iiinova — where your digital self keeps evolving

Pranab Chatterjee MD, PhD @pranab.stopamr.org · 25/03/2026

One of my most visited bookmarks is when Paul Farmer @pih.org did his Reddit AMA. Just as a reminder to keep fighting the long defeat! www.reddit.com/r/IAmA/comme...

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 07/10/2025

Fred Ramsdell has won the @nobelprize.bsky.social but may not know because he is off living his best life, hiking in Idaho. Be like Fred Ramsdell. Congratulations, Dr. Ramsdell!

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 01/08/2025

I’m not sure if blogging is a thing anymore but I’ve decided to write more this year. And this is the account of how a random drive helped clear out the cobwebs in my mind. The Nocturnal Odyssey: Driving as a Pathway to Cognitive Restoration and Creative Insights: open.substack.com/pub/sceptice...

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 09/07/2025

Meanwhile over on the other side of the spectrum, the resident AI has gone … umm … yeah. Not good.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 05/07/2025

Re-reading this classic book at a time when it’s important to re-reimagine global health. The dismantling of the US supported apparatus will be a shock, but it’s my hope that it’ll also push us to reach a more sustainable, locally-led future.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 23/06/2025

Hanging out in style! These majestic fruit bats (also known as flying foxes) are enjoying a leafy snack while chilling upside down, because why not? Native to tropical regions, these gentle pollinators play a vital role in maintaining forest ecosystems by dispersing seeds and pollinating plants.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 22/06/2025

Meet the Northern Bald Ibis. Punk-rock plumage and a scimitar bill to match! Once widespread across Europe, North Africa & the Middle East, it’s now listed as endangered; breeding programs in Morocco, Turkey & Europe are driving a fragile comeback. Share, donate, advocate. Extinction isn’t an option

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 22/06/2025

Yellow-bellied Slider (Trachemys scripta scripta) drifting under a mirrored water surface. 🌿🐢 Hear the soundtrack? Ripples tapping pads, cicadas buzzing, and a Red-eyed Vireo swapping its cheery “question-and-answer” phrases from the canopy! Wetland meditation in full surround-sound. #nature #Turtle

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/06/2025

So @bhavnaseth.bsky.social and I thought it was a hummingbird fluttering over the milkweed, until we looked closer. Meet the Hummingbird Clearwing Moth (Hemaris thysbe), a master mimic that hovers and feeds just like its avian namesake. It is a vital native pollinator, drawn to nectar-rich plants.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 22/05/2025

The world’s priciest pizzas just became a billionaire’s meal. @bitcoin.bsky.social #btc #crypto Today marks 15 years since Laszlo Hanyecz purchased two pizzas for 10,000 bitcoins. Worth $1.12 billion today. #PizzaDay

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/05/2025

1/ In what is bound to be one of the most widely read and discussed publications, the US FDA has announced a major shift in its COVID-19 vaccination policy. Vinay Prasad and Marty Makary’s words in @nejm.org: pubmed.ncbi.nlm.nih.gov/40392534/

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/05/2025

Yikes. Looks like @bitcoin.bsky.social just scaled its all time high levels! #crypto

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

📊 Numbers tell part of the story. This study leans heavily quant, but even the authors say: we need deeper qualitative dives to unpack why certain terms resonate—and what people actually mean when they say they "get" AMR. #AMR #QualitativeResearch (22)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

Also, hat tip to the GBD Antimicrobial Resistance Collaborators for coining the even more confusing neologism – bacterial antimicrobial resistance. Great papers. Confusing titles. (18)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

Not being cool enough to pull it off, I asked ChatGPT to reframe the definition of AMR. This is what it came up with:

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

🧠 Recall matters. Which term stuck? 🟢 Best: "Antibiotic Resistance" – 79% recall 🔴 Worst: “Superbugs” – only 65% (once again, color me surprised!) Despite media hype, “Superbugs” didn’t help memory. Remember the @unep.org report (www.unep.org/resources/su...)? (13)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

