1/ when families run low on money, they often try to make their baby formula last longer by diluting it with water. This practice can seriously and permanently harm infants. Formula is precisely made in terms of calories and electrolytes, and it’s essential to mix it properly.

This was always the plan. Grift after grift and they profit from the misinformation. www.washingtonpost.com/health/2025/...

I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

Every patient who dies from sepsis is on antibiotics. Therefore we should stop using antibiotics in sepsis. /s

Somehow one of the most jarring and upsetting things happening around me is other medical professionals insisting that what's happening isn't so bad, nothing unusual, nothing other administrations haven't done. It's all fine and I'm overreacting.

Dr. Susan Monarez: “I could have stayed silent, agreed to the demands, and no one would have known. What the public would have seen were scientists dismissed without cause and vaccine protections quietly eroded…I would have lost the one thing that cannot be replaced: My integrity.”

Everything you wanted to know about vaccine technology, testing, advancement and limitations. From @those nerdygirls.bsky.socia. open.substack.com/pub/theunbia... l

Neil deGrasse Tyson explains the incredible impact scientific study and funding has had on us. The decisions being made right now wil reverberate for decades and our children will be worse off for it. youtu.be/7GsfckziNCU?...

This little guy hitched a ride with one of our trauma patients. We took him outside into the grass so he could escape (the grasshopper). Everyone is expected to survive.

RFK Jr cut half a billion dollars in research funding for mRNA vaccines. He & Marty Makary claim mRNA vaccines are “risky” so they’ll shift to “traditional, older” vaccine tech that’s “safer.” Guess what? We used to immunize people by blowing powdered smallpox scabs up their noses. 1/

1/ The FDA just changed the Covid vaccine access to 65+ and immunocompromised. I'm getting a lot of questions, so I’m going to do my best to answer them with the information that is currently available. Here are a few of your top questions answered 👇

Turns out some of the “we want small government” people kiiiinda wanted the government to be just one guy.

I need reading recommendations. What are you reading? I’m up to date on the Cosmere, and just finished several fromJoe Abercrombie. Priory of the Orange Tree remains my absolute favorite thing I’ve read in a long while. #fantasy #scifi #reading

A nation's memory is not a political weapon... beautiful, stirring piece open.substack.com/pub/contrari...

1/ Quick update on #fallvaccines: Flu and RSV vaccines remain business as usual this fall: if you’re eligible, you should be able to get them without issue. Vaccinations should start in September. Covid-19 vaccines are another story. There will be three key developments this week 👇

Yeah. Healthcare providers keep polemics. You should definitely buy those unregulated supplements from people on social media. youtube.com/shorts/DaDRi...

Stephen Colbert is going SCORCHED EARTH right now. To RFK Jr: “Fuck you, you roid-addled nepo carnie! Fuck you, you roadkill-munching Luddite human slim jim!”

The media has predicted the breaking of MAGA for years and has as much credibility as end of the world predictions by evangelicals. It won’t change votes. It was never about protecting children, saving babies nor was it ever about all lives. It’s about cruelty to and power over others.

Whelp. I called my residency program because I needed some info for ongoing credentialing. The coordinator is still there and still wonderful, but told me I had been gone so long my file was 'in storage.' So. Old.

Republicans paint a picture of an able-bodied nonworking Medicaid recipient as someone who chooses not to work in favor of leisure time. But few recipients in research studies cite a lack of desire to work.

If you don’t follow those nerdy girls, @thosenerdygirls.bsky.social you should. And if you’re confused about Covid vaccine recommendations you’re not alone. This post is wonderfully helpful. open.substack.com/pub/thosener...

1/ Today's bill passing marks the biggest health care cuts in U.S. history—nearly $1 trillion slashed over the next 10 years. Instead of moving toward a healthier, more prosperous future—where we prevent disease, expand care, feed children, & increase life expectancy—America chose the opposite.

And re-upping this 👇🧪⚒️ Republican assault on science is an act of grievous self-harm 💸 www.economist.com/leaders/2025...

La communauté LGBTQIA+ hongroise et de toute l'Europe vient d'infliger une humiliation historique à l'homophobe Viktor Orbán. Quelle immense fierté de voir notre mouvement représenté à Budapest par nos élues @melanievogel.bsky.social et @melissacamara.bsky.social 💚 🏳️‍🌈 YOU CAN'T SILENCE A RAINBOW 🏳️‍⚧️

Yup

Foreign aid is important and makes the world a better place. We should be proud of that.

