Samir S. Shah
@samirshahmd.bsky.social
3.1K followers 1.3K following 420 posts
Editor-in-Chief, @JHospMedicine.bsky.social | Infectious Diseases & Hospital Medicine Physician | Leadership Coach | I write about leadership & mentorship he/him
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samirshahmd.bsky.social
Hey,
📱 We did a thing. The Sanford Guide to Pediatric Acute Care app is now available wherever you buy your apps. Very appreciative of my co-editors, our 50+ contributing authors, & the Sanford Guide team

✔️ Inpatient
✔️ Emergency
✔️ Urgent Care
✔️ Office Sick Visits

#MedSky
@pccmdoc.bsky.social
samirshahmd.bsky.social
Vancomycin / Nafcillin / Ceftaroline
Andy Reid in a suit, Travis Kelcie in casual dress, Patrick Mahomes in a pink vest and tie.
samirshahmd.bsky.social
Thanks for the reminder. I had it set up to prevent me from posting without alt text. Will go back and check my settings.
samirshahmd.bsky.social
🌳 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/...
Reposted by Samir S. Shah
sanfordguide.bsky.social
👋 from AAP in Denver! We're sharing our new app with pediatric clinicians! #SanfordGuidePediatric
samirshahmd.bsky.social
Precor TRM 243
$3000-ish
Love it.
✔️ Commercial grade treadmill for home use
✔️ No maintenance
✔️ No frills
samirshahmd.bsky.social
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
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.
Reposted by Samir S. Shah
pidsociety.bsky.social
"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...
PIDS Statement on the September ACIP Meeting Recommendations – Pediatric Infectious Diseases Society
pids.org
Reposted by Samir S. Shah
thefarce.org
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.
The Minnesota Miracle Playbook - Short Version (5 minutes)
YouTube video by Movement Voter Project
www.youtube.com
Reposted by Samir S. Shah
drmaypole.bsky.social
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
Reposted by Samir S. Shah
ylepidemiologist.bsky.social
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👇
Reposted by Samir S. Shah
rbreich.bsky.social
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.
Reposted by Samir S. Shah
jhospmedicine.bsky.social
🤖 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
Reposted by Samir S. Shah
mackayim.bsky.social
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
samirshahmd.bsky.social
👶🏽🩺 #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
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.
samirshahmd.bsky.social
🏁 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/...
Ready enough
Click on the article title to read more.
shmpublications.onlinelibrary.wiley.com
Reposted by Samir S. Shah
joshgondelman.bsky.social
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-...
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."
samirshahmd.bsky.social
Thanks for sharing. It was wonderful.
Reposted by Samir S. Shah
Reposted by Samir S. Shah
drcraigpress.bsky.social
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.
samirshahmd.bsky.social
👶🩺 #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
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.
samirshahmd.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
jama.com
JAMA @jama.com · Aug 3
#Influenza-associated acute necrotizing encephalopathy in US children during the 2023-2024 and 2024-2025 influenza seasons showed high morbidity and mortality.

ja.ma/4oinX4Q #MedSky #PedSky
Figure 1. Neuroimaging Findings of Children With Influenza-Associated Necrotizing Encephalopathy