Taylor Nichols, MD FACEP
@tnicholsmd.com
I am driven by two main philosophies: know more today about the world than I knew yesterday and lessen the suffering of others
Humanist | Emergency+Addiction Medicine | Health policy and advocacy | Health technology and innovation | Views my own (he/him)
Humanist | Emergency+Addiction Medicine | Health policy and advocacy | Health technology and innovation | Views my own (he/him)
Pinned
Taylor Nichols, MD FACEP
@tnicholsmd.com
· Oct 17
Hi new friends, welcome!
I’m an emergency medicine and addiction medicine physician interested in health policy and advocacy. I post about harm reduction and the intersection between politics and health and healthcare, and my otherwise meandering thoughts of political despair.
I’m an emergency medicine and addiction medicine physician interested in health policy and advocacy. I post about harm reduction and the intersection between politics and health and healthcare, and my otherwise meandering thoughts of political despair.
Reposted by Taylor Nichols, MD FACEP
So, librarians, do you have a contingency plan for when these goons enter your facility? You might not be able to block access to a public building, but how are you alerting your patrons? Do you have a plan to get them out safely? Because you should.
Your tax dollars hard at work in Minnesota at the library! Notsee LARPers everywhere these days getting those government paychecks
December 30, 2025 at 7:28 PM
So, librarians, do you have a contingency plan for when these goons enter your facility? You might not be able to block access to a public building, but how are you alerting your patrons? Do you have a plan to get them out safely? Because you should.
Reposted by Taylor Nichols, MD FACEP
“Self-deport” is a whitewashed way to describe “fleeing the country under the threat of state violence.” I agree with Maria here — it’s important to call that exactly what it is.
What. No.
Don't use their language, @newyorker.com that is not even a real word. What the hell is wrong with "flee" or like. "Flee this godforsaken country"
Don't use their language, @newyorker.com that is not even a real word. What the hell is wrong with "flee" or like. "Flee this godforsaken country"
![[email subject line] The New Yorker Daily The Mexican Couple Planning to Self-Deport](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:un7ax3cmaqemchu5tsqnymts/bafkreihkgcfyxr6m2klg63f4wxk5dinyipggr2fz6arzkunbtsduv543wu@jpeg)
December 30, 2025 at 8:44 PM
“Self-deport” is a whitewashed way to describe “fleeing the country under the threat of state violence.” I agree with Maria here — it’s important to call that exactly what it is.
Reposted by Taylor Nichols, MD FACEP
it's just a perfect encapsulation of the rhetorical cul-de-sac western Zionists have run headlong into, and a massive gift in kind to anti-Zionist activists because it is openly, unambiguously unhinged
Polling suggests Israel is historically unpopular in the demographic corresponding with people likely to have small children, so I need someone smarter than me to explain how picking a fight with Ms. Rachel of all people makes any sense whatsoever. nypost.com/2025/12/26/o...
Mamdani picks his mentor: The woke, radical, anti-Israel YouTuber Ms. Rachel
Successful American politicians always know how to pick savvy mentors.
nypost.com
December 30, 2025 at 9:09 PM
it's just a perfect encapsulation of the rhetorical cul-de-sac western Zionists have run headlong into, and a massive gift in kind to anti-Zionist activists because it is openly, unambiguously unhinged
Reposted by Taylor Nichols, MD FACEP
I’m so grateful for all of you, and for everyone who refuses to give up or give in ✨
December 26, 2025 at 2:04 AM
I’m so grateful for all of you, and for everyone who refuses to give up or give in ✨
This is devastating:
“Even in the wake of the shooting, we came back. We foolishly thought that was the low point. We thought an attack on the agency fueled by anti-vaccine conspiracy theories would be a wake-up call for our health secretary and for Congress; it was not.”
“Even in the wake of the shooting, we came back. We foolishly thought that was the low point. We thought an attack on the agency fueled by anti-vaccine conspiracy theories would be a wake-up call for our health secretary and for Congress; it was not.”
