iiinova — where your digital self keeps evolving

Samir S. Shah @samirshahmd.bsky.social · 20/07/2026

Terrific update on the #Cyclospora outbreak investigation

Reposted by Samir S. Shah

Journal of Hospital Medicine @jhospmedicine.bsky.social · 02/05/2026

As we grow as leaders we may encourage #PsychologicalSafety. But power dynamics are still a thing - how do we lead with humility and encourage unfiltered feedback and information? Check out the latest from our EIC! 🔗 bit.ly/4t3ofhb ✍️ @samirshahmd.bsky.social 🖼️ Iuliia Kovalenko, MD

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Reposted by Samir S. Shah

Journal of Hospital Medicine @jhospmedicine.bsky.social · 06/04/2026

Who decides if you're ready? How do you let people know? Time to knock on the door of what's next, or to be more assertive? Welcome to April! Check out this #FromTheEIC and reflect on whether you're "ready enough!" 🔗 bit.ly/4dwsQoi ✍️ @samirshahmd.bsky.social 🖼️ Tina Sanjar, MD MBA

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Reposted by Samir S. Shah

Cincinnati Children’s Research @cincyresearch.bsky.social · 27/03/2026

Updated pediatric pneumonia guidelines—first in 15 years—highlight a shift toward less aggressive care for many children, driven by clinical research. Cincinnati Children’s Dr. Samir S. Shah helped shape the recommendations. Read his insights: @pidsociety.bsky.social @samirshahmd.bsky.social

healio.com

Pediatric pneumonia guidelines get first update in 15 years

For most children with complicated pneumonia, a less aggressive treatment approach is favored for those with small or moderate pleural effusions, according to updated guidance. The Infectious Diseases...

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Reposted by Samir S. Shah

Journal of Hospital Medicine @jhospmedicine.bsky.social · 02/03/2026

Welcome to March! "People aren't finished products." 🥇What drives a physician to success? 👥 How can systemic reflection create stronger teams? Check out the latest #FromTheEIC and read about the 7 P's of Potential! 📝: @samirshahmd.bsky.social 🖼️: Tina Sanjar, MD MBA 🔗: bit.ly/4u4jxBF

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Reposted by Samir S. Shah

Journal of Hospital Medicine @jhospmedicine.bsky.social · 12/12/2025

Sponsorship ≠ Mentorship 🌟 Mentors share expertise. Sponsors leverage their influence & authority to create opportunities & advocate when you're not in the room. @samirshahmd.bsky.social doi.org/10.1002/jhm.13517 #AcademicMedicine #Leadership #Sponsorship #MoreThanAJournal

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Samir S. Shah @samirshahmd.bsky.social · 11/12/2025

Thrilled to see Comprehensive Pediatric Hospital Medicine, 3rd edition, out now. Many thanks to the nearly 400 contributors #PHM #HospitalMedicine

Photo of the textbook conference of pediatric Hospital Medicine edited by Vincent Chiang and Samir, S. Shah and Associate Editors, Amanda, Gowden, Sanjay Mahant, Erin Shaughnessy, and Joanna Thomson. The box it’s on a marble countertop.

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Samir S. Shah @samirshahmd.bsky.social · 30/11/2025

I am so excited about this book!

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Reposted by Samir S. Shah

RobynCohenMD @robyncohenmd.bsky.social · 27/11/2025

Umm, #KidVengers 🦄, of course. ❤️ #HCWvsHunger2025

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Reposted by Samir S. Shah

Rana Awdish MD @ranaawdish.bsky.social · 04/11/2025

Today, Walt is the first to hold a physical copy of a book dedicated to him 🥺❤️‍🩹 #MedSky

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Samir S. Shah @samirshahmd.bsky.social · 02/11/2025

🧂Great study that challenges what had been conventional practice for decades. Prescribed in‐hospital sodium intake for decompensated heart failure: A systematic review and meta‐analysis @jhospmedicine.bsky.social shmpublications.onlinelibrary.wiley.com/doi/full/10....

shmpublications.onlinelibrary.wiley.com

Prescribed in‐hospital sodium intake for decompensated heart failure: A systematic review and meta‐analysis

Click on the article title to read more.

