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Gerald Evans

@skepticaliddoc.bsky.social
288 followers 90 following 266 posts

ID Doc at Kingston Health Sciences Centre and Professor of Medicine at Queen's University | Editor-in-Chief of @jammi-journal.bsky.social | Rhythm guitarist in Old Docs New Tricks | Happy to be a 🇨🇦 | Opinions are my own

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Gerald Evans @skepticaliddoc.bsky.social · 22h
This report of what was an unusual CNS fungal infection is of interest. Although the reason for the increase is still under investigation, one possibility is the ⬆️ use of immunosuppressive medications for immune-mediated diseases in GI, Rheumatology, and Dermatology.🤔 www.cdc.gov/mmwr/volumes...
cdc.gov
Cladophialophora bantiana Detections
This report describes 48 confirmed cases and one probable case of C. bantiana in clinical samples from 2009–2026.
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Gerald Evans @skepticaliddoc.bsky.social · 05/10/2026
I suspect this guy will likely be a future Darwin Award finalist.
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Gerald Evans @skepticaliddoc.bsky.social · 05/10/2026
So all this excessive worry about the adverse effects of changing clocks twice a year, can now be replaced with worrying about all the new adverse effects of permanent Daylight Saving Time. Sheesh! www.cmaj.ca/content/198/...
cmaj.ca
Analysis of health impacts associated with adopting permanent standard time or permanent daylight saving time to inform policy in Canada
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Gerald Evans @skepticaliddoc.bsky.social · 29/09/2026
Read this well-written discussion of the sauerkraut diet to learn why you shouldn't get dietary advice through social media from narcissistic celebrities reporting personal anecdotes. www.medscape.com/viewarticle/...
medscape.com
Fad or Fact: Can the Sauerkraut Diet Boost Weight Loss?
Sauerkraut generally is a healthy food but claims about its benefit as a weight-loss tool are unsubstantiated.
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
Thanks Ilan & @boghuma.bsky.social Signed, Gerald Evans, MD FRCPC FAMMI FIDSA Professor Emeritus, Division of Infectious Diseases Department of Medicine Queen's University
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
I remember learning in history class many years ago that one of the reasons for the collapse of ancient Rome was that Roman Senators sole purpose while in office was to enrich themselves. Are there any historians who wish to comment on that assertion?
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
Whenever we humans confine ourselves to wondering whether there is life elsewhere in the universe, we need to consider that even on our own planet living organisms have adapted to extreme conditions we previously thought incompatible with complex life. www.the-scientist.com/a-fire-amoeb...
the-scientist.com
A “Fire Amoeba” Takes First Place for Eukaryotic Heat Tolerance | The Scientist
An amoeba broke the record for the most heat-tolerant eukaryote. Incendiamoeba cascadensis lives at 60°C in hot springs, redefining the limits of complex life.
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
Such an important study given that our distant mammalian cousins, bats, are proving to be a source of known viral zoonoses and we need to understand more about their evolution.
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
www.nytimes.com/2026/09/23/b...
nytimes.com
Trump Officials May Undo Nursing Home Mandates for Reporting Covid
The agency led by Dr. Mehmet Oz is proposing an end to weekly tracking of respiratory infections at the facilities where thousands of elderly residents died in the pandemic.
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Gerald Evans @skepticaliddoc.bsky.social · 24/09/2026
Anyone else worried about the upcoming respiratory season in the U.S. given these two reports? www.wsj.com/health/healt...
wsj.com
What to Know About a Flu Season Without a Flu-Shot Push
The virus has risen as a cause of death in the U.S. and killed a higher number of children in recent years.
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Gerald Evans @skepticaliddoc.bsky.social · 26/08/2026
So why did they settle? 1. If the trial continued, it could have revealed significant evidence of wrongdoing. 2. The amount is trivial compared with their annual profits. 3. They will not have to face court-ordered changes to their algorithms. www.theguardian.com/technology/2...
theguardian.com
Meta agrees to major changes to Facebook and Instagram as it settles US trial over teen addiction for up to $17bn
US tech giant agrees to establish further protections for teens such as daily usage limits and blocks on nighttime use
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Gerald Evans @skepticaliddoc.bsky.social · 25/08/2026
deadder.substack.com/p/a-life-of-...
deadder.substack.com
A life of many colours
RIP Dolly Parton
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Gerald Evans @skepticaliddoc.bsky.social · 25/08/2026
My favourite Dolly song. www.youtube.com/watch?v=pW2T...
youtube.com
Dolly Parton - I Will Always Love You (Live)
YouTube video by ShoutFactoryVEVO
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Gerald Evans @skepticaliddoc.bsky.social · 25/08/2026
We are all 💔. She was simply a wonderful human being.
