Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 28/09/2026🥞 HOTCAKES ARE SERVED! 🥞 New episode, fresh off the griddle: #540 Hotcakes 🔥 We’re serving up a stack of recent practice-changing articles, including: 💊 Varenicline by mail for smoking cessation 🫀 Anticoagulation for intermediate-risk AF…and more! 👉 Listen to #540 at thecurbsiders.com 021
Rahul Ganatra @rbganatra.bsky.social · 23/09/2025It feels like critical appraisal is about to have a bit of a moment... let's do it right, people! 020
Reposted by Rahul GanatraProPublica @propublica.org · 17/09/2025One insurance denial for Teressa's husband stated, “your newborn does not meet the criteria for coverage.” “This is when I really start to think they’re just denying,” she recalled. “They’re not even looking. They’re just ‘deny, deny, deny.’” ➡️ Full story: www.propublica.org/article/ment... 581991728
Reposted by Rahul GanatraProPublica @propublica.org · 15/09/2025After a North Carolina man attempted suicide twice, his wife tried to get him help at an inpatient clinic. But their insurance provider refused to cover the treatment, deeming it “not medically necessary.”propublica.org“Just Let Me Die”: After Insurance Repeatedly Denied a Couple’s Claims, One Psychiatrist Was Their Last HopeAfter a North Carolina man attempted suicide twice, his wife tried to get him help at an inpatient clinic. But their insurance provider refused to cover the treatment, deeming it “not medically necess... 11501156
Rahul Ganatra @rbganatra.bsky.social · 29/08/2025Question for folks in medicine and science: What are some of the best invited editorials you have ever read? What made them so good? 000
Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 26/08/2025🥞 #496 Hotcakes are here! 🩺 www.thecurbsiders.com We’re diving into: 🌿 CBD-induced liver injury 💉 IV iron for HFrEF 🛏️ Bedtime BP meds ✋ Carpal Tunnel & RA ❤️ FDA approval of finerenone for HFpEF ✨ featuring @paulnwilliams.bsky.social @rbganatra.bsky.social, Dr. Nora Taranto, Dr. Matthew Watto 072
Reposted by Rahul GanatraRebecca Sear @rebeccasear.bsky.social · 25/08/2025“The study authors asked GPT 4o-mini to evaluate the quality of 217 papers. The tool didn’t mention in any of the reports that the papers being analyzed had been retracted or had validity issues. In 190 cases, GPT described the papers as world leading, internationally excellent, or close to that”cen.acs.orgChatGPT tends to ignore retractions on scientific papersStudy finds the chatbot doesn’t acknowledge concerns with problematic studies 13373192
Reposted by Rahul GanatraRachel Maddow @maddow.bsky.social · 10/08/2025"Health Secretary Robert F. Kennedy Jr, who oversees the CDC, did not make a statement the day of the shooting. Late the following morning, more than 30 minutes after posting photos of fishing with his family, Kennedy posted condolences on his official X account..." www.nytimes.com/2025/08/09/u...nytimes.comAfter Years of Anger Directed at C.D.C., Shooting Manifests Worst Fears 32352101781
Rahul Ganatra @rbganatra.bsky.social · 04/08/2025Fewer than 10% of published observational studies in this sample used DAGs to justify confounder selection. This is a huge missed opportunity for both readers and researchers. DAGs are invaluable in research design and critical appraisal. 141
Reposted by Rahul GanatraSam England @samjakeengland.bsky.social · 24/07/2025Why do treehoppers look so weird?! Our latest paper, out this week in @pnas.org, suggests a perhaps unexpected reason - static electricity ⚡ We show that treehoppers can detect the electrostatic cues of predators and that their crazy shapes may boost their electrosensitivity! doi.org/10.1073/pnas...doi.orgElectroreception in treehoppers: How extreme morphologies can increase electrical sensitivity | PNASThe link between form and function of an organism’s morphology is usually apparent or intuitive. However, some clades of organisms show remarkable ... 13421166
