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Paul Christine

@pauljchristine

Internist, addiction doc, epi researcher at University of Colorado and Denver Health

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21.09.2023
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Latest posts by Paul Christine @pauljchristine

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7-Year-Old Migrant Girl Dies Of Dehydration And Shock In U.S. Border Patrol Custody The girl's death underscores the crisis precipitated by large groups of families seeking asylum where there are inadequate facilities to detain them.

CBP didn’t give her or anyone any water; she asked 3 times accg to other reports. CBP killed a 7yr old.

“8 hours after the girl & her father were taken into custody, she began having seizures & her body temperature was measured at 105.7 degrees by emergency medical technicians. shorturl.at/d2OTJ

13.02.2026 01:33 👍 5458 🔁 3211 💬 195 📌 405
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Travel Time to Methadone Treatment Via Personal Vehicle vs Public Transit This cross-sectional study investigates the travel time via personal vehicle vs public transit to methadone treatment alongside census block demographics in Connecticut.

Read the full manuscript here - jamanetwork.com/journals/jam...

03.02.2026 17:54 👍 3 🔁 1 💬 0 📌 0
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Here's what ICE is up to in Northeast Minneapolis today. Absolutely heartbreaking.

Warning: video is hard to watch

27.01.2026 19:48 👍 13496 🔁 7688 💬 1163 📌 1101

"He would remind you that caring for others is hard work, and we must do whatever it takes to get through the long shifts."

26.01.2026 02:20 👍 38 🔁 13 💬 0 📌 0
2. On Saturday, January 24, 2026, at about 8:50 am, I was getting ready to go to work
when I heard whistles outside. I knew the whistles meant that ICE agents were in
the area, so I decided to check it out on my way to work. I've been involved in observing in my community because it is so important to document what ICE is
doing to my neighbors. Connecting to your local community and knowing who your
neighbors are is something I profoundly value.
3. I drove to Nicollet Ave. and 26 where I could hear the whistles coming from. I
turned south onto Nicollet. There were already several ICE agents there and they'd
set up a sort of vehicle convoy on Nicollet and 28. There were also about 15
observers there, recording and observing ICE.
4. I saw ICE agents surrounding cars and punching car windows. I also saw them
stopping vehicles further down Nicollet, so I backed up because I didn't feel safe continuing on.
5. I noticed a man sort of acting to help traffic move more smoothly. He helped me
find a place to park. I got out with my whistle and my camera. I went over to him
and said something like, "I'm going to film and use my whistle."
6. It seemed like most ICE activity was happening a little farther down the street from
us, near 27th. Someone was being thrown to the ground.

2. On Saturday, January 24, 2026, at about 8:50 am, I was getting ready to go to work when I heard whistles outside. I knew the whistles meant that ICE agents were in the area, so I decided to check it out on my way to work. I've been involved in observing in my community because it is so important to document what ICE is doing to my neighbors. Connecting to your local community and knowing who your neighbors are is something I profoundly value. 3. I drove to Nicollet Ave. and 26 where I could hear the whistles coming from. I turned south onto Nicollet. There were already several ICE agents there and they'd set up a sort of vehicle convoy on Nicollet and 28. There were also about 15 observers there, recording and observing ICE. 4. I saw ICE agents surrounding cars and punching car windows. I also saw them stopping vehicles further down Nicollet, so I backed up because I didn't feel safe continuing on. 5. I noticed a man sort of acting to help traffic move more smoothly. He helped me find a place to park. I got out with my whistle and my camera. I went over to him and said something like, "I'm going to film and use my whistle." 6. It seemed like most ICE activity was happening a little farther down the street from us, near 27th. Someone was being thrown to the ground.

7. I started recording. There was an agent by a car across the street. Two observers
were a few feet away from the agent, blowing their whistles. One was wearing a
backpack.
8. I and the man who was observing and helping direct traffic were standing in the
street. There was a phone in the man's hand recording a video.
9. An agent approached and asked us to back up, so I moved slowly back onto the
sidewalk.
10. The man stayed in the street, filming as the other observers I mentioned earlier were
being forced backward by another ICE agent threatening them with pepper spray.
The man went closer to support them as they got threatened, just with his camera
out. I didn't see him reach for or hold a gun.
11. Then the ICE agent shoved one of the other observers to the ground. Then he started
pepper spraying all three of them directly in the face and all over. The man with the
phone put his hands above his head and the agent sprayed him again and pushed
him.
12. Then the man tried to help up the woman the ICE agent had shoved to the ground.
The ICE agents just kept spraying. More agents came over and grabbed the man
who was still trying to help the woman get up. All three of the observers looked to
have been badly affected by the pepper spray. I could feel the pepper spray in my
eyes.

