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Ryan Kubat

@ryankubat

ID physician at University of Kansas. Interested in NTMs/TB.

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Latest posts by Ryan Kubat @ryankubat

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The killing of Alex Pretti is a heartbreaking tragedy. It should also be a wake-up call to every American, regardless of party, that many of our core values as a nation are increasingly under assault.

25.01.2026 17:39 πŸ‘ 60224 πŸ” 19558 πŸ’¬ 3137 πŸ“Œ 1540

Also, may I say that I don’t agree with people saying ICE and CBP need β€œmore training.” They’re doing exactly what this administration has trained them toβ€”impose a reign of fear in blue cities. They don’t need more training. They need to be ripped up root and branch.

24.01.2026 23:01 πŸ‘ 38723 πŸ” 9574 πŸ’¬ 1114 πŸ“Œ 893

Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him.

White. Hot. Rage.

24.01.2026 19:31 πŸ‘ 60618 πŸ” 18870 πŸ’¬ 1403 πŸ“Œ 741
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ICE detains 5-year old Minnesota boy; lawyer says agents used him as β€˜bait’ The Columbia Heights school district says federal agents have detained four children in their district. School officials and a lawyer for the family say agents used 5-year-old Liam Conejo Ramo as β€œbai...

The Columbia Heights school district says ICE detained four of its students, including a 5-year-old boy, as "bait" to draw out family members.

22.01.2026 01:51 πŸ‘ 808 πŸ” 465 πŸ’¬ 27 πŸ“Œ 142
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Scoop: The leaked protocol of the CDC-funded Hepatitis B vaccine trial in Guinea-Bissau. β€œThis is another Tuskegee.” The protocol reveals that the trial will withhold the Hepatitis B birth dose from thousandsβ€”without placebos, without universal maternal screening, and with endpoints critics call indefensible.

We have the CDC-funded Hepatitis Vaccine trial in Guinea-Bissau protocol.

It’s worse than you thought.

Check it out, first in Inside Medicine…

with @pauloffit.bsky.social David Boulware and others.

insidemedicine.substack.com/p/scoop-the-...

15.01.2026 10:57 πŸ‘ 469 πŸ” 291 πŸ’¬ 24 πŸ“Œ 80
Panel A shows KM curve showing no difference in 6 month overall survival between treatment arms. Panel B shows the difference between the high-dose group and the standard-dose group in survival over time. Panel C and D show overlapping KM curves for 6M survival in HIV positive and HIV negative participants, respectively

Panel A shows KM curve showing no difference in 6 month overall survival between treatment arms. Panel B shows the difference between the high-dose group and the standard-dose group in survival over time. Panel C and D show overlapping KM curves for 6M survival in HIV positive and HIV negative participants, respectively

Trial of High-Dose Oral Rifampin in Adults with Tuberculous Meningitis

Congratulations to David Meya, Fiona Cresswell, @natebahrid.bsky.social @drboulware.bsky.social & co on this important trial

No mortality benefit to high dose rifampin in adults with TB meningitis

www.nejm.org/doi/full/10....

18.12.2025 00:39 πŸ‘ 23 πŸ” 10 πŸ’¬ 3 πŸ“Œ 0
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If ACIP chooses to ignore evidence, when it comes to vaccines, parents and clinicians must ignore ACIP and look to those who continue to offer data-based guidance, especially our medical societies.

05.12.2025 20:03 πŸ‘ 78 πŸ” 40 πŸ’¬ 1 πŸ“Œ 2
A "JAMA" article, published online December 3, 2025, titled "Universal Hepatitis B Vaccination at Birthβ€”Risks of Revising the Recommendation" by Michael S. Abers et al., discusses ACIP's review and a possible vote to eliminate the birth dose recommendation.

A "JAMA" article, published online December 3, 2025, titled "Universal Hepatitis B Vaccination at Birthβ€”Risks of Revising the Recommendation" by Michael S. Abers et al., discusses ACIP's review and a possible vote to eliminate the birth dose recommendation.

πŸ’¬Viewpoint: Eliminating universal hepatitis B birth dose vaccination risks an estimated 8% increase in annual perinatal #HepatitisB infections in the US, increasing preventable chronic disease burden. ja.ma/3Me0zHh

03.12.2025 15:45 πŸ‘ 50 πŸ” 33 πŸ’¬ 0 πŸ“Œ 5
Vaccine Safety
MENU V
For Everyone
NOV. 19, 2025
KEY POINTS
β€’ The claim "vaccines do not cause autism" is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism.
β€’ Studies supporting a link have been ignored by health authorities.
β€’ HHS has launched a comprehensive assessment of the causes of autism,
including investigations on plausible biologic mechanisms and potential causal links.

