In the Bubble with Andy Slavitt

Dr. Bob calls up author John Barry and TIME Magazine’s Jeffrey Kluger to talk about what the 1918 flu pandemic and the American polio epidemic can illuminate about COVID-19. In addition to the historical similarities and differences, they discuss what “the end” looked like and what, if anything, that means for us today. Plus, find out which of the three men was a Polio Pioneer! And get Dr. Bob’s take on the joint CDC and FDA decision to pause use of the Johnson & Johnson vaccine.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s Twitter account @inthebubblepod.   Find Jeffrey Kluger @jeffreykluger and John Barry @johnmbarry on Twitter.    Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/.    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Read the joint CDC and FDA statement in which the agencies recommend pausing use of the Johnson & Johnson vaccine: https://www.cdc.gov/media/releases/2021/s0413-JJ-vaccine.html Watch the news clip from April 12, 1955 about Jonas Salk’s polio vaccine: https://www.youtube.com/watch?v=2LlDn_MQDkc Check out John’s book, The Great Influenza, here: https://www.penguinrandomhouse.com/books/288950/the-great-influenza-by-john-m-barry/ Here’s where you can learn more about Jeff’s book, Splendid Solution: https://www.penguinrandomhouse.com/books/291641/splendid-solution-by-jeffrey-kluger/ Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob calls up University of Florida biostatistician Natalie Dean to ask whether or not we've hit the fourth wave. They discuss where cases are surging, why it's regional as opposed to national, and what role the vaccines will play in keeping this wave smaller than the previous three. Plus, how she's using Legos to help the masses better understand vaccine efficacy.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Follow Natalie Dean on Twitter @nataliexdean.    Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.   In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Check out this Washington Post article debating whether or not we’re entering a fourth wave: https://www.washingtonpost.com/health/2021/04/04/covid-fourth-wave/  Learn more about the COVID-19 situation in Michigan, and what it means for a fourth wave: https://slate.com/technology/2021/04/covid-michigan-infection-surge-fourth-wave.html  Don’t miss Natalie’s tweet explaining vaccine efficacy with Legos: https://twitter.com/nataliexdean/status/1360701856616493060  Read more about herd immunity, and why it’s so difficult to achieve: https://www.cnn.com/2021/03/30/health/herd-immunity-covid-shifts/index.html  Keep up the vaccine rollout in the United States: https://covid.cdc.gov/covid-data-tracker/#vaccinations  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob is joined by Paul Offit, pediatrician and Director of the Vaccine Education Center at Children’s Hospital of Philadelphia, to answer your questions about kids and the vaccines. This Toolkit is your one-stop-shop for everything you need to know about vaccinating kids against COVID-19: what ages will be eligible, when it'll happen, how to know it’s safe, and much more.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Find Paul Offit on Twitter @DrPaulOffit.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/.    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Check out this article about the Pfizer-BioNTech clinical trial in kids between 12-15 years old: https://www.nytimes.com/2021/03/31/health/pfizer-biontech-vaccine-adolescents.html Read this story about Moderna’s trial in children ages six months to less than 12 years: https://www.npr.org/sections/coronavirus-live-updates/2021/03/16/977778462/moderna-gives-first-vaccine-shots-to-young-kids-as-part-of-covid-19-study Johnson & Johnson will also test its vaccine in adolescents between 12-17 years old: https://www.cbsnews.com/news/covid-19-vaccine-johnson-johnson-teenagers-testing-coronavirus/ Here is the latest information from the CDC about COVID-19 vaccines for people who are pregnant or breastfeeding: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html Learn more about COVID-19 and MIS-C: https://www.nytimes.com/2021/04/06/health/covid-children-mis-c.html Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob calls up Monica Gandhi, infectious diseases and HIV doctor at UCSF, to talk about why she’s feeling optimistic at this moment in the pandemic. They discuss why her optimism hasn’t waned despite the fourth wave, the variants, and the CDC Director’s feeling of “impending doom.” Plus, why it’s so hard for places like the CDC to balance optimism and caution in how they advise the public.    Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Follow Monica Gandhi on Twitter @MonicaGandhi9.    Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.   In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Keep up with the CDC’s latest recommendations for fully vaccinated people: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated-guidance.html  Check out this Atlantic article about the fourth surge that Monica mentions in today’s episode: https://www.theatlantic.com/health/archive/2021/03/fourth-surge-variant-vaccine/618463/  Read this CDC study looking at the real-world effectiveness of the mRNA vaccines: https://www.cdc.gov/mmwr/volumes/70/wr/mm7013e3.htm  This article suggests vaccines might reduce viral load (and thereby suppress transmission of COVID-19): https://www.nature.com/articles/s41591-021-01316-7  Check out David Leonhardt’s article on the US media’s obsession with bad news: https://www.nytimes.com/2021/03/24/briefing/boulder-shooting-george-segal-astrazeneca.html  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/  To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date. Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com. See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

