Samir S. Shah

Vancomycin / Nafcillin / Ceftaroline

Thanks for the reminder. I had it set up to prevent me from posting without alt text. Will go back and check my settings.

🌳 How do we as leaders continue to grow? I discuss this question in my latest leadership lesson @jhospmedicine.bsky.social

#Leadership @societyhospmed.bsky.social

shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

👋 from AAP in Denver! We're sharing our new app with pediatric clinicians! #SanfordGuidePediatric

Precor TRM 243
$3000-ish
Love it.
✔️ Commercial grade treadmill for home use
✔️ No maintenance
✔️ No frills

Snapshot of a barium swallow study showing aspiration into the airway. The tracheobronchial tree is evident. Video of the visual vignette available @jhospmedicine.bsky.social via link in the message.

If you’ve never seen aspiration on a radiologic study, check out this @jhospmedicine.bsky.social #VisualVignette

🎞️Aspiration pneumonia highlighted on a barium swallow

Video accessible 👉🏽 shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

#HospitalMedicine

"In two days, this committee further undermined Americans’ confidence in life-saving vaccines and did so absent any new research or information necessitating their reexamination."

PIDS has released the linked statement regarding the September ACIP meeting.
pids.org/2025/09/19/p...

YouTube video by Movement Voter Project The Minnesota Miracle Playbook - Short Version (5 minutes)

Minnesota has achieved so much in the last six years (Michigan, too). We need to keep this reminder of what's possible alive. Organizing is at the core of sustainable progress. We can remake America.

Dear parents/caretakers:
If getting a #Flushot, or some other #immunization, pls never, ever put the decision to an eligible child all of a sudden-It all but GUARANTEES the outcome. If we must discuss it, that is fine. We can make time. Otherwise it amounts to a set up.
Love,
The Pediatricians

1/ On Thurs and Fri, ACIP—the external body that sets vaccine policy—will hold a special session. The MMRV vaccine will be discussed and we’re expecting a few falsehoods to start making the rounds about the vaccine and febrile seizures. Here’s a quick breakdown of what you should know👇

Starting November 1st, New Mexico will become the first state to offer free universal childcare to all its residents.

It's expected to save families over $12,000 per child annually.

This is a huge step forward — and a reminder that we have the power to fix the system.

🤖 AI may be the most revolutionary innovation in decades. JHM’s Editor-in-Chief @samirshahmd.bsky.social introduces our special issue on AI in hospital medicine—covering diagnosis, education, ethics, and safety. Hospitalists must lead the way. #MoreThanAJournal
🔗 https://doi.org/10.1002/jhm.13506

📌

📌

Authors noted:
🟢 ⬆️Ab titres supports the hypothesis of ⬆️susceptible population of young children building up during the pandemic infection pause
🟢 subsequent ⬆️Ab in population-level immunity after
NPIs lifted
🟢⬆️Ab likely reflects ⬆️viral circulation after NPIs lifted➡️virus re-emergence

Dynamics of endemic virus re-emergence in children in the USA following the COVID-19 pandemic (2022–23): a prospective, multicentre, longitudinal, immunoepidemiological surveillance study In this study, we captured immunological evidence of endemic virus re-emergence in children following lifting of pandemic NPIs, which revealed high rates of exposure to endemic respiratory pathogens i...

This study confirms what we all saw - a surge in endemic respiratory viruses after COVID precautions lifted, and demonstrates the utility of immunoepidemiological surveillance…

#IDSky

www.thelancet.com/journals/lan...

Screenshot showing a portion of the cyclic vomiting syndrome topic in the Sanford Guide to pediatric acute care app that addresses is diagnostics.

Screenshot showing the portion of the management section of cyclic vomiting syndrome in the Sanford Guide to pediatric acute care app that addresses, percutaneous electric nerve stimulation as a potential therapy.

👶🏽🩺 #SanfordGuidePediatric update

➕ New topic added: Cyclic Vomiting Syndrome

✅ Got to cite the work of 💫colleagues💫@cincyresearch.bsky.social on an auricular percutaneous nerve stimulation as a potential therapy that was published earlier this month
@sanfordguide.bsky.social

Ready enough Click on the article title to read more.

🏁 Ready Enough

Belonging doesn't require permission, and #leadership often begins with the belief that you're ready, even when no one else has said so.

My latest in @jhospmedicine.bsky.social
shmpublications.onlinelibrary.wiley.com/doi/10.1002/...