Rahul Ganatra @rbganatra.bsky.social · 20/07/2025Updated CAP and UTI guidelines??? Yes please!media.tenor.comBill Hader Eating Popcorn GIFAlt: Bill Hader Eating Popcorn GIF 010
Reposted by Rahul GanatraAntibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · 20/07/2025🔥🔥Just published 🔥🔥 ATS CAP guidelines 2025 Diagnosis and Management of Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline Free access pdf #IDsky#EMIMCC www.atsjournals.org/doi/10.1164/...atsjournals.orgDiagnosis and Management of Community-acquired Pneumonia. An Official American Thoracic Society Clinical Practice Guideline | American Journal of Respiratory and Critical Care Medicine | Articles in P... 34221
Reposted by Rahul GanatraBrandon Moore, PhD @rando.insalubrio.us · 18/07/2025Bottlenose dolphins in Shark Bay, Australia, use sponges on their beaks while hunting fish to protect them from sharp rocks while they forage at the expense of echolocation. Only about 5% of the population has mastered this culturally transmitted skill! 🧪 royalsocietypublishing.org/doi/10.1098/... 0369
Rahul Ganatra @rbganatra.bsky.social · 10/07/2025Did you know that a subset of patients with atrial fibrillation have symptoms triggered by cold drinks?! Neither did I! onlinelibrary.wiley.com/doi/10.1111/...onlinelibrary.wiley.comCharacterizing Patients With Cold Drink‐Triggered Atrial FibrillationIntroduction Atrial fibrillation (AF) is a common arrhythmia with significant health implications. Identifying modifiable lifestyle triggers is important in mitigating recurrence and improving patie..... 130
Reposted by Rahul GanatraElliot Tapper @ebtapper.bsky.social · 09/07/2025Wake up new cause of liver enzyme elevation just dropped 1114
Reposted by Rahul Ganatrac0nc0rdance @c0nc0rdance.bsky.social · 26/03/2025You're looking at three golden tortoise beetles (Charidotella sexpunctata). They're native to the Americas, generally the east coast of North America all the way down to Argentina. The gold coloration is structural, semi-reflective layers in the cuticle selectively reflect wavelengths of light. 19781176
Reposted by Rahul GanatraDarren Dahly @statsepi.bsky.social · 04/07/2025I'm not saying you can't generate a hypothesis from data. I'm just saying that generating a hypothesis from the entirety of human knowledge that preceded your data is a much safer bet. 54411
Reposted by Rahul GanatraSeth Trueger @mdaware.org · 18/06/2025en.wikipedia.orgGell-Mann amnesia effect - Wikipedia 310820
Reposted by Rahul Ganatrac0nc0rdance @c0nc0rdance.bsky.social · 17/06/2025This little fart-squirrel (Mephitis mephitis) is stamping, a warning behavior before the *big show*. She's hoping to scare you off with her ferocity so she doesn't have to use her scent glands. These types of bluffing moves are "deimatic" behaviors, from Greek 'deimatóo' = "to frighten". 18662149
Reposted by Rahul Ganatrajosh farkas 💊 @pulmcrit.bsky.social · 16/06/2025new IBCC chapter: constipation! most ICU patients are constipated, so we manage this on a daily basis. but our approach is often super random ("I was taught this in residency") so I tried to create an evidence-based treatment strategy for constipation...🧵 #1/7 #EMIMCC emcrit.org/ibcc/constip...media.tenor.coma cartoon character from south park is sitting on the floor and making a surprised face .ALT: a cartoon character from south park is sitting on the floor and making a surprised face . 34510
Reposted by Rahul Ganatrajosh farkas 💊 @pulmcrit.bsky.social · 29/05/2025what we truly care about is tonicity (forces that pull H2O across membranes) not osmolality sodium is actually a pretty good proxy of tonicity (ie “effective” osm), maybe better than measured osm also if we start juggling sodium levels and osmolarity at the same time it gets too damn complicatedmedia.tenor.coma man with a beard is surrounded by mathematical equations on his face .ALT: a man with a beard is surrounded by mathematical equations on his face . 192