For In the Bubble's one-year anniversary episode, Dr. Bob catches up with the person who came up with the idea for the show: Zach Slavitt. Then, it’s a conversation about how COVID-19 disrupted the education of doctors and medical students. Bob is joined by three people in different stages of their medical careers at UCSF: medical student (and Bob's daughter) Zoë Lyon, resident Jack Penner, and Vice Dean for Education Catherine Lucey. They discuss what changed when COVID hit San Francisco, how it affected patients, and how the experience steered Jack in a new professional direction.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Find Zoë Lyon @ZoeMarkLyon, Jack Penner @jackpenner, and Catherine Lucey @CatherineRLucey on Twitter.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Listen to the first-ever episode of In the Bubble with guest Mark Cuban: https://omny.fm/shows/in-the-bubble-with-andy-slavitt/find-the-helpers-with-mark-cuban  Learn more about how UCSF medical students like Zoë helped patients connect with loved ones during COVID-19: https://sfghf.org/covid19/virtual-connection-during-covid-19/  Read Catherine Lucey’s article on how COVID-19 transformed medical education: https://jamanetwork.com/journals/jama/fullarticle/2770075  Check out this article about what COVID-19 taught us about telemedicine: https://www.wsj.com/articles/what-covid-19-taught-us-about-telemedicine-11616932803 Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob teams up with NYU medical ethicist Arthur Caplan to tackle your questions about what exactly vaccine passports are, when they might be a reality in the US, how to make sure they’re handled equitably, where you’d need to show them, and much more. Dr. Bob says vaccine passports will dominate conversations this summer, so get ahead of the curve and dive into the topic right now with this Toolkit!   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Arthur Caplan is on Twitter @ArthurCaplan.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Learn more about President Biden’s new goal of 200 million vaccine doses in his first 100 days in office: https://www.washingtonpost.com/health/2021/03/25/vaccine-biden-goal-200-million/ Watch Art talk about vaccine passports on CNN: https://www.cnn.com/videos/tv/2021/03/07/exp-gps-0307-caplan-on-bioethics-of-covid-19-vaccine-passport.cnn Here’s more on the Miami Heat’s decision to have vaccinated-only sections at their games: https://www.espn.com/nba/story/_/id/31123421/miami-heat-open-vaccinated-only-sections-fans-april-1 Read more about the Excelsior Pass in New York, the first vaccine passport in the US: https://www.usatoday.com/story/news/health/2021/03/26/covid-vaccine-passports-new-york-first-vaccination-proof-system/6976009002/ This BBC article outlines what other countries are planning to do about vaccine passports: https://www.bbc.com/news/world-europe-56522408 Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob calls up AIDS researcher Carlos del Rio and longtime AIDS activist Gregg Gonsalves to explore what the HIV/AIDS epidemic of the ‘80s and ‘90s can teach us about COVID-19 today. They discuss the politicization of both viruses, how the role of activism compares, and how the 30-plus-year quest for an HIV vaccine helped advance the COVID-19 vaccines. Plus, what HIV/AIDS can show us about what it means to return to “normal.”   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Find Gregg Gonsalves @gregggonsalves and Carlos Del Rio @CarlosdelRio7 on Twitter.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Watch Dr. Fauci’s full 1984 lecture on research, findings, and questions related to AIDS: https://youtu.be/pzK3dg59TuY  Learn more about pioneering AIDS activist Larry Kramer, who died last year: https://www.nytimes.com/2020/05/27/us/larry-kramer-dead.html  Listen to President Reagan’s Press Secretary, Larry Speakes, laughing about AIDS in the 1980s: https://youtu.be/yAzDn7tE1lU  Don’t miss this In the Bubble episode with HIV prevention researcher Julia Marcus: https://podcasts.apple.com/us/podcast/is-it-ok-to-hug-your-family-after-vaccine-julia-marcus/id1504128553?i=1000507543756  Check out former Surgeon General David Satcher’s 2005 paper about about health disparities between Black and white Americans: https://www.researchgate.net/publication/7976375_What_If_We_Were_Equal_A_Comparison_of_the_Black-White_Mortality_Gap_in_1960_and_2000  