James Stein
@jamesstein18.bsky.social
Jewish vegetarian cardiologist. I value civility & block accounts without real names & evidence of being a real person. My comments, not employers’. Substack: https://jamesstein18.substack.com; Academic profile: https://bit.ly/3ywM2iX
Reposted by James Stein
Whose advice should US parents follow since ACIP is no longer legitimate?
My answer is in the article below.
“I would follow the American Academy of Pediatrics advice, as well as the Vaccine Integrity Project…The one group I wouldn’t trust is ACIP”.
@cidrap.bsky.social
My answer is in the article below.
“I would follow the American Academy of Pediatrics advice, as well as the Vaccine Integrity Project…The one group I wouldn’t trust is ACIP”.
@cidrap.bsky.social
CDC panel debates hepatitis B vaccine for newborns at a contentious meeting
Confusion among recently appointed panel members delayed the vote after a day of discussion
cen.acs.org
December 5, 2025 at 1:12 AM
Whose advice should US parents follow since ACIP is no longer legitimate?
My answer is in the article below.
“I would follow the American Academy of Pediatrics advice, as well as the Vaccine Integrity Project…The one group I wouldn’t trust is ACIP”.
@cidrap.bsky.social
My answer is in the article below.
“I would follow the American Academy of Pediatrics advice, as well as the Vaccine Integrity Project…The one group I wouldn’t trust is ACIP”.
@cidrap.bsky.social
Sharing an updated piece from earlier this fall that many of you may not have seen. I’ve revised it significantly. It’s about placebo and nocebo effects and how our expectations shape physiology, symptoms, and outcomes. jamesstein18.substack.com/p/when-it-re...
When It Really Is All in Your Head: Placebo and Nocebo Effects on Health
Updated for December 2025
jamesstein18.substack.com
December 4, 2025 at 1:36 PM
Sharing an updated piece from earlier this fall that many of you may not have seen. I’ve revised it significantly. It’s about placebo and nocebo effects and how our expectations shape physiology, symptoms, and outcomes. jamesstein18.substack.com/p/when-it-re...
Reposted by James Stein
This is an important filing. The world will be watching.
December 3, 2025 at 11:31 PM
This is an important filing. The world will be watching.
An Update on Why I’m on Substack (and what this space is not) jamesstein18.substack.com/p/an-update-...
An Update on Why I’m on Substack
and what this space is not
jamesstein18.substack.com
December 2, 2025 at 9:02 PM
An Update on Why I’m on Substack (and what this space is not) jamesstein18.substack.com/p/an-update-...
I just can’t believe what I’m hearing. So scary.
Trump on Somalis: "We're gonna go the wrong way if we keep taking in garbage into our country. Ilhan Omar is garbage. She's garbage. Her friends are garbage."
December 2, 2025 at 7:16 PM
I just can’t believe what I’m hearing. So scary.
Hypertension care improves when we understand how aging arteries respond to medications. Part III of my Substack series walks through the physiology beneath good treatment and shows how these principles shape modern care. jamesstein18.substack.com/p/demystifyi...
Demystifying Hypertension, Part III: Why Some Drugs Work Better Than Others
A Practical Tour Through the Physiology Beneath Good Hypertension Care
jamesstein18.substack.com
December 1, 2025 at 5:10 PM
Hypertension care improves when we understand how aging arteries respond to medications. Part III of my Substack series walks through the physiology beneath good treatment and shows how these principles shape modern care. jamesstein18.substack.com/p/demystifyi...
Reposted by James Stein
News media has to do better with headlines that present false and unverified public health claims.
November 29, 2025 at 11:48 PM
News media has to do better with headlines that present false and unverified public health claims.
HTN is common, but excellent HTN care is surprisingly hard to find. Part II of my “Demystifying Hypertension” series looks at why treatment goes off track so easily & how to get it right from the start. I walk through the steps that determine success & share a case.
substack.com/inbox/post/1...
substack.com/inbox/post/1...
Demystifying Hypertension, Part II: From Diagnosis to Treatment
Getting Off on the Right Foot
substack.com
November 27, 2025 at 1:50 PM
HTN is common, but excellent HTN care is surprisingly hard to find. Part II of my “Demystifying Hypertension” series looks at why treatment goes off track so easily & how to get it right from the start. I walk through the steps that determine success & share a case.
substack.com/inbox/post/1...
substack.com/inbox/post/1...
Today’s Substack post begins a three-part series on what good hypertension care should look like in 2025. It's meant for clinicians and for anyone who wants to feel more informed and empowered about their own blood pressure. jamesstein18.substack.com/p/demystifyi...
