Notices by McNadoMD (mcnado@mstdn.social)

The US isn’t deporting US citizens kids with cancer, because deportation is the act of expelling a foreign person. The US is sending children with cancer into exile in another country.

That’s who we are now.

Don’t think I’ve put in my discharge instructions for a pediatric cancer patient “travel to another country against your will with no support and no way to continue treatment, and don’t come back”.

Apparently ICE is jamming wifi when coming to door knock, which knocks out many video feeds like Ring doorbells and Simplisafe cameras.

You don’t need to hide shit as a federal agent unless what you are doing is reprehensible and illegal.

Folks, if someone in the US wants to study a group of people with a a certain condition, they go to an IRB to get permission. They have to decide if the research will use identifiable information. If the data contain identifiers, you essentially always have to get permission from each and every patient, and that permission has to be specific to the exact use of their data.

You don’t “make a registry” of everyone with a disease. Bad people do that. Nazis. Insurance execs. Bad people.

Another night in the ER, where zero of the problems people faced, and zero of the bullshit I had to fix, came from trans folks. Alcohol? Yes. Shitty national health system? Also yes. Broken mental health system? Still yes. Trans people? Nope. No issues there last night, or Sunday, or Saturday.

Anyway, glad we’re laser focused on fucking over trans people for…reasons?

“We can’t give everyone a trial”.

1. We don’t, and that isn’t actually what is required by law.

2. Just declaring that people don’t need due process doesn’t make it true. The constitution is pretty clear on that.

I’m just asking questions here, but did JD Vance kill the pope?

So if the reports of CDC refusing to test people for bird flu are true, docs should just be diagnosing it based on clinical history. Of course this will mean rates will go way up, because most people with vague viral symptoms and a good exposure history still don’t have fowl fever, but the point is, if we are left to clinical diagnosis, it will be the opposite of hiding the problem.

Aight, so we’ve got the lawyer in Boston, the doctor in Pennsylvania, the immigration advocate in AZ, and a retiree in Wisconsin, all of whom are American born US citizens. These are just the ones who made the news. The question now should be: where did ICE get those email addresses?

In recent GOP photo-ops from CECOT, I would point y’all to look at the abdominal fat pad on these guys. The ICE detainees being held are being starved. They have clearly lost a huge amount of weight in the weeks they have been detained. I suspect the photos will stop in a month or two because the starvation will be too clear.

When I was a kid, someone gave me one of those epic encyclopedias. It was probably 15-20 volumes, and it was all about WWII. Dozens and dozens of photos from concentration camps and POW camps. If you made the CECOT photos black and white, and made ‘em a little grainy, it’d be damn near impossible to tell they weren’t from one of those camps on first glance.

By my “happened to see it in the news” count, at least 3 US citizens who were born in the US have been told by ICE they must leave the country. This isn’t an accident. It is either incompetence or intentional malfeasance, and the three we know about are probably a tiny fraction of the problem.

ICE is big mad that people are (falsely) claiming the guy breaking a van window in Massachusetts to drag a guy out and disappear him is a far right militia hire. ICE adamantly states that they aren’t using far right militias, and to say otherwise endangers their agents. Must suck to be such assholes that the entire country is like “ICE hired (more) nazi goons? I mean, probably”.

Sucks to suck.

It can happen to any of us.

https://www.nbcnews.com/news/latino/us-born-citizen-detained-ice-immigration-florida-rcna201800

Not super stoked by the increase in serious suicide attempts, off the rails alcohol use disorder, and people just generally losing control of their lives. Add to that the elderly or disabled folks showing up by EMS because their primary caregivers were deported, and toss in a little measles and some impending Medicaid cuts, and working in the ER right now kinda blows.

Putting many of the country’s best white-hat hackers out of work seems ill advised.

If the reporting is accurate, someone (or multiple someones) in DOGE is either working for Russia or using equipment that is actively compromised by Russia, and this idiot is accessing very sensitive US systems from his or her compromised equipment, leading to Russians then using the same credentials to try to login within minutes. None of this is hard to mitigate, but I guess Musk just said “open the gates and let ‘em waltz in”.

We used to, on rare occasion, send police to contact patients at home to ask them to please come to the hospital to address some serious health issue (usually something like a positive TB test in a patient with no listed phone number, or someone who left against medical advice and was found to have an emergently life threatening infection but we couldn’t get ahold of them). No fucking way am I sending people in uniform to a home for a health issue now. Give someone a heart attack…

I had a doc tell me recently “yeah, but CDC lied about the COVID vax. First it stopped spread, then it stopped you from getting it … none of that was true”.

My dude, all of that *was* true, at the time, for that vax and those strains. I still have the papers. You can read them in NEJM (and elsewhere) any time. That is what the data showed. Things changed over time. If you can’t fucking figure that out in medicine, why are you even here?

So I guess the President is just openly saying he wants to be able to deport US citizens to El Salvador now.

Good job Republicans. Good job.