Read more about Dr. Fauci’s plenary lecture on the HIV and COVID-19 pandemics at the CROI 2021 conference: https://www.niaid.nih.gov/news-events/research-highlights-croi-2021  Read the New York Times article, ‘America’s Hidden H.I.V. Epidemic,’ that Gregg mentions in today’s episode: https://www.nytimes.com/2017/06/06/magazine/americas-hidden-hiv-epidemic.html  Watch an entire performance of Jean Sibelius’s Finlandia here: https://www.youtube.com/watch?app=desktop&v=fE0RbPsC9uE Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Dr. Bob teams up with vaccine researcher Kathleen Neuzil and epidemiologist Abdul El-Sayed to answer your most pressing questions about the vaccines. How do the Pfizer, Moderna, and Johnson & Johnson vaccines compare? What should you make of the efficacy data? How do they hold up against the variants? And most importantly, which one should you get if you have the choice? Answers to those questions and many more on this Monday Toolkit.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Follow Abdul El-Sayed @AbdulElSayed and Kathleen Neuzil @kathleen_neuzil on Twitter.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.   In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Listen to Abdul’s Crooked Media podcast, America Dissected: Coronavirus: https://crooked.com/podcast-series/america-dissected/  Read this article about how drugmakers are modifying the COVID-19 vaccines to deal with coronavirus variants: https://www.voanews.com/covid-19-pandemic/drugmakers-prepare-covid-vaccines-against-variants  Learn more about the COVID-19 vaccines and pregnancy: https://www.uchicagomedicine.org/forefront/coronavirus-disease-covid-19/mrna-covid-19-vaccine-pregnancy-breastfeeding  Check out this article about COVID-19 vaccines and long COVID: https://www.nytimes.com/2021/03/17/health/coronavirus-patients-and-vaccine-effects.html  Keep track of global vaccination rates: https://www.nytimes.com/interactive/2021/world/covid-vaccinations-tracker.html  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Apoorva Mandavilli, science and global health reporter for The New York Times, joins Dr. Bob to close out our three-part series marking one year of the pandemic. They discuss how journalism had to adapt to cover COVID-19, what she’s hearing from experts about a possible fourth wave, and what lessons she’s taking with her for the next pandemic. Plus, an Andy update from Lana! Be sure to check out the other two episodes in this series with New Jersey Governor Phil Murphy and Ashish Jha, Dean of the Brown University School of Public Health.    Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Apoorva Mandavilli is on Twitter @apoorva_nyc.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.    In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Watch President Biden’s full address on the one-year anniversary of the COVID-19 pandemic: https://www.c-span.org/video/?509778-1/president-biden-addresses-nation-year-anniversary-coronavirus-pandemic  Check out Apoorva’s article about what the next few months of COVID might look like: https://www.nytimes.com/2021/02/25/health/coronavirus-united-states.html  Read all of Apoorva’s articles for The New York Times here: https://www.nytimes.com/by/apoorva-mandavilli  This article answers frequently asked questions about the AstraZeneca vaccine and blood clots: https://www.nytimes.com/2021/03/15/health/astra-zeneca-vaccine-blood-clots-bleeding.html  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

Ashish Jha, Dean of the Brown University School Public Health, joins Dr. Bob in the second of our three-part series marking one year of the pandemic. They discuss why Ashish initially thought the US would fare well, what he makes of the variants circulating today, and where he thinks we'll be with COVID-19 a year from now. Be sure to check out the first episode in this series with New Jersey Governor Phil Murphy and keep an eye out for the final episode with Apoorva Mandavilli, science and global health reporter for The New York Times.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Follow Ashish Jha on Twitter @asishkjha.   Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.   In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Check out Ashish’s January 2020 article in Health Affairs (wrongly) predicting the US’s response to COVID-19: https://www.healthaffairs.org/do/10.1377/hblog20200131.369043/full/  Listen to Ashish’s first In the Bubble appearance, in which he promises everyone a Fourth of July BBQ at his house: https://podcasts.apple.com/us/podcast/the-next-three-stages-of-covid-19-with-ashish-jha/id1504128553?i=1000500773080  Read more about why it’s still important to get tested for COVID-19, even as the vaccine rolls out: https://www.healthline.com/health-news/vaccinated-or-not-covid-19-testing-is-still-important-heres-why#Plenty-of-reasons-to-get-tested  Keep up with Ashish and his colleagues at the Brown School of Public Health: https://www.brown.edu/academics/public-health/  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com.See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.