💥 Terminology impacted real behaviors (rather, declared behavioral intent). % likely to stop antibiotics early: 🔹 AMR – 67.4% 🔹 Antibiotic Resistance – 54% 🔹 The Antibiotic Crisis – 52% 🔹 Superbugs – 68% 👉 “Antibiotic Crisis” performed best (12)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

🧪 Behavioral Intent: Asked what they'd do with a sore throat (likely viral): 🟨 Few said they’d ask for antibiotics (good news). BUT: 🚨 Those shown “Antibiotic Resistance” or “Antibiotic Crisis” were significantly less likely to say they’d stop antibiotics early. (11)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

🧠 Confidence ≠ Knowledge. Almost everyone (~98%) was confident in their comprehension—even those who were wrong. This highlights a dangerous gap: misinformation + overconfidence. Also, let me take this opportunity to remind everyone of my favorite graph. (10)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

💡 Secondary Outcome: Comprehension. Participants had to answer 3 MCQs on AMR causes/solutions. "Antibiotic Resistance" led again with a score of 66%. "AMR" trailed at 63.3%. Effect size small—but significant (p = 0.013). (9)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

🧠 Primary Outcome: Attitudes toward AMR. ✅ "Antibiotic Resistance" scored highest (86.3%) ✅ “The Antibiotic Crisis” next (85.2%) ❌ “AMR” lowest (81.0%) The term “Superbugs” (83.2%) did worse than I would have expected. But… the differences are quite small (though statistically significant). (8)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

3 co-design workshop sessions were organized to explore different ideas, 10 of which were shortlisted, and the 3 top ones chosen for this study. Participants were provided with identical informational posters to introduce them to the concept. (7)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

📊 Study design: A 4-armed randomized online experiment with 4,296 UK adults tested 4 terms for AMR: 🔹 Antimicrobial Resistance - AMR (control) 🔹 Superbugs 🔹 Antibiotic Resistance 🔹 The Antibiotic Crisis All received identical info except the name of the issue. (5)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 20/05/2025

This new ‪‪@natcomms.nature.com‬ study tested 4 terms for “antimicrobial resistance” (AMR)—and found that language choice affects public understanding and behavior. Let's dive in (pretty long thread)! 🧵 🔗 doi.org/10.1038/s438... (2)

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 13/05/2025

Amazing event launching Issue 7 of Tendon @tendonmag.bsky.social @JHUmedhum - hopkinsmedicalhumanities.org/tendon-magaz... - the magazine of @johnshopkins Center for Medical Humanities and Social Medicine.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 10/05/2025

Day 2 of @JHU_India Hopkins India Conference continues with a host of engaging sessions. Speaking about Palliative Care today are Dr MR Rajagopal, Uma Mahadevan, @bhavnaseth.bsky.social, Dr. Caroline George, in a session moderated by Dr. Avani Prabhakar. #PalliativeCare #PallCare

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 09/05/2025

Hi! I'm attending Hopkins India Conference #HopkinsIndiaConference. Let's start connecting with each other now. @JHU_India.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 07/05/2025

The 15th Vaccine Day is underway @johnshopkinssph.bsky.social. The amazing Dr. Mathu Santosham is the keynote speaker!

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 04/05/2025

8/11 🎯 Only 35 CTAs met the 2023 60% Access target. Just 19 met the 2030 goal. ❗Macrolides (Watch group) were the 2nd most used class globally. In 9 CTAs, they were the most consumed antibiotics. Fluoroquinolones (Watch) also in the top 3. #AWaRe #AntimicrobialResistance

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 04/05/2025

7/11 Among the 60 CTAs reporting: 📈 Total AMU = 16.6 billion DDDs 📊 Median = 18.3 DID (DDDs per 1000 persons/day) ⚖️ Range: 6.3–67.7 DID A >10× variation by region & income group. Big disparities in use. #Inequity #AccessVsExcess #GlobalHealthData

