John Ross
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johnrossmd.bsky.social
John Ross
@johnrossmd.bsky.social
Canadian in Boston. Hospitalist. FIDSA. #M4A #RaisetheWage #BLM #IDSky #GoHabsGo http://bit.ly/4mtlvaN
Reposted by John Ross
Do you have money you need to spend for CME?

Think about grabbing a copy of Empiric. Active editions:
-inpatient peds
-outpatient peds
-veterinary
December 27, 2024 at 3:43 PM
Reposted by John Ross
In France, a 10-year policy cut antibiotic use in animals by 88% (fluoroquinolones) and 94% (3GC-4GC). Resistance in E. coli dropped significantly within 1-2 years post-policy. 📉🐾##idsky
Evaluating the impact of a 10 year reduction in critically important antibiotic use on the occurrence of antibiotic resistance in E. coli from cattle, dogs and cats in France
AbstractObjectivesIn France, a 10 year national policy to reduce antibiotic use (ABU) in animals led, respectively, to an 88% and 94% decrease in animal exposure to fluoroquinolones and third- and fourth-generation cephalosporins (3GC-4GC) between 2011 and 2021.MethodsBuilding on national surveillance data, this study evaluated the impact of this national policy on reducing the occurrence of resistance to fluoroquinolones and 3GC-4GC in clinical Escherichia coli from young cattle and dogs and cats in France. The effect of homologous and heterologous use of antibiotics was explored using multivariate regression modelling. In addition, the time lag between implementation of national policies and subsequent reduction in antibiotic resistance (ABR) was estimated using segmented regression analysis.ResultsStatistical analysis of available ABU and ABR surveillance data demonstrated a significant and sustainable impact on the occurrence of resistance to fluoroquinolones in clinical E. coli (in cattle and in dogs and cats), and to a lesser extent to 3GC-4GC (in cattle). The effects were fast and observed within 1 (in cattle) or 2 years (in dogs and cats) after the implementation of the 2014 national policy targeting specifically the animals’ exposure to 3GC-4GC and fluoroquinolones.ConclusionsThe French 10 year national policy had a successful impact on the occurrence of resistance to fluoroquinolones and 3GC-4GC in clinical E. coli. A potential shift in ABU from the use of fluoroquinolones and 3GC-4GC to other antibiotic classes, such as trimethoprim/sulfonamides (since 2012), and penicillins and tetracyclines (since 2016), was also observed.
academic.oup.com
November 23, 2025 at 11:30 AM
It's harder to discharge hospital patients now because rehab quality is declining, and families are reluctant to send patients to nursing facilities who are too weak to go home safely. "Golden Acres used to be great, but they cut staffing, and Mom almost died the last time she went there." 1/2
November 23, 2025 at 3:37 PM
Going no contact with my government for the holidays
November 21, 2025 at 9:25 PM
Reposted by John Ross
We are thrilled to now be on BlueSky!

We prioritize studies addressing critical health challenges—from major diseases to health equity—that bridge scientific rigor with real-world impact, connecting researchers, clinicians, and policymakers to advance global health 🧬🧪

#OpenScience #MedSky
November 20, 2025 at 2:31 PM
The North America measles outbreak started at a Mennonite wedding in Florenceville, New Brunswick, Canada (close to my rural conservative hometown). Patient Zero was an unvaxxed English teacher working in Thailand. Measles is incredibly contagious—every unvaxxed person at the wedding was infected!
Opinion: How a single measles case became 5,000 – and the lessons not learned
It’s important not to lay blame, but to understand the virus’s epidemiology
www.theglobeandmail.com
November 20, 2025 at 12:39 PM
Reposted by John Ross
Just in time for Mattel to roll out Iron Lung Barbie for Christmas
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
November 20, 2025 at 4:36 AM
Reposted by John Ross
Not too long before the dotcom crash, Wired magazine published a list of the top 10 online ad buyers and sellers. I think seven firms were on both lists. I knew then that things were going to go badly wrong. Money is going round and round, but nobody's actually making a profit.
It all makes sense when you look at this simple graphical representation of who is providing services to whom, which companies are investing in other AI companies who are in turn leasing hardware from another company and ... oh, I think I pulled something ...
November 7, 2025 at 11:54 PM
My nomination for the Most English Thing Ever: Richard Dawson caught bubonic plague in Cheshire in 1625. Realizing that he was about to die, and that his nephew and servant were not strong enough to carry his body, he dug his own grave, and laid down in it in a bed of straw, waiting to die. #IDSky
November 20, 2025 at 2:50 AM
Is bird flu spreading between chicken farms on the wind? This is either a brilliant piece of amateur epidemiology, or an epic Pepe Silvia-style conspiracy theory (I’m not sure about the viability of flu virus over the distances involved)
How ProPublica Investigated a Bird Flu Outbreak in America’s Heartland
Early this year, bird flu ripped through 80 farms in Ohio and Indiana. Using genetic markers, wind simulations, satellite imagery, property records and more, we found that the virus could’ve been airb...
www.propublica.org
November 18, 2025 at 12:40 PM
Sociopathy
November 17, 2025 at 12:31 PM
Larry Summers is a deeply reactionary guy who helped shape our contemporary landscape of oligarchs and income inequality. No surprise that he makes an embarrassing cameo appearance in the Epstein files.
Falling Upward: The Surprising Survival of Larry Summers - The American Prospect
The surprising survival of a rebranded Larry Summers, who once again is counseling a Democratic presidential candidate
prospect.org
November 16, 2025 at 3:34 PM
Reposted by John Ross
A new approach to pandemic preparedness:

