🧠 Your abs are moving your brain. Abdominal muscle contractions push blood into the spinal canal, slightly shifting the brain in the skull, which circulates CSF. ⬅️Simulations show this flushes fluid OUT of the brain. ➡️The opposite direction of sleep's glymphatic flow. buff.ly/aPi11ZB #medsky

🧠 Your abs are moving your brain. Abdominal muscle contractions push blood into the spinal canal, slightly shifting the brain in the skull, which circulates CSF. ⬅️Simulations show this flushes fluid OUT of the brain. ➡️The opposite direction of sleep's glymphatic flow. buff.ly/aPi11ZB #medsky

🚨Health Alert: Legionella Outbreak at Kaiser Santa Clara🚨 Infectious disease experts are raising alarms after 18 cases of Legionella confirmed at Kaiser Permanente Santa Clara Medical Center. buff.ly/QwJKYtm #medsky #IDsky #PublicHealth #BayArea #SantaClara #Kaiser #Legionnaires 🧵1/3

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.

Looking for 5–10 curious people to test TrialPilot. Download the app, follow the prompts (you can make things up), join a trial, and check in daily. Message me if you’re interested. iOS only for now, Android coming soon.

Long COVID is not pale poets dying beautifully. It is unread emails, shower stools, heart-rate alerts, brain fog, canceled plans, disability forms, compression socks, and people who "look fine".

I guess they really are dirty.

Men's Health: 'Millions of People Live With Long COVID. This Researcher Is on a Mission to Find a Cure' 'Six years ago, Dr. Michael Peluso and his team launched a first-of-its-kind long COVID tissue bank and have been working to understand the disease ever since' www.menshealth.com/health/a7113...

US lawmakers seek answers on blocked funding for Gavi A bipartisan group of lawmakers is urging the State Department to release $600 million in funds approved by Congress. Read more: ow.ly/2hbQ50YVQlO 📷: WHO / Ismail Taxta

May the Fourth be with YOU, from the Obama Presidential Center. Opening June 19.

Viral levels are low, but research is moving fast: • New "All-Star" Long COVID review 🗺️ • Brain inflammation on PET & cognitive symptoms in LC (n=45) 🧠 • 97.4% accuracy: LC screening via breath (n=78) 🌬️ • Wastewater picks up a single measles case 💧 👉 Dr Ruth Report: buff.ly/F95uD61 #medsky 🛟🧪

Happy #StarWarsDay to all who celebrate! Check out this 1970s CDC poster that’s just as relevant today! If your kids aren’t up to date on vaccines, call their doctor or call us at 919-560-7608 to get them scheduled today.

Congratulations Dr. Clare and thank you for all of your hard work!

Look at this guy 🪶❤️ (he’s between stylists right now) Northern Cardinal in Central Park, 5.1.2026

On February 14, 2026, the Paul E. Farmer Maternal Center of Excellence opened its doors in Koidu, Sierra Leone. In just 24 hours, 27 patients were welcomed and 13 babies were born, marking the start of lifesaving, high-quality care for women and newborns. Learn more: https://bit.ly/4tRS0D2

Supreme Court restores access to abortion pill mifepristone through telehealth, mail, and pharmacies buff.ly/BcR7EHe

May the forest be with you. 🌲 This May 4th, join the rebellion for clean air, protected wild places, and a planet worth fighting for. The force is strongest in nature.

Viral levels are low, but research is moving fast: • New "All-Star" Long COVID review 🗺️ • Brain inflammation on PET & cognitive symptoms in LC (n=45) 🧠 • 97.4% accuracy: LC screening via breath (n=78) 🌬️ • Wastewater picks up a single measles case 💧 👉 Dr Ruth Report: buff.ly/F95uD61 #medsky 🛟🧪

One thing people don’t realize is that even if you don’t use Medicaid—even if you never would use Medicaid—your ability to access care, and your ability to access healthcare providers like me, will be affected in some way or another by every cut or barrier to Medicaid. Nobody will be unaffected.

A ‘Barbaric’ Problem in American Hospitals Is Only Getting Bigger buff.ly/lzNpqom Emergency departments are so overwhelmed and hospitals so full that they "board" patients who are waiting to be admitted in the halls of the ED for hours, days and even weeks with subpar care. #medsky #publichealth

Vaccines are miraculous! Life was very different before vaccines were invented.

notably his cure is from CAR-T therapy, which is so new I didn’t even learn about it in med school THIS is why we invest in science

RFK Jr. is currently blocking 600 million dollars of funds for the purchase of vaccines for children in poor countries. This will results in tens of thousands of children dying from preventable diseases. Mainly Black and Brown children. #Eugenics www.politico.com/news/2026/04...

A major serogroup C meningitis outbreak is unfolding in Chad, amid mass displacement driven by war in Sudan. It deserves far more attention than it is getting. Since Jan more than 1,500 patients have been admitted to isolation units amid meningitis C & measles. www.msf.fr/communiques-...

Levels wont stay low, but we’re at low levels now.

