Marco's Evening Report

Sunday, September 6, 2026 · 6 PM edition
Tonight: OFF · back Mon 6 PM (night 1 of 7)

Marco — tonight is your last night off before a seven-night stretch at South Florida Baptist starting tomorrow (Labor Day) at 6 PM, so treat today as the sleep-shift day. Two things not to forget this week: the RV generator job is Tuesday 10 AM–1 PM, right after you come off night 1, and the Preply lessons Tue 6:00 PM and Fri 5:30 PM both overlap the 6 PM shift start — worth moving. Tonight's low-effort win: Sunday Night's Main Event at 8 PM on Peacock, Cody vs. Orton.

1 · Tonight & Tomorrow

Tonight — Sun, Sep 6 · OFF

No shift. Nothing on the calendar. Sleep-shift day: get the nap in before tomorrow's 6 PM start.

Wrestling tonight: WWE Sunday Night's Main Event, 8 PM ET, Peacock — Cody Rhodes vs. Randy Orton, Oba Femi vs. Bron Breakker, Corbin vs. Lil Yachty (Trick Williams US Title rematch if Yachty lasts 5 min). WWE.com

Tomorrow — Mon, Sep 7 (Labor Day) · ON, night 1 of 7

  • 6:00 PM – 6:00 AM — ACH Night Shift, South Florida Baptist Hospital, Plant City. Night Admit: Jessica 4p–1a · Night Floor Calls: Cheryl 1a–6a.

First night of the block — nap before you go.

Next 7 days

  • Tue 9/8 — RV generator: carb + fuel injector swap, oil change, 10 AM–1 PM (you'll be coming off night 1). Preply lesson – Joan Sebastian D., 6:00–6:50 PM — overlaps shift start. ACH night 2 of 7 (Jessica / Cheryl).
  • Wed 9/9 — ACH night 3 of 7 (Jessica / Cheryl).
  • Thu 9/10 — ACH night 4 of 7 (Jessica / Cheryl).
  • Fri 9/11 — Preply lesson, 5:30–6:20 PM — overlaps shift start. ACH night 5 of 7 (Jessica / Cheryl). Triplemanía 34 Night 1, Las Vegas (time TBA).
  • Sat 9/12 — ACH night 6 of 7 (Jessica / Cheryl).
  • Sun 9/13 — ACH night 7 of 7, last one — plan the flip back to days. Floor calls switch to Lilia 1a–6a. Triplemanía 34 Night 2, Mexico City (time TBA).
Next class: Basic Woodshop Safety · Tue 9/15 7 PM (9 days) Next first-night: tomorrow, Mon 9/7 Next wrestling: SNME tonight 8 PM · Triplemanía N1 Fri 9/11 Next RV item: generator job Tue 9/8 10 AM

2 · Hackerspace

Slack unavailable tonight (two Chrome instances connected; I won't pick one without you) — calendar only.

Nothing in the next 7 days. Coming up after the block ends:

  • Basic Woodshop Safety — Tue 9/15, 7–9 PM, 4931 W Nassau St. 3-day reminder lands Sat 9/12 (night 6), 1-day Mon 9/14.
  • 3D Printer Orientation — Thu 9/17, 7–9 PM.
  • Shapeoko Sign-Off — Sat 9/19, 10 AM–noon.

Registration is at member.tampahackerspace.com — a calendar entry isn't a seat. Welding sign-offs: no update without Slack.

3 · Ring Report

TONIGHT — WWE Sunday Night's Main Event · 8 PM ET · Peacock

State Farm Arena, Atlanta. Cody Rhodes vs. Randy Orton in Cody's hometown; Oba Femi vs. Bron Breakker; Baron Corbin vs. Lil Yachty (5-minute survival = Trick Williams US Title shot same night); Flair/Bliss/Paxley vs. Cargill/Michin/B-Fab; Quavo opens. Special, not a PLE. WWE.com

Triplemanía 34 — Night 1 · Fri 9/11 · MGM Grand Garden Arena, Las Vegas (5 days)

Rey Mysterio vs. Omos — Omos wins and he's back in AAA; loses and he's banned. Copa Bardahl and Psycho Clown vs. El Carnicero (Mexican Street Fight) not yet assigned to a night. Start time and US streaming platform not yet confirmed. Sources via Fightful/WWE

Triplemanía 34 — Night 2 · Sun 9/13 · Arena CDMX, Mexico City (7 days — bolded)

Dominik Mysterio (c) vs. El Grande Americano for the AAA Mega Championship; Rey Fénix (c) vs. Cartwheel vs. Mini Vikingo vs. Nathan Frazer, Cruiserweight 4-way; Flammer (c) vs. La Catalina, Reina de Reinas. Start time / where to watch: not yet confirmed — WWE-produced, so expect WWE platforms.

