JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
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kluchmd.bsky.social
JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
@kluchmd.bsky.social
#MedPeds #IDSky Fellow-to-Be WashU | Bugs 🦠 , drugs 💊 and sexual health equity 🏳️‍🌈 🏳️‍⚧️ | PGY 4 Med Peds UMMS 🦀 | UAMS MD2021 🐗 | He/Him
Pinned
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
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
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...
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.
www.nytimes.com
January 24, 2025 at 10:27 PM
Like it’s just actually evil at this point
This is happening to thousands of people fighting for their lives because in real life, government does a lot of good and important shit.
January 24, 2025 at 11:09 PM
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
January 24, 2025 at 11:07 PM
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
patrick star from spongebob is holding a notepad and pen
ALT: patrick star from spongebob is holding a notepad and pen
media.tenor.com
January 23, 2025 at 12:49 PM
Merry Christmas and Happy Holidays! #IDSky
December 25, 2024 at 2:53 AM
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
December 17, 2024 at 4:37 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
Vibrio are just E. coli in Comic Sans
December 17, 2024 at 3:08 PM
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.
“Insurance should cover cancer and car accidents but not preventative care” is a debate we had in 2008 and the right lost it decisively.

If DOGE’s best idea on healthcare is tripling the cost of your annual welfare visits, they’re more inept and intellectually bankrupt than I thought.
December 14, 2024 at 11:48 PM
I’m so tired
December 14, 2024 at 8:45 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
"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
Fever is a major driver of antibiotics prescription
Fever isn't always an indication to start antibiotics
Fever isn't always a reason to get cultures from everywhere
When a patient has a fever,slow down,think twice
There are many non infectious causes of fever, can u mention one? #idsky #medsky
December 8, 2024 at 8:23 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
Love the use of alternative models for learning and retention.
December 8, 2024 at 8:24 PM
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
December 8, 2024 at 8:31 PM
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
December 4, 2024 at 5:26 PM
December 4, 2024 at 3:31 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
🔥🔥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!"🔥🔥
December 4, 2024 at 1:15 AM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
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...
December 3, 2024 at 2:07 PM
The fungi formally known as Candida krusei #idsky
Pichia kudriavzevii (formerly Candida krusei) #idsky #medsky #mycosky
December 3, 2024 at 11:33 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
Fun fact: this is what it looks like of you open a doxycycline capsule

#IDSky #MedSky
We are now on BlueSky! Here's a cute little angel from our Gutenberg Bible (Inc.1.A.1.1[3761]). Follow us for all the best special collections content!
December 3, 2024 at 4:18 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
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! 🧪🧵⬇️
November 30, 2024 at 5:00 PM
Let me have this one thing you D-tier Bond villain #dnd
November 29, 2024 at 1:39 PM
It’s honestly remarkable how much the “radical left” lives rent free in his brain
Truly impossible to overstate just how badly America messed this one up.
November 29, 2024 at 10:38 AM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
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
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...
blogs.jwatch.org
November 27, 2024 at 5:26 PM
I’m so looking forward to the well thought out global policy changes we should see over the next 4 years. Shameful
Trump will reinstate the Global Gag Rule

Project 2025 wants a very extreme version

This will kill people

Reinstating the rule from 2017-2021 "increased the number of maternal & child deaths by about 27,000 per year" and led to an estimated 360,000 new HIV infections

www.pnas.org/doi/full/10....
November 26, 2024 at 9:11 AM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
This week, I give thanks for the interesting consult.
November 25, 2024 at 1:29 PM
Reposted by JKluch MD👨🏻‍⚕️ 🩺🦠🧑‍🧑‍🧒
November 26, 2024 at 5:29 AM