Julian Davies

Meats and ferments arm was the request if I’m not mistaken

Someday, if there is any sliver of justice, when I have to do a peer-to-peer for some focacta insurance denial it’ll be Peter Attia on the other end of the call.

These absolute bozos can’t even see that “let it rip” would have increased medical revenue, if they’re assuming doctors are evil and do it all for the $$$

Salter-Harris type 1 is the tastiest Salter if you ask me

That’s also his dating approach

Considering your country decided not to give me the Nobel Prize in Medicine for having cured 8 ear infections plus, I no longer feel an obligation to think purely of healing

Is he even susceptible, I understand that his own gender-affirming care would have shriveled the target organs

It’s totally fine to thoroughly clean your VCR head while taking this prescription might be safer

If only we used to have something like Consumer Reports for vaccines, like ACIP before that leathery creep got to it

What a fantastic helpful response, thanks! Have been very ambivalent about MenB shared decision-making recs for “college”. Seems newer combo vax with acyw+b at age 16 might not even cover college years well for menB. Hmm …

Curious about MenACYW and MenB ... how convinced are we that effectiveness wanes? Not just titers, as with other shots titers drop and don't mean lack of immunity since we expect memory B-cells etc to still protect?

Their poster for revised schedule has a footnote for RSV that is … unchanged from current approach. No guidance on higher risk kids >8m. This is all so freaking dumb.

I don’t even understand how for RSV now “high risk” is *every baby without maternal RSV shot* which is … unchanged? So it’s a shell game and they can now say they dropped to 11 recommended shots?

Oh yeah! Opposite hand to the nostril aiming for the eye (internally) and if you’re tasting it you’re wasting it

First with this they almost had me until the Venmo, second time was more fun, as I had missed the summons due to inpatient treatment for metastatic BOFA

Looking forward to it, especially thoughts on number of doses

“Morbidity” and “long term developmental outcomes” gives them so many non-preregistered outcomes to p-hack and not correct for multiple comparisons which is their typical MO.

AFAIK, newborn dose still fine with shared decision making, the 2 months otherwise thing is brain-dead as babies often get those shots at 6+ weeks, and the titers tomfoolery tells parents to discuss with their doctors so I don’t see this as changing my VFC practice, for now.

The language is so thoughtless here too, I don’t see this as binding pediatricians to discuss or offer titers, it’s parents who should discuss it with their docs?

Counter-point: for complex undifferentiated problems the writing certainly can help your medical thinking, but for routine visits and problems docs are using note templates or saved boilerplate dot-phrases already so I'm not convinced those have a thinking benefit over AI scribing in the modern era.

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Good luck! It’s wild to hear about adults looking at off-label use of pediatric meds when it’s usually the other way around …

If you want a 10-12 hour methylphenidate I use Focalin XR and Concerta all the time in my pediatric practice. Usually well-covered by insurance which is often not true for the night-before or super-extended meds.

Support urodiversity

Can M M or R and even V be given within 3 years of a circumcision and also is the child Tylenol-naive I have so many questions … the M-CHAT is getting shorter but weirder at the same time.

New M-CHAT just dropped!
Did you use Tylenol and how many gallons of horse shots did your baby get, it’s a lot faster now because of gold standard science.
#M-CHAT-R/FML

What about methylated Tylenol though does that cancel it out?

This fake ACIP is an absolute evil clown show (which is an insult to clowns, sorry), with the exception of the sole competent pediatrician.
Wonder how long he will last.

John Mew, Unorthodox Orthodontist Who Went Viral, Dies at 96

Tongues up for the original looksmaxxer, Dr. Mew, who inspired a legion of teen dudes doing weird stuff all day with their jaws. www.nytimes.com/2025/09/12/h...

I see you, more for the Soulver than the urine tho