Kyle Walding
@tbrnaughttb.bsky.social
TB doc, Manhattan TB consultant @ NYC Dept of Health
NYU Clinical Asst Professor of ID @ Bellevue Hospital
Loyola Med/Peds & Stanford ID
❤️: TB, ID, med ed, public health, health equity, immigrant safety/rights
Views = mine = great, & ≠ my employers' | 🏳️🌈
NYU Clinical Asst Professor of ID @ Bellevue Hospital
Loyola Med/Peds & Stanford ID
❤️: TB, ID, med ed, public health, health equity, immigrant safety/rights
Views = mine = great, & ≠ my employers' | 🏳️🌈
me: is she sexually active?
them: she’s 82
me: word, is she sexually active?
them: she’s 82
me: word, is she sexually active?
September 2, 2025 at 4:57 PM
me: is she sexually active?
them: she’s 82
me: word, is she sexually active?
them: she’s 82
me: word, is she sexually active?
Reposted by Kyle Walding
Patterns of #tuberculosis 🫁
Cr. #devrad
#radiology
#chestrad
@pulmpeeps.bsky.social
@laurengroner.bsky.social
@mmestas.bsky.social
Cr. #devrad
#radiology
#chestrad
@pulmpeeps.bsky.social
@laurengroner.bsky.social
@mmestas.bsky.social
July 17, 2025 at 11:59 PM
Reposted by Kyle Walding
Important #TBSky paper @lancetmicrobe.bsky.social by @mnoursad.bsky.social & @innate2adaptive.bsky.social
Diagnosing TB in lymph nodes or pericarditis a challenge
RNA biomarkers better than CRP to trigger confirmatory testing, but still not as good as what WHO specifies for TB triage tests #IDSky
Diagnosing TB in lymph nodes or pericarditis a challenge
RNA biomarkers better than CRP to trigger confirmatory testing, but still not as good as what WHO specifies for TB triage tests #IDSky
Blood RNA biomarkers and C-reactive protein for triage of adult patients with tuberculosis lymphadenitis and pericarditis in South Africa: a single-centre, prospective, observational, diagnostic accur...
Our results suggest RNA biomarkers show better accuracy and clinical utility than
C-reactive protein to trigger confirmatory tuberculosis testing in patients with tuberculosis
lymphadenitis and tuberc...
www.thelancet.com
July 18, 2025 at 5:28 PM
Important #TBSky paper @lancetmicrobe.bsky.social by @mnoursad.bsky.social & @innate2adaptive.bsky.social
Diagnosing TB in lymph nodes or pericarditis a challenge
RNA biomarkers better than CRP to trigger confirmatory testing, but still not as good as what WHO specifies for TB triage tests #IDSky
Diagnosing TB in lymph nodes or pericarditis a challenge
RNA biomarkers better than CRP to trigger confirmatory testing, but still not as good as what WHO specifies for TB triage tests #IDSky
gave an ED provider some very gentle (but important!) clinical feedback today and the person said “we hardly ever get feedback — thank you so much for letting me know!”
this is so gracious! we could all take lessons
this is so gracious! we could all take lessons
July 14, 2025 at 8:12 PM
gave an ED provider some very gentle (but important!) clinical feedback today and the person said “we hardly ever get feedback — thank you so much for letting me know!”
this is so gracious! we could all take lessons
this is so gracious! we could all take lessons
if you’re a physician yelling about vaccine committee removals but not about flagrant human rights abuses & genocide, check your priorities
there are no ‘lanes’ when it comes to the preservation of human life and dignity—we have a moral responsibility to speak out and act to protect the vulnerable
there are no ‘lanes’ when it comes to the preservation of human life and dignity—we have a moral responsibility to speak out and act to protect the vulnerable
June 10, 2025 at 12:16 PM
if you’re a physician yelling about vaccine committee removals but not about flagrant human rights abuses & genocide, check your priorities
there are no ‘lanes’ when it comes to the preservation of human life and dignity—we have a moral responsibility to speak out and act to protect the vulnerable
there are no ‘lanes’ when it comes to the preservation of human life and dignity—we have a moral responsibility to speak out and act to protect the vulnerable
just a quick reminder to the medical community that ~the concept of race has no basis in scientific evidence and should not impact your *medical* decision-making~
race *does have* social implications (which can affect access/quality) bc of the disproportionate global power assigned to ‘whiteness’
race *does have* social implications (which can affect access/quality) bc of the disproportionate global power assigned to ‘whiteness’
June 3, 2025 at 4:30 PM
just a quick reminder to the medical community that ~the concept of race has no basis in scientific evidence and should not impact your *medical* decision-making~
race *does have* social implications (which can affect access/quality) bc of the disproportionate global power assigned to ‘whiteness’
race *does have* social implications (which can affect access/quality) bc of the disproportionate global power assigned to ‘whiteness’
as i prepare to present data (epi, pathogenesis, presentation, detection, TB control considerations) on subclinical TB tomorrow for the NYC TB bureau, i have relied on this *incredible* review pubmed.ncbi.nlm.nih.gov/30021818/
thank you, @sgschumacher.bsky.social et al!
