Welcome to Wellness and Mass. I'm Dr. Nicole Sapphire and we are going to dive right in.

It has been a really busy week. The last couple of weeks between the two days worth of ASIP meetings with the CDC and also the big press conference with President Trump and essentially the entire HHS standing behind him.

We have a lot to cover.

And I mean, we only have 30 minutes.

So it's a lot to cover, but we're going to do it.

I am always very honest with everyone, my opinions.

People sometimes get mad at me because they feel like I'm not a loyalist, whether one way or the other.

But at the end of the day, I think my role as a feel like I'm not a loyalist, whether one way or the other. But at the end of

the day, I think my role as a physician, as a human, as an American, is to kind of just tell you

what I'm thinking and kind of make some sense of all this mess. We did that throughout COVID,

and we're going to keep doing that right now. So the good news is during the

White House press conference, they kind of talked about what those ASIP meetings were all about,

so we can combine them all. One of the big things that came out of the ASIP meeting was that the

formal recommendation is to separate the MMR vaccine that measles, mumps, and rubella from the varicella vaccine.

Veracella is chickenpox.

It was a formal recommendation saying for kids under four, so that first dose of the vaccine,

they should be separated into two separate injections.

Well, this isn't really groundbreaking news.

In fact, that was already the recommendation from ASIP from about a decade ago. They're just now saying insurance companies are not going to cover it if you want to choose to have that combined dose. The reason they recommend having those two doses separated is because when they found that they combined

the four different vaccines, the measles, mumps, rubella, and baricella, there is a slightly

higher risk of febrile and afebrile post-vaccination seizures, and that's real.

Thankfully, the majority of children recover without incident from these seizures,

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