It’s time! The Western States Medical Conference is on!

Enemy of freedom? Explain your nuanced approach

Yup. And it’s bad. 👇🏻👇🏻👇🏻 “Because of layoffs, terminations and high-profile departures, key confirmed positions at US health agencies are vacant. Currently, the CDC has no director; there’s no US surgeon general; there’s no commissioner at the FDA” www.theguardian.com/world/2026/m...

Arrived in London today. Had a pint at the John Snow pub in London and saw the site of the Broad Street pump to honor Public Health!

After a fantastic (but cold and rainy) week in Paris with friends, we're now headed to London for three days with no plans. What should we see given we are going to have more cold and rainy weather? @gavinyamey.bsky.social any recommendations for vinyl stores?

As someone who has cared for children with cancer in their last days, surrounded by those they love, relishing final moments together, I cannot even put into words the terribleness that those responsible for this deserve.

“He will not be missed by a single career person,” said an FDA staffer granted anonymity to discuss Makary’s tenure prior to the news of his pending departure. “And we will only regret it when they manage to find someone worse.” www.politico.com/news/2026/05...

Democratic lawmakers sent a letter to the HHS Secretary Robert F. Kennedy Jr. demanding answers on why a study on COVID-19 vaccine effectiveness was blocked from appearing in the CDC’s flagship publication. Read more: ow.ly/JvY650YWi8P.

Unearthed reports reveal that RFK Jr. fired every full-time CDC cruise ship sanitation inspector ahead of the Hantavirus cruise ship outbreak. www.cbsnews.com/news/cdc-cru...

Outside my office

Let's see if any of these physician influencers and so-called medical thought leaders can keep a small family medicine office going when the transformer to the office blows, and you don't have any electricity.

Winter 3.2 in the Sierra

That’s terrible…and unusual 😳 apple.news/A76A7gzrYQb6... #IDSky

My mom was telling me she can't watch the game!. Insane

HAPPENING NOW: Tim Heidecker delivers an update on the future of InfoWars and takes calls from viewers including President Donald J. Trump.

Very proud of my office- Since 2007, we've been a part of the 1% for the Planet program. We've just topped A QUARTER OF A MILLION dollars in donations to environmental charities that, in turn, help our patients stay healthier!

Happy International tuba day #2- Next up Sergio Carolino. This bass line is sick www.instagram.com/reels/DVE8Mg...

For International Tuba Day: some of my favorite tuba tracks. #1 Howard Johnson and Gravity. www.youtube.com/watch?v=qahH...

Happy International Tuba day! IMHO, it's the best instrument!

I want to share the new OpEd that @jimalwine.bsky.social and I wrote about the dangerous lack of pandemic preparedness in the United States. It doesn’t matter how the outbreak begins. We are not ready, and the only things we can be sure of are death, taxes, and another pandemic.

A new study suggests potentially helpful medications used by myalgic encephalomyelitis/chronic fatigue syndrome specialists may be underutilized to treat ME/CFS in #PrimaryCare @grachstephanie.bsky.social @mayoclinic.org @mayoclinicgimfl.bsky.social @meactnet.bsky.social doi.org/10.1370/afm....

VBC is destroying independent primary care: We finally got the final "quality" numbers today from one MA plan from 2025. All year, our patient medication compliance was great, but suddenly dropped off at the end of the year. We lost 60K in revenue. @aafp.org

I am going to make good on my promise to just walk around with a jar of rainbow sprinkles and put them on foods to bring a smile to people's faces

Trump administration fires entire National Science Board reut.rs/3R6bxAX

www.annfammed.org/content/23/6... At the AMSSM meeting and love seeing this article from the @annfammed.bsky.social

Down syndrome athletes chase records in London Marathon www.channel4.com/news/down-sy...

London Marathon

Absolutely amazing!

American exceptionalism

OMFG, Bhattacharya censoring a CDC study because it contradicted his MAHA movement’s anti-vaxx views and firing NIH staff whose views he disapproves of, RFK Jr firing the entire Advisory Committee on Immunization Practices & replacing them with anti-vaxx activists, and now this. Chilling censorship

For all of the WSER and other #ultrarunners out there- Episode #4 has dropped. @hyponaqueen.bsky.social and I interview @loismougin.bsky.social about his research at WSER, including what we can learn from Kilian Jornet www.youtube.com/watch?v=hBYN...

RFK Jr dismantled the US health system, firing 20,000 HHS workers “We have lost so many exceptional scientists & other employees of HHS, the just decades of institutional knowledge that we have lost is absolutely devastating” @elizabethjacobs.bsky.social in NYT 🎁 www.nytimes.com/2026/04/22/u...

Not surprised given how anyone with any qualifications would want to steer clear of this administration

Wait until Otis sees us! He loves us!

Sorry to be overly sincere for a second, but here's why we decided to persevere through all of the bullshit and take over InfoWars. There's just gotta be a line somewhere. Thank you @pablo.show for letting me talk so openly about this.

#3 is up! The Sun Beast team, which has conducted research at UTMB on sun protection for endurance runners. They will be at @WSER in 2026. Added bonus, Dr. McLean is from @umich.edu, so we talked basketball! #ultrarunning

Really nice innovation on a topic we don't often discuss in medicine.

@aceanbender.com Thoughts?

Second episode is up! @hyponaqueen.bsky.social and I interview Jason Siegler about kidney injury at WSER AV problems got fixed- please give it a listen. #WSER #ultrarunning

So this is a fun new project with @hyponaqueen.bsky.social As part of Western States 100, we will start highlighting upcoming ultra research and reviewing previously published research! www.youtube.com/watch?v=4G-u...

After big dams on the upper Klamath River in far northern CA were removed in 2024, Chinook (king) salmon migrated upstream for the first time in 100+ years--and now they have hatched.

This is the person we have leading healthcare? nypost.com/2026/04/15/u...

Boys should also get the HPV vaccine, not only to help eliminate cervical cancer through building herd immunity but also because in this latest study it cancer risk in men by about half (in 10 years of follow up; the reduction may be larger with longer follow up) jamanetwork.com/journals/jam...

Where is Harbaugh to help clean this up?

GO BLUE!!!

Damage from our 5.7 earthquake. We will rebuild #Liszt #Lisztomania

The VFC program has saved millions of lives and has led to societal savings of $2.7 trillion! So why do Aaron Siri and Danica Patrick seem to have a problem with it?

What experience as a physician brings: I was able to hear that my 18-year-old patient had a peritonsillar abscess even before I visualized it.

We are 39 days out from the @wser medical conference (May 22) in the Endurance Capital of the World, Auburn, CA! This conference is going to be incredible! Come join us and spread the word!!! @hyponaqueen.bsky.social www.wser.org/western-stat...