09/25/2025
I’ve been a doctor for 25 years. When I first started, I was young and often questioned—or even dismissed—because I “looked too young” to be giving advice. That was hard. But over time, I learned that trust isn’t something you can demand. It’s something you earn—by listening, by respecting people’s fears and questions, and by showing up consistently with honesty and compassion.
Today, the bigger challenge isn’t whether I look young. It’s that trust in doctors and science has been shaken like never before. Since 2020, misinformation has spread faster than truth. And that is not just frustrating—it’s dangerous.
I’ve spent my life studying, practicing, and teaching medicine. I don’t claim to know everything—no one does. But I do know this:
1. Autism is complicated, and no single cause has been proven.
2. Acetaminophen (uh-see-tuh-mi-nu-fn) during pregnancy does not cause autism.
Here is a link to a huge Swedish analysis published in JAMA last year. Over 2 million children (full siblings) were included--over 180,000 had in utero acetaminophen exposure.
Any increase in risk for children who had been exposed to acetaminophen in utero was not scientifically significant. Please read that again: "not SCIENTIFICALLY significant." Even if you don't read the entire paper, take note of how rigorous it was. This was not a statement made lightly or a quote from a high-profile physician taken out of context. Actual scientific methodology was applied. https://jamanetwork.com/journals/jama/fullarticle/2817406
Science is not about popularity or opinion. Science is about asking hard questions, looking carefully at the evidence, and being willing to change when the evidence changes.
As doctors, we’ve made mistakes—we haven’t always listened well, and sometimes we’ve come across as arrogant. That has contributed to the mistrust. But we also have a responsibility to speak up when misinformation puts lives at risk.
Physicians in powerful positions like Dr. Makary, who stand at podiums and manipulate words to fit into a narrative, should be ashamed. "It maybe does, but probably doesn't, so be careful" is the word soup of a coward. Makary making a mockery...
This isn’t about politics. It’s about protecting people, especially the most vulnerable. Lives really do hang in the balance.
This nationwide cohort study with sibling control analysis examines the association of acetaminophen use during pregnancy with children’s risk of autism, ADHD, and intellectual disability.