Stuart Ray

"Knees or trees, either way you're still lynchin' me..." Powerful all the way through. Thank you @AfricanaCarr. Thank you @NickCannon. I'm listening, humbly.

Also thrilled to share the future leaders of the Osler Resideny—our 2027-2028 ACSs! @maxmcgredy @jackbuyske @mahamkaratela @Liam_P_Coyne @helminthhenry . Our ACSs are the heart of the program & embody our mission and values. We are in great hands with these 5 amazing people!

@chloeborden_ @OslerResidency Welcome!! I started as an Osler intern in 1990 and still haven't graduated, still learning!

Unbelievably happy to announce that I matched into the physician scientist pathway of the Osler Medical Residency @OslerResidency !! It means the world to be coming home to the DMV #match2026 #oslerpride

Thrilled to welcome the next generation of Oslerian physicians— a group dedicated to the pursuit of excellence, to becoming master clinicians & growing through rigor, and to being leaders in medicine! welcome to the Osler Medical Residency & the Osler family! #oslerpride

Congratulations to Drs. Chloe Thio, @sss_cubed @ashwin_ID @jbaileylab, & colleagues embarking on a large, multinational effort that seeks a functional cure for hepatitis B.

NIH is not issuing awards. You may think that it's because they it is coming up with new directions of research...The apposite is true. Here is a graph showing how many fewer new funding opportunities that NIH has posted over time. -91%, a trend that started on Jan 2025.

I'm happy to share this free link to our new paper on the perils of trying to find microbes in human cancers, which appeared today in @NatureCancer. Co-authors include Nobel laureate @barjammar and ancient DNA expert Eske Willerslev: rdcu.be/e4IaU

@SteveMathaiMD @JohnsHopkinsDOM @JHUPCCMFellows @HopkinsPCCM @mmccormackmd 💯 I have so many reasons to be grateful for Lonny and his broad and deep contributions to our tripartite mission! Plus, he's just a great guy. Happy for him; he'll be missed.

Celebrating Lonny’s innumerable contributions to PCCM and DOM. We will miss you my friend. Sloan Kettering is getting the best! @JohnsHopkinsDOM @JHUPCCMFellows @HopkinsPCCM

Viremic--Cases in HIV Podcast, with Drs. Eileen Scully & Christopher Hoffmann. This episode: 33-year-old man w/HIV presents w/a flu-like syndrome & a disseminated vesicular rash after sexual contact w/a new partner. Guest: Dr. Shauna Gunaratne viremic.org/episodes/case-…

Pleased to share this free link to our new review of genome annotation in @NatureRevGenet, which just appeared today. Co-authored with Hyunjoo (Hayden) Ji and Mihaela Pertea @elapertea. We focus particularly on human annotation: rdcu.be/e4mI1

CD4% is more stable (useful when status uncertain, e.g. adherence over past 6-12 months uncertain, and prior CD4% is available for comparison) but isn't widely used in clinic because it's less predictive than abs CD4 (great work by Kelly Gebo) pubmed.ncbi.nlm.nih.gov/15247555/ [2/2]

The #CD4 count in #PLWH can be hard to interpret during acute illness. Transient lymphopenia is common so abs CD4 count often misleadingly low, and can be distressing for patients (need to contextualize for them if measured). [1/2]

@Dokutah_Vyew @WilliamAird4 This is where RDW is really useful. If more than one mode of MCV, RDW will increase. On the internal medicine wards, I always look at MCV and RDW. Mark Benson used to say, "any patient on the Osler service with a normal MCV has multiple hematologic abnormalities." #OslerPride

@WilliamAird4 I have a habit of checking both ferritin and b12/folate to ensure there is no combined deficiency causing a normal MCV, is this a waste of taxpayer money?

1/9 I’ve long taught a simple framework for hypoproliferative normocytic anemia that I still love: • nutritional deficiency • inflammation • organ dysfunction (kidney, liver, endocrine, marrow) Clinically useful. Memorable. Teachable. And it still holds up.

HCV genotypes are NOT serotypes - a key concept as work on HCV #vaccine development progresses, centered on global #HCV #elimination. Fabulous work led by Justin Bailey. #vaccineswork

@andrewpekosz @JIDJournal That worked!

@soupvector @JIDJournal it worked for me. here is the direct link: academic.oup.com/jid/advance-ar…

Genomic Evolution of Influenza A Virus During the 2024-2025 Season, the Johns Hopkins Health System: Antigenic Drift Reduces Serum Neutralization ✅ Just Accepted 🔗 bit.ly/45ROJK4

Morning Read: Immunologically distinct long COVID after mild acute disease pubmed.ncbi.nlm.nih.gov/41535625/

Dr. Manabe is a multi-potent, impactful leader! #OslerPride

I’ve researched this topic since 2019 and during the outbreak was reporting daily using sources on the ground in Samoa. Your “infographics” can’t change facts. Key points: Measles cases in Samoa were genotyped D8 wild measles The outbreak started from an unvaccinated traveler w/ measles flying from New Zealand The UNICEF vaccine drive started AFTER the outbreak & deaths had begun & led to the outbreak ENDING Neighboring Tonga got the same vaccines w/ zero deaths There's never been a measles outbreak in human history started by a MMR vaccine None of the 83 measles deaths were fully vaccinated, almost half were too young to be vaccinated In the summer of 2019 RFK visited Samoa & met w/ anti-vaccine advocates including Edwin Tamasese & gave credibility to his views. Tamasese would later be a key mouthpiece during the outbreak trying to disrupt the vaccine campaign & RFK's endorsement played a big role in his credibility. RFK met w/ the prime minister in the summer of 2019 before the outbreak & discussed vaccines then LIED about it (recently released emails prove this.) During the outbreak his anti-vaccine group CHD published multiple articles claiming the outbreak was caused by vaccines. Many of these articles were later deleted to hide the evidence. During the outbreak RFK himself wrote a letter to the Prime Minister sharing his conspiracy theory that the outbreak was not caused by measles but by a "defective vaccine." After the outbreak and 83 deaths RFK continued to blame vaccines and not measles for the deaths. As recently as August 2024 he claimed that "nobody died from Measles in Samoa" and that all the deaths were from a vaccine (despite almost all the deaths never receiving a vaccine.) The FULL STORY explained in 6 minutes 👇 x.com/thereal_truthe…

@PaulSaxMD Mystifyingly recognizable from Baltimore - amazing that these get around! Love the post, agree with the message. I will say that PWID is more relevant for me than PWUD, because the I is specific to the particular risk I'm looking for. U is vague.

Nothing like a mystifying abbreviation or acronym to make comprehension drop to zero. Here are some ID variants out there in the wild blogs.nejm.org/hiv-id-observa…

Our CLEAR-AD U19 Program is accepting scholarship applications. CLEAR-AD is a precision medicine program for #Alzheimer. 2-year award for early-career scientists in biomedical research. Apply by 2/27, start 3/16. Info lnkd.in/eAnMyAwU Apply lnkd.in/evmcBDui