Julian Barkan, DO MPH

@drjulianbarkan.bsky.social

Family Med, Urgent Care Physician. Writing to express my thoughts, sometimes teach, and mostly learn. Bluesky reminds me of old Twitter where medical education was a thing. https://medium.com/@julbarkan

Shingles vaccine is rougher than the average jab (36 hours of arm pain and a night of poor sleep for me). OTOH I’ve seen people’s “golden years” ruined by shingles: chronic insomnia, chronic pain, deep depression. Plus we now know there’s a robust association of shingles with dementia risk.

Elana Levin@levin.bsky.social · 10mo ago

All over my FB people talking about their bad experiences with shingles vax and dissuading each other from getting it! We need to give people real info on how to mitigate the symtoms caused by vaccines because vaccines are always better than meeting a virus unprepared. Yet drs aren't coaching ppl

Scientists just ‘supercharged’ vinegar with nanoparticles — and in mice it wiped out 99.995% of MRSA in lab tests. 1 topical dose. 24 hours. No damage to healthy cells. Who knew the secret weapon against superbugs might be… upgraded salad dressing? #BlueSky #MedSky #SciSky #IDSky #NurseSky #NewsSky

This ‘Supercharged’ Vinegar Wiped Out 99.995% of Bacteria in Tests

Vinegar may soon do more than dress your salad — it could help save lives. Scientists in Norway and Australia found a way to “supercharge” its antibacterial power using cobalt-based carbon nanoparticl...

foodandwine.com

Check out our new paper @nejm.org. RSV, COVID-19 & Influenza vaccines continue to show consistent effectiveness & safety based on a review & synthesis of 500+ research studies👇! We worked hard to evaluate the evidence so you can be confident about getting vaccinated this fall!

Madhu Pai, MD, PhD@madhupai.bsky.social · 11mo ago

Even as the anti-vax lobby erodes public trust, new evidence confirms that "immunizations against Covid-19, RSV, and influenza have shown consistent effectiveness & safety and are associated with a substantially reduced risk of hospitalization & severe disease" www.nejm.org/doi/full/10....

Under the watch of HHS Secretary Robert F. Kennedy Jr. — who speaks frequently about his own recovery from substance addiction — the Trump administration has dismantled large portions of the federal agency focused on mental health and addiction treatment. trib.al/2a5CWjV

Trump cuts have decimated the federal addiction and mental health agency

The Trump administration has dismantled big chunks of the federal agency focused on mental health and addiction treatment, reducing its staff by more than half

trib.al

How fucked is healthcare in the United States? I have to reduce my state healthcare plan coverage from the "enhanced" plan to the "standard" plan and it will still be $30 more per month. It would be $80 more per month to keep "enhanced" plan, but the benefits there have been drastically reduced.

1/ Valley fever, a serious infectious disease, is on the rise in central California. Last year set a record, with over 12,000 cases, and we’re on track to surpass that figure this year. I’m Matt, Your Local CA Epidemiologist, with this and more public health updates👇

Bild

“We have 1,544 measles cases this year, 92% in unvaccinated people, and 3 deaths. The problem isn’t the vaccine — it’s that people aren’t getting it. O’Neill hasn’t offered a single scientific rationale for breaking up MMR.” @aniloza.bsky.social @statnews.com www.statnews.com/2025/10/06/t...

Acting CDC director calls for MMR vaccine to be broken up into three shots

There's no evidence that breaking up the MMR shot would make the immunization safer or more effective.

statnews.com

Increasing temperatures from climate change have led to a 40% reduction in blue whale “songs” in just the past 6 years alone. “It’s like trying to sing while you're starving,” said John Ryan, a biological oceanographer. The world's oceans absorb more than 90% of the excess heat from climate change

Blue whales are going eerily silent—and scientists say it’s a warning sign

A six-year study off California’s coast shows how marine heat waves and noise pollution are silencing the ocean’s largest singers. Does saving the ocean start with hearing it?

nationalgeographic.com

If you want to drink raw milk, government doctors like Vinay Prasad will stand up for your bodily autonomy. If you are willing to risk a sore arm to get a vaccine, he says no. That’s his decision. My latest for SBM. sciencebasedmedicine.org/rawmilk/

Dr. Vinay Prasad: Bodily Autonomy Applies to Raw Milk, Not Vaccines

This is what it looks like when disinformation doctors pretend to value data and science to further their true objective, MAHA politics.

sciencebasedmedicine.org

It's no crime to enjoy a delicious snack or indulge in a store-bought meal now and then. Just know that the more of this ultra-processed #food you include in your #diet, the greater your risk for numerous bad #health outcomes, according to 3 new studies this week.

We’re Stuffing Our Faces with Food That’s Not Food

New studies confirm serious health risks associated with the addictive, engineered “food” that predominates in Western diets

medium.com

Happy 99th birthday to the man who gave voice to the wild. 🎉 Sir David Attenborough, thank you for a lifetime dedicated to the natural world, and for sharing its story with wisdom, wonder, and grace. You've inspired generations to fall in love with nature.

This photograph captures Sir David Attenborough seated outdoors on the rugged terrain of Skomer Island. Behind him, the ocean and coastal cliffs form a scenic backdrop under a clear sky. Sir David, dressed in a khaki jacket and light trousers, looks towards the camera with a gentle expression, exuding a sense of warmth, calm, and wisdom. Around him, puffins can be seen flying and perched on the rocky ground, illuminated in rays of golden sunlight as the sun sets behind the cliffs.

We once stripped the paint in our 1900s-era home to remodel, realizing only afterward we'd exposed the whole family to a weeks-long cloud of lead dust. You might think us naive, and yep, we were. But did you know that a bid source of lead in our air comes from burning coal to generate electricity?

Lead Poisoning Should be Leading News

Burning dirty coal releases toxins that poison our brains, impair intelligence, increase impulsivity, and even contribute to crime waves.

medium.com