Get this guy outta here

The Lancelet recently published an editorial condemning RFK jr, titled Robert F Kennedy Jr: 1 year of failure. That link will give you the entire thing — I might as well, since quoting the parts that tear into his record and his policies gives you about half of the whole article anyway. He has been a disaster.

10 days after his speech about trust and openness,
HHS rescinded a 54-year-old policy of soliciting public
comments for new rules and regulations, silencing
the voices of many of the stakeholders he pledged
to serve. Kennedy has summarily dismissed advisers
and experts, communicated policy changes on pay-
walled media, fired a whistleblower, and overseen
the revisions of guidelines and recommendations,
contradicting decades of established science, often
to the benefit of industries he formerly condemned.
Under Kennedy’s leadership, the National Institutes
of Health (NIH) shuttered programmes studying the
health effects of air pollution, HHS withheld a report
linking alcohol consumption to cancer, and the Food
and Drug Administration (FDA) withdrew warnings
of potential harm from consuming products (such
as raw milk and chlorine dioxide) falsely marketed as
treatments for autism. His changes at CDC have driven
26 states to reject official guidance on vaccine policy,
and in December the CDC awarded an unsolicited
$1·6 million grant to conduct a vaccine study in Guinea-
Bissau that raised so many ethical concerns—the design
would have risked exposing thousands of unvaccinated
children to hepatitis B—that it has been compared to
the infamous Untreated Syphilis Study at Tuskegee.
HHS under Kennedy has made a habit of throwing
good money after bad science. Amid the Trump
administration’s cuts to research funding and personnel
there has been a harmful shift in priorities. Cutting-
edge discoveries and clinical investigations—on
subjects ranging from mRNA vaccines to diabetes and
dementia—are denied crucial resources while junk
science and fringe beliefs are elevated without justifiable
explanation. Under Kennedy’s leadership, politicisation
at the NIH, FDA, and CDC is imperilling the future of US
science and innovation and throttling the public health
enterprise that keeps the country safe today.

And then, the consequences! Growing measles and pertussis epidemics, worsening maternal morality rates, ridiculous campaigns against food dyes while ignoring capitalisms malignant promotion of processed food. He’s a train wreck that leaps from track to track smashing every benefit of the scientific and educational infrastructure of the country. We’ve replaced NIH and NSF with TikTok.

We have to get rid of this guy.

Despite these developments, Kennedy has continued
to spread misinformation and push politicised agendas
at the expense of the country’s most vulnerable. When
called to account for his decisions by Congress, he has
been evasive and combative. The destruction that
Kennedy has wrought in 1 year might take generations
to repair, and there is little hope for US health and
science while he remains at the helm. Calls for his
resignation now number in the thousands. Congress
must exercise its duty of oversight and hold Kennedy
accountable for his record, or else accept responsibility
for endorsing President Trump’s decision to let him “run
wild on health”.

Unfortunately, even if we drop-kicked his leathery ass into a sewage pool today, Trump has another fraud queued up for the position of surgeon general, Casey Means (she is not a doctor, despite the media habit of gluing that prefix on her name). Don’t let her get any power, or we’ll have to go to all the trouble of excising her like an infected cyst.

This is what stupid rich means

So…Donald Trump got an MRI, but he’s really stupid about it.

Trump added Sunday that he has no idea on what part of his body he got the MRI.

It was just an MRI, he said. What part of the body? It wasn’t the brain because I took a cognitive test and I aced it.

Doctors typically order an MRI to help with diagnosing symptoms or to monitor an ongoing health problem. So-called “preventive” cardiac and abdominal MRIs are not part of routine screening recommendations. What Trump’s doctor called an “executive physical” generally refers to adding extra, non-routine tests including MRIs to pricey and lengthy exams, not covered by insurance, that are marketed to wealthy people.

I can speak authoritatively from a patient’s perspective on MRIs, because I’ve had two of them in the past year. The first was for a knee problem, and the second was that the doctors wanted to rule out that I was having a stroke after a blood vessel in my eye popped.

First thing I can say is that MRIs are expensive and you don’t get them routinely. The doctors have to get approval from the insurance company, which is maybe not an issue for a stupidly rich person. But they don’t just give them to you on a whim — they have a medical reason for checking you out, and they tell you why they’re doing it. Even if you are so rich you can afford to just do it, it’s going to take a substantial chunk of time, maybe an hour or more, so doctors do try to justify it to you.

