Ryan Marino, MD
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ryanmarino.bsky.social
Ryan Marino, MD
@ryanmarino.bsky.social
Human Doctor • Toxicology • Addiction • Emergency • #WTFentanyl & more often just WTF • drugs are misunderstood but people are misunderstood more • he/him • YouTube.com/@RyanMD • #MedSky
Pinned
I made this video about what is really going on with these “fentanyl exposure” stories because I got tired of explaining the same thing over and over: www.youtube.com/watch?v=215h...
The Myth(s) of Fentanyl Exposure
YouTube video by Ryan Marino, MD
www.youtube.com
Next they’re gonna want to count everybody’s Jewish grandparents
Nalin Haley, the son of former 2024 presidential candidate and South Carolina Gov. Nikki Haley, said that naturalized citizens should not be allowed to hold public office. Read more: https://bit.ly/4paM8CF
November 22, 2025 at 8:06 PM
Reposted by Ryan Marino, MD
I can attest to the small glimpse I had of this when I had Lyme disease. There’s a core group of folks (I was one) who had a tick bite that gave us a bacterial disease that cleared up after a while with medications. Unpleasant and sometimes severe, but defined. And then there was another cohort…
Please hear me when I say that

1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements

2) they pre-date the age of social media

3) they exist because we have not addressed medical sexism and specifically obstetric violence
Influencers made millions pushing ‘wild’ births – now the Free Birth Society is linked to baby deaths around the world
November 22, 2025 at 6:20 PM
Reposted by Ryan Marino, MD
Please hear me when I say that

1) these anti-medical woo birth movements have been a primary feeder into anti-vaxx eugenic movements

2) they pre-date the age of social media

3) they exist because we have not addressed medical sexism and specifically obstetric violence
November 22, 2025 at 2:38 PM
Reposted by Ryan Marino, MD
something i'll note is that if nuzzi ran catch-and-kill ops for rfk jr and lizza knew this prior to him being appointed as HHS, and instead of telling anyone, he decided to save it for his substack long after rfk jr had made communicable disease into federal policy, that's completely fucked
November 22, 2025 at 6:33 PM
Reposted by Ryan Marino, MD
"Here’s what we don’t say out loud: There’s no money in journalism anymore. No fame, no glamour, no prestige. But there’s lots and lots of money in media—in being a brand, an influencer, a personality. We stopped paying journalists and started rewarding performers."
"She’s not trying to rebuild her reputation as a journalist—she’s building a different kind of brand entirely, one where being interesting matters more than being ethical, where attention is the only currency that still spends."

The best thing I have read about her. www.mediaite.com/opinion/the-...
The Olivia Nuzzi Comeback Is Everything Wrong With Modern Media
Olivia Nuzzi’s comeback isn’t a personal scandal story—it’s proof that today’s media rewards access, personality, and controversy more than ethics.
www.mediaite.com
November 21, 2025 at 4:37 PM
Almost like the interests of the billionaire class just directly oppose the wellbeing of everybody else
Great point from @normornstein.bsky.social: Elon Musk has attached himself to Trump like Tony Curtis and Sidney Poitier handcuffed together in "The Defiant Ones."

It's hard to see how the brewing conflicts here don't end up splitting MAGA.

Our exchange on this:

