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Joseph Cherabie MD MSc (They/He)

@jncherabiemd.bsky.social
2.6K followers 2.1K following 652 posts

Infectious Disease Doc - WashU HIVMA Board of Directors LGBT+ Health, STI, HIV Queer and Proud

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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 02/09/2026
Penicillin shots hurt, so I decided to do a clinical trial about adding lidocaine to penicillin during syphilis treatment to see if it decreases pain, and it does! Read about it below and thanks to the amazing team who helped make this trial happen! www.ovid.com/10.1097/OLQ.... #IDSky
ovid.com
LIMIT Trial: Lidocaine with Intramuscular... : Sexually Transmitted Diseases
Background:Studies have shown that intramuscular benzathine penicillin G (BPG) or bicillin injections cause severe pain in many patients, which may...
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 07/08/2026
How not to start a conversation with a specialist: “ChatGPT said I need…” #IDSky #MedSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 03/08/2026
Clinical tip: Descovy has not been studied yet for 2-1-1, so skip it until the data is out Descovy also is not FDA approved for AFAB. While Purpose 1 showed it works, the lack of FDA approval makes getting it covered by insurance very difficult.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 25/07/2026
F*** HIV stigma, if you can't handle being with someone who is HIV positive, then you need to educate yourself and understand that undetectable, without any doubt in my soul, means untransmittable.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 25/07/2026
HIV Clinic Tip: you will be asked frequently if the "HIV med" is causing a plethora of lab findings or symptoms. HIV medications are generally well tolerated for treatment and prevention. Do a workup for other causes, and then, if nothing else, consult ID docs and we can look into it.
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Reposted by Joseph Cherabie MD MSc (They/He)
Stefan Pöhlmann @snpoehlm.bsky.social · 21/07/2026
1,700 H.I.V. Treatment Sites Closed After Trump Aid Cuts, a Study Finds www.nytimes.com/2026/07/21/h...
nytimes.com
1,700 H.I.V. Treatment Sites Closed After Trump Aid Cuts, a Study Finds
New research also shows that children and high-risk adult populations have been particularly affected.
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Reposted by Joseph Cherabie MD MSc (They/He)
IAC - the International AIDS Conference @aidsconference.bsky.social · 21/07/2026
🚨 Funding cuts to #PEPFAR have caused “severe & devastating” disruption globally, threatening decades of hard-won progress. Ahead of #AIDS2026, these findings underscore the urgent need to protect the global #HIV response & prevent further rollbacks. 📰 Read the full story in @theguardian.com.
theguardian.com
Trump’s HIV funding cuts having ‘severe and devastating’ impact around the world
The President’s Emergency Plan for Aids Relief has saved 26m lives globally, but slashing of funds and dismantling of USAID have forced clinics to shut in dozens of countries
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 21/07/2026
Clinical nuggets from HIV clinic: we had a patient with a Hep B viral load > 1 billion from rebound after stopping HIV medications. A reminder to screen for Hep B and counsel patients about stopping meds without talking to their provider first. The treatment for Hep B and HIV often overlap #IDSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 06/07/2026
Things I am relearning in my new clinic: FQHCs are how we fix a broken healthcare system Gender neutrality in all settings for sexual health works wonders Primary care is amazing and more docs should go into it Outpatient ID is also amazing and more ppl should do it full time #IDSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 30/06/2026
Quick and more terrifying question here, how are they going to "check" the gender of these youths? That is the most terrifying prospect of this decision and one that we need to talk about
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 30/06/2026
Pride month isn’t even over and @nytimes.com is out here with this opinion piece below about being “gay not queer”. To be clear the heteronormification of gay identity runs deep. For these ppl, marriage was the peak of what we could accomplish, and now that it’s threatened they have to blame someone
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 01/06/2026
A reminder, #Pride month is to commemorate the Stonewall riots and community fighting for community. It’s not about rainbow gear or parades or parties. Pride is resistance Pride is joy Pride is a fight Pride is community (And true allyship is more than just wearing a flag pin, show up!)