thank you, @sgschumacher.bsky.social et al!
Incipient and Subclinical Tuberculosis: a Clinical Review of Early Stages and Progression of Infection - PubMed
Tuberculosis (TB) is the leading infectious cause of mortality worldwide, due in part to a limited understanding of its clinical pathogenic spectrum of infection and disease. Historically, scientific ...
pubmed.ncbi.nlm.nih.gov
May 27, 2025 at 7:00 PM
as i prepare to present data (epi, pathogenesis, presentation, detection, TB control considerations) on subclinical TB tomorrow for the NYC TB bureau, i have relied on this *incredible* review pubmed.ncbi.nlm.nih.gov/30021818/
thank you, @sgschumacher.bsky.social et al!
thank you, @sgschumacher.bsky.social et al!
#TBSky saw this note today: “M africanum in sputum; pt doesn’t meet criteria for NTM disease, stop all therapy”
“MTB complex” includes several closely related human pathogens:
- M tb
- M bovis
- M africanum
- (& M microti, caprae, pinnipedii, orygis, canetti)
all should be treated as ‘TB disease’!
“MTB complex” includes several closely related human pathogens:
- M tb
- M bovis
- M africanum
- (& M microti, caprae, pinnipedii, orygis, canetti)
all should be treated as ‘TB disease’!
May 21, 2025 at 3:27 PM
#TBSky saw this note today: “M africanum in sputum; pt doesn’t meet criteria for NTM disease, stop all therapy”
“MTB complex” includes several closely related human pathogens:
- M tb
- M bovis
- M africanum
- (& M microti, caprae, pinnipedii, orygis, canetti)
all should be treated as ‘TB disease’!
“MTB complex” includes several closely related human pathogens:
- M tb
- M bovis
- M africanum
- (& M microti, caprae, pinnipedii, orygis, canetti)
all should be treated as ‘TB disease’!
#TBSky: have any clinical TB folks seen hearing loss with BPaLM?
this is not a documented/common adverse effect that i’m aware of, but moxi does have post marketing reports of hearing loss and linezolid could potentially cause it via peripheral neuropathy
thoughts?
this is not a documented/common adverse effect that i’m aware of, but moxi does have post marketing reports of hearing loss and linezolid could potentially cause it via peripheral neuropathy
thoughts?
May 19, 2025 at 7:46 PM
#TBSky: have any clinical TB folks seen hearing loss with BPaLM?
this is not a documented/common adverse effect that i’m aware of, but moxi does have post marketing reports of hearing loss and linezolid could potentially cause it via peripheral neuropathy
thoughts?
this is not a documented/common adverse effect that i’m aware of, but moxi does have post marketing reports of hearing loss and linezolid could potentially cause it via peripheral neuropathy
thoughts?
Reposted by Kyle Walding
Are you interested in #TB and have experience in #modelling infectious diseases?
Come join us in the TB Modelling Group at #LSHTM!
We're advertising for a 1 year Research Fellow position, with a closing date of 30 May 2025 👉 jobs.lshtm.ac.uk/vacancy.aspx...
Come join us in the TB Modelling Group at #LSHTM!
We're advertising for a 1 year Research Fellow position, with a closing date of 30 May 2025 👉 jobs.lshtm.ac.uk/vacancy.aspx...
