Scott Fabricant MD PhD
@safabric.bsky.social
Infectious Diseases PGY-5 | Ecologist-turned-Internist | Interests in ID/SUD overlap | 🏳️🌈 | He/Him/His | #IDSky #MedSky
Pinned
Reposted by Scott Fabricant MD PhD
This is a good decision. The 2002 backlash against MHT/HRT happened because the public, much of the media & even some doctors don't grasp the difference between relative & absolute risk. A percentage change may seem substantial, but you need to look at the actual numbers.
FDA reverses decades-old warning on hormone therapy products for menopause
The FDA is reversing a 2003 decision that put a stringent warning on hormone therapy products for menopausal women, saying that the treatments offer heart, brain, and bone health benefits.
www.statnews.com
November 10, 2025 at 6:57 PM
This is a good decision. The 2002 backlash against MHT/HRT happened because the public, much of the media & even some doctors don't grasp the difference between relative & absolute risk. A percentage change may seem substantial, but you need to look at the actual numbers.
Reposted by Scott Fabricant MD PhD
The President pardoned members of his private militia after they failed to overturn an election; they, in turn, pledge their support to him and urge him to use them to police civil society.
New:
On The Gateway Pundit's podcast yesterday, Stewart Rhodes announced he's relaunching the Oath Keepers
He also urged Trump to “call us up as a militia" & "order us all to come together in our counties under his command."
www.mediamatters.org/oath-keepers...
On The Gateway Pundit's podcast yesterday, Stewart Rhodes announced he's relaunching the Oath Keepers
He also urged Trump to “call us up as a militia" & "order us all to come together in our counties under his command."
www.mediamatters.org/oath-keepers...
![STEWART RHODES (FOUNDER, OATH KEEPERS): And one other thing I want to say is that President Trump, as commander in chief, always has absolute authority to call all of us up as the militia because every one of us — in federal statues defining the militia, it's every able-bodied male from age 17-45. And for us veterans, it goes up to age 64 because of our prior training and experience.
Right now, under federal statutes, President Trump can call us up as the militia if he sees it necessary, especially for three purposes: to repel invasions, to suppress insurrections, and to execute the laws of the union. And right now, we see all three of those in play.
...
And the militia is all of us. So the National Guard is part of the militia, which is why it's completely lawful for him to use the National Guard as he has, and he should do more of that, I think, across the country.
...
He could just say given the circumstances of an invasion, insurrection, and resistance against federal law being being enforced, I'm calling up the militia, ordering all the men to come together [in] every county, put the veterans in charge of training and organizing all the other men and just have them stand too and await his orders. He can do that and I think he should do that. And so that's what I'll be advocating for from him. So from the bottom, from down the rank and file, we can let President Trump know that we're ready to serve, encourage him to do that, call us up as a militia, order us all to come together in our counties under his command, which gives you complete legal sanction to do what you're doing.](https://cdn.bsky.app/img/feed_thumbnail/plain/did:plc:af7tqcetuyt352aolf3znlxe/bafkreialm4skuozqobejpd6vx4m6kuwsgtidxmmxvj3ftcff6otiuyohiy@jpeg)
November 10, 2025 at 5:17 PM
The President pardoned members of his private militia after they failed to overturn an election; they, in turn, pledge their support to him and urge him to use them to police civil society.
Reposted by Scott Fabricant MD PhD
they understand insurance. the entire premise of libertarian opposition to mandatory insurance is that they should not have to care about anyone else and be permitted to take risks. it's the same opposition to vaccination and taxation.
they are bad neighbors.
they are bad neighbors.
Tell me you don’t understand risk pools without telling me you don’t understand risk pools
November 10, 2025 at 4:32 PM
they understand insurance. the entire premise of libertarian opposition to mandatory insurance is that they should not have to care about anyone else and be permitted to take risks. it's the same opposition to vaccination and taxation.
they are bad neighbors.
they are bad neighbors.
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.