The second thing is that you know what’s being scanned. For my knee, they braced it with a couple of padded clamps to hold it in place. For my brain scan, they fitted a plastic helmet around my head to limit movement. Only an idiot would fail to recognize what the instrument was for.

Thirdly, afterwards the doctors tell you what they found. In one case, they found I had a torn meniscus; in the other, no evidence that I’d had a stroke (that must be what getting a “perfect” MRI means). They both discussed it with me in person and sent me an after-examination document that spelled it all out. They also noted some deterioration of the cervical vertebrae, but my knees, other than the meniscus, were flawless.

Is Trump so out of it that the doctors treated him as a dumb piece of meat, sending him off for tests without explanation, stuffing him into a noisy tube without explanation and no preparation, and then not bothering to let him know the results? Did he just sleep through the whole procedure?

Fourthly, you don’t “ace” a cognitive test, and it’s mostly separate from MRIs. I had an MRI but I’ve never taken a cognitive test — the doctors have no suspicion that I’m cognitively impaired, so they don’t bother testing. My mother, on the other hand, didn’t get an MRI because she wasn’t exhibiting those kinds of physical symptoms, but she was exhibiting behavioral symptoms, so they gave her a basic cognitive test, like the ones Trump has previously described (she did fail parts of the test, which was heartbreaking to see). Passing a cognitive test only means that you’ve retained basic mental skills, like having short-term memory and being able to draw a clock face.

You get a cognitive test when there are grounds to suspect a patient is having mental problems. I’ve never had one, but Trump has had a couple of them, with good reason, I think.

You get MRIs when there are physical symptoms that warrant a closer look. Trump seems to be getting trundled off to all kinds of exceptional tests, suggesting that doctors are concerned.

Of course, it’s also possible that he has hired a team of unethical, incompetent doctors, similar to his usual hiring practices, and they see Trump as a healthy mark with more money than sense that they can gouge for all kinds of unnecessary testing.

Sorry, I’m going to be pessimistic again

Let’s see…we’re living in a country run by openly corrupt oligarchs. The educational system is being undermined by fundamentalist Christian fanatics. We’re almost certainly headed for an economic crash, as billionaires pour billions of our dollars into the AI fantasy. MAHA is similarly chasing illusions, that removing food dyes will correct systematic patterns of abuse by Big Food, and that autism is caused by whatever unlikely correlation Robert Felching Kennedy Jr names. The anti-war president is searching for a casus belli to blow up boats in the Pacific, the Atlantic, and the Caribbean. What else could possibly go wrong?

How about another pandemic? How about a bird flu pandemic?

After a quiet summer, bird flu is on the move again, and experts say it poses an escalating threat. While the virus doesn’t appear capable of spreading from human to human, it has killed people exposed to sick poultry. This year, the United States saw its first death from bird flu, a Louisiana senior with a flock of backyard chickens.

Viruses are constantly evolving, and if a person catches bird flu while infected with a seasonal flu, the pathogens could mutate into a variant that infects large numbers of people. “The minute it transmits in humans, it’s done,” warned Erin Sorrell, senior scholar at the Johns Hopkins Center for Health Security.

In our recent bird flu epidemic, for most of us it was a nuisance: egg shortages in the grocery stores, higher prices. But in the center of the epidemic, factory farms in Ohio and Indiana, it was far worse. Entire flocks of chickens had to be killed to suppress the spread. Farmers going out of business. Would you believe mass graves with millions of birds?

ProPublica has published evidence that the avian virus is spread by airborne contamination.

Our finding: The wind was at least a plausible explanation for how the virus could have spread from farm to farm.

We shared our analysis of the outbreak with eight experts in avian flu who agreed with that assessment. Several of them felt it was more than a mere possibility.

“It just seems so likely to me that this was an airborne thing,” said Brian McCluskey, former chief epidemiologist with USDA’s agency that oversees the response to bird flu. “I mean, how else would it have moved around so quickly?”

The experts stressed the analysis didn’t prove the wind directly carried bird flu from one farm to another, or that it was the only factor at play. The virus typically spreads via multiple routes, which could include contaminated birds, rodents or workers; if farms share the same feed supplier or trash collector, those factors can’t be ruled out.

But several experts said ProPublica’s analysis underscores the shortcomings of the government’s strategy, which fails to take the wind into account at all.

