Joseph Gulfo, MD

@DrNeilStone Medications keep patients out of the hospital, the most expensive form of care. If anything, he should be fostering compliance to medications indicated for patients’ conditions.

RFK Jr wants doctors to get paid to get patients off medications That's a TERRIBLE idea And a dangerous one It's a conflict of interest I get paid the same regardless of whatever I do or do not prescribe. I do what's best for the patient. Period.

@MalcolmBacchus @oliverburdick Thank you for that. I used the wrong word to express my thought. I meant that nature recycles pathways and blueprints from species to species - if they work, nature tends to find other ways to use the same systems.

@josephgulfo @oliverburdick It isn't. It is incredibly inefficient. Photosynthesis for example manages to convert about 2% of the light energy falling on leaves into energy used by the plant. Even solar panels can do 20% plus.

Left side is a human lung. Right side is a tree. The tree breathes in what the lung breathes out. The lung breathes in what the tree breathes out. God's design is incredible.

@MarcoBalletti Do you know anyone who saw this 0 and 6 start coming?

I slept for a broken up 90 minutes. This Jets game is going to put me in a coma. It’s torture

@dr_demetre @henryimiller So much for the null hypothesis.

We are doing the studies to “make the proof.” Cue Thomas Dolby “blinded me with science” #RFKJrResignNOW

@DrPaulOffit Fantastic points! Thank you for doing this, Dr. Offit.

Jim O'Neill, acting director of the CDC, just made an irresponsible announcement about the MMR vaccine. This is a 2-minute rebuttal to his request.

@YvanMontgury @nyknicks @KnicksNation @KnicksNationFr @NBA_NewYork @PeterVecsey1 @KnickerbockerAv @NBA_NewYorkCity Willis was wonderful, but Clyde had the greatest Game 7 performance of all time and should have been Finals MVP

The Captain has nothing to envy anyone! Knicks legend #NewYorkForever 2× NBA champion (70, 73) 2× NBA Finals MVP (70, 73) NBA Most Valuable Player (70) 7× NBA All-Star (65–71) NBA All-Star Game MVP (70) All-NBA First Team (70) 4× All-NBA Second Team (67–69, 71) NBA All-Defensive First Team (70) NBA Rookie of the Year (65) NBA All-Rookie Team (65) NBA anniversary team (50th, 75th) No. 19 retired by @nyknicks

@DrMakaryFDA @US_FDA No they aren’t - they are informing patients, encouraging empowerment and compliance, and making people with various disease feel like they part of a community, not abnormal.

Endless pharmaceutical ads on TV are distorting the doctor patient-relationship and driving up health care costs for all. Why @US_FDA is now taking bold action: jamanetwork.com/journals/jama/…

@SenBillCassidy Please fix this mess.

Louisiana is in its worst whooping cough (pertussis) outbreak in 35 years. 368 cases this year, including two infants who have died. Since last fall, 63 have been hospitalized, 65% infants. Most hospitalized were not up-to-date on vaccines. 

The DTaP/Tdap vaccines protect against whooping cough, as well as tetanus and diphtheria, which also remain dangerous threats to children. These vaccines are safe, effective, and life-saving. Talk to your doctor about any questions you may have.

@DrMakaryFDA @US_FDA Rather than curb or punish, why not use the muscle and reach to do good, for example, encouraging compliance and healthy behaviors…

Today we’re taking long-overdue action to rein in pharmaceutical ads. For too long, misleading ads have distorted the doctor-patient relationship and driven costly, inappropriate care. Our actions will encompass online pharmacies promoting drugs with no mention of side effects, and paid social media influencers advertising drugs.

@Jimfrombaseball He and Keith Hernandez need to be in the Hall of Fame. Pete Rose, too!

"Dewey was great offensive player and one of the greatest right fielders`s to play the game; there’s no doubt in my mind that he belongs in the HOF" Carl Yastrzemski Dwight Evans is the only player in history to win eight Gold Gloves while also leading his league for a DECADE in home runs and all of MLB in extra base hits and runs created. Evan’s is one of just 13 players to have at least 2,400 hits, 1,450 runs, 1,375 walks, 1,375 RBI, 480 doubles and 385 home runs. Of those 13, Evans is the only player previously eligible, not to have been enshrined in Cooperstown. Dwight Evans has the same OPS+ as Rickey Henderson (127), a higher one than Ernie Banks, Johnny Bench, Yogi Berra, Paul Molitor and Kirby Puckett. Dwight Evans’ WAR (61.8), is higher than Andre Dawson, Harmon Killebrew, Willie Stargell, Billy Williams and Dave Winfield. In my HOF!!!

@DrNeilStone Drugs keep people out of hospitals, and enable more quality and quantity of life, period. They are the simplest line items to spot on an expense ledger, so easy targets. No one pays list prices - that is an artifact of a convoluted payment system. GLP-1’s are miracle drugs!

This is the thing There is no doubt that Big Pharma make obscene profits and HAVE behaved badly But that doesn't mean that all they do is evil. Pharma companies make life saving drugs. We need them. Better than making a fortune from say - selling guns?

@matthewherper @Biotech2k1 This is not a good thing, Matt. 90% of these letters are “issues” that have been addressed (asked and answered) over the years of drug development that predate the filing. Drug development / FDA interaction is highly nuanced. This is just wrong policy.

I want to take a moment to note this: FDA Commish Marty Makary's move to make FDA rejection letters (known as complete response letters or CRLs) is a very good thing both for investors, who will be lied to less, and to drug developers, who will have a much better idea of what other mistakes people are making. Even with so much redacted, I still think that's a positive step. I do wish this administration would space it's news announcements out a bit.

@ZacharyBrennan Silly and irresponsible. Most of the items in these have been asked and answered. Drug development and FDA interactions are highly nuanced. This serves no useful purpose. Misguided and sad.

FDA publishes drug rejection letters for ongoing applications for the first time - endpoints.news/fda-for-the-fi…

@medcitynews This is not a good policy. These letters are rife with “issues” that are no longer issues and will not serve to improve the process. Drug development and FDA interactions are highly nuanced. Silly and misguided policy in the name of “transparency.”

Embracing Transparency, FDA Will Make All Future Drug Rejection Letters Public medcitynews.com/2025/09/fda-co…

FDA Pulls RFK Jr. Critic Off Its Vaccine Advisory Panel medpagetoday.com/infectiousdise…

@ScottJenningsKY Scott, you are right about many things, but not about what is going on now. This is shameful and dangerous.

The public health regime deserves to be turned inside out after what happened during COVID. We won’t miss some of these people who are quitting CDC.

@MikeLupica He was the adult in the room during the hearings, and he ultimately just looked the other way. So sad.

@SenMarkey This Republican knows it.

What will it take for Republicans to understand that RFK Jr. is dangerous?

@gorskon @SenBillCassidy @SecKennedy Exactly. I watched those hearings. You palpated and exposed the glaring lack of competency, yet you voted yay. Shocking and irresponsible. Do the right thing now.

.@SenBillCassidy, I hold you personally responsible. You had the chance to stand up for evidence-based medicine and public health by blocking the confirmation of @SecKennedy. You failed your country and your profession.