Daniel Shalev, MD
@pallipsych.bsky.social
Asst. Prof of Medicine/Psychiatry @ Weill Cornell. Palliative care/CL psychiatry doc, researcher in #hapc #pallipsych, Psychosocial AE @ @jpsmjournal.bsky.social , NIA Beeson Scholar. Most importantly hubby to Nuri and companion to Frasier the dog.
More work with @pallipsych.bsky.social is out today! We asked nursing home staff about their perceptions of palliative care, their engagement with advance cafe planning and which components of pall care are most valuable to them. doi.org/10.1111/jgs....
Training and Practice Gaps in Nursing Home Palliative Care: A Cross‐Sectional Study
Background Palliative care needs are prevalent among nursing home (NH) residents. However, access to and integration of palliative care services remain limited. NHs often rely on a workforce with va...
doi.org
“Kennedy would be less hazardous if he decided to do cardiac surgery. Then he would kill people only one at a time rather than his current ability to kill by the thousands. Why is it that killing a single person is seen as murder but killing masses is excused if you are a politician?” Dr Bill Foege
I am grieving the barbarism that is going to unfurl from all this. People are going to die. Livelihoods gone. All to feed a corrupt kleptocracy. I see every day up close how different it is from the first time around. There are no guardrails. A disaster. I’m sorry we have to live through this.
This #NIH Notice that came out yesterday virtually makes every major university INELIGBIBLE for NIH funding (recipients can't operate any program that promote diversity, equity, and inclusion). This is asinine, but why haven't I heard academic fighting back? #medsky grants.nih.gov/grants/guide...
NOT-OD-25-090: Notice of Civil Rights Term and Condition of Award
NIH Funding Opportunities and Notices in the NIH Guide for Grants and Contracts: Notice of Civil Rights Term and Condition of Award NOT-OD-25-090. NIH
grants.nih.gov
I think most people have a hard time believing that the USAID/PEPFAR cuts are as bad as they are bc it's impossible to stomach that policymakers would knowingly kill millions. But this is what is happening. PEPFAR supported antiretroviral therapy for 20.6 million people. www.npr.org/sections/goa...
Portraits: A 10-year-old, a house painter and a mom who are running out of HIV pills
HIV medications were supposed to be exempt from U.S. aid cuts. In Zambia, for example, those on the ground say otherwise.
npr.org
Angel of the Lord: He is not here, He is risen, just as He said. Come and see the place where He lay. And go quickly, and tell his disciples that he is risen from the dead. Alito: Okay, first of all, this violates ALL sorts of rules Thomas: This was a LAWFUL execution, who is God to interfere
This damage will be irreparable. www.thetransmitter.org/funding/prop...
Proposed NIH budget cut threatens ‘massive destruction of American science’
A leaked draft of a Trump administration proposal includes an approximately 40 percent cut to the National Institutes of Health’s budget and a major reorganization of its 27 institutes and centers.
thetransmitter.org
Waiting to wake up from this surreal nightmare 😩
Who needs accurate health information? Not the US government.
"When a US Attorney wields the power of his office to target medical journals bc of their content & editorial processes, he isn't doing his job. He's abusing his authority to try to chill protected speech." #saveourscience This is such bullshit.
Medical Journals Get Letters From DOJ
At least three journals received letters from a U.S. Attorney asking about 'competing viewpoints'
medpagetoday.com
NEW: The CFPB has been gutted. More than 1,400 workers received RIF notices this afternoon, agency sources tell me. Around 200 employees are left. www.wired.com/story/cfpb-h...
The CFPB Has Been Gutted
The Consumer Financial Protection Bureau terminated the positions of 1,406 employees at the congressionally-mandated agency.
wired.com
Did you know? 99% of all new medications resulted from federally-funded university research through #NIH Learn more about #ResearchSavesLives: hub.jhu.edu/research-sav....
"Pausing" scientific research is like "pausing" a car in the middle of the highway—it's liable to have catastrophic, long-term effects that restarting it won't fix.
It is *so* hard to get NIH funding. I can’t imagine how awful it must feel to have finally gotten the grant that lets you do the meaningful research you want to do and then have it ripped away.
