Finally published this article and it's more important now than ever to #SaveHIVFunding #HIVSky academic.oup.com/cid/article-...

Happening now @hivma.bsky.social rally to #SaveHIVFunding #CutsKill @idsainfo.bsky.social #IDWeek2025

Heads up #Mpox

Yesterday was a busy day in the STI clinic, but one of my last patients had reported pain during sex. Turns out they had trich, but the more important discussion was what happened when they disclosed to their partner their discomfort, the partner ignored my pt. This is not ok…

Who you gonna turn to in times of crisis then? All this talk is just noise but when crises come, and people die, who you gonna trust?! A lawyer with zero medical experience? Or doctors who have spent decades studying medicine…

Measles, Ebola, major disease outbreak investigators, HIV prevention…we’re f***ed. I’m not trying to be over dramatic here, but we currently have no defense against infectious diseases threats C.D.C. Layoffs Included 2 Top Measles Experts Amid Rising Cases www.nytimes.com/2025/10/11/h...

Those fired include the staff of the MMWR, our major source of information on outbreaks and guidelines, EIS, our disease investigators, and many experts. We are not equipped AT ALL to handle another outbreak or at this rate, any infectious disease… www.nytimes.com/2025/10/11/u...

“In her complaint, the scientist, Dr. Jeanne Marrazzo, who had directed the National Institute of Allergy and Infectious Diseases, objected to Trump administration actions, alleging that they had endangered research subjects, defied court orders and undermined vaccine research.”

Worried how this govt shut down will affect healthcare? Here is an update by @idsainfo.bsky.social on what this shut down will look like for us: www.idsociety.org/news--public...

STL #PrEP week is coming up, and we at WashU and the STL PTC wanted to have a Real Talk about PrEP, going over the current political landscape and obstacles. Register here: courses.nnptc.org/class_inform...

And the CDC has officially decided to switch back from Mpox to Monkeypox. A reminder, the world still uses Mpox, this disease does not come from monkeys, Mpox is less stigmatizing and racist. Switching back is just meaningless, unnecessary, racist, and homophobic.

STI rates coming down, but still lots of work to do. This is a combination of public health efforts, doxyPEP, regular screening and treatment, and expedited partner therapy. Congenital syphilis STILL INCREASING though and requires regular testing 3x in pregnancy where high rates of syphilis #STISky

This is #infant #mortality in the United States. My piece in @thenation.com on how Donald Trump and RFK Jr. are making things much, much worse. Read it here: www.thenation.com/article/poli...

Listen to the experts

This is the most anti-science thing I have watched today. What is most shocking about this is all of these statements are being made without any scientific evidence to back it up. There are very few safe options to treat pain and fever in pregnancy so this is also an attack on women's health.

Pregnant women can't access the #COVID vaccine. If they get #COVID and develop a fever, they can't take Tylenol? 🫠. Both COVID infection and untreated maternal fever increase the risk of bad outcomes for both fetus and mother ranging from preterm delivery to death. None of this is pro-life.

Every medical professional I know has dreaded this announcement and unanimously called it questionable at best. Large cohorts have shown there is NO link between acetaminophen and autism, it is by definition a confounder at best, and leucovorin…I have no words

While the world has been on perpetual fire and dealing with the whirlwind of public health issues being thrown at it, the CDC STI Treatment Guidelines for Trans and Gender Diverse folks was removed. This is the government directly interfering in medical care of a historically neglected population.

Save #AIDS Research Tomorrow! 24 hours of discussion, presentations, and passion about this disease that has crossed the globe for more than 40 years! Tune in--even for just a few minutes and learn about the importance of continued HIV/AIDS research! saveaidsresearch.org

My patient told me to stay hip as it’s better than being boring! Take that everyone who weaponized professionalism against me :-p

What’s in a name you ask? Everything if that name means making patients feel more comfortable and less stigmatized. Great piece by @npr.org featuring @boghuma.bsky.social and myself, talking about the renaming of mpox (once again) www.npr.org/sections/goa...

What is so evident in the last 24 hrs is we can all agree to condemn political violence, but many don’t seem to be able to show empathy to other people and communities that have been targeted in the past. I think that’s what makes this so hard for many of us.

The term endemic is one that I hate and has a long history of racisms, colonialism, and laziness. The idea being that if something is endemic, there is nothing we can do to control it, and often times it's a problem for a place "over there" not here. We need new phrasing but Chagas disease is here

Spent 45 mins trying to access an ASL interpreter for a patient. Ppl don't understand how much ESL and ASL can be a barrier to patient care, it's actually terrifying.

RFK Jr is dismantling public health as we speak. He must resign. Thanks @theatlantic.com for this excellent summary of the damages caused thus far. www.theatlantic.com/health/archi...

