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Inside Medicine

@insidemedicine.skystack.xyz
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Merging what I'm seeing in the ER with rigorous deep-dives on the very latest medical and public health data. I want you to know what r... This is an automated Substack Account of insidemedicine.substack.com Discover more/Create at: @skystack.xyz

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Inside Medicine @insidemedicine.skystack.xyz · 27/09/2026
Covid-19 wastewater levels ain’t what they used to be. What does that mean? • It’s good news. But wastewater is still a highly useful metric.
insidemedicine.substack.com
Covid-19 wastewater levels ain’t what they used to be. What does that mean?
It’s good news. But wastewater is still a highly useful metric.
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Inside Medicine @insidemedicine.skystack.xyz · 20/09/2026
President Trump has another terrible idea about vaccines. My reaction…
insidemedicine.substack.com
President Trump has another terrible idea about vaccines. My reaction…
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Inside Medicine @insidemedicine.skystack.xyz · 17/09/2026
What the CDC can learn from Pennsylvania about fighting measles. • Plus: Congressional Dems are already displeased with CDC Director Dr. Erica Schwartz.
insidemedicine.substack.com
What the CDC can learn from Pennsylvania about fighting measles.
Plus: Congressional Dems are already displeased with CDC Director Dr. Erica Schwartz.
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Inside Medicine @insidemedicine.skystack.xyz · 11/09/2026
What we spent to prevent another 9/11—and what we’re spending on the next pandemic • Twenty-five years later, some new thoughts on investing in public safety—and a look back at what the data tell us about two major tragedies this century.
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What we spent to prevent another 9/11—and what we’re spending on the next pandemic
Twenty-five years later, some new thoughts on investing in public safety—and a look back at what the data tell us about two major tragedies this century.
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Inside Medicine @insidemedicine.skystack.xyz · 07/09/2026
I emailed my HHS contacts. 35% bounced. • This Labor Day, I’m thinking about the federal health workers who left—and those who are still there.
insidemedicine.substack.com
I emailed my HHS contacts. 35% bounced.
This Labor Day, I’m thinking about the federal health workers who left—and those who are still there.
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Inside Medicine @insidemedicine.skystack.xyz · 05/09/2026
Update: CDC removes two measles deaths from internal count. Kennedy wins, for now. • RFK Jr.’s influence is no longer confined to CDC’s public messaging.
insidemedicine.substack.com
Update: CDC removes two measles deaths from internal count. Kennedy wins, for now.
RFK Jr.’s influence is no longer confined to CDC’s public messaging.
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Inside Medicine @insidemedicine.skystack.xyz · 03/09/2026
Scoop: CDC’s internal system still counts two Pennsylvania measles deaths. • The agency’s public and internal messaging now differ.
insidemedicine.substack.com
Scoop: CDC’s internal system still counts two Pennsylvania measles deaths.
The agency’s public and internal messaging now differ.
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Inside Medicine @insidemedicine.skystack.xyz · 01/09/2026
CDC Director fails first test of independence from RFK Jr. • Her promise to “speak truth to power” seems to have left the building. But it’s even worse.
insidemedicine.substack.com
CDC Director fails first test of independence from RFK Jr.
Her promise to “speak truth to power” seems to have left the building. But it’s even worse.
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Inside Medicine @insidemedicine.skystack.xyz · 20/08/2026
New CDC director Dr. Erica Schwartz promises to “speak truth to power.” That’s the wrong goal.
insidemedicine.substack.com
New CDC director Dr. Erica Schwartz promises to “speak truth to power.” That’s the wrong goal.
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Inside Medicine @insidemedicine.skystack.xyz · 19/08/2026
“Second trope and go.” • More on patient handoffs and ER lingo.
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“Second trope and go.”
More on patient handoffs and ER lingo.
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Inside Medicine @insidemedicine.skystack.xyz · 11/08/2026
A day Katie Couric will always forget. (What is Transient Global Amnesia?)
insidemedicine.substack.com
A day Katie Couric will always forget. (What is Transient Global Amnesia?)