“USDA has been grossly negligent in not establishing risk factors in real time,” said Simon Shane, a poultry veterinarian and consultant.

There has been talk of pre-emptively vaccinating chickens…but the idea is opposed by the chicken meat and egg industries. That might give foreign buyers the impression that American chickens are tainted, and we can’t have that! So instead we’ll dig trenches and bury millions of birds when the virus appears, which is our government approved strategy. You know who is behind this approach.

Adding to the headwinds is U.S. Health and Human Services Secretary Robert F. Kennedy Jr., who has said the virus should be allowed to burn through flocks so that farmers can identify birds with natural immunity, an approach public health experts have called “dangerous and unethical.”

That’s the same strategy many of these MAHA morons endorsed for COVID — let it burn through the human population until the virus was “done”. That would have been a disaster, but now they want to do the same thing for the poultry industry. Maybe they’ll get to do the experiment in the near future if the bird flu jumps to the human population.

We are so screwed in so many ways.

The latest medical nonsense

Well. Now we have another cause of autism. Thanks, RFK jr!

There’s two studies that show children who are circumcised early have double the rate of autism. It’s highly likely because they are given Tylenol, Kennedy stated during a Cabinet meeting on Thursday.

That man is just incredibly stupid. He doesn’t understand cause and effect, he doesn’t understand correlation, and he doesn’t understand that you shouldn’t make off-the-cuff remarks drawing unfounded conclusions.

One of the papers he claims support his conclusion is direct that it is a correlational study, and it doesn’t even look at tylenol use.

The 2013 study looked at circumcision rates in boys versus autism rates. The authors admitted that national and state averages may show correlation, not causation, and said their study may have mistakes, bias and confounding. “Circumcision practices are also tied to culture and religion, which also affect autism diagnoses and health care use,” said Dr. Céline Gounder, CBS News medical contributor and editor-at-large for public health at KFF Health News.

Another expert brings up a rather salient point.

“There is absolutely no studies establishing any causality,” Dr. Steven Abelowitz, founder and medical director of Ocean Pediatrics, told CBS News. “While some observational studies suggest possibly an association, there’s no studies (showing causality) — and the conclusion by any credible medical resource is agreeing that there’s no causal relationship between Tylenol, circumcisions or vaccines to autism.”
…
“We almost never, ever use Tylenol after circumcision,” Abelowitz said, adding he’s performed about 10,000 circumcisions across his 30 years of practice.

Fire that guy.

By the way, circumcision is a pointless cosmetic procedure that you shouldn’t do anyway, but not because it causes autism.

It’s like raaaain on your wedding day…

This is Brian Hooker, Ph.D., an anti-vaxxer who traveled to Texas during a measles outbreak to spread some anti-science propaganda. He’s best known as a promoter of the idea that vaccines cause autism. He was making a video with Ben Edwards, an anti-vax doctor working in the center of the Texas outbreak that killed three, who also contracted measles.

Brian Hooker, chief scientific officer of Children’s Health Defense, filmed an interview in west Texas in March with the parents of the six-year-old child who died from measles – the first measles death in the US in a decade.

The video promoted several dangerous myths about the measles, mumps, and rubella (MMR) vaccine. Two doses of the vaccine are 97% effective at preventing measles, a virus that can be deadly and can cause lifelong harm.

Now for the non-ironic ironic part:

Hooker and Polly Tommey, an anti-vaccine film-maker with Children’s Health Defense, also interviewed other Mennonite families in west Texas. And they visited the medical office of Ben Edwards while patients and Edwards himself had symptomatic measles, they said.

Hooker then traveled home to Redding, California, and developed measles symptoms, he said.

Full disclosure, 18 days after visiting Seminole, Texas, sitting in a measles clinic and being exposed to Doctor Ben with the measles, I got the measles. So cool, Hooker said.

So he exposed himself to the measles in Texas, then, while he was maximally contagious, he flew across the country to California, exposing everyone he encountered to the disease.

But don’t worry, Ben Edwards also gave him the cure.

Edwards has become quite popular in the severely undervaccinated community in Gaines County, Texas, the epicenter of the explosive outbreak that began in late January and continues to grow steadily. Edwards set up a makeshift measles clinic in Gaines and provides unproven treatments, such as cod liver oil, the antibiotic clarithromycin, and the glucocorticoid budesonide, which is used to treat asthma and Crohn’s disease.

