When I was at St. Joseph's for 22 hours, I was amazed at the NDP support in that area, I saw Orange signs everywhere! It gave me a feeling of togetherness and community spirit, a Hope of Ontario being run by the people! Vote NDP folks, we must help now! youtube.com/watch?v=eLjDY799…

Question for the 6% of Albertans who want us to become a US resource colony: why not just go there and make a refugee claim? You’ll be hosted in a lovely ICE detention facility while the Trump Administration determines whether you really are being oppressed in Canada by the “globalist deep state,” or whatever.

TY for being so honest about your challenges & recovery through the process of addiction. Somewhere someone will hear your message & maybe even ask for help. It’s the reminder that we are not alone in this struggle. So glad you got your voice back.

Here's the full chain of events that led to Trump storming out of his interview with Kristin Welker, beginning with her pressing him on the weaponization fund, continuing with her pointing out the baselessness of his "rigged election" lies, and concluding with him calling her "crooked or stupid" and leaving

Manitoba just became the first province in Canada to legislate nurse-to-patient ratios — and this week their implementation committee released their first roadmap for how it rolls out. This is massive. This is historic. And every other province should be doing the same. When

I am profoundly disturbed by the ejection of Steven Kahn and his colleagues from the American Diabetes Association’s meeting as they handed out copies of their op-ed criticizing the Trump administration’s devastating damage to American biomedical research. Director Bhattacharya promised to foster open dialogue and debate in science. Instead, he is presiding over an environment where dissent has no place and scientists who dare criticize the regime are cast out. Director Bhattacharya, other HHS and NIH leadership, and the leadership of the American Diabetes Association must immediately explain what their roles were in the ejection of Dr. Kahn and his colleagues, and anyone involved in what appears to be a blatant act of political censorship must be held accountable. Censorship and intimidation have no place in science. Discovery, innovation, and the millions of patients who are waiting for cures demand curiosity-driven science, free from political interference.

Hunter Biden is going to be a big, big problem for the GOP. Listen to what he’s saying here. He literally has receipts.

And I love Canada. And just to be clear I don’t know a single American who doesn’t LOVE Canada except one and he is a complete lunatic. Pray for us.

Donald had a temper tantrum on national television and walked out of an interview simply because Kristen Welker presented him with a basic fact. Note to other journalists: now is the time to pile on. He won't be able to handle it.

Trump has just destroyed the US beef industry. No country in their right mind is going to import US beef. After Trump cut funding for Screwworm monitoring programs, the dangerous flesh-eating parasite has been found in US cattle for the first time since 1966.

⚠️After seeing the response from patients, clinicians and scientists, I think this needs to be said clearly: Re-promoting an article that has caused so much harm to the Long COVID community is not brave journalism. It is irresponsible. This article did not simply “open a difficult conversation.” It amplified a deeply damaging frame: that maybe patients are rejecting the uncomfortable truth that CBT, exercise and “mind-body” approaches are the way forward. But when you present a complex post-infectious disease through that lens, without properly separating psychological support from biological treatment, you are not helping patients. You are making their lives harder. These narratives do not stay inside an article. They reach families. They reach employers. They reach disability assessors. They reach doctors who already know very little about Long COVID. They reach people who are looking for an excuse to say: “maybe it is just anxiety,” “maybe you are afraid of exercise,” “maybe you are keeping yourself sick.” That has consequences. Social consequences. Medical consequences. Workplace consequences. Psychological consequences. Patients with Long COVID are already fighting disbelief, lack of biomarkers in routine care, lack of approved treatments, disability, isolation and medical neglect. Using their suffering to generate clicks while repackaging old psychosomatic narratives in modern “mind-body” language is not courageous. It is cruel. The problem is not talking about the nervous system. The problem is turning nervous system involvement into a story about beliefs, fear, trauma or patients refusing to accept recovery. The problem is using recovery anecdotes as if they establish causality. The problem is ignoring those who worsened with exercise. The problem is presenting PEM caution as dogma. The problem is being much more generous with “brain retraining” narratives than with the biomedical evidence already showing immune, vascular, autonomic, metabolic and muscular abnormalities in Long COVID. If a journalist wants to write about Long COVID, they have a responsibility to understand the history of harm done to post-infectious patients. Because this is not new. ME/CFS patients have lived this for decades. “Unexplained” became “psychological.” “Normal routine tests” became “nothing is wrong.” “Supportive care” became “cure.” “Exercise” became “rehabilitation,” even when patients were crashing. And now the same mistake is being repeated with Long COVID. Patients are not angry because they reject science. They are angry because they recognize the pattern. They have seen what happens when medicine turns biology it cannot yet measure into psychology. So no, this is not “a way forward.” A way forward would be stratification, biomarkers, mechanistic trials, antivirals, immunology, dysautonomia research, PEM-safe protocols, autoantibody studies, vascular biology, tissue persistence, metabolism and serious clinical phenotyping. A way forward would be listening to all patients, including those harmed by exercise and psychologizing narratives. A way forward would be scientific humility: admitting what we still do not know without turning unexplained biology into psychology. Not click-driven repetition of the same ideas that have already harmed post-infectious patients for decades.

On 18th September @SimonHarrisTD promised to meet with myself and Stephen to discuss Harvey’s lack of care. 10 months on and that meeting never happened, and now Harvey is gone. On the day we were celebrating Harvey’s short life and saying our final goodbyes, he was posting selfies at his brother’s wedding. The same brother that supposedly is the reason Harris sees disability issues as a ‘top priority’. In actual fact, he doesn’t care at all. Couldn’t even take the time to meet us when we were begging for help. We will never have another moment of peace, and we endeavour to insure that anyone that failed Harvey doesn’t either. #JusticeForHarvey

Iraqi footballer Aymen Hussein issued a statement after being detained and questioned for seven hours upon entering the United States: “If America is so hostile towards foreign nationals, why is it hosting the #2026WorldCup?”

