It's Not Where You Start—It's the Slope. How weight gain trajectory impact ssleep among adolescents. open.substack.com/pub/pediairw...

The Belonging Paradox open.substack.com/pub/pediairw...

Hepatitis B vaccine guidance set to be rolled back for US babies: what the science says www.nature.com/articles/d41...

The NYT piece on Kennedy’s tenure at HHS highlights a dangerous trend: dismantling evidence-based processes, marginalizing career scientists, and reorienting vaccine policy through ideology rather than data. This is how complex systems become brittle. www.nytimes.com/2025/12/04/u...

Why the Obese Child with "Mild" Sleep Apnea Deserves Your Attention open.substack.com/pub/pediairw...

The Graphite is Showing. open.substack.com/pub/pediairw...

Why are 30% of pediatric tracheostomy patients Black when they're only 15% of kids?" That question only emerged because we compared local data to national data. Here's the framework for how one observation generates increasingly sophisticated research: open.substack.com/pub/pediairw...

Virtual Versus In‐Person Interviews: The Impact of Perceived Success on the Applicant Experience - Moufarrej - 2025 - Laryngoscope Investigative Otolaryngology - Wiley Online Library onlinelibrary.wiley.com/doi/full/10....

After 20+ years, we have finally updated the @atscommunity.bsky.social guidelines for pediatric tracheostomy. Strong recs on ethics, caregiver training, airway endoscopy, and decannulation pathways—built for the real world. Proud to be a co-author. doi.org/10.1164/rccm...

Happy Birthday to my pops who apparently is having a street named aftet him. What an honor! oaklandside.org/2025/10/20/b...

What I would write today if I was applying for ENT again. open.substack.com/pub/pediairw...

The Research Arms Race. open.substack.com/pub/pediairw...

America’s cancer research system, which has helped save millions of lives, is under threat in one of its most productive moments. www.nytimes.com/2025/09/14/m...

Do We Celebrate Our Wins Enough? open.substack.com/pub/pediairw...

The Adaption Gap. open.substack.com/pub/pediairw...

There's Box Office and There's Oscars open.substack.com/pub/pediairw...

Big Brother doesn't need to rewrite history when our algorithmic feeds do it for us, one swipe at a time.

This piece exemplifies how journalism can serve democracy by recognizing when standard practices (treating each policy as an isolated event) fail to capture systematic threats to democratic norms. www.nytimes.com/2025/08/21/u...

My inner dialogue has become a nonstop Tik Tok fyp. Current loop: Golden Darlin hold my hand Slow mo political satire.

It starts with a perfect circle of universal rights. Then, "We must act outside of the law to save it." The erosion is not a single, dramatic event, but a creeping, iterative process until universal protection under the law becomes a fractured reality where the boundary of justice is arbitrary.

Excellent writing by Mr. Bouie. www.nytimes.com/2025/08/06/o...

mRNA can produce vaccines much faster than older methods, which are critical in pandemics. Cancelling them only increases the risk when the next pandemic comes. Not to mention vaccines for treatment of cancers and other immune-sensitive disorders. www.nytimes.com/2025/08/05/h...

What's fascinating is how merit gets defined & redefined to maintain a particular hierarchy. Also, we've taken someone's humanity & drilled it down to a single test. It's like buildinf a NFL football team based solely on what the players do at the combine. www.nytimes.com/2025/08/05/n...

Important article on how attacking education has downstream effects. www.nytimes.com/2025/08/04/m...

Remember when presidential vocabulary choices led to beer summits? Different times, different standards. Amazing how much context matters.

"In a time of universal deceit, telling the truth is a revolutionary act." Great quote, though apparently Orwell never actually said it. Funny how the best quotes are often misattributed.

Fascinating to see the inner mechanics of AI training in real time. If you use ChatGPT 4.0 for healthcare queries, it uses American English spelling. Switch to 3.0, and then it defaults to British spelling…

DAG-gonit, You Did It Again open.substack.com/pub/pediairw...

Are we seeing a separation between AI Power Users and the anti-AI forces? Thoughts from my morning drive. open.substack.com/pub/pediairw...

Does intracapsular tonsillectomy reduce cost among ambulatory pediatric tonsillectomy? Our study suggest it does. See full study here: onlinelibrary.wiley.com/share/AZN3DK...

Back from a weeklong vacation and heading into work, a little sun-soaked and a lot thoughtful. open.substack.com/pub/pediairw...

I recently had the honor of delivering a lecture on the enduring legacy of Drs. Fortson and Haley—trailblazers who opened doors for so many of us in Otolaryngology. youtu.be/Aqs_ikLqHo8 #Leadership #HealthEquity #Mentorship #Legacy #AcademicMedicine

This is what accountability journalism looks like. The reporter challenges official claims with evidence, centers the stakes for citizens, and serves democracy by making policy consequences visible. www.nytimes.com/2025/07/21/w...

Violence sleeps below— Pearl Harbor’s rusted turret leaks oil like memory​​​​​​​​​​​​​​​​

The red curve descends, Careless people guide the fall, The future is smashed.

That Jeffersons scene where George saves a Klan member with CPR and the man says, “You should’ve let me die” keeps echoing. A worldview so rigid it rejects survival itself. From heart attacks to floods, same ideology at scale.

Noem isn’t trying to break FEMA. She’s trying to make it work … within a worldview that values centralized, personal control. The failure isn’t strategic. It’s cognitive and reveals how poorly that model fits complex, adaptive systems. 1/2

Random thought: In a pure singing contest with no crowd, Aretha, Whitney, and Freddie probably win. But if it’s an American Idol-style showdown? Not even close. Michael Jackson walks out, “Billie Jean” drops… Game over, man. Game over.

Cook argues that healthy complex systems incorporate lessons from near-misses and failures. But when an ideology insists on externalizing blame, the movement loses its capacity for self-correction and drifts toward collapse.

The means are the ideal in the making. The end is a process.

Back of the envelope calculation says Senate Bill pushes 2 million more people into poverty.

Explore this gift article from The New York Times. You can read it for free without a subscription. www.nytimes.com/2025/06/29/u...

Can a democracy survive when a large portion prefers civilizational poverty with their preferred hierarchy over shared prosperity without it?

All the technical language around AI obscures the fact that there are two paths to being good with AI: 1) Deeply understanding LLMs 2) Deeply understanding how you give people instructions & information they can act on. LLMs aren’t people but they operate enough like it so that the skills transfer.

Is the Senate Budget rewrite just? A conversation with AI open.substack.com/pub/pediairw...

How Trump Upended 60 Years of Civil Rights in Two Months www.nytimes.com/2025/06/27/m...

When those at the top no longer believe truth is discoverable—only declared—then the system loses the ability to course-correct. The edge of chaos borders a vacuum.

The search for meaning is iterative. AI as co-creator is the next step in that process - that is, how you define value when content creation is democratized at scale. www.oneusefulthing.org/p/setting-ti...