I wonder, who exactly is qualified at this point per HHS?

I was just given feedback on my STI Update for a sexual health organization, that I am not allowed, by federal edict, to discuss sex positivity or "promoting sexual health". So the view of this government is that we as healthcare providers, should not be promoting sexual health...

We knew this would happen. Am begging everyone to call their senators and demand his resignation. Trust actual medical experts! We Ran the C.D.C.: Kennedy Is Endangering Every American’s Health www.nytimes.com/2025/09/01/o...

Spent 30 mins discussing HIV testing results with a patient this AM. Our language is purposeful, if you have a reactive screen, this is NOT confirmed HIV and the patient still needs confirmatory testing. False positive screening does occur, so please be clear. #HIVSky

This was always the plan. Neither of these people are medically trained. Neither understand the science. Neither should be trusted with your healthcare. These are THE MOST STUDIED VACCINES OF ALL TIME

I had previously shared my experience getting Lenacapavir for PrEP on here but the great folks @thebodypro.bsky.social wanted to make a video of my experience. So here you go, hope you all find it insightful and if you have questions, hit me up! www.thebodypro.com/video/hiv/hi...

Great piece by some amazing colleagues on continuing to fight the HIV Epidemic @hivma.bsky.social #HIVSky #IDSky academic.oup.com/jid/advance-...

He must love infections and cancer. A short list of what’s been achieved or is in active development with this tech: – Seasonal flu (Phase 3) – RSV (FDA-approved, 2024) – CMV (Phase 3) – HIV (early trials) – Rapid-response design for emerging pathogens www.theguardian.com/us-news/2025...

"Don't take medical advice from me" - RFK Jr

Alrighty, post vacay and ready to talk about @stihiv2025.org Some amazing research and presentations: 1- Intense discussion about the need for screening for G/C in asymptomatic MSM. The evidence wasn't fully compelling but what it speaks to is the need for shared decision making in our field

Got to present @stihiv2025.org on risk based messaging in sexual health settings, focusing on person centered language, removal of risk based questions, and overall trying to not make your patients feel awful for their sex lives

Also am not live posting from the STI/HIV World Congress, I’ll share my fav findings but am too busy actually being present and listening, talking with friends, and generally enjoying my conference time

Hugging HIV and STIs is therapeutic #STIHIV2025 @stihiv2025.org @syphilis-sleuth.bsky.social @drjenellstewart.bsky.social

Got to present the LIMIT Trial @stihiv2025.org looking at adding lidocaine to prefilled Bicillin shots to see if it could affect pain at 10 mins and 24hrs after injection vs control w/saline. 4 pt decline in pain at 10 mins, no difference at 24 hrs. This is prelim analysis but is promising #STISky

Just your regular reminder about person centered language @stihiv2025.org, words like “problematic”, “infected”, IV drug users, HIV positive ppl, high risk behavior/individuals, and the new for me “PrEPers”, are not patient centered. Language matters so act like it

This was our biggest fear, having unqualified ppl dictate what insurance can and should cover. By the looks of it, HIV prevention isn’t high on the list of priorities for this administration, based off the cuts to HIV prevention that have already occurred

Nope…not ok…

Who will I see at the STI HIV World Congress in Montreal?!

Today I’m sad for multiple reasons: My best friend dealing with incurable cancer Attacks on public health and the care of my patients and community Academia undervaluing myself and other junior faculty Ongoing genocide against Palestinians Removal of global health aid General lack of humanity

On a day that the congress has decided to go on an early recess and take 6 weeks of paid leave it is important to remember that in the U.S there is no federal law that guarantees paid maternity leave or family leave. Just something to think about in case you need more things to think about today.

Check out this new article that @tristanjbarber.bsky.social, and myself, wrote with #ViiVHealthcare for @gaytimes.bsky.social magazine about how life with #HIV has changed - and why it's important to be part of making decisions about your care and treatment. #HIVHasChanged #AD #Sponsored

STI Clinical Nugget: daily IM injections for the treatment of syphilis is PUNITIVE and not an alternative to IV treatment. Do not do this. Get the patient first line treatment which is IV penicillin and make it work. If not, discuss with an ID specialist, but DO NOT DO DAILY IM INJECTIONS.

This is what we go through when we do "peer to peers", that's if you qualify for that level of discussion with insurance companies (sometimes your hospital hasn't paid into that level). I have never spoken with an ID trained doctor, and they determine if sth is approved or denied.

More choices is always good! Excited for these results on once a month oral PrEP.

Got to make a patient's day by offering them doxyPEP. They go to sex parties and fully enjoy them, are on HIV PrEP, and had never been offered doxyPEP until today. They were so excited to be able to prevent STIs further. This intervention is about removing anxiety from sex, which I love