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Gerald Evans @skepticaliddoc.bsky.social · 25/08/2026
For those of you unfamiliar with the after effects and complications of measles, have a read of this piece that uses the callous betting on measles as a starting point. www.medpagetoday.com/opinion/seco...
medpagetoday.com
Opinion | What the Measles Betting Market Does Not Measure
The kids who will suffer sequelae or die are alive now
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Gerald Evans @skepticaliddoc.bsky.social · 24/08/2026
💔
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Gerald Evans @skepticaliddoc.bsky.social · 19/08/2026
Geography of #Ebola Bundibugyo outbreak in East Africa. Image on left is June 22, 2026, the one on the right is August 17, 2026. The outbreak is not yet under reasonable control.
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Gerald Evans @skepticaliddoc.bsky.social · 19/08/2026
Good piece discussing research ethics and informed consent when using samples obtained from human beings. www.the-scientist.com/the-hela-law...
the-scientist.com
A HeLa Lawsuit Is Over. The Ethics Debate Over Human Samples Isn't. | The Scientist
Earlier this year, the Lacks estate settled a lawsuit regarding a company’s profiting off of HeLa cells. The case serves as a reminder of the importance of proper ethics in human research.
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Gerald Evans @skepticaliddoc.bsky.social · 18/08/2026
This well-written treatise on the history of #LymeDisease is a good read. www.medpagetoday.com/opinion/para...
medpagetoday.com
Opinion | A Lyme Disease State of Mind
Will we finally leave the past behind and make progress on prevention?
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Gerald Evans @skepticaliddoc.bsky.social · 18/08/2026
Tariffs are paid by the people of the country imposing them, and not by countries on whom the tariffs are imposed. While it does reduce trade by limiting the purchase of products being tariffed, it is far more harmful to the imposing country. www.cbc.ca/news/politic...
cbc.ca
Canadian, U.S. negotiators expected to meet again ahead of midnight tariff deadline | CBC News
Canadian and American negotiators are expected to meet again on Tuesday to try and hammer out a deal to avoid new U.S. tariffs on some $30 billion in Canadian goods due to take effect just after midni...
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Gerald Evans @skepticaliddoc.bsky.social · 18/08/2026
This CBC News article has one of the most wonderful descriptors for #JannArden... "overall delightful human". Congratulations to the happy couple. www.cbc.ca/news/enterta...
cbc.ca
Canadian icon Jann Arden marries Icelandic author Thordis Elva: 'Wife and wife' | CBC News
Arden, 64, who is best known for ballads like Insensitive, Good Mother and Could I Be Your Girl, announced her engagement to Elva on Dec. 31, 2025. The couple initially met at a writer's retreat in Ic...
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Gerald Evans @skepticaliddoc.bsky.social · 12/08/2026
This quote from a piece by Hannah Arendt in @thenewyorker.bsky.social rings a bell. “…he was incapable of thinking—that is, of allowing into consciousness any reality or viewpoint inconsistent with his loyalty to his job and to his superiors. A “terrifyingly normal” product of personal ambition…”
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Gerald Evans @skepticaliddoc.bsky.social · 12/08/2026
Read the well-written opinion piece cited in this post; a brilliant example of logical thinking. Well done Alasdair.
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Reposted by Gerald Evans
Alasdair Munro @apsmunro.bsky.social · 06/08/2026
Given all the interest in air cleaning following the recent negative RCT… Here is an old post explaining why cleaning air is not comparable to cleaning water It’s a good thing to do, but we need to be realistic about what it can achieve
alasdairmunro.substack.com
Air is not “the new poop”, Covid is not cholera
Equating the transmission of waterborne and airborne pathogens is beguiling but wrong
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Gerald Evans @skepticaliddoc.bsky.social · 04/08/2026
Lots of great thought-filled essays in @theatlantic.com these days. Here's one that reminds me of when I won the Hyman Caplan Award in Psychiatry as a final year medical student back in the day. Psychology remains an important part of therapy in mental health. www.theatlantic.com/magazine/202...
theatlantic.com
What if Freud Was Right?
A neuroscientist dares to argue that old-fashioned psychoanalysis holds the key to curing mental illness.
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Gerald Evans @skepticaliddoc.bsky.social · 01/08/2026
This is one great essay . www.theatlantic.com/ideas/2026/0...
theatlantic.com
Anthony Fauci Is Not the Villain in This Story
The doctor was thrust into his pandemic-leadership role because of Trump’s deadly dereliction of duty.
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Democrat Cats @democratcats.bsky.social · 14/07/2026
Morning Puppies
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Gerald Evans @skepticaliddoc.bsky.social · 14/07/2026
The geographic spread of #Bundibugayo virus we're now seeing, is most concerning.
