JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒

Trump Pauses Disbursements to Program Supplying H.I.V. Treatment Worldwide Pepfar, which is estimated to have delivered lifesaving treatment to as many as 25 million people in 54 countries, faces a funding delay of as long as 180 days.

PEPFAR is one of the most successful global health programs ever

It provides HIV treatment for 20 million people

And now it faces a funding delay of up to 6 months

Without access to treatment, HIV can rebound in less than a month.

This is self-defeating stupidity. www.nytimes.com/2025/01/24/u...

Like it’s just actually evil at this point

I’m not surprised but it just shouldn’t be this easy for a single bad actor to single-handedly end decades of good will and groundbreaking work in the areas of public health and foreign policy

patrick star from spongebob is holding a notepad and pen ALT: patrick star from spongebob is holding a notepad and pen

Hi #idsky friends anyone have recommendations for good review resources for ID topics that isn’t sketchy? Asking both for myself as a rising fellow but also as something I can recommend to my students to help them learn antibiotics and ID illness scripts that isn’t rote memorization

Fun socks with cartoon viruses and bacteria designs including staphylococcus, enveloped and encapsulated viruses, a bacteriophage, and flagellated bacilli

Merry Christmas and Happy Holidays! #IDSky

2s google search. Polio kills people and we are so close to eradicating the virus worldwide. There a many reasons for the explosive growth of cancers today and vaccines are very low in my differential. This is fearmongering that will get people killed

Vibrio are just E. coli in Comic Sans

Primary care is already significantly handicapped by insurance limitations and the fact we focus on the sequelae of poor prevention is very much part of why we spend too much on healthcare. Risk mitigation is just as important if not more so than reactive spending.

I’m so tired

"Drug fever, the most ironic of which are antibiotic drug fevers, which cause the unfortunate tautology of the team insisting on continuing the antibiotic to treat the fever caused by the antibiotic"
@bradspellberg.bsky.social
#IDquotes #idsky #medsky #EMIMCC

Love the use of alternative models for learning and retention.

I had a patient I admitted in residency who had half his face missing after 3 years of being denied by insurance to remove a basal cell carcinoma he had been diagnosed with when it was just a small papule. I don’t condone murder, but I also don’t condone insurance companies

Look who’s headed to Missouri! So excited to be joining Washington University as a new Med Peds Infectious Diseases fellow!
#idsky
#medsky
#medpeds
#Match2024

#idsky #medsky #match2024

🔥🔥LISTEN TO DR. PETER HOTEZ'S WARNING:

"1) H5N1 from poultry/cattle
2) 3rd Coronavirus RISING in Asia
3) Emerging mosquito transmitted viruses
4) Monkeypox
5) Rising pertussis, measles from ANTIVAX Activisim

THIS IS NO TIME FOR AMATEUR HOUR!"🔥🔥

Nudge, nudge!
🆕🔥 #ICHEJournal
Say it ain’t Steno: a microbiology nudge comment leads to less treatment of Stenotrophomonas maltophilia respiratory colonization
#idsky #medsky #AMSsky
www.cambridge.org/core/journal...

The fungi formally known as Candida krusei #idsky

Fun fact: this is what it looks like of you open a doxycycline capsule

#IDSky #MedSky

THIS IS HUGE! An HIV PrEP drug candidate in the form of a twice-yearly subcutaneous injection has been shown to reduce HIV infections by 96% in a SECOND late-stage Phase III trial. Lenacapavir was 99.9% effective at preventing HIV in MORE THAN 2,000 participants. Let’s talk about that! 🧪🧵⬇️

Let me have this one thing you D-tier Bond villain #dnd

It’s honestly remarkable how much the “radical left” lives rent free in his brain

Some ID Things to Be Grateful for This Holiday Season — 2024 Edition The calendar says it’s nearly the fourth Thursday of November, so here in the United States, the Thanksgiving holiday is upon us. It’s a day when we gather with family and friends to express thanks, t...

Thanksgiving already! Time for an annual round-up of some ID things to be grateful for.

(Plus a bonus few non-ID items.)

Enjoy!

#IDSky

I’m so looking forward to the well thought out global policy changes we should see over the next 4 years. Shameful

This week, I give thanks for the interesting consult.

Frankly… even still these are unreasonably too expensive. Its so demoralizing we are about to jump backwards after making the smallest of steps forward #medsky

“poor person-to-person transmissibility” #idsky #H5N1

Not at mine unfortunately. As much as I’d like to run away from this topic it’s so prevalent and a difficult skill to learn as a resident

Why do I feel the ven diagram for the “I did my own research” crowd and the “post election tariff googler” crowd is just a single circle

Ok but like he doesn’t actually have to go through with this. Sure it sounds sexy to people who don’t know how global economics work, but he can just not do it like every other random “promise” he makes . Surely someone in his inner circle knows this is a bad idea… well actually never mind