This is a travesty & a nightmare. The US was a founder of @gavi.org. It lowers global vaccine costs, has vaccinated 1B children, & averted 19M deaths. This pull out will cost 100s of thousands of children's lives a year - and RFK Jr will be personally responsible. www.politico.com/news/2025/06...

This will kill children. He's doing what he did in Samoa, and it's only the start.

Seems like no one is talking about the fact that Trump is putting our troops in harms way while allowing DOGE to slash and gut the VA. If you can’t afford to take care of soldiers you can’t afford to go to war.

This is perfect

The MAHA movement empowers charlatans and grifters to profit from people's worries, fears, and vulnerability. Some lose money, some lose their lives (think Steve Jobs). We must insist public policy be evidence based and scientific. www.nytimes.com/2025/06/20/o...

1/ A word about brain death from someone who has done a LOT of brain death testing in children. Brain death, like all death, is irreversible. All 50 states legally recognize brain death as equivalent to cardiovascular death.

I still can't get past the idea that people in America are now supposed to accept that this is a valid form of law enforcement and just assume it's fine when random dudes in groups with face-coverings, no ID, no warrant, & no uniform grab people off the street and force them into unmarked vehicles

Kennedy has a long history of blatant dishonesty. He confidently and repeatedly makes the same false statements. Stop calling him a skeptic. open.substack.com/pub/pauloffi...

Governments that maintain power by throttling facts naturally provide fertile ground for pseudoscience. I knew about Lysenko but not about ice in space. Hope to learn more about this topic @amyshirateitel.bsky.social youtube.com/shorts/H75VW...

Yes there are really people who drink bleach to ‘cure’ autism (as well as other ailments). And there are people profiting from selling bleach. And they love Kennedy. www.wired.com/story/chlori...

RFK Jr. has built a multi-million dollar empire manufacturing vaccine distrust. His organization, Children's Health Defense, raked in over $16 million in 2021 alone—money made by terrifying parents, undermining public health, & selling false solutions. 1/

The TACO jibe shows once again that one of the best tools we have against fascists is laughter. They aren’t strong. They are fragile and scared. Make fun of them, show how weak they are.

“Medicine doesn’t treat the root cause, it just treats the symptoms.” —wellness grifters Type 1 diabetes is survivable because of medicine. The root cause? Death of pancreatic islet cells that produce insulin. Without them? No regulation of glucose, protein, & fat metabolism. Oh, and death. 1/

Direct effect of anti science efforts. This vaccine would have been more convenient and would have protected Americans from disease.

A good summary of the impact government cuts and leadership is having on science. Real people are and will be affected. open.substack.com/pub/emilysmi...

Let’s talk about the new Covid vaccine policy paper by Vinay and Marty…

Gift article. Historians studying fascism are leaving the country. www.nytimes.com/2025/05/14/o...

Mike Pence thinks smoking doesn’t cause cancer and thinks there is no medical indication for abortion. He won’t eat lunch with a woman unless it’s his wife because he thinks all women are lusty temptresses. He wouldn’t even turn on people that literally tried to kill him. Even he thinks RFK sucks!

A letter to Senator Cassidy from Dr. Offit. Kennedy must resign. open.substack.com/pub/pauloffi...

I've spoken to several colleagues in different countries, and they say they are getting a LOT of inquiries about job opportunities, many of them new graduates from residency/fellowship. The brain drain is real. Might take a bit to notice, but the US will suffer for it.

There has been a significant reduction in the number of kids getting the flu vaccine over the past 5 years—a drop from 64% to 49%. Consequently, there have been 216 pediatric flu deaths so far this flu season, the highest number since the swine flu 15 years ago (link below). Vaccinate.

I wonder if ICE agents realize they are just storm troopers. Do they cheer for the Empire? Or do they just think they are the good guys because they probably have better aim?

In case you missed it... WIRED talked to *actual* federal auditors about how government auditing works—and how DOGE is doing the opposite.

My latest in @plosglobalpublichealth.org On things we can do now to help walk back the damage from antivaccine activism journals.plos.org/globalpublic...