The entry to the Mexican restaurant (Don Julio) in my hometown of Forest Lake MN that closed as a result of ICE has become a shrine. Two-thirds of voters in Forest Lake supported Trump in 2024.

How RFK Jr. plans to bankrupt vaccine manufacturers: maybe through removing the (limited) liability protections they have now, in spite of alleging otherwise. wapo.st/49yUbnr

100 bucks says that Machado had a fake Nobel Peace Prize made, framed it and then gave it to Trump

You may have heard that there’s a measles outbreak in Arizona. You may not have heard that 97% of the cases were unvaccinated, and that measles continues to spread in the state.

We wiped out measles in the first decade of this century. Now look where we are. The rise is largely driven by an over abundance of personal belief and religious exemptions in specific schools. For instance the SC epidemic took off when it hit a charter school with a 17% mmr vax rate.

NIH is losing so may good people. First they were fired or RIFd or pressured to retire early. Now they are leaving because “no longer lend our credibility to an organization that has lost its integrity.” Proud to know these brave scientists! www.statnews.com/2026/01/10/n...

This hits home, especially now that the start of the year is here and I'm buried sifting through lists of ICD 10 codes from all of our MA plans and our ACO. This is my number one cause for burnout www.statnews.com/2026/01/12/u...

RFK Jr. has quietly undermined the U.S. Preventive Services Task Force, which plays a huge role in determining what screenings and other preventive services are available to Americans. From Nina Agrawal, myself and Dani Blum (gift link):

"Researchers from the Technical University of Denmark found that to eat sustainably, individuals should consume no more than 255 grams — or about half a pound — of pork or poultry per week. The study also makes clear that beef, lamb and other red meats are not compatible with a sustainable future."

open.substack.com/pub/pauloffi... RFK Jr. is about to launch a dangerously unethical experiment in West Africa.

Thank you so much @peterhotezmdphd.bsky.social for doing grand rounds today with the @unrmed peds department! An absolutely spot-on fantastic talk. Your work inspires all of us!

I forgot how much I hate the start of the year. The Sisyphean task of reviewing lists "suggested" ICD 10 codes and then doing data entry to make the MA plans and ACO happy starts over from scratch. Sadly, I know how Pavlov's dogs felt.

It’s just so amazing to spend your life trying to help people, only to watch a few incompetent men casually endanger the lives and health of so many more people than you could ever help

Parent and pediatrician here. All vaccines are still available & recommended. Talk to your pediatrician for more info. Know this: Even as our government shifts its recommendation language, I would never forgo the RSV, hepatitis A & B, or meningitis vaccines for my own kids.

Children die from RSV, from meningococcus, from hepatitis A, from hepatitis B We have safe and effective ways to prevent them from serious illness and death PLEASE talk to your pediatrician and protect your children, their lives depend on it

To paraphrase Airplane, I picked the wrong day to decrease my celexa dose. thehill.com/policy/healt...

Sadly, this is exactly what RFK Jr promised. Just another fight for the @aafp.org and American Academy of Pediatricians. Knowing some of the people who made these recommendations, it's clear they've never cared for a sick kid in their lives (nor will do so in the future).

I'm just devastated right now. We've gotten to become friends with @broadwayhusbands.bsky.social over the years. Big hugs to Stephen and Maverick. It just sucks when the people who bring joy and light to the world pass away way too young

A maternity ward doctor donated his own blood during surgery to keep a pregnant patient alive. One woman gained fewer than 10 pounds over her entire pregnancy. Another collapsed and had seizures during labor.

How it started, how it's going. Turns out in Nordic countries, the 30th anniversary is BLACK DIAMONDS 🤣🤣 Great way to spend the day with my incredible wife @cleliajoann.bsky.social

Hot take from years ago that holds up: The Sure Thing is a better movie than Say Anything

This is how we chill wine in Truckee! # specognaVini

Merry Christmas! Santa JoAnn left a 1921 York Double Bell euphonium under the tree this year. This adds to my York instrument collection (Made in Grand Rapids, MI ). Gotta work my euphonium chops in 2026. Hope everyone had a happy and healthy Christmas holiday!

Watching The George C. Scott Christmas Carol and wondering if the tuba in there is age-appropriate. Things check out. The tuba was invented in 1835 & Christmas Carol was published in 1843. Brand new instrument for the time!

Clinicians who actually saw the horrors of COVID (and didn’t get infected, because masks fucking work 🤷🏻‍♂️) are pretty pissed at this. Especially the @newyorker.com - I expect better 🤦🏻‍♂️

“Pray tell, the Baron, what sort of gentleman is he?” “Well…”

This is sinister. If you're wondering why so many people don't report sexual assault, this is why.

This image will always stick with me. (And the name…)

Ultrarunning friends! More details to come in January. This year's @wser Medical Conference is lining up to be incredible! Save the date!

My musical connection yesterday. The bass line for "Waltz for Koop" got sampled from Reggie Workman playing on John Coltrane's "Greensleeves."

Another Nutcracker in the books! So much fun seeing these young dancers improve from year to year, as well as hanging out with world-class dancers! It's become a great holiday tradition for us

The Kennedy Center was created by a federal law two months after President John Kennedy’s assassination. It was designated as a living memorial to President Kennedy given his devotion to the advancement of the performing arts. Today Trump just renamed the Kennedy Center after himself.

congrats to every "moderate" who cheered on this cruel, unfounded panic. hope you got what you wanted www.npr.org/sections/sho...

On the same day he stripped AAP of millions in grant funding in retaliation, RFK Jr awarded $1.6M to Tracy Høeg's Danish friends for a grossly unethical study that will expose African babies to hep B for no reason than it's politically expedient. Steal from American taxpayers, give to MAHA cronies.

The thugs in this pathetic regime are thin skinned punks who cannot tolerate any criticism. That is fascism. And to retaliate, they are harming our children. 🤬

Come check us out this weekend in the Lake Tahoe Dance Collective Nutcracker! It's a fantastic production that mixes in top-tier dancers from top ballet organizations with some incredible young dancers and...well, dancers like us! www.laketahoedancecollective.org/tahoenutcrac...

Another great #TubaChristmas, this time playing in San Jose last night. Definitely the longest Tuba Christmas I've done with 1:40 of playing!

Tonight, I’m published in MSNBC—sorry, MS Now. In this piece, I explain how the right-wing war on COVID mitigation measures and politicization of science led us to this moment. www.ms.now/opinion/fda-...

Sounds like my theory that Area 51 is a distraction from the real top secret place

Michigan needs to part ways with Warde

As I watch the proceedings today regarding vaccines, I can only think of the Kerr White quote: "There are three ways to be an expert: 1) the short course 2) the long course 3) self-proclamation"

ACIP is no longer a legitimate scientific body. Period. This is a goat rodeo of radical anti-vaxxers.

Last minute but we got our donation in for #HCWvsHunger . Since there wasn't a family med team, we'll put this one in for #bladesnbougie on behalf of @cleliajoann.bsky.social @hcwvshunger.bsky.social

Also, save this for next time someone tells you that the arts have nothing to add to science:

They claim 10 kids died from the Covid vaccine. So they want to ban the vaccine. 100’s of kids a year die from guns violence and they couldn’t care less

Co-sign

Maurice Hilleman is rolling around in his grave right now

I can't read this as anything other than a direct assault on the vaccine industry. Full stop. They are laying the groundwork to prevent all vaccine R&D. Not directly, but by requiring study designs for approval that are scientifically unnecessary and financially inviable.