Me: ooof this task I need to do is difficult. Let me check out what’s happening in the world. …opens social media app. Reads 2-3 posts… Me: everything is awful, I am so angry and upset. …closes social media app… Me: ooof this task I need to do is terrible. Let me… Ad infinitum 🫠
So - I've actually led Ebola outbreak response at USAID. This is bunk from Elon. They have laid off most of the experts, they're bankrupting most of the partner orgs, have withdrawn from WHO, and muzzled CDC. What's left is a fig-leaf effort to cover their asses politically.
Elon Musk: "We will make mistakes. We won't be perfect ... so for example, with USAID, one of the things we accidentally canceled very briefly was ebola prevention."
Make a huge mistake. Then make a false claim about how you fixed it. They did it for PEPFAR. Now Ebola. I follow this particular topic VERY closely, so here's what really happened and why this isn't true AT ALL...🧵
Elon Musk: "We will make mistakes. We won't be perfect ... so for example, with USAID, one of the things we accidentally canceled very briefly was ebola prevention."
#America rushing to see how we can go from the smartest to the dumbest the fastest. What is the point of court orders if these agencies can just defy them?
NIH is again throttling research funding in defiance of a federal court order
A freeze on "new and continuation awards" will "remain in place" pending DEI review, states a new internal memo.
motherjones.com
The Trump regime's segregationist agenda is clear. I argue that having a Black man as president of white America enraged a portion of this country so much, that they decided to destroy any pipeline to Black advancement in academia, government, & workplaces. karenattiah.substack.com/p/trumps-seg...
Trump's segregationist agenda is a reaction to Obama
And we need to talk about it.
karenattiah.substack.com
This morning, the National Science Foundation fired 168 probationary employees, effective immediately. The number represents roughly 10% of its workforce. Follow Science’s coverage of President Donald Trump’s impact on U.S. research and science globally. ⬇️ scim.ag/40XtSSi
Trump Tracker: Firings, lawsuits, and U.S. science in chaos
Follow President Donald Trump’s impact on U.S. research and science globally
scim.ag
Musk and his network of neo-fascists are highly organized and pose a real, not theoretical, existential threat to democracy, civil rights, and the rule of law. This isn’t just an attack on DEI; it’s the calculated dismantling of protections that stand in the way of authoritarian control.
Records show how DOGE planned Trump’s DEI purge — and who gets fired next
A DOGE team plans to fire federal workers who are not in DEI roles and employees in offices that protect equal rights, internal documents show.
washingtonpost.com
This…should not be high on the agenda of investigating life expectancy declines in the U.S. What about declining childhood vaccination…that must be in here somewhere, right?
"assess the prevalence of and threat posed by the prescription of selective serotonin reuptake inhibitors, antipsychotics, mood stabilizers, stimulants, and weight-loss drugs" good time time become an antipsychiatry grifter in the US www.whitehouse.gov/presidential...
Thank you, Simone, for pointing out that our academic institutions should support, provide, and encourage Advance Practice Providers (APP) opportunities for scholarship. Many hands not only make like work but better work #hapc25
Hello #hapc25 👋 If you are new to Bluesky, I made a tip sheet to get familiar with this new platform. There is actually a growing #hospice and #PalliativeCare group of people here.
Made a tip sheet on "How to Bluesky" Highlights: Mute, Block, Requiring Alt Text, Moderation lists, Labels, Badges, Feeds, Starter Packs, etc. Hopefully it makes the experience of getting started here a little bit easier. Feedback welcomed. docs.google.com/document/d/1...
Senator Bill Cassidy is a physician w/ an active license in Louisiana. In 30 yrs in public hospitals, he says his greatest accomplishment was a program to provide no -cost HepB vaccines to kids after he saw the harm of vaccine-preventable disease (liver failure) He voted to advance RFK’s nomination
They heard him say to their faces he won’t stop trying to take vaccines off the market and personally profiting off antivaccine activities, that he thinks Black people have different immune systems, and that he believes Lyme disease is “a military-engineered bioweapon,” and they chose to advance him
Okay but Lucky Starzzz clearly should have stayed, right?? #rpdr sad times
Children receive so many more vaccines these days. Is this ok? Short answer: This is ok. Today’s vaccines target more diseases and do so more efficiently than older vaccines. Longer answer: ⬇️ 1/7 @kkjetelina.bsky.social @meganranney.bsky.social @jasonlschwartz.bsky.social @enirenberg.bsky.social