This happened in the early days of the HIV pandemic too - HIV was decoupled from AIDS. We’re witnessing history repeating itself.

Russell Vought’s proposal to make politics, not peer review, the standard for NIH science grants would be a cataclysm for the American science enterprise.

I drove to 648 Grassmere Park to see it for myself. I had no idea what was about to be built 50 yards from the @nashvillezoo. A data center. Right against the treeline where the animals my kids grew up visiting are kept. I’m not anti-technology… The phone you’re reading this on is tied to one of these somewhere. We all live in this now. But here’s the thing nobody’s telling you: a low hum doesn’t stop at a wall. It goes right through it. And the zoo’s own CEO says it’d sit 50 yards from animals they’ve spent decades trying to protect and breed. No study. No rules. No vote. Just a rushed permit. You don’t have to hate the future to say: not like this. The petition’s in my bio. Takes 10 seconds. Right now, 10 seconds is the whole fight. 🐆

“There is no democracy without journalism. It can’t be done. That is why I’m a journalist.”—Scott Pelley

I'm a cardiologist. A 42-year-old mother of two came to my office complaining of jaw pain and crushing fatigue. She ran half-marathons. Her EKG was normal. Another doctor had sent her home with anxiety medication. When I got her into the cath lab, I found severe microvascular disease — plaque choking the tiniest vessels of her heart, the ones standard angiograms routinely miss. Her heart had been starving in silence while everyone told her she was stressed. She is alive today. Too many women like her are not. Heart disease kills more women than every cancer combined. And medicine is still diagnosing it through a male lens. 84% of cardiologists report having patients in the past year whose heart disease was misdiagnosed by another physician. Women with a STEMI heart attack have a 59% greater chance of being misdiagnosed compared to men. Women with an NSTEMI — 41% greater chance. The reason is structural. For decades, we screened, tested, and treated women using a template built for men. Men's heart attacks announce themselves — the crushing chest pain, the clutched fist, the Hollywood collapse. Women's hearts whisper. Crushing fatigue that feels like wearing a lead vest. Jaw pain written off as TMJ. Nausea blamed on a stomach bug. An ache between the shoulder blades blamed on a long week. Shortness of breath blamed on being out of shape. For years, medicine called these "atypical" symptoms. They are not atypical. They are female-typical. Half of humanity is not a variant. And the biology runs deeper than symptoms. Women have smaller hearts and narrower coronary arteries. Plaque doesn't only clog the big highway vessels — it hides in the microvasculature, the tiny branches feeding the heart muscle itself. A woman can have a heart attack with a completely "clean" standard angiogram. SCAD — spontaneous coronary artery dissection — occurs 90% of the time in women. Often young, fit women with zero traditional risk factors. It's the leading cause of heart attack in women under 50, accounting for roughly one quarter of all cases in that age group. Most doctors have never diagnosed one. And some of the most dangerous cardiac risk factors are hidden in women's medical histories where no one thinks to look: Preeclampsia or gestational hypertension doubles to quadruples lifetime heart disease and stroke risk. Pregnancy is the body's first cardiac stress test — and these complications are early warning sirens, not closed chapters. Autoimmune disease — lupus, rheumatoid arthritis, psoriasis — far more common in women, turbocharges inflammation and plaque formation at any age. Cardiovascular disease in women aged 20-44 is projected to surge nearly 50% by 2050. The youngest patients in my practice keep getting younger. What every woman should ask her doctor — and what every doctor should be asking: "Given my pregnancy history, autoimmune status, and family history — what is my full cardiovascular risk?" If they don't ask about preeclampsia or gestational diabetes, volunteer it. "Should I have an Lp(a) test and a coronary calcium score?" Standard cholesterol panels miss too much. Lp(a) is genetic, one-time, and most women have never been tested. "My tests came back normal but my symptoms haven't stopped — what's next?" Normal stress tests and angiograms can miss microvascular disease, spasm, and SCAD. Persistent symptoms warrant coronary CT angiography or cardiac MRI. And if something feels wrong — say these exact words to your doctor: "I am concerned this could be my heart." That single sentence changes the workup. Do not soften it. Do not apologize for it. 80% of heart disease is preventable. But the playbook has to be built for female biology. Two decades ago, I wrote one of the first books warning that heart disease was the number one killer of women and that medicine was diagnosing it through a male lens. It was recognized by First Lady Laura Bush at the White House during the early years of the national conversation about women's heart health. I'm haunted by how much of that book I could republish today unchanged. The science has advanced. The awareness has grown. But the gap between what we know and what happens in the exam room is still costing women their lives. Share this with every woman you love — and every doctor who treats them. READ MORE: open.substack.com/pub/afshin…

I'm finally reading Dune. This quote, which is in the first few pages, hits hard: "Once men turned their thinking over to machines in the hope that this would set them free. But that only permitted other men with machines to enslave them."

For the past 9 months, I've been investigating Andrew Tate's empire of sexual exploitation — drawing on thousands of private messages and sealed court files, as well as interviews with the Tates, their associates & more than a dozen alleged victims. Here's what I found: newyorker.com/magazine/2026/…

So let me get this straight: When immigrants take jobs, it’s a national crisis. When AI takes jobs, it’s innovation. Can someone explain why we’re supposed to fear people willing to work, but celebrate technology designed to replace workers?