A picture of me looking sincere touching my hand to my heart from my special Positive Reinforcement (named above).

"There is something inviting to a comedian who puts this much work into his craft, and if you like your comedians clever and your words played with, you will be very happy with Positive Reinforcement."

I'm really thrilled to be mentioned in Vulture's "Five New Comedy Specials You Should Definitely Watch (When You Have a Moment)!" Read it all: www.vulture.com/article/new-...

Thanks for sharing. It was wonderful.

👍

It was amazing to get to help bring this group of researchers and clinicians together.

Other key points for me:

Outcomes and continue to improve after 30 days. Don’t lose hope.

Monitoring the impact of falling rates of vaccination on ANE will be critical.

Screenshot of the first screen of the newly added Influenza topic in the Sanford Guide to Pediatric Acute Care app. This screenshot shows the epidemiology and etiology of influenza, including specific information on associated infections, hospitalizations, and deaths each year.

This image is a screenshot of the complications section of the influenza topic in the Sanford Guide to Pediatric Acute Care app. There is specific mention of acute necrotizing encephalopathy as noted in the JAMA paper published July 30, 2025, with the link in the post.

👶🩺 #SanfordGuidePediatric Update

🆕 in @jama.com July 30, 2025 pubmed.ncbi.nlm.nih.gov/40736730/

➕ New topic: 🦠Influenza with guidance on identifying influenza-associated complications, including the recently reported series of pediatric acute necrotizing encephalopathy

@sanfordguide.bsky.social

Two major points on influenza-associated acute necrotizing encephalopathy

- High mortality (27%)
- Most affected children were unvaccinated & did not have major comorbid conditions

#PedSky #IDSky

👶🩺 #SanfordGuidePediatric Update

🆕 July 2, 2025, Phase 2 RCT @jamanetworkopen.com examining 💊vancomycin secondary prophylaxis in adults receiving ongoing systemic antibiotics

➕ We highlight absence of pediatric data & share adult studies

jamanetwork.com/journals/jam... @sanfordguide.bsky.social

Love it
#FunFact: @suchitasata.bsky.social & @michellebr00ks.bsky.social are Deputy Editors @jhospmedicine.bsky.social

Meet The Comedian Who Is Helping Teens Deal With Their Emotions Have you seen the amazing teen mental health videos Hari Kondabolu made with the Child Mind Institute?

I never would have guessed that one of my favorite comedians would start making mental health videos for teenagers. Yet that is exactly what happened when the Child Mind Institute paired up with @harikondabolu.bsky.social to make an amazing series.

www.teenhealthtoday.com/p/how-a-come...

Photo of a navy blue Mac laptop with 2 stickers slightly above and lateral to the Apple logo. On the left is a circular Journal of Hospital Medicine-branded sticker. The top half of the circle is a light blue, the bottom half is dark blue and a thin yellow line bisects the two halves. The top half has the Journal of Hospital Medicine logo in white and the bottom half has, also in white, #HowWeHospitalist and the society of hospital medicine logo. The image on the right is a white square with rounded edges. It resembles how app me appear on phones and tablets. In black lettering are the words “Sanford Guide” at the top and “Pediatric Acute Care” at the bottom. Centered in between are two smaller squares in purple with images in white. The left has a stick figure baby head and the right is a stethoscope; these represent the Sanford Guide to Pediatric Acute Care logo.

Great science 🧪 & great colleagues at #PHM25. My visit was too short. Lookin forward to next year @societyhospmed.bsky.social @ameracadpeds.bsky.social #SanfordGuidePediatric #AcademicPediatricAssociation #hospitalmedicine
#PHM2025

Screenshot from the Sanford Guide to pediatric acute care showing the autism, overview topic. This particular screenshot shows a portion of the DSM-5 definition.

Screenshot from the Sanford Guide to pediatric acute care showing the autism, overview topic. This particular screenshot shows a portion of management guidance for the outpatient setting.

Screenshot from the Sanford Guide to pediatric acute care showing the autism, overview topic. This particular screenshot shows a portion of the management section for the inpatient setting.

👶🏽🩺 #SanfordGuidePediatric

🆕 We’ve added Developmental & Behavioral Medicine content

😴 #Autism what I love about this is the very practical guidance for both the inpatient and outpatient setting. A few snippets from the app
@sanfordguide.bsky.social #MedSky #PedSky