Job Opportunity at LSHTM: Research Fellow
The London School of Hygiene & Tropical Medicine (LSHTM) is a world-leading centre for research and postgraduate education in public and global health. Our mission is to is to improve health and healt...
jobs.lshtm.ac.uk
May 16, 2025 at 3:05 PM
Are you interested in #TB and have experience in #modelling infectious diseases?
Come join us in the TB Modelling Group at #LSHTM!
We're advertising for a 1 year Research Fellow position, with a closing date of 30 May 2025 👉 jobs.lshtm.ac.uk/vacancy.aspx...
Come join us in the TB Modelling Group at #LSHTM!
We're advertising for a 1 year Research Fellow position, with a closing date of 30 May 2025 👉 jobs.lshtm.ac.uk/vacancy.aspx...
Reposted by Kyle Walding
This wasn’t built by an institution or backed by funding.
It was built by clinicians, pharmacists, scientists, & anonymous contributors.
No sponsors. No conflicts. Just evidence.
I’d log in at midnight and see Anonymous Koala editing rows.
That’s public science: open, people-powered, and shared.
It was built by clinicians, pharmacists, scientists, & anonymous contributors.
No sponsors. No conflicts. Just evidence.
I’d log in at midnight and see Anonymous Koala editing rows.
That’s public science: open, people-powered, and shared.
105 controlled vaccine trials.
110 yrs. 1.8 M participants.
All in one live, crowd-sourced sheet.
Built by contributors worldwide to counter the myth that vaccines weren’t tested with controls.
Quiet work still breaks through the noise.
www.bradspellberg.com/vaccine-rcts
@bradspellberg.bsky.social
110 yrs. 1.8 M participants.
All in one live, crowd-sourced sheet.
Built by contributors worldwide to counter the myth that vaccines weren’t tested with controls.
Quiet work still breaks through the noise.
www.bradspellberg.com/vaccine-rcts
@bradspellberg.bsky.social
May 6, 2025 at 8:48 PM
This wasn’t built by an institution or backed by funding.
It was built by clinicians, pharmacists, scientists, & anonymous contributors.
No sponsors. No conflicts. Just evidence.
I’d log in at midnight and see Anonymous Koala editing rows.
That’s public science: open, people-powered, and shared.
It was built by clinicians, pharmacists, scientists, & anonymous contributors.
No sponsors. No conflicts. Just evidence.
I’d log in at midnight and see Anonymous Koala editing rows.
That’s public science: open, people-powered, and shared.
Reposted by Kyle Walding
Alright folks, the amazing @jakescottmd.bsky.social has set up a google sheets for you to crowd source published RCTs of vaccines.
Editable sheet (starter trials seeded): bit.ly/3EuYzqI
As data are imported, the website will autoupdate. Have at it!
www.bradspellberg.com/vaccine-rcts
Editable sheet (starter trials seeded): bit.ly/3EuYzqI
As data are imported, the website will autoupdate. Have at it!
www.bradspellberg.com/vaccine-rcts
Placebo-Controlled Vaccine RCTs – Living Reference Sheet
Placebo-Controlled Vaccine RCTs – Living Reference Sheet Purpose: A one-stop, crowdsourced catalogue of randomized controlled trials (RCTs) in which routine vaccines were tested against an inert or s...
bit.ly
April 23, 2025 at 12:59 PM
Alright folks, the amazing @jakescottmd.bsky.social has set up a google sheets for you to crowd source published RCTs of vaccines.
Editable sheet (starter trials seeded): bit.ly/3EuYzqI
As data are imported, the website will autoupdate. Have at it!
www.bradspellberg.com/vaccine-rcts
Editable sheet (starter trials seeded): bit.ly/3EuYzqI
As data are imported, the website will autoupdate. Have at it!
