Ximena Levander, MD, MCR she/her/ella

Why is he so obsessed with us?? Spent a glorious fall Saturday at a Portland farmers market with friends and family. We are doing great and don’t want you so bye.

person with bandaid on arm and making a thumbs up sign, wearing a teal blue shirt

What do you do when CDC no longer gives vaccine advice based on science? YOU BYPASS THEM!

West Coast Health Alliance (CA, OR, WA, HI) recs based on facts buff.ly/I4oWZfX

New Mexico COVID vax for all buff.ly/84mZXoN

Massachusetts insurance must cover COVID vax buff.ly/zAfAZsd

#medsky #pedsky 🛟😷🧪

California, Oregon, and Washington to launch new West Coast Health Alliance to uphold scientific integrity in public health as Trump destroys CDC’s credibility

In response to the dismantling of the CDC, California, Oregon, and Washington have launched the West Coast Health Alliance, which will make their own science-based vaccine guidelines, and make sure vaccines are accessible to everyone.

We LOVE our cargo bike. One of the best purchases we have made and it has definitely replaced a car so yes it was a big upfront cost but can already see the value

Really great and important clip about how people forget how much work women did before major public health interventions (clean water, pasteurization) keeping their family SAFE. “We're going back to tradition and we don't know what it was"

This is such a no-brainer that the lack of a coordinated response feels deeply damning. A Democratic leadership team that can't mobilize an instant all-hands-on-deck effort on RFK Jr. isn't a leadership team at all.

What’s the over/under on this just being a big bottle of methylene blue?

I’ll always remember my experiences volunteering at mass vaccine events. People lined up for blocks getting that 1st round...Dentists, home health aids, physical and occupational therapists, first line healthcare workers who didn’t work in hospitals and risked their own health. How far we’ve come…

Kulldorff calls for the establishment of a CDC work group examining whether or not children today get too many vaccines and cumulative harms of that. This is explicitly anti-vaccine propaganda and senseless. When new vaccines are evaluated in prelicensure clinical trials, you do not...

A Philosophical Investigation by Philip Kerr: 9780143117537 | PenguinRandomHouse.com: Books A terrifyingly prescient cult classic by the bestselling author of the Bernie Gunther series.  “Chilling...absorbing...part techno-thriller, part futuristic detective story, part diary...

Check out A philosophical investigation by Philip Kerr. This is the premise. www.penguinrandomhouse.com/books/327677...

Everyone wants there to be a grand scheme behind all of this but the terrible truth is that extremely stupid people are in charge and they have a fanatical devotion to wrong, childlike concepts of society and economics cooked up by right wing radio hosts in order to sell tainted dietary supplements

The Quiet Way the NIH Is Stalling Some Research Before It Starts A number of grant proposals have disappeared from scientists’ review pipelines, with little explanation. Applicants are bewildered and frustrated.

SCOOP: You've heard about the NIH terminating grants. I've learned of another, less visible way it's disrupting science: It’s removing some applications from peer review. Not rejecting them, but putting them on hold without saying why or if they'll ever be reviewed. www.chronicle.com/article/the-...

I can’t compete with this

my new theory is that once you have a certain amount of money and wealth you start to go crazy and detach from reality. that number is different for everyone. for me it's $20

The cruelty of it all. It’s such a tech bro approach and it’s awful and so disrespectful of career civil servants

It’s stunning to me that the New York Times did not put the story on the bloodbath at the NIH, CDC, and FDA on its front page this morning.

The National survey on drug use and health (NSDUH) is the only national longitudinal survey tracking mental health and substance/drug use in the US. Now gone. Unbelievable they would gut this whole group at SAMHSA…there is NO WAY to replace a longitudinal data collection instrument.

The entire SAMHSA staff that manages the National Survey on Drug Use and Health has been terminated. This is the only survey that tracks mental health and substance use trends in the US.

We really are flying blind now.

When the stakes are this high, incompetence is not an option.

Pete Hegseth should resign.

Mike Waltz should resign.

Shout out to Jeffrey Goldberg for reporting on this now instead of waiting two years to put it in a book.

This is one of the biggest threats to Americans' personal data in decades. If you're a 23andMe customer, I strongly urge you to delete your data to protect it from whoever the new buyer might be. Here’s how:

Horrible so sorry

I keep saying this!!

This is terrible I’m devastated to hear this. The peripartum period uniquely impacts women. My research is interventions for those with perinatal substance use and just waiting for that to be cut too…addiction and overdose another leading cause of postpartum death

Today I lost an NIH grant training clinicians to do research about intimate partner violence with perinatal women.

More women are murdered in the perinatal period than die of obstetric complications.

I didn't just lose a grant. We lost an entire cohort of people building careers to prevent that.

Feel this

Truly a nightmare scenario. Pregnant woman didn’t realize she had measles delivers at hospital in Lubbock Texas exposing whole labor & delivery unit including newborn babies to highly contagious virus with serious potential for long term complications and even death - 100% preventable with vaccines

A YES on cloture is a YES for the bill.

Do not let anyone play games with you.

I ask folks what they would do if they happened to experience a bad outcome (even a low prob one) from a procedure to at least get them thinking as part of the risk/benefit discussion. I think a lot of folks assume it won’t happen to them but it can…

100% agree. Sorry that happened to you. Also how we talk about risk/benefit. yes there’s a low risk of this happening but if it happens to you it’s an N=1. Having had a bad outcome myself has changed how I talk about what would a patient do if they experienced that low but real risk outcome.