Why it matters this year: First two-night Triplemanía since 2024 and the first held in the US since 1996 — WWE's first full Triplemanía under its ownership. The Mega title match is Rey de Reyes winner Grande Americano (Ludwig Kaiser) cashing in on Dom, with Raw and SmackDown taping from Mexico City the same week. That lands on your last night — night 7.

AEW All Out: Chicago · Sat 9/26 · NOW Arena, Hoffman Estates (20 days)

Card TBA. PPV; HBO Max for subscribers, Prime Video, PPV.com, YouTube. Fightful

Further out: WWE Money in the Bank Sat 10/10 New Orleans, 7 PM ET, ESPN Unlimited · Crown Jewel Sat 11/7 Riyadh · Survivor Series Sat 11/28 Houston · Wrestlepalooza Sat 12/12 Perth. Calendar refreshed today from WWE.com, F4W, Fightful.

4 · RV

Tue 9/8, 10 AM–1 PM — Generator: replace carburetor, replace fuel injector, oil + filter change.

You planned this for the morning after night 1. If you're wrecked, it's the one movable thing on Tuesday. When it's done, log parts, gen hours and cost in rv-maintenance.md — that also gives the generator-oil row its first "last done" date.

The maintenance log is still blank (no odometer, no generator hours, no "last done" dates). Fill in the header and a few rows when you get a minute and I'll start tracking what's due.

Tropics: NHC (8 PM Sat) — no tropical cyclone formation expected in the Atlantic, Caribbean or Gulf for the next 7 days. No storm-prep flag.

5 · Training

No training on the calendar this week.

6 · Medicine Desk

Fall 2026–27 vaccine guidance now comes from the societies, not CDC

What happened: The AMA/Vaccine Integrity Project review and a joint AAP–AAFP–ACOG–IDSA statement (Sep 2) set this season's flu, COVID and RSV recommendations after ACIP — sidelined by a March federal court order — never met in 2026. Flu for everyone 6 months+; RSV for adults 75+ (and 60–74 at risk), pregnant women, and infants; COVID for older and high-risk adults. A CDC spokesperson told Healio (Sep 4) the agency is "finalizing" its own recommendations with no timeline; last year's guidance stands. AHIP says plans will cover the shots at no cost through 2027.

Why it matters to you: Your 80-year-old admit is exactly the RSV/COVID target, and the order set in the EHR may still point at last year's CDC language.

Action: Check what your inpatient/discharge vaccine order set says for 75+ RSV and COVID, and which document pharmacy is citing. Scripps · STAT · Healio

Update: measles at 3,134 cases; Lancaster coroner confirms second infant death

What happened: CDC's count hit 3,134 — a 35-year high and the second record year running, 93% unvaccinated. On Friday the Lancaster County coroner said a 6-week-old girl died of measles (she also had Amish lethal microcephaly), the county's second infant death after a newborn in mid-August; Pennsylvania's outbreak is at 577 cases and 98 hospitalizations. Last week CDC had publicly disputed PA's death attributions — the coroner's finding answers that. PAHO reviews US elimination status in November.

Why it matters to you: Florida hasn't been the epicenter, but a febrile adult with rash and a Lancaster/Amish-community travel history in your ED is an airborne-isolation call before the rash is classic.

Action: Confirm the ED's airborne-isolation trigger for fever + rash, and that your own MMR immunity is documented with employee health. CIDRAP · NBC

Nothing else new in the past 48 h from NEJM, JAMA, Annals, SHM, USPSTF, CMS or FDA that changes how you admit. (FDA's camizestrant and zilganersen approvals were covered yesterday.)

7 · The Debate

Should clinicians and hospitals adopt the medical societies' fall vaccine recommendations now, rather than wait for CDC?

Why it's live: ACIP hasn't met all year after a federal court voided its 2025 reconstitution; CDC said this week it is still "finalizing" 2026–27 guidance; and on Sep 2 the AMA-led Vaccine Integrity Project plus AAP, AAFP, ACOG and IDSA published their own. Respiratory season starts now.