www.bradspellberg.com/vaccine-rcts
in my opinion, *particularly* at a safety net hospital in this current political climate, there is absolutely *no medical necessity* to document citizenship status in a patient’s medical record
if this becomes commonplace, its absence could be taken by some to mean “undocumented”
if this becomes commonplace, its absence could be taken by some to mean “undocumented”
April 18, 2025 at 2:26 PM
in my opinion, *particularly* at a safety net hospital in this current political climate, there is absolutely *no medical necessity* to document citizenship status in a patient’s medical record
if this becomes commonplace, its absence could be taken by some to mean “undocumented”
if this becomes commonplace, its absence could be taken by some to mean “undocumented”
important learning re calcified granulomas vs LTBI (i get asked this Q a lot) — this is nuanced, but here are some important considerations #TBSky
April 16, 2025 at 1:05 PM
important learning re calcified granulomas vs LTBI (i get asked this Q a lot) — this is nuanced, but here are some important considerations #TBSky
a patient (w/ a complex infection) messaged me saying she’s terrified about what’s happening in the US—said she has to return to her previous country ASAP
she begged for an urgent visit so i could give her months of meds in case she can’t find care
fact: this admin’s policies are hurting patients
she begged for an urgent visit so i could give her months of meds in case she can’t find care
fact: this admin’s policies are hurting patients
April 14, 2025 at 11:48 PM
a patient (w/ a complex infection) messaged me saying she’s terrified about what’s happening in the US—said she has to return to her previous country ASAP
she begged for an urgent visit so i could give her months of meds in case she can’t find care
fact: this admin’s policies are hurting patients
she begged for an urgent visit so i could give her months of meds in case she can’t find care
fact: this admin’s policies are hurting patients
Reposted by Kyle Walding
We are pleased to announce the availability of the following archived webinar:
The Riddle of TB Drug Resistance
www.currytbcenter.ucsf.edu/trainings/ar...
#GotCurry #Webinar #Tuberculosis #EndTB @theunion-tblh.bsky.social
The Riddle of TB Drug Resistance
www.currytbcenter.ucsf.edu/trainings/ar...
#GotCurry #Webinar #Tuberculosis #EndTB @theunion-tblh.bsky.social
[Archived] The Riddle of TB Drug Resistance | Curry International Tuberculosis Center
www.currytbcenter.ucsf.edu
April 7, 2025 at 3:11 PM
We are pleased to announce the availability of the following archived webinar:
The Riddle of TB Drug Resistance
www.currytbcenter.ucsf.edu/trainings/ar...
#GotCurry #Webinar #Tuberculosis #EndTB @theunion-tblh.bsky.social
The Riddle of TB Drug Resistance
www.currytbcenter.ucsf.edu/trainings/ar...
#GotCurry #Webinar #Tuberculosis #EndTB @theunion-tblh.bsky.social
>100,000 of us took to the streets of Manhattan (and >400,000 ppl nationwide!) today to stand against dangerous attacks on the federal workforce, immigrants, healthcare, and social safety nets for vulnerable populations #handsoff
April 5, 2025 at 8:44 PM
>100,000 of us took to the streets of Manhattan (and >400,000 ppl nationwide!) today to stand against dangerous attacks on the federal workforce, immigrants, healthcare, and social safety nets for vulnerable populations #handsoff
Reposted by Kyle Walding
New — Here is a running list of Dept. of Health and Human Services (HHS) offices that have either been fully eliminated or gutted into non-functionality as a result of today's mass firings (provided to me directly by a CDC staffer):
April 1, 2025 at 3:25 PM
New — Here is a running list of Dept. of Health and Human Services (HHS) offices that have either been fully eliminated or gutted into non-functionality as a result of today's mass firings (provided to me directly by a CDC staffer):
graduating ID fellows: if you’re okay with slightly less money in exchange for intrinsically meaningful work, less toxicity, and a higher quality of life, consider public health!
i love my job(s) so much
i love my job(s) so much
April 1, 2025 at 6:04 PM
graduating ID fellows: if you’re okay with slightly less money in exchange for intrinsically meaningful work, less toxicity, and a higher quality of life, consider public health!