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Inside Medicine @insidemedicine.skystack.xyz · 11/08/2026
Substack Live: A day Katie Couric will always forget. Today, 5pm E.T. • Katie joins me to discuss her brief experience with a benign form of amnesia, a condition I happen to know something about...
insidemedicine.substack.com
Substack Live: A day Katie Couric will always forget. Today, 5pm E.T.
Katie joins me to discuss her brief experience with a benign form of amnesia, a condition I happen to know something about...
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Inside Medicine @insidemedicine.skystack.xyz · 03/08/2026
One graph to shut RFK Jr. up. • The best argument against his nonsense is data. Here it is...
insidemedicine.substack.com
One graph to shut RFK Jr. up.
The best argument against his nonsense is data. Here it is...
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Inside Medicine @insidemedicine.skystack.xyz · 27/07/2026
I didn’t love Craig Spencer’s ‘embrace MAHA’ column in The Atlantic. Instead of canceling my friend, I called him. • Even the sharpest disagreements can be civil. Here's my line-by-line response to Dr. Craig Spencer's argument for embracing MAHA.
insidemedicine.substack.com
I didn’t love Craig Spencer’s ‘embrace MAHA’ column in The Atlantic. Instead of canceling my friend, I called him.
Even the sharpest disagreements can be civil. Here's my line-by-line response to Dr. Craig Spencer's argument for embracing MAHA.
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Inside Medicine @insidemedicine.skystack.xyz · 22/07/2026
Senator Cassidy should vote no on Dr. Erica Schwartz's nomination as CDC Director. • The nominee demonstrated a lack of preparation, insufficient independence, or both. Even if Trump's next nominee could be worse, the Senate shouldn't abdicate its advice-and-consent role.
insidemedicine.substack.com
Senator Cassidy should vote no on Dr. Erica Schwartz's nomination as CDC Director.
The nominee demonstrated a lack of preparation, insufficient independence, or both. Even if Trump's next nominee could be worse, the Senate shouldn't abdicate its advice-and-consent role.
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Inside Medicine @insidemedicine.skystack.xyz · 21/07/2026
Inside Medicine turns 5. Here's where it all began. • Five years ago, I launched Inside Medicine with a deep dive into one of medicine's most common assumptions: that everyone needs an annual checkup. If you've joined us since then, here's that article.
insidemedicine.substack.com
Inside Medicine turns 5. Here's where it all began.
Five years ago, I launched Inside Medicine with a deep dive into one of medicine's most common assumptions: that everyone needs an annual checkup. If you've joined us since then, here's that article.
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Inside Medicine @insidemedicine.skystack.xyz · 19/07/2026
Talking points on Pete Hegseth (low testosterone), Lindsay Graham (the aorta), and Mitch McConnell (Stayin' Alive). • Learning opportunities from unexpected news items. Plus, how I really prepare before going on television.
insidemedicine.substack.com
Talking points on Pete Hegseth (low testosterone), Lindsay Graham (the aorta), and Mitch McConnell (Stayin' Alive).
Learning opportunities from unexpected news items. Plus, how I really prepare before going on television.
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Inside Medicine @insidemedicine.skystack.xyz · 16/07/2026
She blew it. CDC Director nominee tanks in Senate hearing. • She was supposed to be good. But Senator Bill Cassidy lost his mind in real time as Dr. Erica Schwartz crashed and burned before the Senate HELP Committee yesterday.
insidemedicine.substack.com
She blew it. CDC Director nominee tanks in Senate hearing.
She was supposed to be good. But Senator Bill Cassidy lost his mind in real time as Dr. Erica Schwartz crashed and burned before the Senate HELP Committee yesterday.
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Inside Medicine @insidemedicine.skystack.xyz · 14/07/2026
Sources: Top Trump official out at CDC. Agency now without Chief of Staff or Acting Director. • Matthew Buzzelli is out as Chief of Staff. Also, Dr. Jay Bhattacharya is not actually the Acting Director of the CDC, despite his public claims.
insidemedicine.substack.com
Sources: Top Trump official out at CDC. Agency now without Chief of Staff or Acting Director.