Reposted by Scott Fabricant MD PhD
"[K]ids inside the car wash watched as their mother was taken away."
"Workers were not allowed to go inside to retrieve their work permits or identification, and [ICE] made no effort to enter the facility to identify anyone they were arresting."
#Massachusetts #USA #Deportation #EthnicCleansing
"Workers were not allowed to go inside to retrieve their work permits or identification, and [ICE] made no effort to enter the facility to identify anyone they were arresting."
#Massachusetts #USA #Deportation #EthnicCleansing
ICE Agents Kidnap Nine People Working at Car Wash in Boston
ICE carried out its biggest workplace raid in Massachusetts so far, kidnapping nine workers at a car wash in the neighborhood of Allston-Brighton.
www.leftvoice.org
November 9, 2025 at 9:37 PM
"[K]ids inside the car wash watched as their mother was taken away."
"Workers were not allowed to go inside to retrieve their work permits or identification, and [ICE] made no effort to enter the facility to identify anyone they were arresting."
#Massachusetts #USA #Deportation #EthnicCleansing
"Workers were not allowed to go inside to retrieve their work permits or identification, and [ICE] made no effort to enter the facility to identify anyone they were arresting."
#Massachusetts #USA #Deportation #EthnicCleansing
Not you though. Step down.
Democrats have been fighting for months to address America's healthcare crisis
For the millions who will lose coverage
For people with cancer who won't get the care they need
For working families who can't afford to pay $25K more a year for healthcare
We will keep fighting
For the millions who will lose coverage
For people with cancer who won't get the care they need
For working families who can't afford to pay $25K more a year for healthcare
We will keep fighting
November 10, 2025 at 5:05 AM
Not you though. Step down.
$2600 a month for a $6000 deductible and a 40% copay is practically a death sentence for a sizable fraction of people in this country.
November 10, 2025 at 5:03 AM
$2600 a month for a $6000 deductible and a 40% copay is practically a death sentence for a sizable fraction of people in this country.
Reposted by Scott Fabricant MD PhD
I thought my new health insurance premium was going to be $350 per month until I got this letter informing me that it would be $1,228.28 PER MONTH. I CURRENTLY PAY $50. Is my math mathing? Is that.... a 2,356.42% increase?
2256.42%????
TWO THOUSAND TWO HUNDRED FIFTY SIX POINT FORTY TWO PERCENT😩
2256.42%????
TWO THOUSAND TWO HUNDRED FIFTY SIX POINT FORTY TWO PERCENT😩
November 9, 2025 at 4:06 AM
I thought my new health insurance premium was going to be $350 per month until I got this letter informing me that it would be $1,228.28 PER MONTH. I CURRENTLY PAY $50. Is my math mathing? Is that.... a 2,356.42% increase?
2256.42%????
TWO THOUSAND TWO HUNDRED FIFTY SIX POINT FORTY TWO PERCENT😩
2256.42%????
TWO THOUSAND TWO HUNDRED FIFTY SIX POINT FORTY TWO PERCENT😩
Reposted by Scott Fabricant MD PhD
Important to understand this. There's a reasonable chance that your Dem Senator who voted against it and is acting mad now was in on the play. It's the same reason why they scheduled the surrender for AFTER the election this week. They didn't want people pissed at Dems right before an election.
The caucus meeting was just to orchestrate who would fall on the sword but not be up for a vote in 2026.
so currently defectors are:
Kaine (2030)
Shaheen (Retiring)
Hasan (2028)
Fetterman (2028)
Durbin (Retiring)
CCM (2028)
Rosen (2030)
King (2030)
Kaine (2030)
Shaheen (Retiring)
Hasan (2028)
Fetterman (2028)
Durbin (Retiring)
CCM (2028)
Rosen (2030)
King (2030)
November 10, 2025 at 2:11 AM
Important to understand this. There's a reasonable chance that your Dem Senator who voted against it and is acting mad now was in on the play. It's the same reason why they scheduled the surrender for AFTER the election this week. They didn't want people pissed at Dems right before an election.