7. I started recording. There was an agent by a car across the street. Two observers were a few feet away from the agent, blowing their whistles. One was wearing a backpack. 8. I and the man who was observing and helping direct traffic were standing in the street. There was a phone in the man's hand recording a video. 9. An agent approached and asked us to back up, so I moved slowly back onto the sidewalk. 10. The man stayed in the street, filming as the other observers I mentioned earlier were being forced backward by another ICE agent threatening them with pepper spray. The man went closer to support them as they got threatened, just with his camera out. I didn't see him reach for or hold a gun. 11. Then the ICE agent shoved one of the other observers to the ground. Then he started pepper spraying all three of them directly in the face and all over. The man with the phone put his hands above his head and the agent sprayed him again and pushed him. 12. Then the man tried to help up the woman the ICE agent had shoved to the ground. The ICE agents just kept spraying. More agents came over and grabbed the man who was still trying to help the woman get up. All three of the observers looked to have been badly affected by the pepper spray. I could feel the pepper spray in my eyes.

13. The agents pulled the man on the ground. I didn't see him touch any of them—he
wasn't even turned toward them. It didn't look like he was trying to resist, just trying
to help the woman up. I didn't see him with a gun. They threw him to the ground.
Four or five agents had him on the ground and they just started shooting him. They
shot him so many times.
14.1 don't know why they shot him. He was only helping. I was five feet from him and
they just shot him.
15. The video I recorded of what happened accurately depicts the events leading up to
the agents shooting him and several minutes afterwards. The video is attached as
Exhibit 1.
16. I have read the statement from DHS about what happened and it is wrong. The man
did not approach the agents with a gun. He approached them with a camera. He was
just trying to help a woman get up and they took him to the ground.
17. I feel afraid. Only hours have passed since they shot a man right in front me and I
don't feel like I can go home because I heard agents were looking for me. I don't
know what the agents will do when they find me. I do know that they're not telling
the truth about what happened. I've heard that other witnesses might have been
arrested and taken to the Whipple Building.

13. The agents pulled the man on the ground. I didn't see him touch any of them—he wasn't even turned toward them. It didn't look like he was trying to resist, just trying to help the woman up. I didn't see him with a gun. They threw him to the ground. Four or five agents had him on the ground and they just started shooting him. They shot him so many times. 14.1 don't know why they shot him. He was only helping. I was five feet from him and they just shot him. 15. The video I recorded of what happened accurately depicts the events leading up to the agents shooting him and several minutes afterwards. The video is attached as Exhibit 1. 16. I have read the statement from DHS about what happened and it is wrong. The man did not approach the agents with a gun. He approached them with a camera. He was just trying to help a woman get up and they took him to the ground. 17. I feel afraid. Only hours have passed since they shot a man right in front me and I don't feel like I can go home because I heard agents were looking for me. I don't know what the agents will do when they find me. I do know that they're not telling the truth about what happened. I've heard that other witnesses might have been arrested and taken to the Whipple Building.

The request includes a declaration from a witness who filmed today's shooting of Pretti.

Read their words:

"I feel afraid. Only hours have passed since they shot a man right in front me and I don't feel like I can go home because I heard agents were looking for me.

25.01.2026 01:36 👍 820 🔁 289 💬 4 📌 22
Alex Pretti from his early days working at the VA

Alex Pretti from his early days working at the VA

Alex from our time working together, while he was in nursing school. Later, he moved to ICU, working as a nurse to support critically ill Veterans. He had such a great attitude. We’d chat between patients about trying to get in a mountain bike ride together. Will never happen now

24.01.2026 19:39 👍 23736 🔁 7824 💬 632 📌 607
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Alex Pretti "used to tell people off when they made sexist comments to female physicians. He bought me coffee when I had a really bad day as an intern...I laughed alongside him daily. He made a point to teach medical residents without judgement, but with a smile on his face and a joke."

24.01.2026 21:41 👍 33654 🔁 10440 💬 446 📌 422
Stone Center for Inequality Dynamics speaker series: Joe LaBriola presents "The Tax Treatment of Housing as a Source of Racial Inequality" on Wed., 1/14/26 at ISR Thomspson 6050, from noon to 1:30

Stone Center for Inequality Dynamics speaker series: Joe LaBriola presents "The Tax Treatment of Housing as a Source of Racial Inequality" on Wed., 1/14/26 at ISR Thomspson 6050, from noon to 1:30

@joelabriola.bsky.social has shown that the mortgage interest deduction has contributed to growth of the White-Black wealth gap in recent decades. LaBriola presents findings next week in the @umichstonecid.bsky.social speaker series! inequality.umich.edu/speaker-seri...