i love my job(s) so much
i love my job(s) so much
#IDSky: if you order a CBC diff, please remember to look at the diff, even in pts you don’t expect to find certain abnormalities (like in this asymptomatic US-born patient)
this level of eosinophilia is dangerously high! this patient needs an urgent eval for infectious and hematologic etiologies
this level of eosinophilia is dangerously high! this patient needs an urgent eval for infectious and hematologic etiologies
March 28, 2025 at 2:06 PM
#IDSky: if you order a CBC diff, please remember to look at the diff, even in pts you don’t expect to find certain abnormalities (like in this asymptomatic US-born patient)
this level of eosinophilia is dangerously high! this patient needs an urgent eval for infectious and hematologic etiologies
this level of eosinophilia is dangerously high! this patient needs an urgent eval for infectious and hematologic etiologies
the NYC DOH Bureau of TB Control just released our data for 2024 — another staggering increase in TB cases in NYC
NYC’s current prevalence is 9.5/100k
US national prevalence is ~3/100k
at a time when global and national TB control resources are extremely vulnerable #TBsky
NYC’s current prevalence is 9.5/100k
US national prevalence is ~3/100k
at a time when global and national TB control resources are extremely vulnerable #TBsky
March 27, 2025 at 4:21 PM
the NYC DOH Bureau of TB Control just released our data for 2024 — another staggering increase in TB cases in NYC
NYC’s current prevalence is 9.5/100k
US national prevalence is ~3/100k
at a time when global and national TB control resources are extremely vulnerable #TBsky
NYC’s current prevalence is 9.5/100k
US national prevalence is ~3/100k
at a time when global and national TB control resources are extremely vulnerable #TBsky
Reposted by Kyle Walding
Monday is #worldtuberculosisday and a vaccine developed by the Gates Medical Research Institute is being studied in a phase 3 trial. If approved, the vaccine could potentially prevent pulmonary TB in adults and adolescents. #IDsky
A Late-Stage Tuberculosis Vaccine is Making its Way Through Clinical Trials
Monday is World Tuberculosis (TB) Day, and a vaccine developed by the Gates Medical Research Institute is being studied in a phase 3 trial. If approved, the vaccine could potentially prevent pulmonary...
www.contagionlive.com
March 23, 2025 at 2:19 PM
Monday is #worldtuberculosisday and a vaccine developed by the Gates Medical Research Institute is being studied in a phase 3 trial. If approved, the vaccine could potentially prevent pulmonary TB in adults and adolescents. #IDsky
public health & city hospital doctors march for medicaid!
medicaid provides health insurance to over 80 million americans (nearly 1 in 4 people / almost 25% of the population!), including low-income families, pregnant people, children, elderly individuals, & people with disabilities
medicaid provides health insurance to over 80 million americans (nearly 1 in 4 people / almost 25% of the population!), including low-income families, pregnant people, children, elderly individuals, & people with disabilities
March 15, 2025 at 8:57 PM
public health & city hospital doctors march for medicaid!
medicaid provides health insurance to over 80 million americans (nearly 1 in 4 people / almost 25% of the population!), including low-income families, pregnant people, children, elderly individuals, & people with disabilities
medicaid provides health insurance to over 80 million americans (nearly 1 in 4 people / almost 25% of the population!), including low-income families, pregnant people, children, elderly individuals, & people with disabilities
if you can’t bring yourself to care about people who live far away from you in their own right, remember that more TB in the world means more TB here, too — in a globalized society, countries don’t exist in a vacuum
www.nytimes.com/2025/03/11/h...
www.nytimes.com/2025/03/11/h...
Tuberculosis Resurgent as Trump Funding Cut Disrupts Treatment Globally
The United States was the major funder of tuberculosis programs. Now hundreds of thousands of sick patients can’t find tests or drugs, and risk spreading the disease.
www.nytimes.com
March 12, 2025 at 1:51 PM
if you can’t bring yourself to care about people who live far away from you in their own right, remember that more TB in the world means more TB here, too — in a globalized society, countries don’t exist in a vacuum
www.nytimes.com/2025/03/11/h...
www.nytimes.com/2025/03/11/h...
i work in two different settings which serve predominantly low resource communities and many undocumented folks—fewer & fewer patients are showing up for their in-person medical appointments
can you blame them? even without “raids” the fear & uncertainty have real effects on patients’ lives
can you blame them? even without “raids” the fear & uncertainty have real effects on patients’ lives
March 11, 2025 at 5:32 PM
i work in two different settings which serve predominantly low resource communities and many undocumented folks—fewer & fewer patients are showing up for their in-person medical appointments
can you blame them? even without “raids” the fear & uncertainty have real effects on patients’ lives
can you blame them? even without “raids” the fear & uncertainty have real effects on patients’ lives