Matthew Buzzelli is out as Chief of Staff. Also, Dr. Jay Bhattacharya is not actually the Acting Director of the CDC, despite his public claims.
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Inside Medicine @insidemedicine.skystack.xyz · 10/07/2026
The life behind Inside Medicine. • A Boston Globe profile reflects on where medicine, journalism, and public service meet—and why I keep showing up to write this newsletter.
insidemedicine.substack.com
The life behind Inside Medicine.
A Boston Globe profile reflects on where medicine, journalism, and public service meet—and why I keep showing up to write this newsletter.
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Inside Medicine @insidemedicine.skystack.xyz · 07/07/2026
Medicine, Music, and AI at Aspen Ideas. • Two sessions on art and healing. I also found myself diagnosing patients against AI. It was one of the most fun weeks I've had in while.
insidemedicine.substack.com
Medicine, Music, and AI at Aspen Ideas.
Two sessions on art and healing. I also found myself diagnosing patients against AI. It was one of the most fun weeks I've had in while.
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Inside Medicine @insidemedicine.skystack.xyz · 04/07/2026
The Four Doctors Who Signed the Declaration of Independence. • Nate DiMeo brings the stories of America's four physician-signers to life at Aspen Ideas Health.
insidemedicine.substack.com
The Four Doctors Who Signed the Declaration of Independence.
Nate DiMeo brings the stories of America's four physician-signers to life at Aspen Ideas Health.
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Inside Medicine @insidemedicine.skystack.xyz · 01/07/2026
July 1st: The most wonderful day of the year in medicine.
insidemedicine.substack.com
July 1st: The most wonderful day of the year in medicine.
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Inside Medicine @insidemedicine.skystack.xyz · 28/06/2026
Summer Reading: Everything Is Tuberculosis, by John Green.
insidemedicine.substack.com
Summer Reading: Everything Is Tuberculosis, by John Green.
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Inside Medicine @insidemedicine.skystack.xyz · 22/06/2026
Dispatches from Aspen Ideas Health. Preview and agenda. • AI, art, music, and medicine.
insidemedicine.substack.com
Dispatches from Aspen Ideas Health. Preview and agenda.
AI, art, music, and medicine.
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Inside Medicine @insidemedicine.skystack.xyz · 15/06/2026
New England Journal of Medicine editorial board warns OMB proposal could sideline peer review in federal research funding. • Analysis with former NIH official Dr. Elizabeth Ginexi.
insidemedicine.substack.com
New England Journal of Medicine editorial board warns OMB proposal could sideline peer review in federal research funding.
Analysis with former NIH official Dr. Elizabeth Ginexi.
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Inside Medicine @insidemedicine.skystack.xyz · 13/06/2026
Breaking: CDC's own reviewer backs home quarantine for hantavirus-exposed passenger seeking release from National Quarantine Unit. • The agency's quarantine officer recommended reversing the agency's previous stance. But no action has been taken yet.
insidemedicine.substack.com
Breaking: CDC's own reviewer backs home quarantine for hantavirus-exposed passenger seeking release from National Quarantine Unit.
The agency's quarantine officer recommended reversing the agency's previous stance. But no action has been taken yet.
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Inside Medicine @insidemedicine.skystack.xyz · 11/06/2026
The last hantavirus cruise passenger still locked down by Dr. Jay Bhattacharya and the CDC. • The results of a hearing last week remain in limbo.
insidemedicine.substack.com
The last hantavirus cruise passenger still locked down by Dr. Jay Bhattacharya and the CDC.
The results of a hearing last week remain in limbo.
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Inside Medicine @insidemedicine.skystack.xyz · 04/06/2026
Live webinar: Former USAID official discusses flawed US response. • Join us at 1 p.m. ET today.
insidemedicine.substack.com
Live webinar: Former USAID official discusses flawed US response.
Join us at 1 p.m. ET today.