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Gerald Evans @skepticaliddoc.bsky.social · 14/07/2026
I'm seeing lots of media attention being paid to a recently reported case of anaplasmosis here in Ontario by Ottawa colleagues. Too bad the authors and the @cmaj.ca didn't notice or cite our report of the first Ontario case back when we published it in 2017, IN THE CMAJ www.cmaj.ca/content/190/...
cmaj.ca
Human granulocytic anaplasmosis acquired from a blacklegged tick in Ontario | CMAJ
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Gerald Evans @skepticaliddoc.bsky.social · 14/07/2026
Bravo! www.bbc.com/news/article...
bbc.com
Hungary parliament votes to remove president from office
Tamás Sulyok was widely seen as a loyalist of former prime minister Viktor Orbán, who lost power in April after 16 years.
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Gerald Evans @skepticaliddoc.bsky.social · 14/07/2026
If you have criminal intent, you embrace cryptocurrency. www.bbc.com/news/article...
bbc.com
Nigel Farage: The mysterious crypto firm Tether backed by Reform's biggest donor
Tether is a giant in crytocurrency, an industry that Nigel Farage believes the UK should be embracing.
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Gerald Evans @skepticaliddoc.bsky.social · 13/07/2026
If she were still with us, she would have had her 106th birthday today. Happy Birthday Mum. xo
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Gerald Evans @skepticaliddoc.bsky.social · 07/07/2026
How climate change is going to eradicate us before the heat itself does. www.medpagetoday.com/opinion/cala...
medpagetoday.com
Opinion | Humanity's Apex Predator Is on the Move. We're Not Ready.
Health systems must prepare for the return of the 'ancient' diseases mosquitoes carry
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Gerald Evans @skepticaliddoc.bsky.social · 05/07/2026
This quote from LOTR rings true today. "They were once men. Then... the Deceiver gave to them nine rings of power. Blinded by their greed, they took them without question, one by one falling into darkness. Now they are slaves to his will. They are the Nazgul, Ringwraiths, neither living nor dead."
static.klipy.com
Lotr Ringwraith
ALT: Lotr Ringwraith
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Gerald Evans @skepticaliddoc.bsky.social · 04/07/2026
Our sub-study from BALANCE looking at procalcitonin levels has just been published. Bottom line: Prolonging antibiotics beyond 7 days was not associated with improved mortality in bacteraemic patients with a residually high PCT level. jamanetwork.com/journals/jam...
jamanetwork.com
Procalcitonin to Guide 7 vs 14 Days of Antibiotics in Bloodstream Infections
This cohort study reports a secondary analysis of the BALANCE randomized clinical trial assessing whether procalcitonin levels are associated with survival among patients receiving 7 vs 14 days of ant...
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Gerald Evans @skepticaliddoc.bsky.social · 30/06/2026
Is "ethical AI" the newest oxymoron? www.theguardian.com/news/ng-inte...
theguardian.com
‘There’s this deep mystery of what, actually, is this thing?’: the philosopher inside Google DeepMind AI
The long read: Since 2017, Iason Gabriel has worked at the tech giant, trying to anticipate – and think through – the impact of AI. But as commercial and geopolitical pressures escalate, can ethicists...
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Gerald Evans @skepticaliddoc.bsky.social · 29/06/2026
What a great read. utppublishing.com/doi/10.3138/...
utppublishing.com
A Luddite bemoans the death of bedside education | Canadian Journal of General Internal Medicine
Abstract Proficiency in clinical skills is becoming a thing of the past. Educating physicians to do a competent physical exam can save time, get answers quickly and perhaps more safely, and may even improve the physician/patient relationship, as well as sometimes eliminating the need for expensive tests.
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Reposted by Gerald Evans
JAMA Network Open @jamanetworkopen.com · 20/06/2026
The 2025–2026 #Influenza season in the US was moderately severe, with antigenically drifted A(H3N2) viruses predominating, but recommended antiviral medications and vaccines remained effective for illness prevention. ja.ma/4fXhQ4l
Graph of positive influenza specimens and percentages by week (2025-2026). Stacked bars show Influenza A (light blue) peaking around week 52, 2025, then declining. Influenza B (light orange) rises later. Lines show percentage positive for Influenza A declining from week 52, while Influenza B rises significantly in 2026.
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Reposted by Gerald Evans
Ilan Schwartz @germhuntermd.bsky.social · 11/06/2026
Duration of antibiotic therapy for bacteremia in immune compromised hosts—a post hoc subgroup analysis of the BALANCE randomized clinical trial No dif in 90d mort b/w 7 & 14 d of Abx for IC hosts in posthoc analysis of BALANCE www.clinicalmicrobiologyandinfection.org/article/S119... #TxID #IDSky
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Gerald Evans @skepticaliddoc.bsky.social · 11/06/2026
Everyone, not just physicians & scientists, should be aghast at this incident. www.the-scientist.com/police-remov...
the-scientist.com
Police Removed Prominent Scientists from the ADA Meeting. Researchers Respond | The Scientist
The organizers of the American Diabetes Association meeting had a group of researchers removed from the event for sharing an editorial about negative impacts of policy changes to research funding.
