Melissa Rayhill, MD, FAHS, FAAN
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melissarayhill.bsky.social
Melissa Rayhill, MD, FAHS, FAAN
@melissarayhill.bsky.social
Neurologist, Headache doc, Vice Chair for Education, Residency Program Director, reluctant dance/soccer mom, and member of Bills Mafia
The Big Beautiful Bill:

Huge cuts to Medicaid and food assistance. Hospitals will close. Millions losing coverage. They even messed w/ staffing ratios at nursing homes.

Huge tax cuts for people that make more money than I do.

It only costs >3 trillion dollars.

www.nytimes.com/interactive/...
A List of Nearly Everything in the G.O.P. Bill, and How Much It Would Cost or Save (Gift Article)
The legislation includes tax cuts as well as big cuts to Medicaid, food benefits and other programs, and it would add more than $3 trillion to the national debt.
www.nytimes.com
July 3, 2025 at 8:57 PM
Yup.
March 9, 2025 at 11:32 AM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Five former defense secretaries condemned President Trump’s firing last week of senior military leaders as "reckless" and urged Congress not to confirm their successors.
Former Defense Secretaries Call Trump’s Firing of Military Leaders ‘Reckless’
The five men asked the House and the Senate to hold hearings “to assess the national security implications of Mr. Trump’s dismissals.”
www.nytimes.com
February 28, 2025 at 3:00 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
New admin claims to be the frontier of radical transparency—but in just 1 week, public health decisions are being hidden from view. Instead of strengthening transparency, Sec. Kennedy is rolling it back:

1. ACIP meeting (CDC’s vaccine advisors). Delayed = No transparency on vaccine policy decisions
February 28, 2025 at 9:26 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
This isn’t radical transparency—it’s the opposite. They are hiding, and it’s only been one week. What's next?
February 28, 2025 at 9:26 PM
Watching the longer version is even more 😡🤯.

youtu.be/9td4L_p5WhE?...
Tense moments in Trump meeting with Zelenskyy as Vance blasts Ukraine's leader
YouTube video by CBS News
youtu.be
March 1, 2025 at 2:55 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Read the @jama.com research letter "Trends in Travel Time to Obtain Surgical Care for Rural Patients," featured in this
@washingtonpost.com article.

➡️ ja.ma/3QhmDiU

#MedSky
Many rural patients drive an hour or more for surgery, study finds
One study looked at about 12.3 million surgery admissions overall, 2.6 million of which were in rural areas.
www.washingtonpost.com
February 24, 2025 at 7:49 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
The Trump administration may continue — for now — to keep the AP from covering key events. A federal judge declined to issue a temporary restraining order on Monday.
Court ruling lets White House ban on the Associated Press continue, for now
The Trump administration may continue — for now — to keep the AP from covering key events. A federal judge declined to issue a temporary restraining order on Monday.
www.npr.org
February 25, 2025 at 1:00 AM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Don’t forget to register for the @aanmember.bsky.social Chief Resident Webinar Series!

Next up on Monday, March 3, 2025 from 11:00 a.m. – 12:00 p.m. CT:

"Communication Skills and Feedback."

learning.aan.com/courses/8991...
American Academy of Neurology: Neurology Resources | AAN
learning.aan.com
February 21, 2025 at 4:40 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
We’re experiencing perhaps the worst flu season in 25 years, with severe cases also rising, and young children and seniors faring the worst. One in six of all ER visits in the 0-17 age groups are now for influenza.

www.cdc.gov/fluview/surv...

h/t @cmyeaton.bsky.social
February 14, 2025 at 9:37 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
The legendary Epidemic Intelligence Service (EIS) gone, just like that. Since 1951, these disease detectives have hit the pavement and secured vital information needed to face emerging threats to our lives.
February 14, 2025 at 10:13 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
"Few have questioned who should own hospitals and other essential health care resources."

This Viewpoint discusses the collapse of the Steward Health Care system and the conflict between financial ambition and clinical mission.

ja.ma/4hzhXkH

#MedSky
February 12, 2025 at 11:48 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
I don't know if there's already a bigger/better list but here's a starter pack of headache specialists and organizations.

If you know of others to add, let me know!
go.bsky.app/8H67wgj
February 1, 2025 at 11:04 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
"To condone policies that the profession knows will compromise health—or to remain silent and look away—is to be complicit in putting population health at risk"

To every university, every public hospital, every academic society: SILENCE IS NOT AN OPTION. #medsky
How Should Health Care and Public Health Respond to the New US Administration?
This Viewpoint discusses scientific, medical, and public health actions, including withdrawing from the World Health Organization, taken so far during the first week of the Trump administration.
jamanetwork.com
February 2, 2025 at 2:20 AM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Applications are open!

Headache is recruiting new trainees to join its Editorial Board as part of the Resident & Fellows Assistant Editor Team!

To learn more about the program and application requirements, see the full AHS announcement: americanheadachesociety.org/news/join-th....
February 2, 2025 at 4:30 AM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
BREAKING: CDC's top advisors demand answers and a restoration of crucial public health data. New story by me: www.statnews.com/2025/02/01/c...
CDC advisers push agency to explain data removal, say when info will be restored
Information on topics such as gender, teens' behavior, and infectious diseases was removed from the CDC's website.
www.statnews.com
February 1, 2025 at 11:41 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Academic Skyers: I am compiling a list of policies and statements from various universities about how they are handling the "pause" in terms of stopping expenditures (or not).

Please respond to this post with your institution and materials.

THANK YOU!
January 28, 2025 at 5:35 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
Trump has gagged the CDC, but not me. So I'm sharing this. www.cjonline.com/story/news/p...
Kansas tuberculosis outbreak is now America's largest in recorded history
Kansas public health officials say the state's ongoing tuberculosis outbreak is the largest since the CDC started reporting TB cases in the 1950s.
www.cjonline.com
January 25, 2025 at 9:40 PM
January 26, 2025 at 11:05 PM
🥹🥹🥹🙏🙏🙏 #buffalove #lfg #billsmafia
Where else would you rather be?!

You know Marv Levy is cheering his Bills on today!

bufbills.co/3PG8WtH | #BillsMafia
January 26, 2025 at 11:04 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
On Friday, a memorandum signed by Marco Rubio called for a 90-day cessation of foreign aid. That would likely put on hold the work of PEPFAR, the President's Emergency Plan for AIDS Relief.
PEPFAR, the acclaimed anti-HIV program, faces loss of funds as part of U.S. aid pause
On Friday, a memorandum signed by Marco Rubio called for a 90-day cessation of foreign aid. That would likely put on hold the work of PEPFAR, the President's Emergency Plan for AIDS Relief.
www.npr.org
January 25, 2025 at 9:34 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
An explainer about how health research funding happens and why this NIH funding cycle shutdown matters: www.msnbc.com/opinion/msnb...
Opinion | I’m a health researcher. NIH’s pause on research grants could have a devastating cost.
This is a potentially devastating event — not just for the scientific community, but for all Americans.
www.msnbc.com
January 24, 2025 at 11:39 PM
Reposted by Melissa Rayhill, MD, FAHS, FAAN
ICE was in my hospital today…

i am so beyond angry—this is unacceptable

stay away from our patients and let us do our jobs
January 24, 2025 at 11:11 PM