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Inside Medicine @insidemedicine.skystack.xyz · 02/06/2026
Scoop: HHS asks confined hantavirus cruise passengers to assist in propaganda.
insidemedicine.substack.com
Scoop: HHS asks confined hantavirus cruise passengers to assist in propaganda.
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Inside Medicine @insidemedicine.skystack.xyz · 28/05/2026
A very Trumpy week in US public health. • From abdicating on Ebola leadership to RFK Jr. failures at home, the words weak, incoherent, and ineffectual come to mind.
insidemedicine.substack.com
A very Trumpy week in US public health.
From abdicating on Ebola leadership to RFK Jr. failures at home, the words weak, incoherent, and ineffectual come to mind.
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Inside Medicine @insidemedicine.skystack.xyz · 20/05/2026
Live Q&A on Ebola with former CDC Director Dr. Tom Friedan. Today, May 20 at 12:30 p.m. ET.
insidemedicine.substack.com
Live Q&A on Ebola with former CDC Director Dr. Tom Friedan. Today, May 20 at 12:30 p.m. ET.
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Inside Medicine @insidemedicine.skystack.xyz · 20/05/2026
Andes hantavirus: The case for quarantine at home. • The CDC initially said MV Hondius cruise passengers did not have to quarantine. Now it won’t even let them decide where they must do so.
insidemedicine.substack.com
Andes hantavirus: The case for quarantine at home.
The CDC initially said MV Hondius cruise passengers did not have to quarantine. Now it won’t even let them decide where they must do so.
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Inside Medicine @insidemedicine.skystack.xyz · 19/05/2026
Breaking News: MV Hondius passenger at National Quarantine Unit intends to challenge a quarantine order she received on Monday. • Dr. Jay Bhattacharya signed the order, requiring her to stay put, after she and others on board were exposed to Andes hantavirus.
insidemedicine.substack.com
Breaking News: MV Hondius passenger at National Quarantine Unit intends to challenge a quarantine order she received on Monday.
Dr. Jay Bhattacharya signed the order, requiring her to stay put, after she and others on board were exposed to Andes hantavirus.
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Inside Medicine @insidemedicine.skystack.xyz · 19/05/2026
American contracts Ebola in DRC, headed to Germany with other exposed Americans. Expert analysis. • Dr. Boghuma Titanji and I analyze the Trump administration’s new travel restrictions, the decision to send exposed Americans to Germany, and what the outbreak reveals about US readiness.
insidemedicine.substack.com
American contracts Ebola in DRC, headed to Germany with other exposed Americans. Expert analysis.
Dr. Boghuma Titanji and I analyze the Trump administration’s new travel restrictions, the decision to send exposed Americans to Germany, and what the outbreak reveals about US readiness.
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Inside Medicine @insidemedicine.skystack.xyz · 19/05/2026
Why won't the CDC say the "Q" word? Hint: It ends with "-uarantine." • And yet, Dr. Jay Bhattacharya has officially locked down his first Americans.
insidemedicine.substack.com
Why won't the CDC say the "Q" word? Hint: It ends with "-uarantine."
And yet, Dr. Jay Bhattacharya has officially locked down his first Americans.
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Inside Medicine @insidemedicine.skystack.xyz · 17/05/2026
The end of the road for Dr. Disgrace.
insidemedicine.substack.com
The end of the road for Dr. Disgrace.
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Inside Medicine @insidemedicine.skystack.xyz · 15/05/2026
Where are the Americans exposed to Andes hantavirus? And what are they doing? • Here's what we know...
insidemedicine.substack.com
Where are the Americans exposed to Andes hantavirus? And what are they doing?
Here's what we know...
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Inside Medicine @insidemedicine.skystack.xyz · 15/05/2026
FDA employees finally told anything. • They'd been left in the dark on leadership after Dr. Marty Makary resigned as Commissioner this week.
insidemedicine.substack.com
FDA employees finally told anything.
They'd been left in the dark on leadership after Dr. Marty Makary resigned as Commissioner this week.
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Inside Medicine @insidemedicine.skystack.xyz · 15/05/2026
Exclusive: Here's how FDA employees learned their boss was really gone.
insidemedicine.substack.com
Exclusive: Here's how FDA employees learned their boss was really gone.