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Gerald Evans @skepticaliddoc.bsky.social · 09/06/2026
Duh! Cryptocurrency is basically a form of criminal enterprise. www.cnn.com/2026/06/09/b...
cnn.com
More than $1 trillion in value gone in 8 months. What’s going on with bitcoin? | CNN Business
Since hitting a record high of $126,000 last fall, bitcoin has dropped to just above $60,000 amid waves of selling. That has erased more than $1.2 trillion in market cap in eight months and wiped out ...
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Reposted by Gerald Evans
WHO @who.int · 07/06/2026
Clean hands save lives. 🤝 Infection prevention and control action, including #HandHygiene, can reduce the risk of health care-associated infections by up to 70%. Let’s stop the spread of germs and reduce avoidable infections!
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Gerald Evans @skepticaliddoc.bsky.social · 04/06/2026
I try not to comment on non-ID stuff but seriously, Bari Weiss at CBS News, is a like watching a train wreck in slow-motion . www.washingtonpost.com/business/202...
washingtonpost.com
Three ‘60 Minutes’ correspondents were fired, and the result has been chaos
Senior leaders are gone. Half of its correspondents have vanished. Can the newsmagazine survive under Bari Weiss?
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Reposted by Gerald Evans
Krutika Kuppalli, MD FIDSA @krutikakuppalli.bsky.social · 30/05/2026
Important #Ebola terminology: “Bundibugyo” is not a strain of Ebola virus—it is a distinct Ebolavirus species, separate from Zaire & Sudan. A species is a major genetic grouping with differences in virology, epi & medical countermeasure effectiveness; a strain is a genetic variant in a species.
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Gerald Evans @skepticaliddoc.bsky.social · 30/05/2026
On August 18, 2022 when we lost Lerbie, and again on October 21, 2024 when we lost Percy, I felt broken too. It never feels like that will pass, but it does as it eventually fades to be replaced with warm memories of your life together. Tha mi duilich
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Reposted by Gerald Evans
Krutika Kuppalli, MD FIDSA @krutikakuppalli.bsky.social · 26/05/2026
A vaccine for the current #Ebola outbreak would be valuable, but we have controlled Ebola before without vaccines. What’s urgently needed now is: contact tracing, surveillance, IPC, diagnostics, clinical care,& community engagement. Outbreaks are stopped by strong public health responses.
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Krutika Kuppalli, MD FIDSA @krutikakuppalli.bsky.social · 19/05/2026
🆕 Timely analysis from Imperial College on the #DRC #Ebola outbreak Using two models, they estimate that as of May 17, approximately 400–800 cases and >1,000 cases possible Challenges - conflict - displacement/cross-border movement - limited epidemiologic data www.imperial.ac.uk/mrc-global-i...
imperial.ac.uk
Report - Estimation of the size of the outbreak of Ebola disease caused by Bundibugyo virus in the Democratic Republic of the Congo
Report - Estimation of the size of the outbreak of Ebola disease caused by Bundibugyo virus in the Democratic Republic of the Congo
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Gerald Evans @skepticaliddoc.bsky.social · 18/05/2026
This is the first potential treatment I ever heard of for spongiform encephalopathies caused by prions (e.g., Creutzfeld-Jacob disease, Mad Cow disease) www.the-scientist.com/base-editing...
the-scientist.com
Base Editing Silences Prion Protein and Extends Survival in Mice | The Scientist
Researchers from the Broad Institute used a precision genome-editing tool to switch off the production of the misfolded protein that causes prion disease.
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Gerald Evans @skepticaliddoc.bsky.social · 17/05/2026
If you have the time and want to hear the lowdown on issues like the now declared PHEIC of Ebola Bundibugyo virus in the DRC, watch this video. @krutikakuppalli.bsky.social @celinegounder.com have frontline experience and @angierasmussen.bsky.social the knowledge. www.youtube.com/watch?v=bKag...
youtube.com
We Responded to Ebola. Here's Why This Outbreak Terrifies Us. | Read & subscribe: celinegounder.com
YouTube video by Ask Dr. Gounder
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Gerald Evans @skepticaliddoc.bsky.social · 16/05/2026
Having just been interviewed about Lyme disease for the @whigstandard.bsky.social in which the discussion included Post-Treatment Lyme Disease Syndrome (PTLDS) and its cause, this article from @theatlantic.com explores the concept of illness vs. disease. www.theatlantic.com/health/2026/...
theatlantic.com
A Profound Mismatch in Modern Medicine
The “magic bullet” model that doctors are most comfortable with is ill-suited to some of the most disabling conditions they treat today.
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