Shiva Narayanan

Laszlo Krasznahorkai Is Awarded Nobel Prize in Literature

The book, which unfolds in a single sentence, evokes fears about the rise of fascism in Europe……. It features only one period in its 400 pages!!! 🤔😲.” www.nytimes.com/2025/10/09/b...

Reading this on the nursing station after talking to residents about note bloat and unnecessary issues in the chart which make MDM tenuous

Precisely the question everyone needs to know the answer to!!!

A clinical practice guideline for tuberculous meningitis - PubMed Tuberculous meningitis is the most severe form of tuberculosis, causing death or disability in around half of those affected. There are no up-to-date international guidelines defining its optimal mana...

pubmed.ncbi.nlm.nih.gov/40840485/ via @thelancetinfdis.bsky.social

Advisory Committee on Immunization Practices (ACIP) - September 18, 2025 - Day 1 of 2 The Advisory Committee on Immunization Practices (ACIP) is a federal advisory committee that develops recommendations on the use of vaccines in the civilian population of the United States.

For those invested or interested in this topic watch here on 9/18 at 130 PM eastern: www.youtube.com/live/-6uBNXs...

I felt like I was reading a piece from the Onion!!

C.D.C. Vaccine Advisers May Limit Hepatitis B Shots for Newborns

From one SMH moment to another - this is beyond my level of comprehension as ID physician. C.D.C. Vaccine Advisers May Limit Hepatitis B Shots for Newborns www.nytimes.com/2025/09/16/h...

One of my clinic patients keeps referring to CD4 counts as CDC counts 🤷🏽‍♂️🤔

Median time to reinfection <2 years among people with reinfection after SVR- need RNA retesting and approaches to prevention

Research posts on Bluesky are more original — and get better engagement Bluesky posts about science garner more likes and reposts than similar ones on X.

Research posts on Bluesky are more original — and get better engagement

www.nature.com/articles/d41...

#MedSky #IDSky #PedIDSky #ImmunoSky

Performance of different versions of Duke criteria in diagnosing infective endocarditis in patients with intracardiac prosthetic materials Diagnosing infective endocarditis (IE) is a significant challenge. This study aimed to compare the diagnostic performance...

Performance of different versions of Duke criteria in diagnosing infective endocarditis in patients with intracardiac prosthetic materials

✅ Just Accepted
#IDSky

The best tasting food is the dish your atopic child with food allergies can have for the first time after starting dupilumab. I’m so grateful for the miracles of modern Medicine.

Did she have any inside into his comment on race and IQ

“The body’s judgment is as good as the mind’s, and the body shrinks from annihilation. We get into the habit of living before acquiring the habit of thinking.” Camus

Anal cytology IMHO is a great example of the fact that a test is only as good as the person who is ordering or interpreting it.

Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis This systematic review and meta-analysis evaluates the evidence supporting the current guidelines antibiotic prophylaxis use in patients with cirrhosis and upper gastrointestinal bleeding.

Avoid this low evidence entrenched practice Prophylactic #Antibiotics for Upper GI bleed in #Cirrhosis - jamanetwork.com/journals/jam...

That too but feel a 2 step testing with PCR—>reflex toxin has helped a bit with peer provider education

Always get questions about flipping TB IGRA results and have identified a gap even among ID peers about the interpretation of this test. #IDsky. Hope to do a tweetorial abt this once I figure out this platform but for starters for med residents indeterminate ≠ intermediate

This hits a raw nerve especially with some states moving to make Ivermectin available over the counter for a condition it does not work #IDsky

How Indian Americans Live: Results From the 2024 Indian American Attitudes Survey Examining the ways Indian Americans establish their identities in America, engage with civic and political institutions in the United States, and maintain connections with their Indian roots.

#Desis here: How Indian Americans Live: Results From the 2024 Indian American Attitudes Survey - Carnegie Endowment for International Peace
carnegieendowment.org/research/202...

😳

#POCUS for the ID physician from @cidjournal.bsky.social #IDsky

An open letter to the American public on respiratory virus vaccines Read an open letter to the general public from the AMA and medical societies reaffirming support for vaccination to protect against flu, COVID-19, and RSV.

As US government authorities can no longer be relied upon to provide reliable medical information, the American Medical Association and 78 other medical societies have written an open letter to the American public underscoring the importance of vaccines.
www.ama-assn.org/delivering-c...

Yes To Go? #PREP #Gilead #Lenacapavir
www.gilead.com/news/news-de...

Inequities in #HIV PrEP annualized pill‐day coverage, United States, 2018–2022- Apretude is 0.5% and clearly women have less days covered and are an underserved population with #PREP. onlinelibrary.wiley.com/doi/10.1002/...

Posting from FB. Young doctors get to travel for a year under guided mentorship to 23 centers spanning the length and breadth of India. Applications are open till June 30th 2025 - please click forms.gle/nY3ysByn1XehYF… - to apply.

Tomorrow never Dyes

📌 Thanks - saving this and looking forward to an illuminating experience

<em>Journal of the European Academy of Dermatology and Venereology</em> | Wiley Online Library Click on the article title to read more.

Very interesting article about how Mpox is presenting more like a STI than a systemic illness : Are we missing Mpox cases? Changes in clade IIb clinical phenotype in the post‐vaccination era Library onlinelibrary.wiley.com/doi/10.1111/...

Thank you for highlighting this topic. I hope you will reference the excellent Let’s Talk ID podcast episode with Daniel McQuillen from 2023. I learnt so much about the NFT value of the ID note and why that should not be the standard of we need to be fair. Ref-how radiology RVUs calculated