COVID is at its lowest level in nearly 5 years🎉 But new data shows: • T cells lose control of EBV during COVID infection • Blood vessel damage in kids w/Long COVID • LC trials for Rapamycin & Keytruda Plus: Microbiome signals before Parkinson’s 👉 Dr. Ruth Report: buff.ly/DPxWvd4 #medsky 🛟😷🧪

🚨 519 California countertop workers diagnosed with Silicosis since 2019. 29 dead. 55 lung transplants. Cutting engineered quartz releases silica dust causing an accelerated, incurable lung disease (Silicosis). @capublichealth.bsky.social just issued an advisory 👇 buff.ly/stkMs5G #medsky #pulmsky

A 600% reduction on a $600 drug would mean that the pharmacist would hand you the medicine and then give you $3,000.

People with preexisting conditions also don’t deserve to die

Why do militaries mandate vaccines? Because for most of history, infectious diseases not combat, killed more soldiers. That only changed in WWII with vaccines and antibiotics. I write about this in my latest: bktitanji.substack.com/p/why-milita...

"The outbreak total now stands at 58 mammals, including 57sea lions and one otter. All but seven are from San Mateo County." #H5N1 #medsky #IDsky

This is a FRAUDULENT paper, AI-generated. My name was used as an author and I had nothing to do with it, never saw it until today e-pubmed.co.uk/journals/dig... The "Editors" Angelo Rossi Mori, David Mensah, and Zarnie Khadjesari and this "Journal" should be reported.

We received feedback that folks are not so eager to enter a placebo-controlled trial for fear of being in the placebo arm. So, for our trial looking at low-dose rapamycin for #LongCOVID we now have an open-label extension added to the trial so everyone gets to try it! Reach out!

My antibodymaxxing stack in my 40s: - COVID Vaccine - Flu Vaccine - Sleep ≈8hrs/day - Wash hands regularly - Ride moped

Big win for public health in the Caribbean. 🌍 WHO congratulates The Bahamas on achieving certification for the elimination of mother-to-child transmission of HIV. The Bahamas achieved this milestone by pioneering a comprehensive and inclusive health-care model. Read more: bit.ly/4u9iShH

Flu spreads efficiently especially in close quarters like military troop lodging facilities. If you are in the military you are required to get several vaccines because of how devastating outbreaks can be to troops and also because they are more likely be targeted by agents of biological warfare.

This is a fascinating article- a gut microbiome signature of Parkinson's disease

This is a really big deal!

When I was a fellow training in pediatric critical care, one of my attendings would wander by just when I needed him and say "I thought you might need a friend" Anyway, be like Don Vernon, MD

SARS-CoV-2 wastewater is at 3-year low, but daily US infections still hover at 200k. The latest Dr. Ruth Report: 🦟 BA.3.2 "Cicada" variant trends in kids 🔋 Cambridge study on mitochondrial disruption 🤰 Reassuring meta-analysis on GLP-1s & pregnancy Fact-based updates🩺 buff.ly/8GgrnmF #medsky🛟😷🧪

Three Austrian nuns in their 80s were sent to a nursing home against their will. So they escaped, hired a locksmith, and broke back into their own convent. The Vatican just invited them to Rome, and they may even meet w/the Pope to discuss them being able to stay in their home. buff.ly/Epj37zP

A few extra Paxlovid days may reduce rebound. Persistent infection may need longer treatment or combinations. We should be moving faster on combo trials for Long COVID. Extended ensitrelvir or ibuzatrelvir plus VYD2311, feels like the obvious next step.

Med school taught me that the finger bones are supposed to be connected to the other finger bones. My friend's post-basketball x-ray confirms this is actually optional. 💀 🏀 Photo of the most unhinged x-ray you will see today. With permission. #medsky

More days like this please

TrialPilot soft launches today. We're building a faster, simpler way for patients and researchers to find and run decentralized clinical trials. Waitlist is open. www.trialpilot.app Reach out if you'd like to learn more.

Dr. Ruth Report 4/12/2026 🗞️ A few important signals this week: • COVID damages: Heart muscle fibers, mitochondria, epithelial cells & Ear nerves (hearing) • Long COVID Cost: $135B + $11B/year per country • 40% report loss smell/taste across 3 nations 👉 Stay informed buff.ly/Ui5Vuzq #medsky 🛟😷🧪

Dr. Ruth Report 4/12/2026 🗞️ A few important signals this week: • COVID damages: Heart muscle fibers, mitochondria, epithelial cells & Ear nerves (hearing) • Long COVID Cost: $135B + $11B/year per country • 40% report loss smell/taste across 3 nations 👉 Stay informed buff.ly/Ui5Vuzq #medsky 🛟😷🧪

Fellow X-scientists! Curious who among you might want human iPSCs stably expressing ASAP-family green fluorescent voltage indicators. Cardiomyocytes and neurons differentiated from these iPSCs can self-report voltage with <1-ms and <1-mV resolution by standard widefield imaging.

European Peacock butterfly (Aglais io) on a Dahlia. #nature #wildlife #butterfly #flower #photo

After days in deep space, this is what they did. They floated toward each other—and hugged. Pure joy. Welcome home, Artemis II 🌍 (photo by NASA)