iiinova — where your digital self keeps evolving

Inside Medicine @insidemedicine.skystack.xyz · 03/10/2026

Sepsis research updates, 2026. • What several recent studies can teach us about treating sepsis and related conditions. And how to think through the evidence.

insidemedicine.substack.com

Sepsis research updates, 2026.

What several recent studies can teach us about treating sepsis and related conditions. And how to think through the evidence.

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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 · 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.

insidemedicine.substack.com

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 · 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 · 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 · 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 · 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 · 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 · 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

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 · 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 · 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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