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 29/04/2026
Ppl asking me about PrEP belly…it’s not real. PrEP works very well when taken correctly, some prep medications actually help ppl lose weight, and acquiring HIV because you didn’t take PrEP means you’re going to take those meds anyways as treatment. So don’t stop PrEP for fear of a belly…
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 24/04/2026
STI Tests you should never (or very rarely under the guidance of experts) order: Ureaplasma PCR Mycoplasma hominis PCR HSV IgG/IgM Trichomonas vaginalis for MSM (it needs a vagina) Gonorrhea culture (unless looking for treatment failure)
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 24/04/2026
PSA: the only reason to order a gonorrhea culture is if you are concerned for drug resistant gonorrhea or treatment failure. For regular screening, please order a NG/GC NAAT. Saves time, energy, lab work #STISky #IDSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 21/04/2026
Yay! Another drug name I can’t pronounce! This one shall come with an Italian accent #HIVSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 21/04/2026
@doctorcarlton.bsky.social apparently you blocked me on Instagram simply for sharing some facts about MenB vaccination. DoxyVax trial- no effect GoGoVax trial - no effect I was just trying to be helpful and always happy to discuss and collaborate as am a sexual health doc as well.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 21/04/2026
Ok so here’s the deal, we now have TWO large randomized control trials that show no effect of MenB vaccination in protecting against gonorrhea, but influencers in the LGBT+ community continue to tout it as a viable option. The NHS clearly jumped the gun here but please top promoting this #STISky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 20/04/2026
PSA: while butt eczema may occur (I defer to my Derm colleagues), if on sexual history you find out this person has anal sex, it may be worth looking at TMVII as a diagnosis, as steroids may worsen the condition. I've seen 2 cases eczema treatment for years, when they needed was antifungal #IDSky
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 16/04/2026
@americanair.bsky.social canceled our flight due to weather and gave us hotel and meal vouchers. The hotel was supposed to have free shuttles per the choices AA gave but after waiting 45 mins in the rain, no shuttle ever came and had to spend 50$ to get to hotel at 1am.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 10/04/2026
I shared why I chose to go into the field of HIV medicine along with some of my amazing @hivma.bsky.social colleagues. Check it out below #HIVSky #IDSky @idsainfo.bsky.social
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 26/03/2026
Long time no post, been busy wrapping up work and moving but here is a brilliant article about the power of community during the ICE raids in Minnesota that you all should read: projects.propublica.org/why-minneapo...
projects.propublica.org
Trump Called My Neighbors “Paid Agitators.” This is Who They Really Are.
After ICE came to Minneapolis, ProPublica journalist Peter DiCampo saw his community step up to patrol the streets, drive strangers to work and provide aid to families in hiding. These are his neighbo...
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 17/01/2026
Proud of this piece. Got to write a review with my fellow on Mpox stigma and how it facilitated disease spread. Check it out here: journals.lww.com/co-hivandaid... #Mpox #STISky #IDSky
journals.lww.com
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Reposted by Joseph Cherabie MD MSc (They/He)
Josh Barocas, MD ⭕️ @jabarocas.bsky.social · 18/12/2025
This is when every single hospital in the country needs to say no. Shut down all the hospitals and see what happens.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 18/12/2025
The news of HHS potentially pulling funding for any hospital that provides gender affirming care for youth should terrify everyone. This means the govt can decide what care any of us can receive and hold funding hostage for any hospital that doesn’t bend to its will.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 18/12/2025
Hey instead of focusing on ruining healthcare for the majority of Americans because hospitals provide care for less than 1% of the population, why don't you actually MAKE HEALTHCARE AFFORDABLE AND STOP CULTURE WARS!
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Reposted by Joseph Cherabie MD MSc (They/He)
HIVMA @hivma.bsky.social · 12/12/2025
In a new piece for Positively Aware, HIVMA Board members @jncherabiemd.bsky.social and Julia C. Rosebush, DO, FAAP, FPIDS, also a @pidsociety.bsky.social liaison, outline how federal funding cuts are putting PrEP access and core HIV prevention efforts at risk. #SaveHIVFunding bit.ly/4p25kBG
bit.ly
HIV prevention on the brink—A call to save HIV funding
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Reposted by Joseph Cherabie MD MSc (They/He)
Rick Guasco @rickguasco.bsky.social · 12/12/2025
PrEP is an effective—if not the most effective—HIV prevention modality. But the actions of this administration risk all the gains we’ve made, at a time when HIV rates are rising, say @jncherabiemd.bsky.social & Dr. Julia Rosebush. #SaveHIVFunding www.positivelyaware.com/hiv-prevention-on-the-brink
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Reposted by Joseph Cherabie MD MSc (They/He)
Positively Aware @posaware.bsky.social · 12/12/2025
PrEP is an effective—if not the most effective—HIV prevention modality. But the actions of this administration risk all the gains we’ve made, at a time when HIV rates are rising, say @jncherabiemd.bsky.social & Dr. Julia Rosebush. #SaveHIVFunding www.positivelyaware.com/hiv-prevention-on-the-brink
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Reposted by Joseph Cherabie MD MSc (They/He)
Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 05/12/2025
Summary of what happened at Temu ACIP this morning: As expected, they overturned the 30+ year recommendation for the birth dose of HepB vaccine, which has reduced the incidence of pediatric HepB by 99%. They provided no credible evidence to support this decision.
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Reposted by Joseph Cherabie MD MSc (They/He)
Jake Scott, MD @jakescottmd.bsky.social · 05/12/2025
#ACIP just voted to scrap the universal hepatitis B birth-dose recommendation. There is no new safety signal. No scientific rationale. We are dismantling a 30-year-old, cancer-preventing policy that has nearly eliminated hepatitis B in U.S. children. 1/2
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 05/12/2025
Let’s be clear here, the panel did not consider any new evidence. There is no new trial that showed this change was needed or beneficial. This is not gold standard science and is based off the opinions of the new panel, not science
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 01/12/2025
On #WorldAIDSDay, we got a snapshot of data from NYC, which is a bellwether for the epidemic. All progress has stalled and HIV rates have increased. This is in the midst of funding cuts, poor data gathering, and no govt leadership. The fight goes on
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 25/11/2025
Mfers, I’m so over this. World AIDS Day is meant to commemorate all those we lost from the HIV epidemic. The govt will not be commemorating it this year. When I say they are telling you what they want, we need to believe them.