Opinion | The CDC Shooting Isn't What Broke Me
Continuing to show up to work at an agency I no longer trust is devastating
www.medpagetoday.com
December 30, 2025 at 7:50 PM
This is devastating:
“Even in the wake of the shooting, we came back. We foolishly thought that was the low point. We thought an attack on the agency fueled by anti-vaccine conspiracy theories would be a wake-up call for our health secretary and for Congress; it was not.”
“Even in the wake of the shooting, we came back. We foolishly thought that was the low point. We thought an attack on the agency fueled by anti-vaccine conspiracy theories would be a wake-up call for our health secretary and for Congress; it was not.”
Reposted by Taylor Nichols, MD FACEP
We Don’t Seem to Be Making America Healthy Again: anti-vaccine activists practiced false arguments in internal conference, and now they're voiced by the anti-vaxxers in government, says Benjamin Mazer in @nytimes.com www.nytimes.com/2025/12/28/o...
Opinion | We Don’t Seem to Be Making America Healthy Again
www.nytimes.com
December 30, 2025 at 5:30 PM
We Don’t Seem to Be Making America Healthy Again: anti-vaccine activists practiced false arguments in internal conference, and now they're voiced by the anti-vaxxers in government, says Benjamin Mazer in @nytimes.com www.nytimes.com/2025/12/28/o...
Reposted by Taylor Nichols, MD FACEP
This guy has investigated this phenomenon extensively and actually recently released a book about it! Highly recommend his content.
Why we all talk like incels
YouTube video by Etymology Nerd
youtube.com
December 30, 2025 at 4:44 AM
This guy has investigated this phenomenon extensively and actually recently released a book about it! Highly recommend his content.
Reposted by Taylor Nichols, MD FACEP
Lyme is one of many health problems caused & exacerbated by manmade climate change. A legitimate health secretary would acknowledge that.
We actually had a pretty good Lyme vaccine but antivaxxers lied & said it gave people knee pain (it didn’t but knee pain?) & got manufacturer to pull it in 2002.
We actually had a pretty good Lyme vaccine but antivaxxers lied & said it gave people knee pain (it didn’t but knee pain?) & got manufacturer to pull it in 2002.
You know what, shitbird? I have an idea. What about a VACCINE?
There are several in late stages of development.
Will you promote them so we can get “children back into the woods” as you say?
There are several in late stages of development.
Will you promote them so we can get “children back into the woods” as you say?
December 30, 2025 at 5:16 AM
Lyme is one of many health problems caused & exacerbated by manmade climate change. A legitimate health secretary would acknowledge that.
We actually had a pretty good Lyme vaccine but antivaxxers lied & said it gave people knee pain (it didn’t but knee pain?) & got manufacturer to pull it in 2002.
We actually had a pretty good Lyme vaccine but antivaxxers lied & said it gave people knee pain (it didn’t but knee pain?) & got manufacturer to pull it in 2002.
Art.
Just as the Kennedy Center was always intended.
Just as the Kennedy Center was always intended.
December 30, 2025 at 5:02 AM
Art.
Just as the Kennedy Center was always intended.
Just as the Kennedy Center was always intended.
Reposted by Taylor Nichols, MD FACEP
State Department Exiles Critics to “Protect” Free Speech
Last week, Marco Rubio and the State Department revoked visas for five Europeans—including Imran Ahmed, a legal permanent resident in the US married to a US citizen—because they don't like their speech about disinformation. The State…
Last week, Marco Rubio and the State Department revoked visas for five Europeans—including Imran Ahmed, a legal permanent resident in the US married to a US citizen—because they don't like their speech about disinformation. The State…
State Department Exiles Critics to “Protect” Free Speech
Last week, Marco Rubio and the State Department revoked visas for five Europeans—including Imran Ahmed, a legal permanent resident in the US married to a US citizen—because they don't like their speech about disinformation. The State Department's justification? This form of speech suppression is necessary to protect free speech. This is merely the latest episode in what will go down as the most anti-free speech, censorial presidential administration in history.
www.techdirt.com
December 29, 2025 at 7:50 PM
State Department Exiles Critics to “Protect” Free Speech
Last week, Marco Rubio and the State Department revoked visas for five Europeans—including Imran Ahmed, a legal permanent resident in the US married to a US citizen—because they don't like their speech about disinformation. The State…
Last week, Marco Rubio and the State Department revoked visas for five Europeans—including Imran Ahmed, a legal permanent resident in the US married to a US citizen—because they don't like their speech about disinformation. The State…
Reposted by Taylor Nichols, MD FACEP
Walter Koroshetz, MD, long-time director of NINDS, is stepping down after his reappointment request was unexpectedly denied.