Reposted by Scott Fabricant MD PhD
Democrats, coming off a historic national protest against fascism and a country-wide electoral sweep:
November 9, 2025 at 9:54 PM
Democrats, coming off a historic national protest against fascism and a country-wide electoral sweep:
Reposted by Scott Fabricant MD PhD
Is he admitting he has no control of his own caucus?
And if so, when is he resigning?
And if so, when is he resigning?
Schumer: "I must vote no. I can not, in good faith, support this CR. ... Make no mistake about it, the American people know who is inflicting this pain on them."
He stops short of urging his colleagues to vote "no."
He stops short of urging his colleagues to vote "no."
November 10, 2025 at 1:27 AM
Is he admitting he has no control of his own caucus?
And if so, when is he resigning?
And if so, when is he resigning?
Because all the folks were already coffee drinkers, and the curves separated super early, this looks a lot more to me like "caffeine withdrawal can trigger Afib".
Get this: Coffee suppressed atrial fibrillation!
Unexpected results for recurrence from a randomized trial in participants after cardioversion from AF
#AHA25 @jama.com
jamanetwork.com/journals/jam...
Unexpected results for recurrence from a randomized trial in participants after cardioversion from AF
#AHA25 @jama.com
jamanetwork.com/journals/jam...
November 9, 2025 at 11:05 PM
Because all the folks were already coffee drinkers, and the curves separated super early, this looks a lot more to me like "caffeine withdrawal can trigger Afib".
Reposted by Scott Fabricant MD PhD
Every dollar spent on #addiction treatment, housing, #harmreduction and mental health saves several in justice costs, emergency care and lost productivity. Every dollar spent on enforcement yields almost no measurable reduction in drug use or overdoses. #crime
www.msnbc.com/opinion/msnb...
www.msnbc.com/opinion/msnb...
Opinion | Trump's unprecedented global expansion of the drug war
The Trump administration attacking boats in the Caribbean is a costly distraction meant to project toughness while masking its role in worsening the crisis at home.
www.msnbc.com
November 8, 2025 at 9:01 PM
Every dollar spent on #addiction treatment, housing, #harmreduction and mental health saves several in justice costs, emergency care and lost productivity. Every dollar spent on enforcement yields almost no measurable reduction in drug use or overdoses. #crime
www.msnbc.com/opinion/msnb...
www.msnbc.com/opinion/msnb...
Reposted by Scott Fabricant MD PhD
As I read articles like this, I always find myself thinking about the many patients I’ve lost to overdose. (1/3)
#MedSky
The Erosion of Harm Reduction | New England Journal of Medicine www.nejm.org/doi/full/10....
#MedSky
The Erosion of Harm Reduction | New England Journal of Medicine www.nejm.org/doi/full/10....
The Erosion of Harm Reduction | NEJM
The U.S. administration has continuously chipped away at public health interventions addressing substance use disorders and the opioid crisis, including vital harm-reduction activities.
www.nejm.org
November 9, 2025 at 12:21 PM
As I read articles like this, I always find myself thinking about the many patients I’ve lost to overdose. (1/3)
#MedSky
The Erosion of Harm Reduction | New England Journal of Medicine www.nejm.org/doi/full/10....
#MedSky
The Erosion of Harm Reduction | New England Journal of Medicine www.nejm.org/doi/full/10....
Reposted by Scott Fabricant MD PhD
What’s the optimal antibiotic duration after DAIR for acute periprosthetic joint infection (PJI)?