It would be very nice if these two quacks would drop dead of a preventable disease.

It’s killing the cats!

Tragic news from Shelton*, Washington: in an animal sanctuary that specializes in big cats, the Wild Felid Advocacy Center, the tigers and caracals and lynxes have been dropping like flies.

“They’re drowning, basically, in their own lungs,” said Melinda Mathews.

Melinda Mathews lives here full-time with her husband, Mark, who founded the nonprofit in 2006.

“They were immensely suffering,” Melinda said, her face drawn in sadness. “It was the hardest thing, so hard.”

The first to get sick was a cougar, Hannah Wyoming, back in mid-November. The veterinarian thought she had cancer. And when Crackle, an African Caracal got sick, the vet thought the cause was cancer, too.

But the big cats died and others soon followed.

“Basically, we’ve lost a cat every day for about two and a half weeks,” Mark said.

It’s the bird flu, H5N1, that was spreading through all the animals. They think it was transmitted through the cat food, which often contained bird meat. Now there has also been a recall of Northwest Naturals Turkey Recipe cat food after tests showed that it was tainted with H5N1, and after one domestic pet died of bird flu.

This is how those sneaky viruses get you. H5N1 is spread widely in bird populations, but is unlikely to spread to humans, and does so only rarely. Now a variant has a toehold in a common, widespread mammal that thrives in our homes and farms and cities, numbering about 75 million animals. If a pandemic spreads through that population, which would be terrible news in itself, a variant that can thrive in people could arise, and then…lockdowns and mask mandates and a frantic search for a vaccine. Unfortunately, this could come at a time when a big chunk of the population likes to defy basic practices in hygiene and when an incoming administration has expressed a desire to gut the scientific enterprise in the USA, and we’re about to have a demented anti-vaxxer in charge of biomedical research.

I guess the evil cat is going to have to go. I’m not going to harbor a plague vector in my home.

Wait, what’s that? The cat has informed me that she’s an indoor cat and we never let her go outside anyway, despite all the tail-twitching staring she does at the window. Also, all of her cat food is fish-based, because she doesn’t like the taste of bird — she wants to murder them, not eat them.

Also, we haven’t trimmed her razor sharp claws in a while, and she knows where we sleep.

*I know where Shelton is! My grandson lives in Lacey, and I have other relatives in McCleary.

Bring back the mask

I have not been masking up all summer long. This town is very sparsely populated in the summer, and instead of masking I have just been avoiding humanity as much as possible.

That’s about to change. The students are flooding back this weekend, I have advising meetings starting Monday, and I’m expected to mingle with everyone starting next week. I may have to carry a black widow on my shoulder to discourage that sort of thing.

COVID cases are rising again, so it’s a good idea to minimize exposure, so I’ll be wearing my mask all the time starting Monday. I’m also reading about the current backlash — would you believe nurses in the UK are discouraged from wearing masks?

Meanwhile, a hospital nurse in Scotland said they faced abuse for still wearing a mask.

“It horrifies me that if l choose to wear a mask I’m questioned by my colleagues and patients,” they said.

“It’s like the last couple of years and long Covid doesn’t exist or doesn’t matter when it does. I don’t want to wear a mask but l don’t want to spread or catch it either.”

They said they were at their “wit’s end” after almost three decades in nursing.

As well as seeing a rise in cases among their local populations, 40% of nurses reported that they have had Covid-19 themselves this summer.

Of those, 21% said they had attended work while infected with the virus.

In the comments section, many nurses said that the policies in their workplaces and the attitudes of managers meant they felt pressured to come to work even if they had Covid-19.

They also reported that they were discouraged from testing themselves and patients.

A care home nurse in England said that “management is actively discouraging staff from testing due to concerns about a reduced workforce”.

A nursing associate based in NHS hospitals in England added: “It’s like Covid never existed… we get told off for testing.”

Similarly, an advanced nurse practitioner in England said: “I feel that there is huge pressure on staff to work with Covid even if symptomatic which increases [the] risk of spread to patients.”

Wait, what? Nurses are told to continue working maskless with patients while symptomatic with COVID? I’ve been to the local hospital a few times this summer, and I noticed that while they still grill you on COVID symptoms and travel when you check in, no one there is wearing a mask. It would be slightly annoying to come down with a potentially deadly respiratory disease because you went in for your colonoscopy.

That settles it. The mask is back, baby. And I will look good wearing it.

