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Posts by Rachel Martin-Blais, MD, DTM&H

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Court strikes down “Kennedy Declaration” on transgender care, calling arguments “bald-faced lie” and “gaslighting”
RFK can’t unilaterally set standards of care and cannot exclude providers from Medicare/caid for offering care consistent w medical guidelines
storage.courtlistener.com/recap/gov.us...

4 days ago 15 4 0 1

anyone who knew someone with pancreatic cancer knows how big of a deal this is

4 days ago 3677 767 76 22
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Men, We Need to Talk About "Rape Academy" This isn’t about women. This is about us. And it’s long past time we had this conversation

This article is for men.

In just the past few weeks: a wife murdered. A community leader killed. Multiple women alleging assault from another congressman. A survivor died by suicide. "Rape Academy" has 140 million visits in two months.

The pattern is horrifying, and the solution starts with us.

6 days ago 762 350 49 48
Fluoride in drinking water has no effect on IQ or brain function, long-term study shows The new research is the first to measure community water fluoridation exposure during childhood and any potential impact on cognition up to age 80.

Fluoride in drinking water has no effect on IQ or brain function, a long-term study shows.

The new research is the first to measure community water fluoridation exposure during childhood and any potential impact on cognition up to age 80.

The results contradict RFK Jr. statements.

1 week ago 5118 1584 304 89

I feel so seen right now

1 week ago 0 0 0 0
Soup (a piece of tiramisu on a plate with some lady finger cookies around it)

Soup (a piece of tiramisu on a plate with some lady finger cookies around it)

Soup of the day: Tiramisu

1 week ago 2448 148 108 17

Snuck in to a long list of legitimate medical orgs that was moved so the markup would make it hard to find the new additions

1 week ago 0 0 0 0

to be clear, rfk jr. is using fake medical astroturf orgs with real-sounding names to try and circumvent the courts/the law (FACA)

2 weeks ago 98 43 3 0

The new ACIP charter includes liaison memberships for the Association of American Physicians and Surgeons, Physicians for Informed Consent, and the Independent Medical Alliance.

None of these are expert societies and all of them have a history of disseminating antivaccine propaganda.

2 weeks ago 87 48 1 5
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Wishing this fabulously competent—and joyful—crew a safe return to a planet that, frankly, doesn't deserve them.

1 week ago 24421 3016 338 125
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So pro-life means jailing women who miscarry but shrugging when the deranged president says “a whole civilization will die tonight.” Do I have that right?

2 weeks ago 27631 7798 632 250
Christina Koch’s facial profile backlit by Earth in the background, through the spacecraft window

Christina Koch’s facial profile backlit by Earth in the background, through the spacecraft window

So, to sum up, a couple of days ago Christina Koch became the first woman to see Earth in its entirety, and today – right now, in fact – she is the first woman to see the Moon up close, and the first woman to see the far side. 🥹

2 weeks ago 7453 1100 93 57

This is incredible.

2 weeks ago 3986 525 75 12
I Work Very Hard, And I Would Like To Try Cake

By A Horse

Hello. I am a horse. I work very hard at my job of being a horse. When humans say move the heavy thing, I move the heavy thing. When humans sit on top of me and pull on my head, I carry them where they want to go. The main food the humans give me is hay and oats. But I am thinking it would be nice to have a different food.

I am thinking I would like to try cake.

Yes, yes. Cake. I know all about it. When humans eat cake, it is in glad times. It is the food for a celebration, such as when a woman becomes 47. I have seen cake on the Fourth of July. When humans have a cake, they stand around it and clap hands and smile and say happy birthday at each other. Sometimes there are beautiful markings on a cake, such as balloons or a pink shape.

Sometimes the top of a cake is on fire and a boy must blow on the fire with mouth wind. This is the scariest cake. I do not want this kind. But I will eat any other cake. Any cake that is not the fire cake that tries to kill the boy.

Please understand: I do not get money for doing work. I do not get to go inside the house. All I am either doing my horse job or standing in my pen or eating food off the floor. I always do these things. But I have never once gotten cake and I would like it very much.