1️⃣ Stop preparing for pandemics
2️⃣ Rewrite history of the last major pandemic
3️⃣ Go to the gym

Simple - 🤷‍♂️.

www.city-journal.org/article/nih-...
NIH Directors: The World Needs a New Pandemic Playbook
The old one failed to cope with Covid and may even have caused it.
www.city-journal.org
November 14, 2025 at 3:21 PM
Reposted by John Ross
If you keep track of all of these, it's obvious the police are defunding Chicago.
BREAKING: The City Council voted unanimously to pay $17M to a man who spent 27 years in prison after he was convicted of a double murder he did not commit, bringing the total cost of settling 9 lawsuits naming disgraced former CPD Detective Reynaldo Guevara to $112M, records show. @wttw.bsky.social
Cost to Resolve Lawsuits Tied to Disgraced Ex-CPD Detective Tops $112M, with 44 Lawsuits Pending
Chicago taxpayers have spent at least $285.3 million to resolve lawsuits alleging Chicago police officers committed a wide range of misconduct — including wrongful convictions and improper pursuits — ...
news.wttw.com
November 14, 2025 at 5:52 PM
New WHO TB report just dropped #IDSky
▶️TB back to world's #1 infectious cause of death⚰️
▶️amazing reduction in TB deaths in Africa, now at risk due to USAID cuts
▶️rising TB in the Americas stabilized but trend worrisome. Tanking economies and rising prison populations seem to be major drivers 📉👮‍♂️
November 14, 2025 at 3:23 PM
Reposted by John Ross
Sen. Bernie Sanders: "Abdul El-Sayed. He is a medical doctor. He wrote a book. It’s called Medicare for All, so he knows a little bit about the subject, and those are the kinds of folks that we need in the US Senate."
November 13, 2025 at 6:29 PM
Reposted by John Ross
Based on Maggie O’Farrell’s best-selling novel "Hamnet" and starring Jessie Buckley and Paul Mescal, this moving film screens on 11/30 at 4 PM, followed by a conversation moderated by CSC’s Associate Artistic Director Bryn Boice.
🎟️: coolidge.org/events/shakespeare-reimagined-hamnet
November 10, 2025 at 7:42 PM
Wild-type polio detected in German sewage—this is *actual* polio, not vaccine-derived virus. This will probably be a one-off event, but it shows the real potential for polio reintroduction into under-vaccinated communities.
www.reuters.com
November 13, 2025 at 2:01 PM
A man presents to your clinic with anxiety and depression related to his stressful job and "terrible" boss. You recommend:
A. Buspirone
B. Mirtazapine
C. Sertraline and lorazepam x 4 weeks
D. Sertraline and lorazepam x 6 months
E. The workers seize control of the means of production
November 12, 2025 at 9:43 PM
Reposted by John Ross
This interview by @aliroginpbs.bsky.social with FDA Commissioner Marty Makary is a masterclass. It should be taught in j-schools and she should receive a medal for it.

Here are just a few of the things she does while making it all look easy:

www.pbs.org/newshour/sho...
FDA head explains decision to drop 'black box' warnings from menopause hormone treatment
The FDA announced it would begin asking drug companies to remove so-called “black box” warnings for hormones prescribed to treat symptoms of menopause. The FDA says the warning has dissuaded generatio...
www.pbs.org
November 11, 2025 at 4:40 AM
I privately fought not to eat all the leftover Halloween candy
November 10, 2025 at 11:04 PM
Canada has officially lost measles elimination status. The ongoing outbreak seems to have been primarily driven by Mennonite/Anabaptist communities and undervaccinated recent immigrants
Canada loses measles elimination status | CBC
www.cbc.ca
November 10, 2025 at 3:06 PM
Have a friend who knows an old-school Republican and asked him, aren’t you appalled about the damage the budget will do to health care? Buddy shrugged and said, the Dems will bail us out
November 10, 2025 at 4:08 AM
Get your kicks on Route LXVI
November 7, 2025 at 1:18 PM
Reposted by John Ross
The man who ended USAID is the world's first trillionaire
November 7, 2025 at 2:14 AM