Rahul Ganatra @rbganatra.bsky.social · 29/05/2025Really enjoyed this one despite @paulnwilliams.bsky.social abstaining from some top-shelf trial name-related humor with "the eagle has landed" - take a listen and see what i mean! 020
Reposted by Rahul GanatraJoel Topf @kidneyboy.bsky.social · 27/05/2025I had google AI create this podcast for tonight's NephJC podcast. Take a listen. Tell me what you think Would you like NephJC to produce this as a regular part of the educational package? This would not replace the irreplaceable Freely Filtered. notebooklm.google.com/notebook/8e8...notebooklm.google.comSign in - Google Accounts 943
Rahul Ganatra @rbganatra.bsky.social · 24/05/2025Question for my #Geriatrics #GeriSky brain trust: What are the best apps for scheduling home health aides or other elder care professionals? Something with: - A shared calendar for scheduling shifts - Hours logging - Any other features you have found useful Thx! 000
Reposted by Rahul GanatraThe BMJ @bmj.com · 20/05/2025NEW @bmj.com research determines the incidence and prevalence of dementia in a nationally representative cohort of US Medicare beneficiaries www.bmj.com/content/389/... 022
Reposted by Rahul GanatraProfessor Amanda Sturgill @drsturg.bsky.social · 18/05/2025Sunday sillies: "I'll allow it" edition. #math 319226
Reposted by Rahul GanatraJulia M. Rohrer @dingdingpeng.the100.ci · 11/05/2025Thanks to everybody who chimed in! I arrived at the conclusion that (1) there's a lot of interesting stuff about interactions and (2) the figure I was looking for does not exist. So, I made it myself! Here's a simple illustration of how to control for confounding in interactions:> 651124273
Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 06/05/2025🎙️Brand New!!! #482 #shmconverge25 recap is here!!!!! Highlights and Pearls from SHM’s Annual Meeting 🥼🩺🩻🎰 We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more. 043
Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 08/05/2025🔥🔥🔥 Dr. Rahul Ganatra dishing all the pearls from #SHMConverge25 We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more. 💊 @rbganatra.bsky.social www.thecurbsiders.com 🎙️ 011
Rahul Ganatra @rbganatra.bsky.social · 27/04/2025As disturbing as this is, this paper showcases a nice suite of fraud detection techniques: 000
Reposted by Rahul GanatraJAMA @jama.com · 17/04/2025Past-month binge drinking among young adult females in 2021-2023 was higher than among males, reversing 2017-2019 patterns, whereas males in other age groups continued to binge and heavy drink at higher rates. ja.ma/42pf2V6 #MedSkyja.maSex-Based Differences in Binge and Heavy DrinkingThis cross-sectional study compares differences in binge and heavy drinking among male and female adults in recent years. 176
Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 03/04/2025Throwback to 2016! 🔙 Dr. Rahul Ganatra @rbganatra.bsky.social and this week’s guest Dr. Molly Brett! This hotcakes episode can’t be missed! 🥞 #medsky thecurbsiders.com/curbsiders-p... 272
Reposted by Rahul Ganatrathecurbsiders.bsky.social @thecurbsiders.bsky.social · 30/03/2025What if???? 🤔 🙊 We’ll be back soon with a brand new hotcakes episode where we talk Suzetrigine for acute pain, SGLT2i and PAD, Safety of Lowering LDL, Restrictive vs Liberal Transfusion Strategy in MI revisited and more! 💊💉🎙️ ##medical #internalmed #medsky 021
Reposted by Rahul Ganatrac0nc0rdance @c0nc0rdance.bsky.social · 12/03/2025The first person to document that light had a speed is, arguably, Danish astronomer Ole Rømer, in 1676. Our story starts with the challenge of calculating longitude. In 1598 Philip III of Spain offered a large prize for any method to accurately determine east/west coordinates for a ship at sea. 311723
Reposted by Rahul GanatraElliot Tapper @ebtapper.bsky.social · 06/03/2025The Red Cross is explicitly allowing blood donations for people with hemochromatosis Did you know this? Apparently, this policy was updated late 2023 and was long overdue @shematologist.medsky.social #liversky 5326