@aanmember.bsky.social voiced "significant concern over the abrupt decision" by the NIH to terminate its contract with Koroshetz.
www.medpagetoday.com/neurology/ge...
@aanmember.bsky.social voiced "significant concern over the abrupt decision" by the NIH to terminate its contract with Koroshetz.
www.medpagetoday.com/neurology/ge...
NIH Neurology Director Abruptly Ousted
American Academy of Neurology voices 'significant concern' over the decision
www.medpagetoday.com
December 29, 2025 at 10:04 PM
Walter Koroshetz, MD, long-time director of NINDS, is stepping down after his reappointment request was unexpectedly denied.
@aanmember.bsky.social voiced "significant concern over the abrupt decision" by the NIH to terminate its contract with Koroshetz.
www.medpagetoday.com/neurology/ge...
@aanmember.bsky.social voiced "significant concern over the abrupt decision" by the NIH to terminate its contract with Koroshetz.
www.medpagetoday.com/neurology/ge...
Reposted by Taylor Nichols, MD FACEP
The first patient I had die in the ICU was a previously healthy patient in their early 50s-from Influenza A.
They were NOT vaccinated-they didn’t think they needed it.
Get vaccinated. It could mean the difference between life and death.
They were NOT vaccinated-they didn’t think they needed it.
Get vaccinated. It could mean the difference between life and death.
The death of any child is tragic. We always think it will not be my child, they are healthy. Severe influenza can be unpredictable & deadly. Getting vaccinated considerably reduces dz severity and deaths. Please make sure you are vaccinated & your children are too.
people.com/alabama-boy-...
people.com/alabama-boy-...
Boy, 11, Dies After Severe Case of the Flu: ‘Jace Never Even Got to Open His Christmas Gifts’
Jace Watkins, 11, of Alabama died on Dec. 27 after being hospitalized due to complications from the flu.
people.com
December 29, 2025 at 1:07 AM
The first patient I had die in the ICU was a previously healthy patient in their early 50s-from Influenza A.
They were NOT vaccinated-they didn’t think they needed it.
Get vaccinated. It could mean the difference between life and death.
They were NOT vaccinated-they didn’t think they needed it.
Get vaccinated. It could mean the difference between life and death.
Reposted by Taylor Nichols, MD FACEP
A Hampton Inn in Asheville just canceled my family's reservation because our address (incorrectly) showed Asheville—and the hotel bars locals within 50 miles.
When I asked why, they said, "because of our homeless population," adding that most hotels here have similar policies.
This is outrageous.
When I asked why, they said, "because of our homeless population," adding that most hotels here have similar policies.
This is outrageous.
December 28, 2025 at 9:21 PM
A Hampton Inn in Asheville just canceled my family's reservation because our address (incorrectly) showed Asheville—and the hotel bars locals within 50 miles.
When I asked why, they said, "because of our homeless population," adding that most hotels here have similar policies.
This is outrageous.
When I asked why, they said, "because of our homeless population," adding that most hotels here have similar policies.
This is outrageous.
Reposted by Taylor Nichols, MD FACEP
An exceptionally stupid and contingent set of circumstances made Stephen Miller the most influential ideologue in the US. There is no future for the left or liberalism that does not take as a core mission ensuring he is punished for his crimes & no one as hateful as him is ever close to power again.
December 29, 2025 at 4:46 AM
An exceptionally stupid and contingent set of circumstances made Stephen Miller the most influential ideologue in the US. There is no future for the left or liberalism that does not take as a core mission ensuring he is punished for his crimes & no one as hateful as him is ever close to power again.