Vaccine Safety MENU V For Everyone NOV. 19, 2025 KEY POINTS β€’ The claim "vaccines do not cause autism" is not an evidence-based claim because studies have not ruled out the possibility that infant vaccines cause autism. β€’ Studies supporting a link have been ignored by health authorities. β€’ HHS has launched a comprehensive assessment of the causes of autism, including investigations on plausible biologic mechanisms and potential causal links.

The U.S. government is now inarguably spreading medical disinformation that is going to kill babies preferentially.

Period.

This is an INTOLERABLE. UNPRECEDENTED. DANGEROUS. ATTACK. ON ALL OF US.

20.11.2025 03:29 πŸ‘ 2937 πŸ” 1117 πŸ’¬ 108 πŸ“Œ 87
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Getting ready for #IDBugBowl @idweek.bsky.social Hope to see y’alll this afternoon. Come and cheer ur team UAB CCF ThomasJefferson and our international team Calcutta Troo Med #IDWeek2025 #IDSky

22.10.2025 13:36 πŸ‘ 12 πŸ” 2 πŸ’¬ 1 πŸ“Œ 2
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Get ready to rumble! Teams from the Cleveland Clinic Foundation, University of Alabama at Birmingham, Thomas Jefferson University Hospital, and the Calcutta School of Tropical Medicine compete TODAY at 4:30PM ET in Ballroom (Hall B1) for the #IDBugBowl trophy! πŸ†

22.10.2025 14:58 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Trump Administration Lays Off Dozens of C.D.C. Officials

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...

11.10.2025 08:58 πŸ‘ 11 πŸ” 5 πŸ’¬ 2 πŸ“Œ 0
Screenshot of Truth Social post by Donald J. Trump (@realDonaldTrump) dated 9/26/25, 9:45 AM. The post reads: β€˜Pregnant Women, DON’T USE TYLENOL UNLESS ABSOLUTELY NECESSARY, DON’T GIVE TYLENOL TO YOUR YOUNG CHILD FOR VIRTUALLY ANY REASON, BREAK UP THE MMR SHOT INTO THREE TOTALLY SEPARATE SHOTS (NOT MIXED!), TAKE CHICKEN P SHOT SEPARATELY, TAKE HEPATITIS B SHOT AT 12 YEARS OLD, OR OLDER, AND, IMPORTANTLY, TAKE VACCINE IN 5 SEPARATE MEDICAL VISITS! President DJT’

Screenshot of Truth Social post by Donald J. Trump (@realDonaldTrump) dated 9/26/25, 9:45 AM. The post reads: β€˜Pregnant Women, DON’T USE TYLENOL UNLESS ABSOLUTELY NECESSARY, DON’T GIVE TYLENOL TO YOUR YOUNG CHILD FOR VIRTUALLY ANY REASON, BREAK UP THE MMR SHOT INTO THREE TOTALLY SEPARATE SHOTS (NOT MIXED!), TAKE CHICKEN P SHOT SEPARATELY, TAKE HEPATITIS B SHOT AT 12 YEARS OLD, OR OLDER, AND, IMPORTANTLY, TAKE VACCINE IN 5 SEPARATE MEDICAL VISITS! President DJT’

We have a vaccine schedule built on decades of rigorous research by actual medical experts. Trump’s counter-proposal? Trust his gut. What could possibly go wrong when the president cosplays as a pediatrician?

He’s putting real children at risk from diseases we know how to prevent for no reason.

26.09.2025 16:34 πŸ‘ 15 πŸ” 3 πŸ’¬ 2 πŸ“Œ 0

Checking on on ACIP; "at what point should low uptake factor into out decisions" (from one of the new ACIP members working hard to drive that COVID vaccination rate lower. Self-fulfilling prophecy)

19.09.2025 15:43 πŸ‘ 124 πŸ” 30 πŸ’¬ 8 πŸ“Œ 25

I watched the 1st meeting day of RFK Jr’s handpicked committee of vaccine advisors. It was utterly depressing. 1/

19.09.2025 13:46 πŸ‘ 371 πŸ” 109 πŸ’¬ 12 πŸ“Œ 10

I'm watching the ACIP meeting. #Follow along for updates.
The committee will vote on whether to delay the hepatitis B vaccine for babies and whether to give the MMR (measles/mumps/rubella) and chickenpox vaccines separately.

