Alastair McAlpine, MD's Avatar

Alastair McAlpine, MD

@alastairmca30.bsky.social

Pediatric infectious disease physician, author, runner, metal fan. Dislikes Pseudoscience and bigotry. Views โ‰  my employer ๐Ÿณ๏ธโ€๐ŸŒˆ๐Ÿณ๏ธโ€โšง๏ธ Prescription: Ice Cream available now! https://www.amazon.com/Prescription-Doctors-Journey-Discover-Matters-ebook/dp/B0CY347H4D

7,712 Followers  |  549 Following  |  175 Posts  |  Joined: 03.07.2023  |  2.1893

Latest posts by alastairmca30.bsky.social on Bluesky

๐Ÿ˜Š๐Ÿ˜Š๐Ÿ˜Š

05.08.2025 03:58 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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EXTREMELY proud to announce that my memoir, โ€œPrescription: Ice Creamโ€, has been long-listed for the Sunday Times Literary Prize.

If youโ€™re interested in a story about working in the busiest hospital in the world, overcoming addition, or finding the meaning of life-check it out!

04.08.2025 19:05 โ€” ๐Ÿ‘ 23    ๐Ÿ” 2    ๐Ÿ’ฌ 5    ๐Ÿ“Œ 0
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Two Israeli human rights groups say their country is committing genocide in Gaza It is the first time that Jewish-led organizations in Israel have made such accusations against the country during nearly 22 months of war.

It is the first time that Jewish-led organizations in Israel have made such accusations against the country during nearly 22 months of war.

28.07.2025 18:54 โ€” ๐Ÿ‘ 775    ๐Ÿ” 246    ๐Ÿ’ฌ 26    ๐Ÿ“Œ 17
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A war on science: Kennedyโ€™s slash-and-burn approach to pu... The US and the world look likely to pay a high price for the policies of Trumpโ€™s ruthless healthย secretary

Robert F. Kennedy jr. has taken a slash and burn approach to health agencies. Experts expect people to die from his actions. via @andrewgumbel.bsky.social @observeruk.bsky.social
observer.co.uk/news/interna...

28.07.2025 18:59 โ€” ๐Ÿ‘ 22    ๐Ÿ” 12    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Charlotte lost her sister to measles. She has a hard time watching today's outbreaks.

21.07.2025 15:55 โ€” ๐Ÿ‘ 139    ๐Ÿ” 56    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 3
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Serving sugary drinks with cane sugar in glass bottles wonโ€™t significantly change anyoneโ€™s health.

This is performative nonsense that summarizes how silly the โ€œMAHAโ€ movement is.

20.07.2025 21:36 โ€” ๐Ÿ‘ 101    ๐Ÿ” 18    ๐Ÿ’ฌ 11    ๐Ÿ“Œ 6
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HUGE new study of >1.2 million kids looked to see if the aluminium contained was associated with a number of childhood conditions.

Long story short: NO association with ANY of them.

The tiny amount of aluminium in vaccines is safe. #Vaccineswork

18.07.2025 13:59 โ€” ๐Ÿ‘ 11    ๐Ÿ” 4    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1

Stilllllll at itโ€ฆ

09.07.2025 21:32 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
Post image Post image Post image 07.07.2025 17:27 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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In case you were worried by this despicable lie:
There is ZERO association with receipt of vaccination and sudden infant death syndrome (SIDS).

In fact, many studies have found a negative association between vaccines and SIDS (ie theyโ€™re associated with REDUCED SIDS)

07.07.2025 17:27 โ€” ๐Ÿ‘ 62    ๐Ÿ” 16    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2
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Disingenuous nonsense.
We know why autism rates have increased.

Expanded diagnostic criteria and increased awareness.

The causes are not fully elucidated, but predominantly genetic.

(RFK Jr wants to blame vaccines. We all know it).

06.07.2025 22:35 โ€” ๐Ÿ‘ 29    ๐Ÿ” 6    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚

26.06.2025 14:24 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I thought I would spend my days on social media making funny memes and nerding out with fellow medics.

Instead, Iโ€™m debunking AI-generated anti-vaxx slop from the head of frikkin Health & Human Sciences. While pointing out that Pubmed searches arenโ€™t evidence.

Astonishing.

26.06.2025 14:23 โ€” ๐Ÿ‘ 36    ๐Ÿ” 3    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

So, overall, a gish gallop of nonsense.

No compelling data. Lots of not-studies. Mostly irrelevant. No RCTs.

Designed to overwhelm rather than illuminate.

This is so far from โ€œgold standard scienceโ€ that itโ€™s not in the same zip code.

We deserve better.

