Voices of ID: Coronavirus Disease (COVID) and the Fog of War by @msaagmd 🆓 Freely Available 🔗 bit.ly/40Nm7xH

Dr. Gail Cassell introducing Dr. Roger Glass for the Dr. Michael Saag Lecture #uabgh2023

Part 1 of our 6 part series on HIV & Substance Use will be available @IAS_USA soon . Stay up to date with #DEA requirements & learn how to manage addiction in people with HIV. Join us for part 2 next month! @SandySpringerMD @CarlosdelRio7 @uabcfar @UAB_ID @msaagmd @MHawkins0405

Woman cries out, "People! People! Help us. Oh God, oh God!"

Drs @msaagmd and David H. Spach discuss HIV and the nuances of primary care treatment, with a special focus on vaccines, including COVID, hepatitis, varicella zoster virus, and mpox. #MedTwitter ms.spr.ly/6019gFTxB

Below is a brief description of Prigozhin's mutiny and the factors that contributed to its outcome. We, as observers, initially missed important details due to the scarcity of information and lack of time for in-depth analysis. Here's the perspective that currently seems most plausible: 1️⃣ Prigozhin's rebellion wasn't a bid for power or an attempt to overtake the Kremlin. It arose from a sense of desperation; Prigozhin was forced out of Ukraine and found himself unable to sustain Wagner the way he did before, while the state machinery was turning against him. To top it off, Putin was ignoring him and publicly supporting his most dangerous adversaries. 2️⃣ Prigozhin's objective was to draw Putin's attention and to impose a discussion about conditions to preserve his activities - a defined role, security, and funding. These weren't demands for a governmental overthrow; they were a desperate bid to save the enterprise, hoping that Prigozhin's merits in taking Bakhmut (that's why he needed it!) would be taken into account and the concerns would catch Putin's serious attention. Now it appears that these merits helped Prigozhin to get out of this crisis alive, but without a political future in Russia (at least while Putin is in power). 3️⃣ Prigozhin was caught off-guard by Putin's reaction and found himself unprepared to assume the role of a revolutionary. He also wasn't prepared for the fact that Wagner was about to reach Moscow where his only option remained - to "take the Kremlin" - an action that would inevitably result in him and his fighters being eradicated. 4️⃣ Those in the elites who were able reached out to Prigozhin with offers to surrender. This likely added to his sense of impending doom. However, I don't believe any high-level negotiations took place. Lukashenko presented Prigozhin with a Putin-endorsed offer to retreat on the condition that Prigozhin would leave Russia and Wagner would be dissolved. 5️⃣ I don't think Prigozhin was in a position to make demands (such as the resignation of Shoigu or Gerasimov - something many observers expect today. If that happens, it will be due to another reason.) After Putin's address in the morning of June 24th, Prigozhin's primary concern was to find an off-ramp. The situation would have led to inevitable death in merely a few hours. It is possible that Putin has promised him safety on the condition that Prigozhin remains quietly in Belarus. I stand by my previous assertion that Putin and the state have been dealt a severe blow (which will have significant repercussions for the regime). However, I want to emphasize that image has always been a secondary concern for Putin. Setting optics aside, Putin objectively resolved the Wagner and Prigozhin problem by dissolving the former and expelling the latter. The situation would have been far worse if it had culminated in a bloody mess in the outskirts of Moscow. And no, Putin doesn't need Wagner or Prigozhin. He can manage with his own forces. He's now certainly convinced of that. I will disclose many more details in my bulletin to be issued tomorrow evening.

everyone should retweet this as many times as humanly and technologically possible

My son is 15 I never bought him a pride onesie when he was a baby. I never read him a book that had two moms as part of the storyline. When he was little stores and businesses didn’t have LGBTQ displays and we didn’t celebrate pride month. He was raised Catholic, and went to church. Guess what? He is gay. The rainbow won’t make your kids gay. They are born that way. A display in a store won’t make your kid trans, they are born that way. If you don’t love and accept them for who they are, YOU are a shitty parent. They haven’t failed, you have.

Whether the topic is: - Climate change - GMOs - Nuclear power - Vaccines - Homeopathy - Astronomy - Evolution - or Covid-19... ...People who disagree most with the scientific consensus know less about the topic, but they think they know more. science.org/doi/10.1126/scia…

Register for the highly anticipated webinar "What to Do Next: Managing ART Failure in People With HIV," to be presented by Dr Michael Saag @msaagmd on September 7, 2023. For more information and to register, visit the activity page: iasusa.org/events/webinar-20…

Medscape: Drs @msaagmd and @DrEllenEaton discuss #HIV and #opioid use disorder, including opioid agonists for chronic #painmanagement, tools for reducing mortality, and management in the outpatient setting. #MedTwitter ms.spr.ly/6011gVlH5 x.com/Medscape/status/166072…

It’s a tug of war every time the two sides come to the table to negotiate rates. The leverage at the negotiating table is based on local market power. If only one dominant plan, hospitals have to accept lower price, if only one dominant system, plans have to accept higher prices.

Just out in @OFIDJournal, work from our @CNICSnetwork group discusses factors associated with #HIV viremia in pts in care. 4% experienced sustained rebound. Some may benefit from additional adherence support. @CurtBeckwithMD @AadiaMd @msaagmd academic.oup.com/ofid/advanc…

I can't disagree!

😀 Way to go, @DoctorRachael for being named the Chief Healthcare Epidemiologist for @uabmedicine. Congrats, Dr. Lee! Well deserved! @UAB_ID

Celebration for ⁦@msaagmd⁩ for four decades of exceptional service as a brilliant clinician, researcher and educator ⁦@uabmedicine⁩ ⁦@UABHeersink⁩ ⁦@UABDeptMed⁩ ⁦@uabcfar⁩

Join us Feb. 19-22 to support our #CNICSNetwork at #CROI2023!

Ignominy. From nytimes.com/interactive/2023…

#CNICS is well-represented at #CROI2023 . Check out our oral and poster presentations this week from our cohort investigators.