18.09.2025 14:27 πŸ‘ 162 πŸ” 90 πŸ’¬ 10 πŸ“Œ 16

RFK Jr. needs to step down now. He is systematically and aggressively making us less safe and more ill pushing aside any brave professional that refuses to go along with his nonsense.

17.09.2025 18:10 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

The ID fellows Cup is planning for another game September 15-October 15! Please share the word!

Need some extra help preparing for boards or want to learn more ID content?

The core content is a game including 60 questions targeting knowledge expected for an ID Fellow for the US licensing exam.

26.08.2025 21:35 πŸ‘ 3 πŸ” 3 πŸ’¬ 2 πŸ“Œ 1
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As national medical, scientific, public health and patient organizations, we call for the resignation of HHS Secretary Robert F. Kennedy Jr. to ensure the health of the American people.

Our statement: https://bit.ly/45LeJHi

03.09.2025 22:30 πŸ‘ 338 πŸ” 181 πŸ’¬ 5 πŸ“Œ 24
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A clinical practice guideline for tuberculous meningitis Tuberculous meningitis is the most severe form of tuberculosis, causing death or disability in around half of those affected. There are no up-to-date international guidelines defining its optimal mana...

A clinical practice guideline for tuberculous meningitis

Tuberculous Meningitis International Research Consortium

www.thelancet.com/journals/lan... πŸ”’

19.08.2025 13:15 πŸ‘ 41 πŸ” 22 πŸ’¬ 1 πŸ“Œ 1
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Dalbavancin for Treatment of Staphylococcus aureus Bacteremia This clinical trial compares the efficacy and safety of dalbavancin vs standard therapy for completion of treatment of complicated Staphylococcus aureus bacteremia in hospitalized patients.

Happy DOTS Day, to those who celebrate. jamanetwork.com/journals/jam...

13.08.2025 20:00 πŸ‘ 18 πŸ” 6 πŸ’¬ 1 πŸ“Œ 1

They recovered over 180 bullet shells at the CDC. Debris from shattered glass is still being cleaned up. I am completely stunned at how quickly the news cycle has moved on. This was an act of terrorism targeting public health experts, and the response seems to be a collective shrug.

12.08.2025 16:51 πŸ‘ 5593 πŸ” 2071 πŸ’¬ 183 πŸ“Œ 112
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Lack of Association Between Histoplasma Urine Antigen Values and Clinical Response in Persons without HIV AbstractBackground. Histoplasma urine antigen detection, a valuable diagnostic tool, is often used to monitor response to antifungal therapy, but persisten

Lack of Association Between Histoplasma Urine Antigen Values and Clinical Response in Persons without HIV

Marisa Miceli and colleagues

academic.oup.com/ofid/advance...

29.07.2025 13:33 πŸ‘ 11 πŸ” 6 πŸ’¬ 2 πŸ“Œ 1
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When you strip away humanity

26.07.2025 11:31 πŸ‘ 19223 πŸ” 8057 πŸ’¬ 522 πŸ“Œ 951
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16.07.2025 16:44 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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🚨BREAKING: IDSA, along with AAP, APHA, ACP and others, has filed a lawsuit against HHS/Secretary Kennedy to stop unlawful changes to vaccine policy and defend public health.

We refuse to stand by while America’s public health safeguards are torn apart. bit.ly/4lm7UkW

07.07.2025 17:19 πŸ‘ 180 πŸ” 100 πŸ’¬ 7 πŸ“Œ 9
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Evaluating the impact of two decades of USAID interventions and projecting the effects of defunding on mortality up to 2030: a retrospective impact evaluation and forecasting analysis USAID funding has significantly contributed to the reduction in adult and child mortality across low-income and middle-income countries over the past two decades. Our estimates show that, unless the a...

Elon Musk casually, and illegally, dismantled USAID. According to a new study in the Lancet, that action will lead to *14 million* premature deaths between 2025 and 2030.

Again: Elon Musk is directly responsible for 14 million coming deaths. 4.5 million will be children.

02.07.2025 20:00 πŸ‘ 4538 πŸ” 2325 πŸ’¬ 131 πŸ“Œ 204

Watching what I can of the ACIP meeting; currently on COVID in kids; yes, kids still getting hospitalized. 1 in 4 end up in ICU. Most are unvaccinated, deaths are rare but are occurring (23 since 2023). Yes, that is far more than the deaths from COVID vaccines (zero) #factsmatter

25.06.2025 15:12 πŸ‘ 211 πŸ” 85 πŸ’¬ 6 πŸ“Œ 8