newrepublic.com/article/1899...
November 22, 2025 at 7:39 PM
Reposted by Ryan Marino, MD
Ok but may I suggest I ❤️ YOU, MAM! -DONNIE
The front pages of today’s NYC tabloids.
November 22, 2025 at 7:30 PM
If you want me to take your anti-immigration beliefs seriously then start with your facial filler
November 22, 2025 at 7:33 PM
Bill Cassidy has done infinitely more for the antivaccine movement than he can ever claim he has done to promote vaccination. He is one of the worst antivaxxers to ever live.
With all my heart, fuck this guy.
November 22, 2025 at 7:30 PM
Reposted by Ryan Marino, MD
With all my heart, fuck this guy.
November 20, 2025 at 9:32 PM
Reposted by Ryan Marino, MD
November 22, 2025 at 7:21 PM
Reposted by Ryan Marino, MD
After reporting by ProPublica and other publications, the administration is dropping an effort that could have led 830,000 people to lose eligibility for Social Security disability payments.
How the Trump Administration Abandoned Plans for a Major Cut in Disability Benefits for Older Workers
After meeting with advocates, the Trump administration confirmed it has scrapped a controversial regulation that would have cut disability benefits for older workers.
www.propublica.org
November 22, 2025 at 7:00 PM
Reposted by Ryan Marino, MD
Israel cannot break ceasefires, they can only “test“ them by killing dozens of people
November 22, 2025 at 4:10 PM
Reposted by Ryan Marino, MD
America putting most of its eggs in the generative AI basket, China going hard into green tech. When history looks back on this period, someone is going to look awfully stupid.
November 22, 2025 at 7:18 PM
Reposted by Ryan Marino, MD
Our top story, from @liseolsen.bsky.social and @psskow.bsky.social: East Texans are uniting to fight oil waste pits in bucolic areas near Louisiana—all run by an operator who’s been cited for dozens of violations, and a worker’s death.
East Texans Fight Oil Waste Pits Run by an Operator Cited for Dozens of Violations
In bucolic areas near the Louisiana line, residents ask, "Why are Texas taxpayers liable for other states’ toxic waste?"
www.texasobserver.org
November 22, 2025 at 3:57 PM
Reposted by Ryan Marino, MD
I think it’s bad that ai allows people to pretend to live in completely separate realities so they don’t have to process news and events that make them uncomfortable. I think that is bad for the health of society!
Trump supporters are also making shitty AI videos of Trump arresting Mamdani in the Oval Office.

They don't know how to process what just happened in real life, so they're making the version they prefer with AI.
November 22, 2025 at 1:54 AM
Reposted by Ryan Marino, MD
It’s very funny to me that he apparently considers this detail exculpatory www.nytimes.com/2025/11/21/s...
November 22, 2025 at 12:56 PM
Reposted by Ryan Marino, MD
Reposted by Ryan Marino, MD
In honor of Larry Summers, I asked the female members of my college class (1987) to say if they had any experiences with sexual harassment by teachers/professors, back when this was tolerated as, I dunno, the cost of attending college, and OH MY GOD.
November 21, 2025 at 12:13 AM
Reposted by Ryan Marino, MD
JD Vance Cries In Bathroom After Trump Uses ‘Piggy’ Nickname On Someone Else https://theonion.com/jd-vance-cries-in-bathroom-after-trump-uses-piggy-nickname-on-someone-else/
November 21, 2025 at 7:00 PM
Reposted by Ryan Marino, MD
Q: Are you affirming that you think President Trump is a fascist?

MAMDANI: I've spoken about--

TRUMP: That's okay. You can just say yes. I don't mind.
November 21, 2025 at 8:53 PM
Reposted by Ryan Marino, MD
It rocks that the online voice of the US government is "computer-damaged reactionary virgin."
November 21, 2025 at 4:16 PM
Reposted by Ryan Marino, MD
at no point does this article get close to pointing out she's a weird billionaire-allied troll with no actual experience in journalism who was hired to blow smoke up the ass of power

most of the media journalism I read is so uninformative and feckless you'd be better off watching the muppet show
November 21, 2025 at 3:24 PM
Reposted by Ryan Marino, MD
"What strong views on diversity?"

"Ohh you know the ones..."
"The hiring of a former opinion journalist with strong views on Israel and diversity, equity and inclusion"

get out of journalism, you're all fucking useless
‘I Wanna Blow This Up’: How Bari Weiss Is Trying to Overhaul CBS News
The new editor in chief is personally recruiting potential anchors, booking guests herself and asking staff what they do.
www.wsj.com
November 21, 2025 at 4:37 PM
Reposted by Ryan Marino, MD
1. lol

2. today's White House meeting with Mamdani is currently scheduled as "closed press," which means it might not be much of a showdown
November 21, 2025 at 3:48 PM