Michael Rose MD, MPH

Anytime you cite Christ in your argument for hate or violence you prove you haven't read the Gospel.

Time to break out the chart

I am once again humbly asking, what is the purpose of restricting citation numbers?

Writers should cite as much as indicated. No more, no less.

Editors can remove citations they deem unneccessary.

Restricting citations leads to under and improperly citing of work.

A stylized letter in the shape of a woman’s torso with dialogue printed inside. The text is a back-and-forth exchange labeled “Voice Over,” “Donald,” and “Jeffrey,” discussing life, enigmas, and friendship. At the bottom, it ends with “A pal is a wonderful thing. Happy Birthday—and may every day be another wonderful secret.” Signed “Donald J. Trump” with his signature. A caption below reads: “A photo of the letter, which has been turned over to Congress by the Epstein estate.”

The Wall Street Journal just published the photo of the birthday letter from Trump to Epstein.

www.wsj.com/us-news/law/...

ACC Recommends Respiratory Vaccines in Heart Disease The ACC joins its European counterparts in emphasizing the importance of immunization in cardiovascular health.

Heart Doctor here👋

-The American College of Cardiology now recommends that adults with heart disease get #vaccines against influenza, #COVID-19, & #RSV, citing their higher risk for severe respiratory infections, hospitalization, and death.
#medsky #publichealth #cardiology
ms.spr.ly/6186swiZp

Watching the Chaos at the CDC -- with Sadness and Alarm Throughout my career as an infectious diseases doctor, the CDC has been a rock-solid source. Need reliable data on an outbreak? The CDC. Need thoughtful, evidence-based guidelines? The CDC. Need an au...

For us ID doctors, the CDC has been a rock. Data, guidelines, surveillance, travel advice -- all there, vetted by experts, referenced, reliable. Perfect? No. But watching its dismantling now breaks my heart. Some thoughts: blogs.jwatch.org/hiv-id-obser...

I worry a great deal about AI's impact on humanity in the long run. But in the short run, chatGPT / other AI has really made many unpleasant parts of life far more efficient / less bad.

i.e. coding, monotonous writing, etc.

OpenEvidence has changed how I find answers for patients daily.

Sorry, I'm sick of myself even as I type these words, but when I hear "we should never have used it for young people" all I see is someone who has never practiced medicine and certainly did not spend 2020 and 2021 watching healthy 30 year-olds get ARDS.

White House Announces Comprehensive Review of Smithsonian Exhibitions

You can't teach U.S. history without "divisive" narratives. Slavery wasn't "unifying." The Japanese incarceration wasn't "unifying." The anti-immigrant Operation Wetback (real name) wasn't "unifying."
It's history's job to tell the truth, not cover up past racism to pave the way for future racism.

🎤💧
"There was no control group because in Denmark, only 2% of children are unvaccinated, which is too small for meaningful comparison" Hviid added
www.reuters.com/business/hea...

Note also that the lawsuit alleges that because race and class are correlated, providing free tuition to lower income students is also racial preference.

They just want a pure aristocracy of inherited wealth

A patient in a hospital with a bandaged arm looks at a doctor The doctor wryly explains that since he no longer has MediCaid, that he should expect a ‘big beautiful bill’

Yup.
@paulnoth.bsky.social in the @newyorker.com

#medSky #OBBB

How Ivermectin Became Right-Wing Aspirin Once a suspect COVID treatment, now a cure for everything

This one hits close to home as I recently had a (well meaning, very loving) cousin inquire about it's use for my dad's colon cancer.

The unfounded, conspiratorial, claims promoting ivermectin pushed by people in power, have serious consequences for patients.

www.theatlantic.com/health/archi...

The Cost of the Government’s Attack on Columbia American universities have given the country prosperity and security. The Trump administration’s attack on academic freedom endangers all of that.

