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So far jpedmd has created 63 blog entries.

New Rabies PEP Agent

Having in the past administered a lot of rabies PEP with RIG and the vaccine, I thought this new rabies PEP alternative was pretty cool; from a UMass Chan press release:

A new post-licensure clinical study published in The Lancet further demonstrates that Rabishield, a monoclonal antibody therapy developed by UMass Chan Medical School in partnership with the Serum Institute of India, offers a safe and effective alternative to older rabies treatments. In India, rabies kills an estimated 20,000 people every year—two people every hour. 

In the new study, more than 4,000 patients in India who had high-risk animal bites received either Rabishield plus a rabies vaccine or the traditional equine rabies immunoglobulin plus vaccine. Both groups developed strong immune responses, but Rabishield was better tolerated, with fewer serious side effects. Importantly, no participants developed rabies during a year of follow-up. 

2025-10-01T10:37:33-05:00October 1st, 2025|Home, Musings|

On Acetaminophen in Pregnancy

• Brian Lee PhD, one of the authors of the 2024 JAMA sibling study suggesting that there is no causal relationship between acetaminophen use in pregnancy and neurodevelopment disorders talks about this study in this free interview in JAMA.

He mentions a more recent 2025 Japanese study that came to the same conclusions:

“A nationwide Japanese study with about 200 000 persons looked at this exact same question and also did a sibling analysis. The use of acetaminophen in this population was roughly 40%. And they found the exact same thing that our Swedish study did, where there’s an apparent statistical association initially, but it completely disappears when you do the sibling control analysis. And so, the evidence is pointing a certain way that is going to be challenging for other studies to try and overcome.”

2025-09-29T16:52:05-05:00September 29th, 2025|HomeRecommended|

On social media

Sadly, I’ve come to conclude that social media, relying as it does for its sustainability on some of our worst human impulses (e.g. unfettered profit seeking, prurient interest in the misfortunes of others, etc.) and capable of widespread rapid dissemination without effort or cost, has become destructive to society and mental health. It’s now a net negative. The hopes that it might become a force for good by freely sharing truth and knowledge have been dashed and are irrecoverable.

2025-09-13T16:20:09-05:00September 13th, 2025|Home, Musings|

On Kirk

The assassination of Charlie Kirk was terrible. But venerating the man because of  his murder is a mistake.   He was flawed and incorrect in many ways.  Jamelle Bouie discusses some of those ways in his NYT essay Charlie Kirk Didn’t Shy Away From Who He Was. We Shouldn’t Either.  He cites a prime example when he quotes quotes Kirk saying this in 2023: “I have a very, very radical view on this, but I can defend it, and I’ve thought about it,” Kirk said at a 2023 event. “We made a huge mistake when we passed the Civil Rights Act in the 1960s.”   No good defense for that one.

2025-09-13T16:16:45-05:00September 13th, 2025|Home, Musings|

Bruni at His Best

• Frank Bruni outdoes his usual excellence in this week’s NYT newsletter “The Unchecked, Unbalanced Reign of King Donald.” His For the Love of Sentences is especially good as well. Some examples:

Frank’s own, nominated by me:

“But the Republicans who control the House and the Senate have instead surrendered all control to Trump, whose vanquishing of Democrats and potential wrath speak more loudly to them than ethics, a word I feel silly typing. They’re dutiful handmaidens and gushing cheerleaders who have given him whatever he wants, including a roster of senior administration officials who are, incredibly, yet more dutiful and gushing than they are. Where two or three gather in Trump’s name, there he is to bask in their obsequiousness, as if he were extending his legs for a pedicure and each of them were calling dibs on a different toe.”

and from others:

In The Pickup, John Paul Brammer took issue with a proposal to build the tallest skyscraper in the United States in a very flat state: “It’s difficult to communicate just how dramatically its completion would transform the Oklahoma City skyline, but picture, if you would, a pancake with a yardstick plunged into it.”