The plague resumes in 4 days

I’ve been at home, rarely stepping out, other than to visit an empty university and a lab populated entirely and exclusively by spiders. And I like it that way! Alas, it all changes on Tuesday, when the students return and I have to mingle with them 5 days a week. I have my masks, and I’ve been thoroughly vaccinated, but I’m also aware that there are plague demons among us. People like Joseph Ladapo, surgeon general of Florida, and accomplice to the fast-fading fascist, Ron DeSantis.

It used to be fairly easy to dismiss Florida’s surgeon general, Dr. Joseph A. Ladapo, as a clownish anti-vaccine quack posing a danger mostly to residents of his home state.

That has become harder to do as time goes on, as Ladapo has moved from promoting useless treatments for COVID-19, such as the drugs hydroxychloroquine and ivermectin, to waging an ever-expanding fact-free campaign against the leading COVID vaccines.

This month, Ladapo established a new low for himself. In a public advisory issued Wednesday by the Florida Department of Health, he declared the vaccines “not appropriate for use in human beings” and counseled doctors to steer patients to other treatments. He explicitly called for a “halt in the use of COVID-19 mRNA vaccines.”

He’s basing this sweeping dismissal on ONE (1) swiftly debunked paper by an anti-vax crank.

It’s not just COVID, though. I’m concerned about that as I prepare to share an atmosphere with students again, but also because we’ve got idiots like Ladapo everywhere who are disrupting basic public health with their absurd ideas.

Then there’s the public health context: As COVID infections have been surging coast to coast, advisories from public health authorities to resume masking and take other protective measures, such as making sure you’re up to date on vaccinations, are almost invisible.

Even more worrisome, the incidence of other vaccine-preventable diseases may be rising. As many as nine cases of measles have been reported in Philadelphia, some associated with an infection started at a daycare center with a family that violated quarantine rules.

Among the victims, according to the Philadelphia Inquirer, are “an infant who was too young to get vaccinated, an unvaccinated older child and the older child’s unvaccinated parent.”

Nine cases may not sound like a lot — 41 were reported nationwide in 2023 — but they could be a harbinger of worse to come, in clusters in which anti-vaccine propaganda has taken hold.

The “invisible” aspect of public health advisories is notable — my university used to have a big bold link on the main web page that pointed to the status of the pandemic on campus, with recommendations for protecting oneself. It’s gone. You have to dig to find any updates on COVID. I guess someone thinks COVID-19 is over.

And then, undermining public confidence in such basic principles of good preventive medicine, such as vaccines and hygiene, as Ladapo is doing, is going to do long-lasting harm. I don’t want to die of COVID, but I also don’t want to die of polio, or measles, or the bubonic plague, or some exotic new disease that springs up in the rotting flesh of some Republican ignoramus. Ladapo and all of these conservative know-nothings are making that more probable.

How do these morons get any power at all in government, I’d like to know.

The most punchable face in America is back!

And he’s giving us even more reason to punch him!

Infamous “Pharma Bro” Martin Shkreli announced his newest venture yesterday, and it’s about as awful as you’d expect. In a Substack post and on Twitter, he unveiled DrGupta.ai, a “virtual healthcare assistant” that (predictably) Shkreli believes will disrupt medicine—in spite of some very real and worrying legal and ethical gray areas.

“My central thesis is: Healthcare is more expensive than we’d like mostly because of the artificially constrained supply of healthcare professionals,” he wrote on Substack. “I envision a future where our children ask what physicians were like and why society ever needed them.”

“Dr. Gupta” is just Shkreli’s latest health venture since being released from prison last May. Last year, he founded Druglike, a drug discovery software platform being investigated by the Federal Trade Commission. The FTC is looking into whether Shkreli is violating a court-ordered lifetime ban on working in the pharmaceutical industry by running Druglike.

Madness. If you replace all the healthcare professionals who generate the data that is leeched off by a glorified chatbot with said chatbot, where is the information that they parrot going to come from? All you’re going to have left is a feedback loop that is disconnected from any reality checks, it’s going to get progressively worse, and we’re not going to get any new medical knowledge.

It’s quite rich that he’s blaming the high expenses of medical care on scarce skilled medical labor and knowledge, when he’s the guy who artificially elevated the cost of life-saving drugs. Blame the greedy pharmaceutical executives instead.

Hey, people like Shkreli are the ones who could be replaced by a mindless software program!