I have noticed that human children get to eat cake. But I am bigger than the children. I am more helpful to the farm. Children do not move the heavy things like me or let anyone ride on them. And yet they get cake. Maybe the humans will realize this. Maybe they will say, "You  know who deserves cake? That horse. That horse whose back we are always on."

Every day I dream about what it will be like if I get to eat cake. Here is what will happen. First, I will walk to the cake and putt my nose at it like hrrfff to make and stomping my hooves to make sure it is not a snake. Then I will trot in a circle to show that I am a horse and I am large. After that, I will nuzzle the cake to …

I Work Very Hard, And I Would Like To Try Cake By A Horse Hello. I am a horse. I work very hard at my job of being a horse. When humans say move the heavy thing, I move the heavy thing. When humans sit on top of me and pull on my head, I carry them where they want to go. The main food the humans give me is hay and oats. But I am thinking it would be nice to have a different food. I am thinking I would like to try cake. Yes, yes. Cake. I know all about it. When humans eat cake, it is in glad times. It is the food for a celebration, such as when a woman becomes 47. I have seen cake on the Fourth of July. When humans have a cake, they stand around it and clap hands and smile and say happy birthday at each other. Sometimes there are beautiful markings on a cake, such as balloons or a pink shape. Sometimes the top of a cake is on fire and a boy must blow on the fire with mouth wind. This is the scariest cake. I do not want this kind. But I will eat any other cake. Any cake that is not the fire cake that tries to kill the boy. Please understand: I do not get money for doing work. I do not get to go inside the house. All I am either doing my horse job or standing in my pen or eating food off the floor. I always do these things. But I have never once gotten cake and I would like it very much. I have noticed that human children get to eat cake. But I am bigger than the children. I am more helpful to the farm. Children do not move the heavy things like me or let anyone ride on them. And yet they get cake. Maybe the humans will realize this. Maybe they will say, "You know who deserves cake? That horse. That horse whose back we are always on." Every day I dream about what it will be like if I get to eat cake. Here is what will happen. First, I will walk to the cake and putt my nose at it like hrrfff to make and stomping my hooves to make sure it is not a snake. Then I will trot in a circle to show that I am a horse and I am large. After that, I will nuzzle the cake to …

The horse op-ed is an instant classic. I can't tell you how much joy this piece gives me.

It should be taught in every introductory writing class in no small part because the horse arguments are so compelling. "I have noticed that human children get to eat cake. But I am bigger than the children."

2 weeks ago 16926 5834 259 695
Excerpt from article interview of Paul Offit where he describes an interaction from 2005nwuth RFK Jr. 

"He made me a bad guy" Offit told The Philadelphi a Citizen last fall. "But I honestly don't think anybody is going to kill me. I certainly don't think they'll give me a heads-up first. They just want me to shut up." "And," he added, “fuck them."

Excerpt from article interview of Paul Offit where he describes an interaction from 2005nwuth RFK Jr. "He made me a bad guy" Offit told The Philadelphi a Citizen last fall. "But I honestly don't think anybody is going to kill me. I certainly don't think they'll give me a heads-up first. They just want me to shut up." "And," he added, “fuck them."

@pauloffit.bsky.social is a total badass

2 weeks ago 118 30 4 2
(below an image of Pedro Pascal) “I can't think of anything more vile and small and pathetic than terrorizing the smallest, most vulnerable community of people who want nothing from you, except the right to exist.” - Pedro Pascal

(below an image of Pedro Pascal) “I can't think of anything more vile and small and pathetic than terrorizing the smallest, most vulnerable community of people who want nothing from you, except the right to exist.” - Pedro Pascal

3 weeks ago 3537 820 30 25
A graph titled “the public health success of the measles vaccine” that shows the number of measles cases in the United States plummeting after the vaccine was introduced in 1963

A graph titled “the public health success of the measles vaccine” that shows the number of measles cases in the United States plummeting after the vaccine was introduced in 1963

I showed this graph in class yesterday on how measles cases in the United States plummeted dramatically after the vaccine was licensed in 1963. It’s not subtle and I could not resist observing: “This stunning design in measles cases was not thanks to vitamin A. It was not due to beef tallow.”

