In this episode of Route Notes, Dr. David Tillman responds directly to recent statements by political leaders, including RFK Jr. and Donald Trump, about autism rates and causes. Drawing from his experience as a public health professor, researcher, and father of a son with autism, David walks listeners through the science behind rising autism diagnoses—explaining what has changed in diagnostic criteria, awareness, and demographic risk factors.

He breaks down why the one-in-10,000 claim is misleading, what large-scale studies like CHARGE have actually found, and how the vaccine-autism myth took root from a now-discredited study. With clarity and compassion, this episode challenges misinformation while championing evidence-based research and greater inclusion for individuals with autism.

What do birds, highways, coffee, camping, and peanut butter & jelly have in common? In this unexpected and wide-ranging conversation, David and Wes unpack the viral TikTok moment that sparked a deeper dialogue about structural racism, public health, and the power of storytelling.

Together, they reflect on how these layered stories shape opportunity, health outcomes, and cultural participation across generations. Along the way, they discuss implicit bias, rural health, medical education, marketing, and the subtle power of association—what peanut butter and jelly can teach us about racism.

In this episode of Route Notes, we explore the power—and necessity—of the U-turn. What happens when leaders, communities, or even parents choose to pause, reflect, and reroute? Wes shares a personal parenting moment that sparked the episode, along with a hilarious cautionary tale involving an overconfident Eagle Scout, an underprepared hike, and a poorly chosen shortcut.

Along the way, we reflect on what it means to admit a mistake in public health and leadership without losing trust. Spoiler: Done well, it can actually strengthen it.

If you've ever barreled ahead only to realize you're off-course—this one’s for you.