🌍 An international consensus led by ID faculty Dr. Geno Tai and colleagues recommends at least 12 weeks of therapy. #IDSky #MedSky #OrthoSky
🌍 An international consensus led by ID faculty Dr. Geno Tai and colleagues recommends at least 12 weeks of therapy. #IDSky #MedSky #OrthoSky
2025 ICM: Debridement, Antibiotics, and Implant Retention (DAIR)
James Cashman, Paul McCarroll, Peter Choong, Pedro Ivo Carvalho, Nicolaas Budhiparama,
Ewout S Veltman, David Dewar, Mehmet Kursat Yilmaz
www.arthroplastyjournal.org
November 9, 2025 at 2:53 PM
Reposted by Scott Fabricant MD PhD
Please buy an advent calendar! This is our 3rd year. Ours arrived yesterday; my husband came & handed the envelope to me. “What’s in it? WAIT, IS IT THIS YEAR’S ANIMAL FACTS ADVENT CALENDAR?!” I slowly pulled it out of the envelope, facing it towards him. His face lit up as he shouted, “EEL FACTS!!”
This year we have sold 31% of the advent calendars that we sold last year 😓
The art is so pretty and colorful 🥺
The facts are so good 🥺
Eels are so cool 🥺
Get an eel facts advent calendar at EelFacts.net
The art is so pretty and colorful 🥺
The facts are so good 🥺
Eels are so cool 🥺
Get an eel facts advent calendar at EelFacts.net
November 9, 2025 at 6:00 PM
Please buy an advent calendar! This is our 3rd year. Ours arrived yesterday; my husband came & handed the envelope to me. “What’s in it? WAIT, IS IT THIS YEAR’S ANIMAL FACTS ADVENT CALENDAR?!” I slowly pulled it out of the envelope, facing it towards him. His face lit up as he shouted, “EEL FACTS!!”
Reposted by Scott Fabricant MD PhD
Something I've really noticed among institutional "responses" to generative technologies is that "DO NOT USE THIS TOOL, IT'S COMPLETELY INAPPROPRIATE" is fudamentally erased from any possibility of ever being an option
Often paired with fatalist stuff like "this isn't going away"
Often paired with fatalist stuff like "this isn't going away"
November 8, 2025 at 10:15 PM
Something I've really noticed among institutional "responses" to generative technologies is that "DO NOT USE THIS TOOL, IT'S COMPLETELY INAPPROPRIATE" is fudamentally erased from any possibility of ever being an option
Often paired with fatalist stuff like "this isn't going away"
Often paired with fatalist stuff like "this isn't going away"
Reposted by Scott Fabricant MD PhD
“I want you to understand what it is like to live in Chicago during this time.”
aphyr.com/posts/397-i-...
aphyr.com/posts/397-i-...
November 9, 2025 at 5:26 PM
“I want you to understand what it is like to live in Chicago during this time.”
aphyr.com/posts/397-i-...
aphyr.com/posts/397-i-...
I wouldn't call pure nicotine harmless, but I totally agree that cigarette smoke is the most harmful way to use nicotine. For my patients that are not ready to quit, my colleagues get weirded out that I encourage switch to vaping. Vaping is still not harmless but I believe it's harm reduction.
What if there was a country where total nicotine use was identical to 26 other countries, but where tobacco-related DEATHS were MUCH MUCH lower than those 26 countries?
Harm depends on the delivery source, not nicotine itself.
Harm depends on the delivery source, not nicotine itself.
November 9, 2025 at 6:16 PM
I wouldn't call pure nicotine harmless, but I totally agree that cigarette smoke is the most harmful way to use nicotine. For my patients that are not ready to quit, my colleagues get weirded out that I encourage switch to vaping. Vaping is still not harmless but I believe it's harm reduction.
LOL
Canadian multimillionaire and Shark Tank guy Kevin O'Leary went on TV to say he's upset Zohran won't talk to him: "I and others who invest in real estate have tried to get a meeting to figure out what's rhetoric and what's policy. So far for me it's been crickets."
November 9, 2025 at 5:36 PM
LOL
Reposted by Scott Fabricant MD PhD
If you listen to podcasts and care about people who use drugs or breaking the stigma, I would love if you listened and any feedback you have!