3 weeks ago 7871 2551 16 93
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Global health: the long road from saviorism to justice The global health sector must use the current crisis to expand to scale bottom-up and collaborative solutions that identify and address causal factors upstream of their associated health impacts.

“There comes a point where we need to stop just pulling people out of the river. We need to go upstream and find out why they are falling in"

Desmond Tutu

So relevant for all of us in medicine, global and public health!!

speakingofmedicine.plos.org/2026/03/26/g...

3 weeks ago 42 17 1 0
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Also his whole house was a centrifuge at that point so you really would think he would know better

4 weeks ago 3 0 0 0

The anguish that ran through me in that moment…

4 weeks ago 1 0 0 0
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Google Has a Secret Reference Desk. Here's How to Use It. 40 Google features to find exactly what you need, the alternative search engines that do things Google won't, and the reference desk framework underneath all of it.

I know this has circulated with alacrity recently, so you may have already seen it, but if you haven't... WOW BOY HOWDY it's the most useful thing.

Thank you cardcatalogforlife.substack.com -- this is a very very very helpful public service:

cardcatalogforlife.substack.com/p/google-has...

1 month ago 11727 4895 298 260

😳 I don’t blame her at all

1 month ago 6 0 2 0

That they felt it was important to focus on cruel / aggressive gestures at a moment when there are so many important needs really speaks volumes

1 month ago 0 0 0 0
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In 2022, the name 'monkeypox' was nixed. Now the U.S. is reviving it The World Health Organization retired the name "monkeypox" in favor of mpox — since the virus is spread by rodents and small mammals and there's a stigma factor. Why has the U.S. revived "monkeypox"?

Little behind, but I just noticed that CDC changed its website back from “Mpox” to “Monkeypox”. The name was changed because of its stigmatizing & racist undertones (in addition to factual incorrectness - monkeys are probs not reservoirs). Disturbing our gov’t is spending time on such petty things.

1 month ago 0 0 1 0
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Experimental hookworm vaccine shows promising protection in phase 2 human trial Hookworm infects an estimated 113 million people globally primarily in sub-Saharan Africa, Southeast Asia, and South America. It is a major cause of iron-deficiency anemia in children and pregnant wom...

We’re very excited about our hookworm anemia vaccine and hope it becomes the second licensed human parasitic disease vaccine after malaria and the first human parasitic worm vaccine

blogs.bcm.edu/2026/03/19/f...

1 month ago 1452 340 35 20
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I don't know why I'm still shocked by headlines. Maybe it means I still have a modicum of faith in humanity. Anyway, wtf.

1 month ago 2860 861 264 110
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Devex Newswire: Global south feels the pain of the war in Iran The economic and humanitarian ripple effects of the U.S. and Israeli war in Iran. Plus, a look at the contractors the Inter-American Development Bank is funding.

"For the cost of two days of war — $4 billion — every one of the 43 million children worldwide currently suffering from acute malnutrition could be treated." A sobering figure from @rescue.org, via @devex.com.

In armed conflicts, children pay the highest price. This violence must end.

1 month ago 9 8 0 0
Commonwealth of Massachusetts v. Trump filed on behalf of A coalition of states A coalition of states has filed a lawsuit challenging President Trump's Executive Order 14187, which attempts to criminalize gender affirming care for people under the age of 19. The plaintiffs are st...

Happy to see the court’s decision on the ACIP recommendations and the unqualified status of recent appointees. Now let’s restore access to necessary healthcare for transgender children & their families.

www.democracy2025.org/responses/co...

1 month ago 5 1 0 0
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Oh my god. Here we are in 2026 where decades of science have allowed us to literally achieve the DREAM - a vaccine that protects against CANCER!!!!! - and people just cannot let us have nice things.

1 month ago 12 1 1 0

This is to say: if you're an attorney who's hesitated to take on habeas cases because you think you lack the knowledge, or you're worried about whether you'll really help, I PROMISE you can make a difference. I'm just a dipshit with a 7-year-old laptop and a bad attitude. If I can do it, so can you.

1 month ago 2321 440 31 10