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Reposted by Joseph Cherabie MD MSc (They/He)
Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · 20/11/2025
The U.S. government is now inarguably spreading medical disinformation that is going to kill babies preferentially. Period. This is an INTOLERABLE. UNPRECEDENTED. DANGEROUS. ATTACK. ON ALL OF US.
Vaccine Safety
MENU V
For Everyone
NOV. 19, 2025
KEY POINTS
• The claim "vaccines do not cause autism" is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism.
• Studies supporting a link have been ignored by health authorities.
• HHS has launched a comprehensive assessment of the causes of autism,
including investigations on plausible biologic mechanisms and potential causal links.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 20/11/2025
This is basically the destruction of trust in our public health institutions…
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Reposted by Joseph Cherabie MD MSc (They/He)
Katie Mack @astrokatie.com · 20/11/2025
Can’t believe the whole country has to suffer through the return of Dickensian childhood diseases because the worst, most ignorant attention-demanders decided other people’s expertise makes them feel bad
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 20/11/2025
A lesson in bad science. You can’t say “there is no evidence vaccines don’t cause autism” when in fact there is no evidence they do. This page claims they are following “gold standard science” when they cherry pick small observational studies that show what they want www.cdc.gov/vaccine-safe...
cdc.gov
Autism and Vaccines
Answers to common questions about vaccine safety and autism.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 06/11/2025
Finally published this article and it's more important now than ever to #SaveHIVFunding #HIVSky academic.oup.com/cid/article-...
academic.oup.com
Silence = Death Is Real Now More Than Ever, but Words Aren’t Enough—Action Is Needed!
To the editor—Thanks to Meyerowitz and Schwartz [1] for their viewpoint article, which highlights all the jarring changes that President Trump and his admi
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 19/10/2025
Happening now @hivma.bsky.social rally to #SaveHIVFunding #CutsKill @idsainfo.bsky.social #IDWeek2025
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 18/10/2025
Heads up #Mpox
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 16/10/2025
Yesterday was a busy day in the STI clinic, but one of my last patients had reported pain during sex. Turns out they had trich, but the more important discussion was what happened when they disclosed to their partner their discomfort, the partner ignored my pt. This is not ok…
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 16/10/2025
Who you gonna turn to in times of crisis then? All this talk is just noise but when crises come, and people die, who you gonna trust?! A lawyer with zero medical experience? Or doctors who have spent decades studying medicine…
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 11/10/2025
Measles, Ebola, major disease outbreak investigators, HIV prevention…we’re f***ed. I’m not trying to be over dramatic here, but we currently have no defense against infectious diseases threats C.D.C. Layoffs Included 2 Top Measles Experts Amid Rising Cases www.nytimes.com/2025/10/11/h...
nytimes.com
C.D.C. Layoffs Included 2 Top Measles Experts Amid Rising Cases
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 11/10/2025
Those fired include the staff of the MMWR, our major source of information on outbreaks and guidelines, EIS, our disease investigators, and many experts. We are not equipped AT ALL to handle another outbreak or at this rate, any infectious disease… www.nytimes.com/2025/10/11/u...
nytimes.com
Trump Administration Lays Off Dozens of C.D.C. Officials
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Kathleen Bachynski @bachynski.bsky.social · 03/10/2025
“In her complaint, the scientist, Dr. Jeanne Marrazzo, who had directed the National Institute of Allergy and Infectious Diseases, objected to Trump administration actions, alleging that they had endangered research subjects, defied court orders and undermined vaccine research.”
nytimes.com
Kennedy Fires N.I.H. Scientist Who Filed Whistle-Blower Complaint
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 01/10/2025
Worried how this govt shut down will affect healthcare? Here is an update by @idsainfo.bsky.social on what this shut down will look like for us: www.idsociety.org/news--public...
idsociety.org
HHS government shutdown contingency plans: What to know
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 01/10/2025
STL #PrEP week is coming up, and we at WashU and the STL PTC wanted to have a Real Talk about PrEP, going over the current political landscape and obstacles. Register here: courses.nnptc.org/class_inform...
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 29/09/2025
And the CDC has officially decided to switch back from Mpox to Monkeypox. A reminder, the world still uses Mpox, this disease does not come from monkeys, Mpox is less stigmatizing and racist. Switching back is just meaningless, unnecessary, racist, and homophobic.
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Joseph Cherabie MD MSc (They/He) @jncherabiemd.bsky.social · 26/09/2025
STI rates coming down, but still lots of work to do. This is a combination of public health efforts, doxyPEP, regular screening and treatment, and expedited partner therapy. Congenital syphilis STILL INCREASING though and requires regular testing 3x in pregnancy where high rates of syphilis #STISky
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