25.06.2025 21:16 โ€” ๐Ÿ‘ 185    ๐Ÿ” 29    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 2

23- Random interview. Not evidence.
24- Weak observational study for influenza vaccine. Irrelevant and not evidence,
25. Safety review showing nothing concerning- not evidence
26- Duplicate of ref 22. Not evidence
27- Russian study from 1977. Come on man.
28. Opinion piece

/4

25.06.2025 21:16 โ€” ๐Ÿ‘ 109    ๐Ÿ” 15    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

18- mechanistic explanation. Not evidence.
19- study on environmental exposure. Not relevant.
20- Uncited PowerPoint - not evidence.
21- Mechanistic animal study not demonstrating harm. Not evidence.
22 - โ€œSystemaric reviewโ€ evaluating half life of mercury. Not evidence /3

25.06.2025 21:16 โ€” ๐Ÿ‘ 89    ๐Ÿ” 9    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Refs 1-6 are simply Pubmed searches. Not evidence.

7-8 are old debates of politicians discussing stuff. Not evidence.

9-14 are outdated data sheets. Not evidence.

15&16 - not studies. Not evidence.
17- mammalian data not demonstrating harm. Not evidence /2

25.06.2025 21:16 โ€” ๐Ÿ‘ 111    ๐Ÿ” 13    ๐Ÿ’ฌ 4    ๐Ÿ“Œ 0
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Kennedy provides a bunch of references for his claim that thimerosal in vaccines (barely used anymore) is harmful.

If a high-school student submitted this as their reference list, they would fail.

I will do what Kennedy didnโ€™t - actually look at them. ๐Ÿงต

25.06.2025 21:16 โ€” ๐Ÿ‘ 343    ๐Ÿ” 149    ๐Ÿ’ฌ 20    ๐Ÿ“Œ 26
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The result of the antivaxx movement is death for kids.

Whooping cough can be fatal for young infants - it causes them to stop breathing.

Kids can only be vaccinated at 6-8w of life. Before then, protection is provided by vaccinating mum during pregnancy.

07.06.2025 22:20 โ€” ๐Ÿ‘ 851    ๐Ÿ” 326    ๐Ÿ’ฌ 38    ๐Ÿ“Œ 28

Two babies have died from whooping cough in Kentucky. Neither they nor their parents had been vaccinated.

The current whooping cough outbreak in the U.S. hasnโ€™t grabbed the media spotlight as much as measles has, but itโ€™s important to update your vaccination if youโ€™re going to be around babies.

07.06.2025 15:33 โ€” ๐Ÿ‘ 5556    ๐Ÿ” 2200    ๐Ÿ’ฌ 201    ๐Ÿ“Œ 146
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A โ€˜war on childrenโ€™: as US changes Covid vaccine rules, parents of trial volunteers push back Frustration and anger mount as Trump administration contemplates new trials and restrictions for Covid vaccines

These parents clamored to enroll their children in the Covid vaccine trials. But they say it'll be tough โ€” and unethical โ€” to enroll children in placebo trials again. And they feel betrayed that their sacrifices are now going ignored. My latest: www.theguardian.com/us-news/2025...

02.06.2025 17:38 โ€” ๐Ÿ‘ 132    ๐Ÿ” 70    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 8

Gorski calls this nonsense โ€œmethodolatryโ€, and heโ€™s right.

The slavish notion that only a โ€œplacebo controlled RCTโ€ can inform decision-making.

02.06.2025 18:27 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The intellectual dishonesty to publish a paper showing that pregnancy is a risk factor for severe COVIDโ€ฆ

โ€ฆ and then to stand with an antivaxxer and NOT recommend the vaccine for that high-risk group

โ€ฆ is astonishing.

02.06.2025 07:35 โ€” ๐Ÿ‘ 91    ๐Ÿ” 23    ๐Ÿ’ฌ 9    ๐Ÿ“Œ 1

๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚ Seth!

29.05.2025 14:53 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Justโ€ฆ profoundly unserious people.

29.05.2025 14:43 โ€” ๐Ÿ‘ 8    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The MAHA Report Cites Studies That Donโ€™t Exist The Trump administrationโ€™s โ€œMake America Healthy Againโ€ report misinterprets some studies and cites others that donโ€™t exist, according to the listed authors.

See:

www.notus.org/health-scien...

29.05.2025 14:43 โ€” ๐Ÿ‘ 15    ๐Ÿ” 7    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1
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RFK Jr and MAHA promised a return to โ€œgold standard science.โ€

Their report (likely AI generated) cites studies that donโ€™t exist, and misrepresents existing ones.

โ€œGold standardโ€? Iโ€™d fail an undergrad kid for this.

29.05.2025 14:43 โ€” ๐Ÿ‘ 322    ๐Ÿ” 89    ๐Ÿ’ฌ 15    ๐Ÿ“Œ 7

Do these folks have absolutely no shame??

27.05.2025 19:32 โ€” ๐Ÿ‘ 9    ๐Ÿ” 0    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0

The whole notion of a white genocide in South Africa is so profoundly stupid, it hurts my very bonesโ€ฆ

21.05.2025 17:23 โ€” ๐Ÿ‘ 22    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Harm reduction reduces harms. Period. Thatโ€™s why itโ€™s called that. We have decades of data. There are mountains of evidence showing that it does not increase drug harms (a pure fallacy) & does not increase drug use. Most of the data actually shows harm reduction interventions LOWER rates of drug use

13.05.2025 00:46 โ€” ๐Ÿ‘ 146    ๐Ÿ” 32    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 3

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