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Samir S. Shah @samirshahmd.bsky.social · 08/10/2025

Vancomycin / Nafcillin / Ceftaroline

Andy Reid in a suit, Travis Kelcie in casual dress, Patrick Mahomes in a pink vest and tie.

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Samir S. Shah @samirshahmd.bsky.social · 01/10/2025

🌳 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/...

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Reposted by Samir S. Shah

Sanford Guide @sanfordguide.bsky.social · 28/09/2025

👋 from AAP in Denver! We're sharing our new app with pediatric clinicians! #SanfordGuidePediatric

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Samir S. Shah @samirshahmd.bsky.social · 20/09/2025

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.

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Reposted by Samir S. Shah

PIDS @pidsociety.bsky.social · 19/09/2025

"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.org

PIDS Statement on the September ACIP Meeting Recommendations – Pediatric Infectious Diseases Society

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Reposted by Samir S. Shah

🗽LOLGOP🗽 @lolgop.bsky.social · 19/09/2025

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.

youtube.com

The Minnesota Miracle Playbook - Short Version (5 minutes)

YouTube video by Movement Voter Project

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Reposted by Samir S. Shah

Drmaypole @drmaypole.bsky.social · 19/09/2025

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

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Reposted by Samir S. Shah

Your Local Epidemiologist @ylepidemiologist.bsky.social · 17/09/2025

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👇

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Reposted by Samir S. Shah

Robert Reich @rbreich.bsky.social · 14/09/2025

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.

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Reposted by Samir S. Shah

Journal of Hospital Medicine @jhospmedicine.bsky.social · 02/09/2025

🤖 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 🔗 doi.org/10.1002/jhm.13506

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Reposted by Samir S. Shah

Ian M. Mackay, PhD (he/him) 🦠🤧🧬📑🦟🧀 @mackayim.bsky.social · 11/08/2025

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

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Samir S. Shah @samirshahmd.bsky.social · 17/08/2025

👶🏽🩺 #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.

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Samir S. Shah @samirshahmd.bsky.social · 15/08/2025

🏁 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/...

shmpublications.onlinelibrary.wiley.com

Ready enough

Click on the article title to read more.

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Reposted by Samir S. Shah

Josh Gondelman @joshgondelman.bsky.social · 14/08/2025

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."

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Reposted by Samir S. Shah

Craig Press @drcraigpress.bsky.social · 03/08/2025

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.

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Samir S. Shah @samirshahmd.bsky.social · 03/08/2025

👶🩺 #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.

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Samir S. Shah @samirshahmd.bsky.social · 03/08/2025

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

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Samir S. Shah @samirshahmd.bsky.social · 03/08/2025

👶🩺 #SanfordGuidePediatric Update 🆕 July 2, 2025, Phase 2 RCT @jamanetworkopen.com examining 💊vancomycin secondary prophylaxis in adults receiving ongoing systemic antibiotics ➕ We highlight absence of pediatric data & share adult studies jamanetwork.com/journals/jam... @sanfordguide.bsky.social

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Reposted by Samir S. Shah

Christopher Pepper (He/Him) @mrpepper.bsky.social · 16/05/2025

I never would have guessed that one of my favorite comedians would start making mental health videos for teenagers. Yet that is exactly what happened when the Child Mind Institute paired up with @harikondabolu.bsky.social to make an amazing series. www.teenhealthtoday.com/p/how-a-come...

teenhealthtoday.com

Meet The Comedian Who Is Helping Teens Deal With Their Emotions

Have you seen the amazing teen mental health videos Hari Kondabolu made with the Child Mind Institute?