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 04/05/2025

6/11 📦 Only 60 CTAs (Countries, Territories, or Areas) reported AMU data to GLASS in 2022. Out of 90 enrolled and 74 that reported at least once (2021–2023). The report does acknowledge this limitation. #HealthSystems #GlobalSurveillance

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 04/05/2025

3/11 The GLASS dashboard 📊 is here: 🔗 worldhealthorg.shinyapps.io/glass-dashbo... Notably, major consumers like 🇮🇳 India, 🇨🇳 China, 🇺🇸 USA, and 🇧🇷 Brazil aren’t enrolled or reporting to GLASS. A major data gap. #Surveillance #AMU #DataMatters

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 24/04/2025

This pair of Rotring Core fountain pens are my pride and joy. I’ve owned them for over a decade - and now they’re out of production. So I now need to reconsider my heavy usage of these pens. #PenPals #FountainPens

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 22/04/2025

This is my workhorse LAMY fountain pen. See through body - feels a bit “plasticky” and cheap to hold. But the smoothness of the nib and flow of ink while writing more than makes up for everything else, all aesthetic and style shortcomings. Great pen for everyday use. #FountainPen #PenPals

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/04/2025

Oh wow. Strong endorsements. As a fellow fountain pen enthusiast I love this series of posts from you. In fact, right now I’m walking around with this pen in my pocket - a Jinhao-Dadao no. 9019. Thick tipped, with a huge ink reservoir. Writes for miles.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 12/04/2025

Saddened to learn nine aid workers were killed in an RSF attack on Zamzam Camp. Relief International lost doctors and drivers—some of the last providing care. Health workers must never be targets. #Sudan #Zamzam #HumanitarianCrisis #NotATarget

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 27/03/2025

Fantastic opportunity to hear Dr. Tahmeed Ahmed, Executive Director of #icddrb, speaking about his fascinating work searching for solutions to the complex problem of childhood malnutrition. @johnshopkinssph.bsky.social

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/03/2025

Probably an unpopular opinion, but scientists should get trained and be interested in making their work accessible. We don’t exist in the bubble of academia only. What good is science if it doesn’t touch people’s lives? This is why when we lose funding the average person couldn’t be less bothered.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 06/01/2025

A beautiful bright morning with stunning blue skies. #travel #nilgiris

The foothills in front of a mountain range. The skies are a clear bright blue. There’s grass covering and a few trees in the foreground. Two jeeps are parked at the bottom left corner.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 06/01/2025

Beautiful bright morning at the foothills of the Nilgiris. Waking up to serenity. #travel

A cottage with stone walls and sloping tiled roofs at the foothills of the Nilgiri hills. A tree stands next to it and the skies above are a brilliant blue.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 26/12/2024

Sunshine on my shoulders makes me happy. #dogs

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 24/11/2024

In Spring 2025, I am teaching a course @johnshopkins.bsky.social Public Health Studies: AS.280.480.01.SP25 One Health, Antimicrobial Resistance and Disease X: Social, Clinical and Public Health Perspectives. #AMR #OneHealth #Zoonoses and #IDSky folks - drop in your best advice, memes and tips!

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/11/2024

We organized a week-long radio program with @MANT_NGO as a part of @stopamr.org’s outreach activities to increase awareness about antibiotic resistance and infectious diseases in rural India. #WAAW #IDSky #AMR

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 21/11/2024

Just came across this wonderfully quirky little book at the Amazing Book Store in Pittsburgh. The cost is malarkey but it’s a nice and sweet read.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 18/11/2024

Oh boy. Did we break @bsky.app? Lots of pages just simply dying on me. My profile page, for instance, is no longer available.

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Pranab Chatterjee MD, PhD @pranab.stopamr.org · 23/08/2023

India is on the moon! “The sky is no longer the limit”, says hon’ble Prime Minister Modi @modi.bsky.social. Amazing achievement! Congratulations ISRO!

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