The bad people are using this old tweet as a "gotcha" to own the libs but it deserves a brief breakdown. There are currently 45 products marketed as Tylenol. Most contain acetaminophen which is generally considered safe in pregnancy. 1/3

McCullough with the horrible AI showing a kid getting stabbed 3 times at once and also a red bottle of Tylenol (Aterfaminophen).

Some little kid just called me "unc" is this good or bad?

Me today: Oh yeah it's totally the Tylenol. Now let's get your baby vaccinated.

Vibes are off. Posting bun.

Make Trilisate great again. If you understand this reference, you don't need age verification.

Before people call to ask. Measles is not available as a single antigen product in the USA. It's not FDA approved, we don't carry it, and we can't order it for you.

I will note that in Japan the MMR was given as individual components from 1993-2006 with Mumps separate and optional, and as Measles/Rubella (MR) from 2006 until today. Despite these changes the rates of ASD in Japan are similar to the rates in the US.

Antivax CHD member Brian Hooker with a substack article about Acetaminophen but his shitty AI header is a picture of "Extra Sttenqth Euslimmophen"

My face when RFK Jr. mentions sperm counts.

The Enfamil and Similac reps are both at our office at the same time I wonder if they will start fighting.

The massive vaccines like you'd give to a horse:

Yeah I use the apps. Free longboi today at the BK Lounge.

This is me in 2015 at Facebook HQ Menlo Park. I asked them about the user agreement - Facebook has the rights to manipulate user images. The employee said it was because photos get uploaded in different formats and they needed to be standardized. Stop uploading your children's pictures to Facebook!

ACIP votes 12-0 to include language in the COVID-19 VIS handout which states: "Previous studies have not evaluated if the vaccine increases your risk of your skin and internal organs switching places".

The VIS does not have to be discussed. It must be available and provided to patients but they almost always leave them on the table or decline them. In 18 years I have never once been asked to go over one. This is the most recent VIS for COVID (1/31/25)

Final post re: ACIP meetings. Mary is upset which I take as a good sign.

Primary care doctors have enough on our plate. We don't need or want this change. Levi might know this if he went to medical school.

Clay is a lawyer so I assume he understands this concept. Gina Carano and Roseanne Barr were "fired" by Disney because they did not want to be associated with their open bigotry. Private entities like Disney can do this. Kimmel got his show cancelled by the federal government.

The hero we need 🤌

This is obviously a step backwards but if you have a limited capacity for outrage, save it for tomorrow's hep B vote. Losing toddler MMRV is something we can work with. It's annoying but kids can still get MMR and V seperately, either on the same day or 4 weeks apart. www.npr.org/2025/09/18/n...

James Thorp MD has to deal with his own family members celebrating the recent events. Presented with comment or editorial

My consumption of chicken pot pies has increased dramatically. I think we can integrate this into the next PHQ as part of depression screening. - How many chicken pot pies have you personally consumed in the past 4 weeks?

Important news!

ACIP Corner: Most pediatric offices already give the MMR and Varivax at different appointments. The general reasoning is since they have similar side effect profiles it's helpful to know which one was given to determine future dosing if there is an adverse event.

ACIP posted their agenda and while this is not a good idea it's better than what was being reported yesterday which was starting the Hep B series at age 4. I wonder if we are being played here. 🤔

I know everyone is mad at Disney/ABC/ESPN right now but please do not act upon that anger by pirating ESPN games and RedZone Channel from websites like thestreameast.su because that would be stealing.

Tomorrow's news today: Cleveland baseball team and Washington football team have agreed to revert to their racist names because you know who said he wanted it.

That's what we fucking want you dipshit.

Worst gift ever

The skeleton has more of a soul than most UHC execs.

Stock Market Corner Strong Buy: Sanofi (NASDAQ:SNY) Their combination vaccine, Pentacel, contains DTaP, HiB, and IPV. If the ACIP pushes hep B recommendations out to 4 years as predicted by some, hospital systems will switch from Pediarix to Pentacel ASAP.

GSK produces a combination vaccine called Pediarix that contains DTaP, IPV, and Hepatitis B. It's is usually given at 2,4, and 6 months. If this change is made that is a massive amount of vaccines that will likely be destroyed for no reason. (Pediarix is not licensed in Europe)

RIP to Robert Redford. The only man in history who could ride a Solex and look good.

Facebook Marketplace Corner: WTF is this? Why do I kinda want it?

Oh no NPR. Heplisav-V is the version for 18 years and up. Newborns get Engerix-B (GSK) or Recombivax HB (Merck).

Boys who nap like this have a 100% chance of stealing ur girl.

Patients when the MCHC is 0.2 above the normal range: "please call me I have questions!" Me when I get the email that my labs have come in: *delete*

I saw 26 patients today and not a single one asked for a moment of silence or a prayer for our dear departed. I'm so upset. Literally shaking.

That video from JD Vance is so unhinged that I spliced it next to the famous Tim Curry "SPACE!" clip from Command and Conquer 3.

The website that was supposed to cancel people for not mourning appropriately has been.... CANCELLED!

lots of news about vaccines this week, but don't forget ACOG's upcoming webinar on respiratory season.

Charlie Kirk supporter puts his IQ in his screen name. What a dork.

Nobody. No one. Not a single person. Millennials: ooh. I wonder if I can afford that.

I have nothing to say except, if you're interested, check out what she is replying to here.

The announcers call it nasal gauze but it's more likely the trainers used rhino rocket to stop Josh Allen's profuse nose bleed. Yes it hurts like hell.

Being forced to honor Charlie Kirk in death. Where have we seen this shit before?

Ezra Klein: Brian Kilmeade practicing TV news the right way

Right now all over the state of Ohio old people are calling their kids and asking them why they can't watch the Ohio State game. "It's on peacock. It's like Netflix. No you probably shouldn't buy it for just one game."

Wu Tang Man