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Samir S. Shah @samirshahmd.bsky.social · 22/07/2025

👶🏽🩺 #SanfordGuidePediatric 🆕 We’ve added Developmental & Behavioral Medicine content 😴 #Autism what I love about this is the very practical guidance for both the inpatient and outpatient setting. A few snippets from the app @sanfordguide.bsky.social #MedSky #PedSky

Screenshot from the Sanford Guide to pediatric acute care showing the autism, overview topic. This particular screenshot shows a portion of the DSM-5 definition.

Screenshot from the Sanford Guide to pediatric acute care showing the autism, overview topic. This particular screenshot shows a portion of management guidance for the outpatient setting.

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Samir S. Shah @samirshahmd.bsky.social · 21/07/2025

#Pertussis outbreak in #Mississippi ➡️ msdh.ms.gov/page/23,3021... Check out the link in quoted post for info on #pertussis prevention, diagnosis, & treatment from @jhospmedicine.bsky.social ⤵️

msdh.ms.gov

MSDH Issues Pertussis Alert - Mississippi State Department of Health

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Samir S. Shah @samirshahmd.bsky.social · 20/07/2025

👶🏽🩺 #SanfordGuidePediatric 🆕 We’ve added Developmental & Behavioral Medicine content 😴 #Sleep disorders

Screenshot showing contact from the Sanford Guide to Pediatric Acute Care app on the topic of pediatric sleep disorders. This screenshot shows normal sleep parameters and children.

Screenshot showing contact from the Sanford Guide to Pediatric Acute Care app on the topic of pediatric sleep disorders. This screenshot highlights pharmacological interventions and indications acknowledging that the medications are not FDA approved.

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Samir S. Shah @samirshahmd.bsky.social · 19/07/2025

👶🩺 #SanfordGuidePediatric Update ➕ @nejm.org placebo-controlled RCT (July 16, 2025) 💊 Providing 6-doses ondansetron after ED visit w/ #gastroenteritis led to lower risk of moderate-to-severe gastroenteritis during next 7 days pubmed.ncbi.nlm.nih.gov/40673584/ #MedSky @sanfordguide.bsky.social

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Reposted by Samir S. Shah

Madhu Pai, MD, PhD @madhupai.bsky.social · 16/07/2025

So pleased to see that @plosglobalpublichealth.org journal has its first ever Impact Factor! 👏 👏 Kudos to the entire team lead by @juliarobinson.bsky.social, @ckyobutungi.bsky.social & a highly diverse team of Section and Academic Editors from around the world!

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Samir S. Shah @samirshahmd.bsky.social · 15/07/2025

💉Great explainer on #vaccine science & the likely tragic downstream consequences of the misguided ACIP decision regarding thimerosal-containing vaccines by @pauloffit.bsky.social 🧪 #MedSky open.substack.com/pub/pauloffi...

open.substack.com

Mercury Rising

A CDC Advisory Committee just made the same mistake it did 25 years ago. And it’s only the beginning.

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Reposted by Samir S. Shah

AcademyHealth @academyhealth.bsky.social · 14/07/2025

Doctors, nurses, researchers, and public health advocates agree that the removal of critical datasets causes ongoing harm. AcademyHealth joined a federal lawsuit to restore access to public data. @aaronecarroll.bsky.social highlights what’s at stake on our blog:

buff.ly

AcademyHealth CEO on the Fight to Restore Critical Public Health Data | AcademyHealth

Become a Member

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Reposted by Samir S. Shah

Debbie Ridpath Ohi @debbieohi.com · 12/07/2025

Did you know you can access/use my animated gifs in your Bluesky posts? Click on the GIF icon when composing, search for "@debbieohi" and browse my gifs. Adding a keyword to the search will finetune e.g. "@debbieohi fan". #BlueSkyTips #Gifs

media.tenor.com

a drawing of a girl with her eyes closed and the website debbiechi.com

Alt: Black & white illustration of a sweating person standing in front of fan, switching it on, then being blissfully blown away.

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