Red line graph time series of monthly carbon dioxide abundance from January 1959 through January 2026. There is a seasonal cycle and long-term increasing trend. Current levels of CO2 are at 429 ppm. This is the Keeling Curve graph. A line for CO2 10 years ago is also annotated.

Carbon dioxide (CO₂) averaged about 429 ppm in January 2026

10 years ago January averaged about 403 ppm

Data available at gml.noaa.gov/ccgg/trends/

Prehab isn’t just conditioning—it’s biology.

JAMA Surgery (2025): personalized prehabilitation alters immune markers and improves physical & cognitive reserve pre-op.

Mechanistic support for precision prehab, especially in high-risk surgical patients.

jamanetwork.com/journals/jam...

The biggest reason for longer waits is staffing shortages, which are driven by more people leaving healthcare practice than entering, esp nursing, due to bad management practices (often related to private equity).

This administration’s immigration policies will significantly worsen these shortages.

They’re forming a CDC workgroup to decide which line on this graph looks better and their answer may surprise you

Louisiana hospitals warn Mike Johnson of 'devastation' from megabill

Every major health system in Louisiana is warning Speaker Mike Johnson and the rest of the state’s congressional delegation that the Senate GOP’s planned Medicaid cuts “would be historic in their devastation.”

Your 3-year-old child is unresponsive and seizing; do you:

A) call 911

or

B) talk to an AI chatbot that will tell you everything is fine and delay appropriate treatment until he gets worse?

The VP seems to suggest a suspension of due process rights to tackle illegal immigration. This would be in line with El Salvador’s Bukele but not the U.S. Supreme Court

Internal budget document reveals extent of Trump’s proposed health cuts HHS would be asked to absorb a $40 billion cut, about one-third of its discretionary budget.

This is insane. $40 billion cut to HHS. 40% of NIH budget will be gone, 27 institutes will shrink down to 8. 44% of CDC budget will disappear, all work on chronic diseases will cease. Head Start will be eliminated.

SO PEOPLE WILL DIE because we want to give billionaires their tax cuts.

YOU COULD BE THE CURE FOR AVA Or any patient in need. Join the NMDP Registry today. Text Ava to 61474

My best friends' daughter is 3 and needs a bone marrow transplant. Anyone in the US 18-40 can text this number for a free cheek swab. If you're not a match for her, you could be a match for someone else.

Times are tough, but we'll help each other. That's what we do.

Sharing for anyone able to donate to the bone marrow registry that we have a way to sign up from anywhere that honors my daughter, Ava, who is battling her second bone marrow cancer.

Please share this information with your networks! @nmdp-org.bsky.social

A 5-yr-old burned to death in a sealed glass coffin of pressurized oxygen that an “alternative medicine” wellness center claimed could treat his ADHD. This was a cash business providing unapproved therapies. There is no evidence to support hyperbaric for ADHD; there’s not even a plausible mechanism.

NIH funding freeze stalls applications on $1.5 billion in medical research funds The National Institutes of Health had to stop considering new grant applications, delaying funding for research into diseases ranging from heart disease and cancer to Alzheimer's and allergies.

The National Institutes of Health had to stop considering new grant applications due to orders from the Trump administration, delaying funding for critical life-saving research into diseases ranging from heart disease and cancer to Alzheimer's and allergies.
www.npr.org/sections/sho...

Very proud to share that the Medical University of South Carolina (MUSC) now has an accredited Physical Medicine and Rehabilitation (PM&R) residency program!

This is a major milestone for South Carolina and the field! #physiatry

Here is the link to the PowerPoint version of my pediatric fx remodeling talk. Make it your own; no need to credit me. Please just share the power of fracture remodeling, (which of course is best monitored under the care of an orthopaedist). docs.google.com/file/d/1i28t...

Access to Medicaid for patients with high burden conditions like cancer increases coverage rates, improves early-stage cancer diagnosis, improves access to timely cancer treatment and survival rates, and increases cancer screenings and preventive services.

For those who don’t know, 37% of Medicaid enrollees are children. It is an essential coverage for those with childhood cancer like my own 3 year old daughter. Take some time to learn how our system works and what societal needs programs like Medicaid actually solve that others can’t or won’t.

Measles requires 95% vaccination rates for herd immunity.

It has a 16.2% case fatality rate for unvaccinated children under 5 years and 24% for children under 9 months (who are unable to be vaccinated).

30% of the survivors experience severe complications like blindness, deafness, or encephalitis.

Opinion | Don’t Believe Him (Gift Article) Look closely at the first two weeks of Donald Trump’s second term and you’ll see something very different than what he wants you to see.

www.nytimes.com/2025/02/02/o...

Biological plausibility is essential here. The SIJ complex is among the strongest in the body, moves <3mm under physiological conditions, and no clinical testing determines abnormal movements. We need to be clear with what we mean on this topic. “SIJ dysfunction” needs to 🪦 #spine

SIJ dislocation or fracture, like that which may happen in serious trauma (60mph highway crash), is determined on imaging and is unrelated to the kind of SIJ issues seen in outpatient clinics.

We need to stop saying “sacroiliac joint dysfunction” as this implies “abnormal alignment or movement” (Dixit, 2025). This is not what we see.

Instead, SIJ pain (outpatient) or in the few cases where radiological evidence +/- labs support, sacroiliitis, or fracture/dislocation.

I really enjoyed sharing my thoughts on value based care and spine health at #MUSC for Orthopedics Grand Rounds today and the excellent discussion afterwards. #spine