08.01.2026 15:18 👍 15 🔁 4 💬 0 📌 2
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Job Openings Follow Us on LinkedIn  and Be the First to Know About Our Job Openings Note: Any inactive links indicate that we are in

Research job opportunities in Portland, Maine, including senior director of clinical research:

mhir.org/careers-2/jo...

09.12.2025 02:28 👍 5 🔁 2 💬 0 📌 0

OPEN SPOT ALERT! There is an ID fellowship spot available at Boston Medical Center. Incredible team, sane workload (including consult caps and non-teaching service). Highly recommended if you're interested in TB/global health, HIV, SUD, or AMR/stewardship. Message me if interested! #IDsky #MedSky

03.12.2025 20:30 👍 37 🔁 33 💬 0 📌 3
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Community Health Worker Support for Hispanic and Latino Individuals Receiving Hemodialysis This randomized clinical trial evaluates if community health worker support reduces interdialytic weight gain among Hispanic and Latino individuals receiving hemodialysis.

🔥 Simultaneous publication in multiple @jama.com journals by Prof @cervantes-lily1.bsky.social of her RCT and the patient experience analysis

This is mic-drop science

jamanetwork.com/journals/jam...

jamanetwork.com/journals/jam...

10.11.2025 19:31 👍 9 🔁 6 💬 0 📌 0
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Systematic review of patient‐reported outcome measures for opioid use disorder recovery Background and aims Recovery-focused measurement-based care of opioid use disorder (OUD) could inform clinical care by assessing patient-reported outcome measures (PROMs). We sought to identify and .....

1/2 As a methadone patient, I spend accumulated months of my life taking PROMS-patient reported outcome measures. Honored to be a co-author w/Jarratt Pytell + others of this writeup of a review of opioid use disorder treatment PROMS. onlinelibrary.wiley.com/doi/10.1111/...

27.10.2025 22:19 👍 1 🔁 1 💬 1 📌 0

This is great. I think a common issue is reviewers/editors *requesting* multivariable regressions, even when the paper is expressly descriptive in nature. I look forward to citing this paper when responding.

27.10.2025 19:18 👍 9 🔁 0 💬 2 📌 0
20th Kolokotrones Symposium. Acetaminophen During Pregnancy and Autism: What Does Causal Inference Take?

20th Kolokotrones Symposium. Acetaminophen During Pregnancy and Autism: What Does Causal Inference Take?

You're invited! ✉️

20th Kolokotrones Symposium: “Acetaminophen During Pregnancy and Autism: What Does Causal Inference Take?"

Details in comments. In-person limited to Harvard ID holders due to space restrictions. Online attendance free & public.

Register:
www.eventbrite.com/e/acetaminop...

09.10.2025 17:51 👍 7 🔁 3 💬 1 📌 2
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Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs A government watchdog has raised concerns about high administrative costs in Georgia's Medicaid program. The U.S.

As states around the country are mandated by HR1 to rush to implement Medicaid work requirements by HR 1 the risk for waste of taxpayer $$ to corporate vendors is huge.

Federal watchdog report on Georgia's Medicaid program raises concerns about administrative costs apnews.com/article/geor...

19.09.2025 01:57 👍 29 🔁 14 💬 0 📌 0
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How Will States Implement Medicaid Work Requirements? | KFF Four experts, including two state Medicaid directors, will join Health Wonk Shop series moderator Larry Levitt in an hour-long discussion of how states will go about implementing the new Medicaid work...

Still time to sign for a @kff.org Wonkshop about #Medicaid and work requirements: www.kff.org/event/how-wi...

09.09.2025 15:33 👍 2 🔁 1 💬 1 📌 0
Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.

Question Has hospital length of stay increased more for Medicare Advantage beneficiaries than for traditional Medicare beneficiaries since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million hospitalizations from 2017 to the third quarter of 2023, Medicare Advantage beneficiaries experienced disproportionately greater increases in extended hospital stays, especially among those discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage plan design and practices may contribute to hospital discharge delays, with implications for patient outcomes and hospital capacity as enrollment continues to rise.

New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com!

Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on??

jamanetwork.com/journals/jam...

08.09.2025 20:58 👍 97 🔁 36 💬 4 📌 7
Screenshot describing that the process of burning cannabis destroys fentanyl

Screenshot describing that the process of burning cannabis destroys fentanyl

No. Burning fentanyl like you do cannabis destroys it. Good podcast from NY state about the topic and nice summary in pic

oasas.ny.gov/clearing-con...

08.09.2025 04:31 👍 5 🔁 2 💬 0 📌 0
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Ben Sommers and I have a new piece up at @jamahealthforum.com on how to think about generalizing lessons from unwinding to looming new Medicaid red tape requirements.

jamanetwork.com/journals/jam...

We appreciate support from the @commonwealthfund.org for this work!