Demystifying Hypertension, Part I: Throw Out Your Hypertension Playbook
It’s Not 1999 Anymore
jamesstein18.substack.com
November 23, 2025 at 2:33 PM
Today’s Substack post begins a three-part series on what good hypertension care should look like in 2025. It's meant for clinicians and for anyone who wants to feel more informed and empowered about their own blood pressure. jamesstein18.substack.com/p/demystifyi...
Reposted by James Stein
"Well, yes, Mamdani and I have our differences. He's a socialist, they say he's a socialist, and I guess he says so too. A democratic socialist, but a socialist. Meanwhile, I'm busy seizing the means of production, forcing a cultural revolution, cracking down on the intelligentsia ...."
November 21, 2025 at 10:12 PM
"Well, yes, Mamdani and I have our differences. He's a socialist, they say he's a socialist, and I guess he says so too. A democratic socialist, but a socialist. Meanwhile, I'm busy seizing the means of production, forcing a cultural revolution, cracking down on the intelligentsia ...."
Reposted by James Stein
It's always hard to pick a worst day politically, but today the president called for the death of members of the opposition party, and the administration decided that people were being too hard on the swastika
November 21, 2025 at 4:15 AM
It's always hard to pick a worst day politically, but today the president called for the death of members of the opposition party, and the administration decided that people were being too hard on the swastika
I used to introduce myself as “Jim” whenever I was a patient. But over time, I started referring to myself as “Dr. Stein” because I realized that “Jim” and “Dr. Stein” do not receive the same medical care. jamesstein18.substack.com/p/whats-my-n...
What’s My Name?
For most of my career, I never questioned what I should call myself when I became the patient instead of the physician.
jamesstein18.substack.com
November 20, 2025 at 6:00 PM
I used to introduce myself as “Jim” whenever I was a patient. But over time, I started referring to myself as “Dr. Stein” because I realized that “Jim” and “Dr. Stein” do not receive the same medical care. jamesstein18.substack.com/p/whats-my-n...
What I Learned from 5,800 Chabad Emissaries blogs.timesofisrael.com/what-i-learn...
The Blogs: What I Learned from 5,800 Chabad Emissaries
From the blog of James H. Stein at The Times of Israel
blogs.timesofisrael.com
November 17, 2025 at 10:06 PM
What I Learned from 5,800 Chabad Emissaries blogs.timesofisrael.com/what-i-learn...
Reposted by James Stein
NEW: Epstein survivors release the most powerful PSA I have ever seen.
Make this go viral so every member of the House of Representatives sees it.
Make this go viral so every member of the House of Representatives sees it.
November 16, 2025 at 11:43 PM
NEW: Epstein survivors release the most powerful PSA I have ever seen.
Make this go viral so every member of the House of Representatives sees it.
Make this go viral so every member of the House of Representatives sees it.
Insane! Reading this article is like reading alt-ID and alt-pandemic on a mild hallucinogen while watching Fox News.
A new approach to pandemic preparedness:
1️⃣ Stop preparing for pandemics
2️⃣ Rewrite history of the last major pandemic
3️⃣ Go to the gym
Simple - 🤷♂️.
www.city-journal.org/article/nih-...
1️⃣ Stop preparing for pandemics
2️⃣ Rewrite history of the last major pandemic
3️⃣ Go to the gym
Simple - 🤷♂️.
www.city-journal.org/article/nih-...
NIH Directors: The World Needs a New Pandemic Playbook
The old one failed to cope with Covid and may even have caused it.
www.city-journal.org
November 14, 2025 at 9:47 PM
Insane! Reading this article is like reading alt-ID and alt-pandemic on a mild hallucinogen while watching Fox News.
A discussion around Petter Attia recently was framed as “grifter vs visionary,” but the more important issue is what happens when medical authority operates outside the traditional guardrails of clinical practice and enters the realm of social influence. jamesstein18.substack.com/p/physician-...
Physician-Podcasting, Peter Attia, and the Problem of Unchecked Authority
Today’s post responds to a recent essay by the Skeptical Cardiologist about Peter Attia. The discussion around Attia was framed as “grifter vs visionary,” but the more important issue, in my view, is ...
jamesstein18.substack.com
November 13, 2025 at 3:39 PM
A discussion around Petter Attia recently was framed as “grifter vs visionary,” but the more important issue is what happens when medical authority operates outside the traditional guardrails of clinical practice and enters the realm of social influence. jamesstein18.substack.com/p/physician-...