Reposted by Taylor Nichols, MD FACEP
This tech is inappropriate for police use!
It can’t distinguish prescribed stims from illegal ones.
It can’t know if you’re impaired by opioids or feeling normal on your daily methadone.
And given how long cannabis stays in the body, it can’t know if you’re currently baked or smoked last weekend.
It can’t distinguish prescribed stims from illegal ones.
It can’t know if you’re impaired by opioids or feeling normal on your daily methadone.
And given how long cannabis stays in the body, it can’t know if you’re currently baked or smoked last weekend.
A test with a binary result that can’t distinguish between someone who just snorted street amphetamines and someone who took a prescribed dose of Vyvanse that morning is just disability discrimination wrapped in the thinnest possible layer of pseudoscience.
Beyond breathalyzers, San Diego police can now field test drivers for drugs
The SoToxa device tests for cannabis, opioids, methamphetamine and more.
www.sandiegouniontribune.com
December 28, 2025 at 4:54 PM
This tech is inappropriate for police use!
It can’t distinguish prescribed stims from illegal ones.
It can’t know if you’re impaired by opioids or feeling normal on your daily methadone.
And given how long cannabis stays in the body, it can’t know if you’re currently baked or smoked last weekend.
It can’t distinguish prescribed stims from illegal ones.
It can’t know if you’re impaired by opioids or feeling normal on your daily methadone.
And given how long cannabis stays in the body, it can’t know if you’re currently baked or smoked last weekend.
Reposted by Taylor Nichols, MD FACEP
The death of any child is tragic. We always think it will not be my child, they are healthy. Severe influenza can be unpredictable & deadly. Getting vaccinated considerably reduces dz severity and deaths. Please make sure you are vaccinated & your children are too.
people.com/alabama-boy-...
people.com/alabama-boy-...
Boy, 11, Dies After Severe Case of the Flu: ‘Jace Never Even Got to Open His Christmas Gifts’
Jace Watkins, 11, of Alabama died on Dec. 27 after being hospitalized due to complications from the flu.
people.com
December 29, 2025 at 12:44 AM
The death of any child is tragic. We always think it will not be my child, they are healthy. Severe influenza can be unpredictable & deadly. Getting vaccinated considerably reduces dz severity and deaths. Please make sure you are vaccinated & your children are too.
people.com/alabama-boy-...
people.com/alabama-boy-...
Reposted by Taylor Nichols, MD FACEP
These parents killed their child and we need to say it
“The vaccination has stuff we don’t trust,” said the father of the 6-year-old girl who died of measles. In March, Tom Bartlett wrote about his visit with a family confronting an unthinkable tragedy.
Revisit one of The Atlantic’s most-read stories of 2025: theatln.tc/yADSKik3?lin...
Revisit one of The Atlantic’s most-read stories of 2025: theatln.tc/yADSKik3?lin...
December 29, 2025 at 12:43 AM
These parents killed their child and we need to say it
Reposted by Taylor Nichols, MD FACEP
Posing as a wise elder statesman and neutral defender of science, John Ioannidis said we had to embrace MAHA to keep science apolitical.
Using sanitized language, I basically reach the same conclusion as Dr. Dahly.
My latest for SBM.
sciencebasedmedicine.org/mahajpai/
Using sanitized language, I basically reach the same conclusion as Dr. Dahly.
My latest for SBM.
sciencebasedmedicine.org/mahajpai/
December 28, 2025 at 6:33 PM
Posing as a wise elder statesman and neutral defender of science, John Ioannidis said we had to embrace MAHA to keep science apolitical.
Using sanitized language, I basically reach the same conclusion as Dr. Dahly.
My latest for SBM.
sciencebasedmedicine.org/mahajpai/
Using sanitized language, I basically reach the same conclusion as Dr. Dahly.
My latest for SBM.
sciencebasedmedicine.org/mahajpai/
Reposted by Taylor Nichols, MD FACEP
Another example of how the U.S. political right appropriates digital tools, platforms, and data to create, (re)frame, and remix data visualizations to spread anti-immigrant propaganda. If you're interested in learning more, here's a paper from my research team: dl.acm.org/doi/abs/10.1...