04.09.2025 16:39 👍 14 🔁 8 💬 2 📌 2
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Donate to Helping a Family That Lost Their Daughter in the War on Gaza, organized by Ibrahim Alwahidi Abdallah never imagined reaching this point and asking for he… Ibrahim Alwahidi needs your support for Helping a Family That Lost Their Daughter in the War on Gaza

Please give generously to this relative of my research collaborator. #MedSky #PsychSky www.gofundme.com/f/help-abdul...

28.08.2025 15:26 👍 2 🔁 1 💬 0 📌 0
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Grassroots recovery group brings hope to Las Animas | Rocky Mountain PBS A Las Animas resident is now filling the gap he once fell through by starting a grassroots recovery group in a place where resources are limited.

Overdose rates in rural Eastern Colorado are higher than in many urban areas. I talked to Rocky Mountain @pbs.org about why.

Shoutout to Chris Chavez and his friends for their grassroots efforts to help.

www.rmpbs.org/blogs/health...

@cumedicalschool.bsky.social @cuinternalmed.bsky.social

14.08.2025 15:49 👍 2 🔁 1 💬 0 📌 0
The Acceptability of Somatic Therapy for PTSD Among Patients at an Urban Safety Net Primary Care Clinic Posttraumatic stress disorder (PTSD) has higher prevalence in safety net settings, which also face structural barriers to the use of gold-standard, exposure-focused treatments. Somatic therapies (STs)...

New work laying foundations on somatic therapy for PTSD (and chronic pain?) in a primary care context. Really enjoyed conducting these interviews. Among our patients and staff, a body-first orientation to trauma resonates strongly. #MedSky #PsychSky pmc.ncbi.nlm.nih.gov/articles/PMC...

11.08.2025 18:22 👍 1 🔁 1 💬 0 📌 0
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Health, Civilization and the State: A History of Public Health from Ancient to Modern Times This book examines the social, economic and political issues of public health provision in historical perspective. It outlines the development of public health in Britain, Continental Europe and the U...

Yes, folks should re-read Dorothy Porter's seminal work on the political origins of public health:

www.routledge.com/Health-Civil...

12.08.2025 04:48 👍 5 🔁 2 💬 0 📌 0

Many thanks to whip-smart collaborators and friends Sim Kimmel, Steve Martin, Chris Massad, and Alex Walley

@cumedicalschool.bsky.social @bumedicine.bsky.social @simkimmel.bsky.social @suenlw.bsky.social @liebschutz.bsky.social @drewinstanley.bsky.social @national-nsu.bsky.social

08.08.2025 19:41 👍 2 🔁 0 💬 0 📌 0

Serious overdose-related disability has not yet been a big focus of policy or research, but should be.

Furthermore, reducing unmonitored drug use, ensuring rapid overdose response, and expanding low-barrier access to medications for OUD may help prevent opioid overdose-related HIBIs.

08.08.2025 19:41 👍 0 🔁 0 💬 1 📌 0

From 2016-2021, there were 22,360 hospitalizations with opioid overdose and hypoxic-ischemic brain injury (HIBI). Overdose-related HIBI hospitalizations were highly mortal (63% die), morbid, and costly, with nearly 50% being discharged to skilled nursing facilities, despite their young age

08.08.2025 19:41 👍 0 🔁 0 💬 1 📌 0
National Estimates of Opioid Overdose Hospitalizations Resulting in Hypoxic-ischemic Brain Injury

Public health efforts are rightly focused on reducing opioid overdose deaths. We know relatively little about severe morbidity among overdose survivors. Our new paper in @journalgim.bsky.social provides the first national estimates of overdose-related hypoxic-ischemic brain injury

rdcu.be/ezNUN

08.08.2025 19:41 👍 5 🔁 4 💬 2 📌 0
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Our latest study @jamahealthforum.com shows the harms of work requirements for safety net programs. Women who were subject to harsher requirements and who received less cash assistance from TANF were less likely to breastfeed. jamanetwork.com/journals/jam... @donmoyn.bsky.social @hsph.harvard.edu 1/

08.08.2025 16:18 👍 90 🔁 32 💬 2 📌 4
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Who is Arrested by ICE under Trump 2.0? A 🧵

New from me & @elizabethacox.bsky.social!

Piece: immresearch.org/publications...

1. ICE arrests spike in Jan & May 2025; when arrests increase, percent of those arrested who are convicted of a crime falls

Majority arrested have no criminal conviction

24.07.2025 15:57 👍 143 🔁 77 💬 3 📌 10

1/ Excited to share recent paper, "Examining the Impact of Eliminating the X Waiver on Buprenorphine Dispensation in 63 Counties in Pennsylvania," in @sajamersa.bsky.social led by @beccabilden.bsky.social

19.12.2024 20:49 👍 9 🔁 7 💬 1 📌 0