My latest on Substack: The Most Important Thing People Get Wrong About Heart Disease. Heart Disease Isn’t Just a Plumbing Problem. One of my biggest challenges is that many people, including clinicians, still imagine coronary artery disease as a simple clogged pipe ... (read on )
The Most Important Thing People Get Wrong About Heart Disease
Heart Disease Isn’t Just a Plumbing Problem
jamesstein18.substack.com
November 13, 2025 at 2:20 AM
My latest on Substack: The Most Important Thing People Get Wrong About Heart Disease. Heart Disease Isn’t Just a Plumbing Problem. One of my biggest challenges is that many people, including clinicians, still imagine coronary artery disease as a simple clogged pipe ... (read on )
My Hot Take on PISCES: The New Fish Oil in Hemodialysis Study. A new NEJM trial just reported a remarkable 43% reduction in cardiovascular disease events in people on dialysis taking fish oil. It sounds too good to be true - and maybe it is. See: jamesstein18.substack.com/p/my-hot-tak...
My Hot Take on PISCES, the New Fish Oil in Hemodialysis Study
I love when a new study challenges what we think we know.
jamesstein18.substack.com
November 8, 2025 at 11:38 PM
My Hot Take on PISCES: The New Fish Oil in Hemodialysis Study. A new NEJM trial just reported a remarkable 43% reduction in cardiovascular disease events in people on dialysis taking fish oil. It sounds too good to be true - and maybe it is. See: jamesstein18.substack.com/p/my-hot-tak...
The a new category of physician - the medical influencer: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligations that define the profession. Their power is amplified by algorithms, branding, and ... the podcast format.”
James H Stein, MD (@jamesstein18)
The a new category of physician - the medical influencer - is serious challenge: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligati...
substack.com
November 8, 2025 at 2:10 PM
The a new category of physician - the medical influencer: “They retain the prestige of the medical doctor while stepping outside the ethical, educational, and fiduciary obligations that define the profession. Their power is amplified by algorithms, branding, and ... the podcast format.”
My commentary in JAMA Cardiology - “The Physician–Patient–Podcaster Triangle" - examines how podcasts and social media are transforming the language of medicine and changing how patients understand health, aging, and their relationships with their clinicians. jamanetwork.com/journals/jam...
The Physician–Podcaster–Patient Triangle
This essay discusses physician-podcasters and how their messages can affect the physician-patient relationship.
jamanetwork.com
November 6, 2025 at 6:13 PM
My commentary in JAMA Cardiology - “The Physician–Patient–Podcaster Triangle" - examines how podcasts and social media are transforming the language of medicine and changing how patients understand health, aging, and their relationships with their clinicians. jamanetwork.com/journals/jam...
Reposted by James Stein
When you stop using X then open it back up after a while, you realize how obviously it’s designed to elevate vicious jerks who share Musk and Trump’s cruelest, dumbest beliefs. Harder to see when you’re addicted to it; blazingly apparent from the outside looking in.
Journalists: It’s bad for you!
Journalists: It’s bad for you!
November 5, 2025 at 3:46 AM
When you stop using X then open it back up after a while, you realize how obviously it’s designed to elevate vicious jerks who share Musk and Trump’s cruelest, dumbest beliefs. Harder to see when you’re addicted to it; blazingly apparent from the outside looking in.
Journalists: It’s bad for you!
Journalists: It’s bad for you!
Lipoprotein(a) - The Overlooked Lipoprotein That Drives Heart Disease. This inherited particle may explain why some people develop heart disease despite excellent cholesterol levels. For my latest on Substack, go to jamesstein18.substack.com/p/part-2-lpa...
October 31, 2025 at 12:23 PM
Lipoprotein(a) - The Overlooked Lipoprotein That Drives Heart Disease. This inherited particle may explain why some people develop heart disease despite excellent cholesterol levels. For my latest on Substack, go to jamesstein18.substack.com/p/part-2-lpa...
Reposted by James Stein
I am going to be that annoying friend. Get your #COVID & #flu shots. There is little downside to getting immunized and it will spare you from being out sick, having to go to the doctor's office, hospitalization and yes, death. Too many people aren't stepping up to get the shots. Do it this weekend.
October 31, 2025 at 10:55 AM
We are very good at demanding strong Jewish institutions, but equally good at tearing down the people who try to run them. That habit is doing more damage than we realize.
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
The Blogs: Mocking Rabbis Has Become a Sport
From the blog of James H. Stein at The Times of Israel
blogs.timesofisrael.com
October 29, 2025 at 2:18 AM
We are very good at demanding strong Jewish institutions, but equally good at tearing down the people who try to run them. That habit is doing more damage than we realize.
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...
Mocking Rabbis Has Become a Sport blogs.timesofisrael.com/mocking-rabb...