December 28, 2025 at 11:15 PM
Another example of how the U.S. political right appropriates digital tools, platforms, and data to create, (re)frame, and remix data visualizations to spread anti-immigrant propaganda. If you're interested in learning more, here's a paper from my research team: dl.acm.org/doi/abs/10.1...
Reposted by Taylor Nichols, MD FACEP
The celebration and digital metastasization of conspiratorial thinking culminating with the U.S. head of health and human services believing that and governing as if modern diseases don’t emerge naturally, pandemics are all manmade, and science (not the complexities of nature) is to blame.
Kennedy is ramping up his attacks on vaccines. Conspiracy theories are central to that agenda of undermining faith in public health, medicine, and experts.
www.rollingstone.com/politics/pol...
www.rollingstone.com/politics/pol...
RFK Jr. Claims 'Vaccine Research' Likely Responsible for HIV and the Spanish Flu
Presidential Candidate Robert F. Kennedy Jr. claimed vaccine research was responsible for diseases like HIV, RSV, Lyme disease, and the Spanish flu.
www.rollingstone.com
December 28, 2025 at 7:39 PM
The celebration and digital metastasization of conspiratorial thinking culminating with the U.S. head of health and human services believing that and governing as if modern diseases don’t emerge naturally, pandemics are all manmade, and science (not the complexities of nature) is to blame.
Reposted by Taylor Nichols, MD FACEP
Time for the doctors who “would have” done things and “proposed” “argued” and “called for” amazing things to actually do these amazing things.
They are the medical establishment now.
Let them dazzle us all with their real world competence and prowess.
They are the medical establishment now.
Let them dazzle us all with their real world competence and prowess.
December 28, 2025 at 8:17 PM
Time for the doctors who “would have” done things and “proposed” “argued” and “called for” amazing things to actually do these amazing things.
They are the medical establishment now.
Let them dazzle us all with their real world competence and prowess.
They are the medical establishment now.
Let them dazzle us all with their real world competence and prowess.
Reposted by Taylor Nichols, MD FACEP
Jon Stewart is actually really bad on public health stuff.
He promoted COVID lab leak conspiracy nonsense, giving liberals the permission structure needed to embrace it.
This fits squarely in with that. Dude clearly internalized a lot of bad info.
He promoted COVID lab leak conspiracy nonsense, giving liberals the permission structure needed to embrace it.
This fits squarely in with that. Dude clearly internalized a lot of bad info.
Jon Stewart and the pod saves guys mocking people who wear masks while talking about What Is To Be Done is exactly what Jon Stewart and the pod saves guys are, it's the most Jon Stewart and pod saves guys thing possible.
December 28, 2025 at 8:23 PM
Jon Stewart is actually really bad on public health stuff.
He promoted COVID lab leak conspiracy nonsense, giving liberals the permission structure needed to embrace it.
This fits squarely in with that. Dude clearly internalized a lot of bad info.
He promoted COVID lab leak conspiracy nonsense, giving liberals the permission structure needed to embrace it.
This fits squarely in with that. Dude clearly internalized a lot of bad info.
Reposted by Taylor Nichols, MD FACEP
December 28, 2025 at 6:53 PM
Reposted by Taylor Nichols, MD FACEP
You are an enemy for criticizing your government this way.
December 29, 2025 at 12:02 AM
You are an enemy for criticizing your government this way.
Reposted by Taylor Nichols, MD FACEP
I’m just going to say this (not diving back into an argument or attacking anyone):
The idea that journalists cannot accurately or fully report on topics they have strong feelings about is silly.
The idea that journalists cannot accurately or fully report on topics they have strong feelings about is silly.
December 28, 2025 at 3:39 PM
I’m just going to say this (not diving back into an argument or attacking anyone):
The idea that journalists cannot accurately or fully report on topics they have strong feelings about is silly.
The idea that journalists cannot accurately or fully report on topics they have strong feelings about is silly.