In her newsletter, Mary Geddry experienced Trump’s ramblings to journalists in the Oval Office last Monday as “less a press conference than a slurred soliloquy of decay, staged under the chandeliers of American decline.”

 

2025-09-01T16:59:26-05:00September 1st, 2025|HomeRecommended|

Kennedy Should Go or Be Fired

Nine former Directors or Acting Directors of the CDC (under both Republican and Democratic administrations) discuss in the NY Times the damage being done to the American public by RFK Jr.’s assault on public health. He is demonstrably, manifestly unfit.
So many experts (and even his own family) agree:

2025-09-01T16:12:43-05:00September 1st, 2025|Home, Musings|

More Bad News at the CDC

Apparently, CDC Director Susan Monarez, PhD., confirmed by the Senate only a month ago, has been fired.  This is really bad – every competent leader at a critically important public health agency, the CDC, is being ousted or driven away at an institution already decimated by cuts, shot at, and subjected to incompetent appointees.  The purging of capable scientists devoted to excellence  just doesn’t stop.

2025-08-27T17:00:28-05:00August 27th, 2025|Home, Musings|

The Unitary Theory of Presidential Authority Needs To Be Remedied

• David French, writing in the Times, explains why this one sentence in Article II of the Constitution is now such a problem: “The executive power shall be vested in a president of the United States of America.”  His proposed remedy:

“There is a constitutional answer to this national challenge. We can — at long last — heed the warnings of the antifederalists, and we can do it simply enough, by changing the first sentence of Article II. Instead of declaring, “The executive power shall be vested in a president of the United States of America,” it should read, “A president of the United States of America shall execute laws passed by Congress.””

2025-08-21T13:15:35-05:00August 21st, 2025|HomeRecommended|

More Unqualified Hacks Selected by the Would-be King

• From John Gruber’s Daring Fireball:

“TRUMP’S BLS PICK E.J. ANTONI IS — SHOCKER — A CRACKPOT HACK 

Jason Lalljee, reporting for Axios Tuesday:

President Trump’s nomination of Heritage Foundation economist E.J. Antoni to head the Bureau of Labor Statistics on Monday drew criticism from economists across the political spectrum. Why it matters: The growing negative consensus among conservative economists is unusual given Antoni’s own conservative pedigree.

Here we go with “unusual” as a euphemism for “unprecedented” — or perhaps, most accurately, “crazy” — again. The dichotomy here is that Trump and MAGA have flipped what “conservative” means in US politics. Some legitimate economists are left-leaning, some are right-leaning. It’s a field of study, like the law, that attracts from across the political spectrum. But all legitimate economists believe in trying to objectively measure the economy. MAGA kooks have overrun Republican elected politics, but not so with economics. So of course legitimate conservative economists are objecting to Trump’s nomination of this guy Antoni, who both is a crackpot kook of the paranoid style and looks like one, with crazy eyes and, of all things, a devil beard.

To the commentary:

Antoni’s “work at Heritage has frequently included elementary errors or nonsensical choices that all bias his findings in the same partisan direction,” Stan Veuger, a senior fellow at the conservative American Enterprise Institute, told Axios’ Courtenay Brown and Emily Peck.

Dave Hebert, an economist at the conservative American Institute for Economic Research, wrote in a post on X that he’s worked with Antoni before and implored the Senate to block the nomination. “I’ve been on several programs with him at this point and have been impressed by two things: his inability to understand basic economics and the speed with which he’s gone MAGA,” Hebert said. […]

Jessica Riedl, a senior Manhattan Institute fellow, shared another example from X, in which Antoni appeared not to know that the BLS’ measure of import prices did not account for the impact of tariffs. “The articles and tweets I’ve seen him publish are probably the most error-filled of any think tank economist right now,” she wrote. “I hope we see better at BLS.”

That’s the take on Antoni from conservative economists.”

2025-08-17T15:01:22-05:00August 17th, 2025|HomeRecommended|
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