Excellent excellent excellent from Princeton president and constitutional/ political theorist Chris Eisgruber. There's been far too little of this kind of thing; here's hoping others follow his good example.

www.theatlantic.com/ideas/archiv...

Rubio terminated 5800 USAID contracts – more than 90% of its foreign aid programs – in defiance of the courts.

Here’s a list of just some of the lifesaving awards that were terminated. Nearly all were Congressionally mandated. They’ve saved millions of lives. 🧵

While Hopkins is one of the most dramatic examples, this is not a unique formula and is not unique to blue, purple, or red states.

Some pertinent examples (to perhaps change the administrations mind) for the media to highlight: Penn, Cleveland Clinic, U of Wisconsin, Emory, U of Michigan...

Hopkins is the largest recipient of NIH grants in the country.

Hopkins is the largest healthcare organization in the state of Maryland

Hopkins is the largest employer in the state of Maryland.

Stopping NIH grants will gut, not just science, but also healthcare and the economy.

University leaders have not been especially vocal about the new administration *because* they were so worried about Trump just gutting the research infrastructure. And now they have done so anyway.

NIH plans to slash support for indirect research costs, sending shockwaves through science The NIH said Friday night that it would slash support for indirect costs on all existing and future grants to 15%

“This is a blatant attempt to gut the universities and health research that have saved so many lives and given economic opportunity to so many people.” @iwashyna.bsky.social on impact of new NIh order to cut research indirect costs. www.statnews.com/2025/02/07/n...

Research universities are often the largest employers in their region. They are often the primary health care providers to communities. This funding shift will not only reduce US research leadership, it will put working people out of work and reduce healthcare access.

I made an extra donation beyond my monthly contribution to @partnersinhealth.bsky.social as a small action but tangible action against the heartless cuts to USAID and PEPFAR.

It is not enough but it is something.

Consider joining me (or doing something similar).

spongebob squarepants is surrounded by flames in a kitchen . ALT: spongebob squarepants is surrounded by flames in a kitchen .

Being an ID/HIV doc over the last 3 weeks #IDSky #HIVSky

Life is really rough right now. Today I got to tell a patient they were undetectable for the first time. It was a beautiful sliver of hope.

Letter from colleague fired from USAID, sharing devastating impact and chaos that this has wrought on her life and family.

From USAID colleague, with permission to share. It's not just chaos it is devastation and tearing apart of families and communities. Not to talk of systems that kept us safe. This is just one story, multiple this by 10,000.
Is this really making America great?

And this is precisely why all the pseudo exemption being put out don't mean much for the realities on the ground. Supply chains, implementation partners, grantees all need staff and a functioning ecosystem for it to work. You gut it, you kill it, people die.

Rubio claims that @USAID lifesaving assistance for health and humanitarian needs will continue. But his team just communicated that the entire agency will be imminently reduced from 14,000 to 294 people. Just 12 in Africa.

Dozens of Clinical Trials Have Been Frozen in Response to Trump’s USAID Order The stop-work order on U.S.A.I.D.-funded research has left thousands of people with experimental drugs and devices in their bodies, with no access to monitoring or care.

This article makes me physically ill, both as a scientist (years and years and years of slow, painstaking work, done out of a deep desire to help people, wiped out in an instant) and as a physician (the betrayal of every moral obligation we owe to our patients).

www.nytimes.com/2025/02/06/h...

This is a very valuable resource: it estimates the HIV infections and deaths that are likely to occur due to the U.S. aid freeze.

Suddenly freezing health aid, with no careful plan to fill the funding gap, is a death sentence for many people. This is human-caused misery, suffering, and mortality.

Trump’s Attacks on DEI Get Approval From Some in the Left Wing Many Democrats and activists are rallying to defend diversity programs, but others say they distract from deeper efforts to address inequality.

i'll be blunt, if you are someone who is vocal about the ways that diversity efforts "divide the working class" but silent about the ways that *actual racism and discrimination* divide the working class, then i think you're just an opportunist