Reposted by Rahul GanatraSwapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/03/2025This table from @drjmluther.bsky.social needs to be disseminated more widely (We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...) #NephMadness 21311
Reposted by Rahul GanatraKen Koon Wong @kenkoonwong.bsky.social · 03/03/20255.6% of CDI patients had ↓fidaxomicin susceptibility; 3 developed resistance during treatment & failed therapy; resistant strains showed RNA mutations; evidence of transmission. @abhishekdp.bsky.socialacademic.oup.comEmergence and Spread of Clostridioides difficile Isolates With Reduced Fidaxomicin Susceptibility in an Acute Care HospitalIn an acute care hospital, 6 of 108 (5.6%) fidaxomicin-treated patients with Clostridioides difficile infection were infected with isolates with reduced fi 241
Rahul Ganatra @rbganatra.bsky.social · 27/02/2025This is an emergency. Decisions at the individual level and the population level both play a role. In the current moment, how should physicians and scientists best advocate for decisions that will benefit both individuals and populations? 010
Rahul Ganatra @rbganatra.bsky.social · 27/02/2025Superbly ambiguous sign at a restaurant in O'Hare: Alcoholic beverages MUST be consumed in the airport (do it, or else!!). Or Alcoholic beverages must be consumed IN the airport (not outside, dummy!!). Who's to say which is the correct interpretation? 🤷 010
Reposted by Rahul GanatraCarolina Forward @carolinaforward.bsky.social · 09/02/2025Here's what the entire federal workforce actually looks like. It's mostly doctors, nurses and healthcare workers in VA hospitals, the military, and then everything else. 15705368
Reposted by Rahul GanatraTimothy Li @drtimothyli.bsky.social · 06/02/2025Things We Do for No Reason: Routine use of antibiotics for acute uncomplicated diverticulitis (UD) ⭐️Non‐inferiority of non-antibiotic management of UD supported by 2 landmark RCTs ⭐️Selective (vs routine) use of antibiotics for UD recommended by societies incl AGA and ACP doi.org/10.1002/jhm.... 0104
Reposted by Rahul GanatraMed Peds Hospitalist @medpedshosp.medsky.social · 06/02/2025Changes in Incident Schizophrenia Diagnoses Associated With Cannabis Use Disorder After Cannabis Legalization jamanetwork.com/journals/jam...jamanetwork.comIncident Schizophrenia and Cannabis Use Disorder After Cannabis LegalizationThis cohort study of more than 13 million individuals aged 14 to 65 years examines changes in the population-attributable risk fraction for cannabis use disorder associated with schizophrenia after li... 041
Reposted by Rahul GanatraTimothy Li @drtimothyli.bsky.social · 03/02/2025Rethinking Antibiotic Prophylaxis for Spontaneous Bacterial Peritonitis in Patients with Cirrhosis ➡️Standard of care since the 1990s and is currently recommended by several major GI societies ➡️Weak supporting evidence ➡️No clear mortality benefit doi.org/10.1093/cid/... #IDSky 73710
Reposted by Rahul GanatraJonathan Ryder, MD @jonathanrydermd.bsky.social · 31/01/2025New retrospective eval of 1000 Karius tests Clinical impact: positive 16%, negative 2%, none 82%(!) Cx neg IE and fastidious/zoonotic/vector-borne increased likelihood of positive impact, but not immunocompromised status #IDSky @ichejournal.bsky.social pubmed.ncbi.nlm.nih.gov/39881594/ 94611
Reposted by Rahul GanatraJoseph Marcus @josephmarcusid.medsky.social · 31/01/2025Post-hoc analysis of 📷 📷 study in MSSA/MRSA bacteremia: Persistent fever = indicator for complicated infection Fever on Day 4️⃣: aOR (3.7 (95% CI: 1.58-8.67)) mortality Fever on Day 7️⃣: aOR: (8.78 (95% CI: 2.78-27.7) 🚫 assn between ⬆️CRP/WBC and mortality #IDSky academic.oup.com/ofid/advance...academic.oup.comAssociation of daily body temperature, white blood cell count, and C-reactive protein with mortality and persistent bacteremia in patients with Staphylococcus aureus bacteremia: a post-hoc analysis of...AbstractIntroduction. Classification of patients with Staphylococcus aureus bacteremia (SAB) as complicated versus uncomplicated is based on a combination 23714