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Kyle Walding @tbrnaughttb.bsky.social · Sep 2

me: is she sexually active?
them: she’s 82
me: word, is she sexually active?

Reposted by Kyle Walding

Tan-Lucien Mohammed, MD, FACR @tlhm-md.bsky.social · Jul 17

Patterns of #tuberculosis 🫁
Cr. #devrad

#radiology
#chestrad

@pulmpeeps.bsky.social
@laurengroner.bsky.social
@mmestas.bsky.social

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Reposted by Kyle Walding

Gabriele Pollara @gpollara.bsky.social · Jul 18

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

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

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Kyle Walding @tbrnaughttb.bsky.social · Jul 14

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

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Kyle Walding @tbrnaughttb.bsky.social · Jun 10

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

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Kyle Walding @tbrnaughttb.bsky.social · Jun 4

hahahaha, you’d have to ask someone smarter than me!

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Kyle Walding @tbrnaughttb.bsky.social · Jun 4

i actually don’t see race as a proxy but a misleading social construct

it is significant work to tease out the actual variables, but it’s worth the work to make actual associations (or recognize the lack of association) rather than invent associations/discordances that perpetuate inequity

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Kyle Walding @tbrnaughttb.bsky.social · Jun 3

right, it’s not always visible bc colorism and racism are separate -isms; also, being from Africa does not identify a clear “race”

Kyle Walding @tbrnaughttb.bsky.social · Jun 3

educating patients on their risk for conditions is essential, but education about these risks should be based in evidence, not carried on from (however well meaning) racist categorizations

use origin/travel, nutrition/supplementation, behaviors, etc to ID risks—these span “racial” categories

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Kyle Walding @tbrnaughttb.bsky.social · Jun 3

race (not real) has no correlation w country of origin (real)

country of origin (& even smaller regional commonalities like zip code) may have patterns based on cultural characteristics, disease epi, and health access, but even those may not be consistent

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Kyle Walding @tbrnaughttb.bsky.social · Jun 3

the concept of race isn’t necessary to understand that less melanated skin is at higher risk for UV damage—that’s true regardless of someone’s ‘background’

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Kyle Walding @tbrnaughttb.bsky.social · Jun 3

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’

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Kyle Walding @tbrnaughttb.bsky.social · May 31

i hadn’t! but i did read it and sent it to my bureau director too

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Kyle Walding @tbrnaughttb.bsky.social · May 27

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!

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

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Kyle Walding @tbrnaughttb.bsky.social · May 21

#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’!

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Kyle Walding @tbrnaughttb.bsky.social · May 19

#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?

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Kyle Walding @tbrnaughttb.bsky.social · May 16

my goodness lol 😆

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Kyle Walding @tbrnaughttb.bsky.social · May 16

i agree! i do find it useful for identifying references, but i almost never trust the extracted and summarized text because it’s not infrequently misleading or plain wrong! i do use it nearly every day tho to find papers about what i’m trying to understand lol — always read the primary literature!

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Kyle Walding @tbrnaughttb.bsky.social · May 16

this!

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Reposted by Kyle Walding

LSHTM TB Modelling Group @lshtm-tbmod.bsky.social · May 16

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...

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

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Kyle Walding @tbrnaughttb.bsky.social · May 12

this statement is too broad! there are so many different genres doing great things right now — are you pretty open?

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Reposted by Kyle Walding

Jake Scott, MD @jakescottmd.bsky.social · May 6

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.

Jake Scott, MD @jakescottmd.bsky.social · May 6

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

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Kyle Walding @tbrnaughttb.bsky.social · Apr 30

okay king! go off

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Reposted by Kyle Walding

Brad Spellberg @bradspellberg.bsky.social · Apr 23

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

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

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Kyle Walding @tbrnaughttb.bsky.social · Apr 20

omg real eggs in this economy? ID could never

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