Tara Vijayan
@nottheogdrv.bsky.social
590 followers 240 following 40 posts
ID doctor. NJ native. New(ish) Angeleno. Mom of 2 plus 1 rowdy pup. Wife of a primary care doctor. Daughter of immigrants (including the OG Dr. V.) If I had to pick, HIV, mycobacteria. Clinical decision making. Books, coffee, music, storytelling.
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nottheogdrv.bsky.social
There are many important perspectives and ideas to share in medicine at this moment that are more important than mine. But this is a reminder of why I keep doing what I do, despite everything. I would be honored if you took the time to read it. www.nejm.org/doi/full/10....
Libraries Burned, a Life Lived | NEJM
As her patients near the end of life, an infectious disease physician who knows their stories sometimes needs to step out of her proverbial lane to help them assess and achieve their goals of care.
www.nejm.org
nottheogdrv.bsky.social
Serious question for the health economists/AI folks out there. Why can't AI take over billing with the goal of making this more transparent and equitable?
nottheogdrv.bsky.social
MGMA wRVU benchmarks are ⬆️ again. I want to understand what (and who) drives these decisions. From my perspective, forcing doctors to see more patients in the same amount of time results in MORE expenditures because no one has time to think. This drives more tests, more consultations.
nottheogdrv.bsky.social
Today I shared with my med student that her piece definitely has a home somewhere, but the sting of rejection is real no matter what. I don't know if anyone else needs to hear that. To paraphrase Beckett: Ever tried, ever failed, try again, fail better. (Pic of just 2 MDs after a 75-story climb.)
nottheogdrv.bsky.social
Reducing Antimicrobial Use at the End of Life url:https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2838657. Thank you for the opportunity to write this commentary on a great piece by Jeong-Han Kim and colleagues in South Korea, @eliowa.bsky.social.
nottheogdrv.bsky.social
Colleagues- in case this was missed during summer vacation, please share. I just went to the Bowl again last week and saw Yo-Yo Ma and Angelique Kidjo. The Bowl is not the only reason to be in LA....but it is pretty spectacular. Also my ASP team is just the bee's knees.
nottheogdrv.bsky.social
Please consider joining our incredible faculty and ASP program at UCLA Health. Los Angeles is an incredible city and always will be. recruit.apo.ucla.edu/JPF10331
nottheogdrv.bsky.social
I was reading a handwritten timed essay I wrote on Hamlet in AP English. My teacher, who in hindsight was a saint, gave me an A- for ideas and a B+ for structure and cautioned me against superfluous citations. (I learned so much from her.) Handwritten essays may be one way to mitigate AI influence.
Reposted by Tara Vijayan
nottheogdrv.bsky.social
I watched the ortho bro video 3x and laughed out loud all three times. As usual, it was the salve I needed. "Nah, [high dose cefazolin] won't work this time, bro." I love & have deep respect for the ortho bros. @glaucomflecken.bsky.social needs to come to ID week. Masterful storytelling, always.
nottheogdrv.bsky.social
This means so much coming from you. Thank you, Thanh.
nottheogdrv.bsky.social
There are many important perspectives and ideas to share in medicine at this moment that are more important than mine. But this is a reminder of why I keep doing what I do, despite everything. I would be honored if you took the time to read it. www.nejm.org/doi/full/10....
Libraries Burned, a Life Lived | NEJM
As her patients near the end of life, an infectious disease physician who knows their stories sometimes needs to step out of her proverbial lane to help them assess and achieve their goals of care.
www.nejm.org
nottheogdrv.bsky.social
Took my kids to their first protest. 1000s showed up in our sleepy little part of LA County. It was beautiful and peaceful. My favorite chant was "We stand united. We'll never be divided." 🇺🇸🗽
nottheogdrv.bsky.social
Please consider joining our incredible faculty and ASP program at UCLA Health. Los Angeles is an incredible city and always will be. recruit.apo.ucla.edu/JPF10331
nottheogdrv.bsky.social
Blue is how many start- low confidence, high confidence half way through, plummets a little in early attendinghood, then evens out. The pink is those who start with high confidence may crash a during fellowship but then evens out. I did not put one for the slow risers. (I was definitely a blue).
nottheogdrv.bsky.social
My inspiration came following a nap. We indeed prepare differently. 😴 🏃‍♂️.
nottheogdrv.bsky.social
What I really mean is confidence.
nottheogdrv.bsky.social
Working on this chalk talk at home and feeling some graduation vibes. 🎓 Share feedback or your own examples of what I am trying to impart here.
nottheogdrv.bsky.social
Because I am on Bluesky today:
Phosphate binders (dosed TID in patients on HD!) are a major problem for PWH on INSTIs (most!). But it is NOT discussed often enough. In my experience it has been very hit or miss whether it impacts the VL. I welcome thoughts from my #IDbluesky PharmDs and HIV MDs.
nottheogdrv.bsky.social
87% of NBA basketball players are between 6 feet 3 inches and 7 feet tall. About 14% of males in the United States are over 6 feet tall.
0.002% of all US college athletes are transgender.
Maybe we should ban tall people from competitive sports to give the short people a chance.
nottheogdrv.bsky.social
So much to say here. The FFS/RVU with benchmarking also merits quantity over quality. I love all my ID colleagues. They definitely care. But I worry that some may succumb to the plug and chug, copy forward approach. Many notes have become unreadable these days. (It is not just us.)
Reposted by Tara Vijayan
drtimothyli.bsky.social
State-of-the-Art Review: Modern Approach to Nocardiosis

⭐The duration of antibiotic treatment is understudied and based on few data ➡️ can be shortened if harms begin to outweigh potential benefits
⭐~5% develop recurrence ➡️ close monitoring needed

doi.org/10.1093/cid/...

#IDSky
Reposted by Tara Vijayan
nytimes.com
Breaking News: A federal prosecutor interrogated the The New England Journal of Medicine — which is considered the world’s most prestigious medical journal — in what its editor described as a “vaguely threatening” letter.
‘Vaguely Threatening’: Federal Prosecutor Queries Leading Medical Journal
The New England Journal of Medicine received a letter suggesting that it was biased and compromised by external pressure. Other journals have also received the letter.
www.nytimes.com
Reposted by Tara Vijayan
ericmeyerowitz.bsky.social
“Such anti-LGBTQ legislation, including the censorship of accepted medical terminology, can have several downstream effects on patients, including dissuading patients from seeking care, resulting in higher rates of sexually transmitted infections and human immunodeficiency virus (HIV) acquisition.”
nottheogdrv.bsky.social
Reposting this State-of-the-Art review, and adding an accompanying editorial I wrote to honor and celebrate those who persist and to show compassion for those who remain silenced. academic.oup.com/cid/advance-...