US was not aggressive enough, leading to many more deaths compared to similar countries. As I said then, roll up yer sleeves, Marty.
Here on earth, the response is the US was not aggressive enough, leading to many more deaths compared to similar countries. As I said then, roll up yer sleeves, Marty.
Those two sets are i think the only product Ive kept from the post 95 Dead-o-sphere. They are lovely.
January 11, 2026 at 10:47 PM
Those two sets are i think the only product Ive kept from the post 95 Dead-o-sphere. They are lovely.
This moment, BTW, was part of a massive shift of the altmed world from fringe left to fringe right. The industry itself - not the consumers - has been libertarian right curioussince i knew it in the 90s.
January 11, 2026 at 8:38 PM
This moment, BTW, was part of a massive shift of the altmed world from fringe left to fringe right. The industry itself - not the consumers - has been libertarian right curioussince i knew it in the 90s.
A few years back (maybe 8?), the FDA did a minor clampdown on compounding pharmacies, defining what could and couldn't be prepared for injection. That was seen as a terrible thing by the fringe types RFK hangs with.
January 11, 2026 at 8:13 PM
A few years back (maybe 8?), the FDA did a minor clampdown on compounding pharmacies, defining what could and couldn't be prepared for injection. That was seen as a terrible thing by the fringe types RFK hangs with.
I just grabbed this, too. What do you think?
January 11, 2026 at 6:11 PM
I just grabbed this, too. What do you think?
More fun than a frog in a glass of milk.
Safe travels, Ace. Fuckin hell, 2026 gonna be a blues year.
Safe travels, Ace. Fuckin hell, 2026 gonna be a blues year.
January 11, 2026 at 7:31 AM
More fun than a frog in a glass of milk.
Safe travels, Ace. Fuckin hell, 2026 gonna be a blues year.
Safe travels, Ace. Fuckin hell, 2026 gonna be a blues year.
"Don't tread on me" - the favorite slogan of jack booted mall cops everywhere.
ICE agent Jonathan Ross, who shot and killed an unarmed civilian, flew a don't-tread-on-me Gadsden flag at his house, per the Daily Mail.
January 9, 2026 at 5:58 PM
"Don't tread on me" - the favorite slogan of jack booted mall cops everywhere.
The refusal to speak to health dept - and the lack of enforcement to protect communities - is another long shadow of the covid era.
January 9, 2026 at 5:54 PM
The refusal to speak to health dept - and the lack of enforcement to protect communities - is another long shadow of the covid era.
These boys let loose and had two chocolate milkshakes!
Id love to see the after picture from around '68. You know there is one.
Id love to see the after picture from around '68. You know there is one.
January 9, 2026 at 4:48 AM
These boys let loose and had two chocolate milkshakes!
Id love to see the after picture from around '68. You know there is one.
Id love to see the after picture from around '68. You know there is one.
George Thorogood?!?
January 7, 2026 at 6:35 PM
George Thorogood?!?
It is a big burden on practices like ours when these big changes come down. Now I have to find new referrals for specialists for 20% of our panel, and the other system hardly has capacity. I dont see small practices being a thing in a decade.
January 7, 2026 at 5:04 AM
It is a big burden on practices like ours when these big changes come down. Now I have to find new referrals for specialists for 20% of our panel, and the other system hardly has capacity. I dont see small practices being a thing in a decade.
We are also learning by hunt and peck who is declining what contracts this year. One of three hospitals canceled on Medicaid contract. CVS dumped Blue Shield. United dumped GLP-1s. Sigh.
January 7, 2026 at 2:01 AM
We are also learning by hunt and peck who is declining what contracts this year. One of three hospitals canceled on Medicaid contract. CVS dumped Blue Shield. United dumped GLP-1s. Sigh.
Big ears festival throws out a few one offs every year. Usually Zorn and/or Frisell
January 6, 2026 at 4:07 AM
Big ears festival throws out a few one offs every year. Usually Zorn and/or Frisell
Thanks, but will you provide recommendations to offices in the VFC program about specifics regarding access and reimbursement policy? I'm worried about billing Medicaid for services that are not approved by this version of ACIP.
January 6, 2026 at 3:48 AM
Thanks, but will you provide recommendations to offices in the VFC program about specifics regarding access and reimbursement policy? I'm worried about billing Medicaid for services that are not approved by this version of ACIP.
Its all about setting. Ive seen him with Zorn and Frisell and he played with real passion.
January 6, 2026 at 3:37 AM
Its all about setting. Ive seen him with Zorn and Frisell and he played with real passion.
Every once in a while, I have an interaction with a big corporation that reminds me how little consumer protections we have in our current economy.
And it will be a cold day in hell if I ever use T Mobile again.
And it will be a cold day in hell if I ever use T Mobile again.
January 5, 2026 at 11:53 PM
Every once in a while, I have an interaction with a big corporation that reminds me how little consumer protections we have in our current economy.
And it will be a cold day in hell if I ever use T Mobile again.
And it will be a cold day in hell if I ever use T Mobile again.
Youve not heard Fogerty yarl til you've heard it off the OGwax.
One of the secrets to their sound was that they were on a jazz label, so their records sounded unique and direct in a way others didn't then. Everything else on the charts was tarted up with effects etc
One of the secrets to their sound was that they were on a jazz label, so their records sounded unique and direct in a way others didn't then. Everything else on the charts was tarted up with effects etc
January 5, 2026 at 10:42 PM
Youve not heard Fogerty yarl til you've heard it off the OGwax.
One of the secrets to their sound was that they were on a jazz label, so their records sounded unique and direct in a way others didn't then. Everything else on the charts was tarted up with effects etc
One of the secrets to their sound was that they were on a jazz label, so their records sounded unique and direct in a way others didn't then. Everything else on the charts was tarted up with effects etc
Furthermore: music from early 90s through about 2015 or so usually - not always - sounds better on CD because it was produced with that medium in mind. Since streaming is dominant, this is more chaotic.
January 5, 2026 at 10:35 PM
Furthermore: music from early 90s through about 2015 or so usually - not always - sounds better on CD because it was produced with that medium in mind. Since streaming is dominant, this is more chaotic.
Hyperfixating: a vinyl record from pre-73/74 oil crisis, and especially before onset of digital mastering in mid/late 80s, will always sound better than the later version. Even if there is a layer of bacon on the older. And prices reflect this cause collector heads know it.
January 5, 2026 at 10:29 PM
Hyperfixating: a vinyl record from pre-73/74 oil crisis, and especially before onset of digital mastering in mid/late 80s, will always sound better than the later version. Even if there is a layer of bacon on the older. And prices reflect this cause collector heads know it.