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Inside Medicine @insidemedicine.skystack.xyz · 14/05/2026
Hantavirus masterclass with Dr. Boghuma Titanji.
insidemedicine.substack.com
Hantavirus masterclass with Dr. Boghuma Titanji.
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Inside Medicine @insidemedicine.skystack.xyz · 12/05/2026
Andes hantavirus: What would make this outbreak far more concerning? • My thought process for this and that other big question..."How worried should we be?" With Mo News.
insidemedicine.substack.com
Andes hantavirus: What would make this outbreak far more concerning?
My thought process for this and that other big question..."How worried should we be?" With Mo News.
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Inside Medicine @insidemedicine.skystack.xyz · 12/05/2026
Live webinar: What you need to know about hantavirus, with Dr. Boghuma Titanji. Tuesday, May 12, 5pm ET.
insidemedicine.substack.com
Live webinar: What you need to know about hantavirus, with Dr. Boghuma Titanji. Tuesday, May 12, 5pm ET.
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Inside Medicine @insidemedicine.skystack.xyz · 11/05/2026
The first US case of Andes hantavirus is confirmed. Here are answers to the next questions.
insidemedicine.substack.com
The first US case of Andes hantavirus is confirmed. Here are answers to the next questions.
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Inside Medicine @insidemedicine.skystack.xyz · 10/05/2026
The most important thing we’ve learned since medical school. • At my 15th medical school reunion, eighteen doctors and I—plus one brave spouse named Dmitry—shared lessons that changed how we think about medicine, caring for patients, life, and death.
insidemedicine.substack.com
The most important thing we’ve learned since medical school.
At my 15th medical school reunion, eighteen doctors and I—plus one brave spouse named Dmitry—shared lessons that changed how we think about medicine, caring for patients, life, and death.
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Inside Medicine @insidemedicine.skystack.xyz · 09/05/2026
Hantavirus landing page 2.0. (May 9, 2026). • Updated insights from the WHO, CDC (finally), International Hantavirus Society, The Evidence Collective, and more.
insidemedicine.substack.com
Hantavirus landing page 2.0. (May 9, 2026).
Updated insights from the WHO, CDC (finally), International Hantavirus Society, The Evidence Collective, and more.
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Inside Medicine @insidemedicine.skystack.xyz · 07/05/2026
Scoop: Dutch flight attendant tests negative for Andes virus. • The WHO confirmed the information to Inside Medicine, saying that the flight attendant's symptoms were due to some other cause.
insidemedicine.substack.com
Scoop: Dutch flight attendant tests negative for Andes virus.
The WHO confirmed the information to Inside Medicine, saying that the flight attendant's symptoms were due to some other cause.
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Inside Medicine @insidemedicine.skystack.xyz · 06/05/2026
MedPage Today scoop: Twenty-six passengers disembarked from cruise ship with hantavirus cluster on April 24. • Some are Americans. None are known to be sick, and these were apparently planned disembarkings, not medical evacuations.
insidemedicine.substack.com
MedPage Today scoop: Twenty-six passengers disembarked from cruise ship with hantavirus cluster on April 24.
Some are Americans. None are known to be sick, and these were apparently planned disembarkings, not medical evacuations.
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Inside Medicine @insidemedicine.skystack.xyz · 04/05/2026
Hantavirus landing page. • I’m not yet worried, but I am very interested.
insidemedicine.substack.com
Hantavirus landing page.
I’m not yet worried, but I am very interested.
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Inside Medicine @insidemedicine.skystack.xyz · 27/04/2026
Exclusive: Here's the Covid-19 vaccine paper the CDC censored. • RFK Jr. and the CDC’s top official, Dr. Jay Bhattacharya, don’t want you to read this. That’s exactly why you should.
insidemedicine.substack.com
Exclusive: Here's the Covid-19 vaccine paper the CDC censored.
RFK Jr. and the CDC’s top official, Dr. Jay Bhattacharya, don’t want you to read this. That’s exactly why you should.
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