We're close to one of my goals in terms of viewers and listeners as we approach our 2nd anniversary of launching.
recoveryreformpodcast.podbean.com
We're close to one of my goals in terms of viewers and listeners as we approach our 2nd anniversary of launching.
recoveryreformpodcast.podbean.com
Recovery Reform: Navigating Harm Reduction, Recovery, and Drug Policy | Dr. Taylor Nichols and McCauley Sexton
Recovery Reform endeavors to break the stigma around substance use and explore recovery beyond traditional narratives. Hosted by McCauley Sexton, founder and Executive Director of Recovery Reform and ...
recoveryreformpodcast.podbean.com
November 8, 2025 at 11:33 PM
If you listen to podcasts and care about people who use drugs or breaking the stigma, I would love if you listened and any feedback you have!
We're close to one of my goals in terms of viewers and listeners as we approach our 2nd anniversary of launching.
recoveryreformpodcast.podbean.com
We're close to one of my goals in terms of viewers and listeners as we approach our 2nd anniversary of launching.
recoveryreformpodcast.podbean.com
Reposted by Scott Fabricant MD PhD
Finally published this article and it's more important now than ever to #SaveHIVFunding #HIVSky
academic.oup.com/cid/article-...
academic.oup.com/cid/article-...
Silence = Death Is Real Now More Than Ever, but Words Aren’t Enough—Action Is Needed!
To the editor—Thanks to Meyerowitz and Schwartz [1] for their viewpoint article, which highlights all the jarring changes that President Trump and his admi
academic.oup.com
November 6, 2025 at 4:47 PM
Finally published this article and it's more important now than ever to #SaveHIVFunding #HIVSky
academic.oup.com/cid/article-...
academic.oup.com/cid/article-...
Reposted by Scott Fabricant MD PhD
BREAKING: Singer of “#1 Spice” from 2016 film, Queen of Katwe, elected mayor of New York City
November 5, 2025 at 2:25 AM
BREAKING: Singer of “#1 Spice” from 2016 film, Queen of Katwe, elected mayor of New York City
Reposted by Scott Fabricant MD PhD
I'd bet solid money that cefazolin is the #1 most-avoided drug do to fear of drug allergy, and it almost never needs to be avoided in penicillin-allergy. Et tu, @pharmermeg.bsky.social ?
Preventive non–beta-lactam antibiotics linked to higher risk of surgical-site infections
In nearly 350,000 Swiss patients, use of non–beta-lactams before surgery was associated with a nearly two-fold increase in SSI risk compared with beta-lactams.
www.cidrap.umn.edu/a...
In nearly 350,000 Swiss patients, use of non–beta-lactams before surgery was associated with a nearly two-fold increase in SSI risk compared with beta-lactams.
www.cidrap.umn.edu/a...
November 3, 2025 at 9:40 PM
I'd bet solid money that cefazolin is the #1 most-avoided drug do to fear of drug allergy, and it almost never needs to be avoided in penicillin-allergy. Et tu, @pharmermeg.bsky.social ?
Reposted by Scott Fabricant MD PhD
I’m really starting to suspect that most of the tech bros haven’t actually read Tolkien, as they certainly don’t understand it.
The gentle hobbits save the “hard men” of Gondor, largely through compassion and selflessness. Not the other way around. The Christian parable is barely hidden!
The gentle hobbits save the “hard men” of Gondor, largely through compassion and selflessness. Not the other way around. The Christian parable is barely hidden!
Elon Musk: "It is time for the English to ally with the hard men, like Tommy Robinson, and fight for their survival or they shall surely all die" 29th October 2025. 2 million views in its first hour.
October 29, 2025 at 9:31 AM
I’m really starting to suspect that most of the tech bros haven’t actually read Tolkien, as they certainly don’t understand it.
The gentle hobbits save the “hard men” of Gondor, largely through compassion and selflessness. Not the other way around. The Christian parable is barely hidden!
The gentle hobbits save the “hard men” of Gondor, largely through compassion and selflessness. Not the other way around. The Christian parable is barely hidden!