Shiva Narayanan
@shivn.bsky.social
Physician MD, FIDSA. Interests: Inf diseases, bedside medicine, diagnosis, SUD, HIV/HCV. Associate Professor @UMMedschool @IHVMaryland I seek knowledge not followers
I’m surprised the tone of this podcast is so apologetic - who are the people the hosts are blaming as being condescending? podcasts.apple.com/us/podcast/l...
Live from IDWeek 2025: Infectious Diseases Hot Takes
Podcast Episode · Let's Talk ID · 11/08/2025 · 27m
podcasts.apple.com
November 9, 2025 at 10:01 AM
I’m surprised the tone of this podcast is so apologetic - who are the people the hosts are blaming as being condescending? podcasts.apple.com/us/podcast/l...
I sometimes flirt with the contrarian myself to wonder whether ID as a specialty issue should even exist- irritated to see medicine teams consult for infectious syndrome that should be managed by the primary team ( cystitis,cellulitis etc) . Seems like disincentivizing common sense mgmt
November 7, 2025 at 1:34 PM
I sometimes flirt with the contrarian myself to wonder whether ID as a specialty issue should even exist- irritated to see medicine teams consult for infectious syndrome that should be managed by the primary team ( cystitis,cellulitis etc) . Seems like disincentivizing common sense mgmt
link.springer.com/article/10.3...
An interesting take on availability bias in estimation of demographic proportions - quite interesting read!
An interesting take on availability bias in estimation of demographic proportions - quite interesting read!
Bias and ignorance in demographic perception - Psychonomic Bulletin & Review
When it comes to knowledge of demographic facts, misinformation appears to be the norm. Americans massively overestimate the proportions of their fellow citizens who are immigrants, Muslim, LGBTQ, and...
link.springer.com
November 5, 2025 at 11:43 AM
link.springer.com/article/10.3...
An interesting take on availability bias in estimation of demographic proportions - quite interesting read!
An interesting take on availability bias in estimation of demographic proportions - quite interesting read!
Happy Diwali to all who celebrate !
October 21, 2025 at 1:37 PM
Happy Diwali to all who celebrate !
Reposted by Shiva Narayanan
This morning my ChatGPT quota was inexplicably exhausted.
It took a while but I pieced it together. Voice mode somehow got activated when I went to bed.
The bot then engaged in a 10 hour conversation with my snoring dog, answering questions the pup wasn’t asking and praising him for his insight.
It took a while but I pieced it together. Voice mode somehow got activated when I went to bed.
The bot then engaged in a 10 hour conversation with my snoring dog, answering questions the pup wasn’t asking and praising him for his insight.
October 18, 2025 at 9:04 AM
This morning my ChatGPT quota was inexplicably exhausted.
It took a while but I pieced it together. Voice mode somehow got activated when I went to bed.
The bot then engaged in a 10 hour conversation with my snoring dog, answering questions the pup wasn’t asking and praising him for his insight.
It took a while but I pieced it together. Voice mode somehow got activated when I went to bed.
The bot then engaged in a 10 hour conversation with my snoring dog, answering questions the pup wasn’t asking and praising him for his insight.
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...
Laszlo Krasznahorkai Is Awarded Nobel Prize in Literature
www.nytimes.com
October 9, 2025 at 6:51 PM
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
October 3, 2025 at 4:32 PM
Reading this on the nursing station after talking to residents about note bloat and unnecessary issues in the chart which make MDM tenuous
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...
C.D.C. Vaccine Advisers May Limit Hepatitis B Shots for Newborns
www.nytimes.com
September 16, 2025 at 10:33 PM
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 🤷🏽♂️🤔
September 11, 2025 at 8:33 PM
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
Analysis of Repeat Hepatitis C Viremia After Sustained Virologic Response in a Large Cohort of US Veterans
#IDSky
#IDSky
Analysis of Repeat Hepatitis C Viremia After Sustained Virologic Response in a Large Cohort of US Veterans
Chronic hepatitis C virus (HCV) infection affects >1% of the US population and a larger percentage of US veterans.
bit.ly
September 1, 2025 at 11:36 PM
Median time to reinfection <2 years among people with reinfection after SVR- need RNA retesting and approaches to prevention
Reposted by Shiva Narayanan
Research posts on Bluesky are more original — and get better engagement
www.nature.com/articles/d41...
#MedSky #IDSky #PedIDSky #ImmunoSky
www.nature.com/articles/d41...
#MedSky #IDSky #PedIDSky #ImmunoSky
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.
www.nature.com
August 31, 2025 at 9:32 AM
Research posts on Bluesky are more original — and get better engagement
www.nature.com/articles/d41...
#MedSky #IDSky #PedIDSky #ImmunoSky
www.nature.com/articles/d41...
#MedSky #IDSky #PedIDSky #ImmunoSky
Reposted by Shiva Narayanan
Performance of different versions of Duke criteria in diagnosing infective endocarditis in patients with intracardiac prosthetic materials
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
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...
doi.org
August 24, 2025 at 8:53 PM
Performance of different versions of Duke criteria in diagnosing infective endocarditis in patients with intracardiac prosthetic materials
✅ Just Accepted
#IDSky
✅ 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.
August 18, 2025 at 10:08 PM
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.
“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
August 18, 2025 at 4:51 PM
“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
Avoid this low evidence entrenched practice Prophylactic #Antibiotics for Upper GI bleed in #Cirrhosis - jamanetwork.com/journals/jam...
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.
jamanetwork.com
August 13, 2025 at 12:04 PM
Avoid this low evidence entrenched practice Prophylactic #Antibiotics for Upper GI bleed in #Cirrhosis - jamanetwork.com/journals/jam...
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
July 24, 2025 at 9:31 PM
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
Examining Pricing and Availability for Neglected Tropical Disease Treatments in the US
✅ Just Accepted
⭐ Editor's Choice
#IDSky
✅ Just Accepted
⭐ Editor's Choice
#IDSky
Examining Pricing and Availability for Neglected Tropical Disease Treatments in the US
Neglected tropical diseases primarily affect vulnerable populations in low-resource settings worldwide.
doi.org
July 17, 2025 at 2:57 PM
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
#Desis here: How Indian Americans Live: Results From the 2024 Indian American Attitudes Survey - Carnegie Endowment for International Peace
carnegieendowment.org/research/202...
carnegieendowment.org/research/202...
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.
carnegieendowment.org
July 13, 2025 at 9:06 PM
#Desis here: How Indian Americans Live: Results From the 2024 Indian American Attitudes Survey - Carnegie Endowment for International Peace
carnegieendowment.org/research/202...
carnegieendowment.org/research/202...
July 4, 2025 at 9:56 PM
Reposted by Shiva Narayanan
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...
www.ama-assn.org/delivering-c...
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.
www.ama-assn.org
June 27, 2025 at 4:25 AM
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...
www.ama-assn.org/delivering-c...
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/...
June 11, 2025 at 9:27 PM
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.
May 31, 2025 at 12:44 PM
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.
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/...
<em>Journal of the European Academy of Dermatology and Venereology</em> | Wiley Online Library
Click on the article title to read more.
onlinelibrary.wiley.com
May 19, 2025 at 3:03 PM
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/...