@jonathanrydermd.bsky.social
Adult ID and Assistant Prof at UNMC | Former IUSM IM & Truman State | Abx Stewie, Infxn Prevention, Digital MedEd, Podcasts, Medical History, Reading Non-Fiction, Running/Cycling | Posts are mine
How Much Do You Really Want To Know About Your Doctor's Political Views?
I tend to keep these discussions short. Here's why.
open.substack.com/pub/paulsaxm...
well. this is exciting.
u of toronto job posting for id physician with ipac role.
great city. amazing colleagues. top notch hospitals, world series contending mlb team ⚾️.
apply if interested. share broadly.
#idsky
Some news, as they say, very relevant for Women's History Month: I'm writing a book!
It will focus on the women who developed the first effective pertussis #vaccine, Pearl Kendrick & Grace Eldering, but also examine what happened with that vaccine in the years since their death. /1
#IDsky
Hi for anyone who wasn’t able to join Roon, please message me with your email. They gave us invites until they can build it out. @sebpoule.bsky.social @germhuntermd.bsky.social @idiots-pod.bsky.social @dremilymcd.bsky.social @steventong.bsky.social @absteward.bsky.social
When they say “what’s the harm in one more day of antibiotics?”
Are you a trainee in Nebraska interested in Infectious Diseases or Antimicrobial Stewardship?
Get ready—this year’s Nebraska Infectious Diseases Conference is coming up on August 28, 2026 in Bellevue!
See below for more on the abstract competition and how to sign up!
#IDSky
Congrats to our ID Fellow Dr. Emily Dyer and our micro lab collaborators on their publication in ASM Case Reports describing 2 cases of hypervirulent Kleb pneumo in Nebraska!
I mean, check out that positive String Test!
#IDSky
journals.asm.org/doi/10.1128/...
My understanding is they plan to expand to non-physician healthcare professionals at some point. The more the merrier from my perspective. We are a global, multidisciplinary team in ID and inclusive representation is important, which I've made clear to the Roon team. Will update when this happens!
One Roon expands globally and across disciplines, I think it has the potential to be a better platform than BlueSky. It’s being built for medical professionals and they take feedback from us, which is huge. BlueSky is great but we have no input on how this platform is developed or built
Not leaving! BlueSky is still functional and has most of my friends here (although many left behind on X).
I agree that restricting to physicians isn’t going to work. I’m told that change is in the works. I think of it as a slow rollout, much like FB and BlueSky used to be restricted too
I’m really enjoying this platform w/o the noise that makes other platforms frustrating.
I am learning so much about other specialties & can’t wait to see what the ID community will bring (which launches today!) But I miss my friends so I hope you join!
www.roon.com?utm_campaign....
I know! I told them we need our whole group on there ASAP! Pharmacists, microbiologists etc too! Fingers crossed it’s soon
And yes, I'm doing what I can to get non-physician and non-US-based medical professionals to be able to join as well. For now, can add your name to a wait list here: airtable.com/appzPcoBRgsm...
Excited to share a SoMe ID community that I'm helping build as one of their Founding Physicians: Roon
The ID community is launching today. The fragmentation between X and BlueSky has hurt ID social media. I hope this medically focused SoMe will improve this connection and collaboration
Join below!
Let me know what you think!!!
One of my favorite conferences of the year, save the date! #IDSky
I was poking around his prior works and saw he wrote several books. Have you read them? Some are kind of hard to find lol
Your podcast very much reminds me of Crislip's pods. Short and pithy. Mostly solo speaker giving thoughts/advice/pearls. You are channeling him!
I'll try to TL;DR the debate lol (although its not a short TL;DR).
ATS CAP guidelines say give antibiotics for CAP with +virus in severe CAP, non-severe hospitalized CAP, and outpatient CAP with comorbidities, but don't give antibiotics for non-comorbid outpatient CAP
I think they sell themselves short on the incredible value of supportive care. Ebola mortality dropped considerably when patients were cared for outside of resource limited settings. Same is true for viral pneumonia. Not because of antibiotics or even antivirals
Agreed. No one is actually fighting about whether empiric antibiotics in severe CAP with +virus is warranted or not (the whole guideline panel agreed) and most would find this acceptable.
But non-severe hospitalized CAP and outpatients with comorbidities? Those are patients that can be monitored
And now there have been at least 4 (including above LTE) post-guideline articles going back and forth. They are worth the read, none particularly long but quite telling
academic.oup.com/cid/advance-...
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IDSA said, we aren't endorsing that. Taking particular issue with non-severe hospitalized CAP and outpatient CAP with comorbidities rec's.
The lit search for the guidelines found literally nothing, so they pulled some literature from 1918 flu pandemic to justify the rec's
I'll try to TL;DR the debate lol (although its not a short TL;DR).
ATS CAP guidelines say give antibiotics for CAP with +virus in severe CAP, non-severe hospitalized CAP, and outpatient CAP with comorbidities, but don't give antibiotics for non-comorbid outpatient CAP
They have a fundamental misunderstanding of what stewardship goals are. I see why IDSA representatives were displeased with their experience working with ATS.
“We caution IDSA that their over-prioritization of stewardship… may suit
their short-term goals but will ultimately erode trust, reduce their effectiveness, and impede the
shared goal of improving antibiotic use and public health.”
Oh my
Only thing I see eroding is my antibiogram!!!
🤣