FOR — follow the societies now

Dr. Amesh Adalja (Johns Hopkins Center for Health Security) argues the evidence base hasn't changed, only who is reading it, and that a society-led process is the most credible one available while ACIP is, in his words, "basically in shambles." The AMA/VIP review found continued protection against hospitalization and death and no new safety signals. Waiting costs you the September–October window when RSV and flu shots do the most good for 75+ patients, and AHIP has already committed to no-cost coverage regardless of ACIP's status. Scripps, Sep 2 · NPR

"The single biggest change is that the recommendations are not now coming from the federal government." — Adalja

AGAINST — hold the federal line

CDC's position (spokesperson to Healio, Sep 4) is that last year's recommendations remain in force and the agency is completing its own review — meaning hospitals that hard-wire society guidance into order sets are choosing a private body over the statutory one that anchors VFC, state pharmacist-authority laws and some payer contracts. Robert Malone, the former ACIP member, has argued that broad institutional recommendations should give way to individual provider–patient decisions on real-world risk and benefit, a framing HHS has formalized in its request for input on "shared clinical decision-making" categories. On that view the societies are re-creating the blanket-recommendation model the court fight was about. Healio, Sep 4 · HHS RFI

Where it lands: Practically, for your patients the two paths converge — flu for everyone, RSV and COVID for the old and sick, and the shots are covered either way. The real fork is institutional: whose document your hospital's P&T and legal teams are willing to cite when a nurse asks "under what authority." Watch for the appeals-court ruling on the ACIP order and for CDC's own release, whenever it comes.

8 · World & Screens

  • Iran / Gulf — Update: Tanker war. After IRGC ballistic missiles at a US carrier and destroyer, CENTCOM struck three Iranian tankers (Kharg, Jask, Gulf of Oman); Iran hit three tankers on an "unauthorised route" and is declaring a restricted zone from the US blockade line. Kpler counts ~13 Hormuz transits/day; Brent closed $96.28, US diesel a record $5.85. Al Jazeera
  • Florida / PR: An Amazon-contracted 767 freighter from San Juan overran runway 30 at MIA around 2 PM today, struck vehicles and burned — 5 dead, 5 injured, ground stop, FAA investigating. CBS Miami
  • Puerto Rico: Carraízo's 48-hour rotating shutoffs stay paused after the Dolly rains; water oases still open today in San Juan, Carolina, Loíza, Trujillo Alto and Canóvanas, and AAA has no date for resuming. El Nuevo Día
  • Cuba: Nothing new from mainstream wires in the last 48 h; standing story is the Abapet spare-parts sanction and 24-hour-plus outages (covered Sat).
  • Tropics: NHC 8 PM Sat — nothing expected to form in 7 days. NHC
  • Screens: For the post-block couch: Toy Story 5 lands on Disney+ this month and A24's Backrooms ($394M, "extraordinarily effective" per Variety) hits HBO Max; Venice runs through 9/12. Variety
H · Background / already covered
  • FDA: camizestrant accelerated approval (9/4) and zilganersen for Alexander disease (9/3) — reported Saturday.
  • US sanctions on Abapet, Cuba's grid spare-parts importer (9/3) — reported Saturday.
  • Florida Amendment 3 ($250k homestead exemption; FPI $323M hit to 28 hospital districts) — Saturday's debate.
  • COVID: CDC 9/4 says activity increasing, XFG.1.1 "Stratus" growing, ED visits and admissions still low — no change since Saturday.
  • PR water emergency background: 72% of the island in drought, 180k+ on rotating shutoffs before the pause, driest July in 120+ years.
  • FY2027 IPPS final rule (2.3% update) takes effect Oct 1.
Archive · last 7 reports
Saturday, September 5, 2026 — Amendment 3 and the hospital districts; DISCOUNT stroke trial
Thursday, September 3, 2026 — AI-scribe consent; Gulf escalation, oil above $95
Wednesday, September 2, 2026 — Employers and GLP-1 coverage; Cuba schools reopen
Tuesday, September 1, 2026 — Statins at 75; ASPIRED and DANISH-CRT
Monday, August 31, 2026 — Site-neutral payment; CRHCP dementia and TRIC-I-HF
Sunday, August 30, 2026 — Anticoagulation after ICH; STAREE and the new MI definition
Saturday, August 29, 2026 — No Surprises Act arbitration; cyclospora update