#NephJCBookClub
In the introduction, @johngreensbluesky.bsky.social drops some TB facts

Annually more than a million people die of TB

Overall, more than a *billion* people have died of TB in last 2 centuries

That’s also something like 1 in 7 people who have ever lived 🤯

#NephJCBookClub
June 29, 2025 at 7:50 PM
Well, we have come to the end of our discusion. This has been a blast and I think it was one of the best #NephJCBookCLub Turnouts we have had. Thank you everyone for joining in. #NephJC
August 20, 2025 at 2:03 AM
Can’t escape the #NephJCBookClub!

Everything is tuberculosis is everywhere! @johngreensbluesky.bsky.social

At the local book store
August 12, 2025 at 10:52 PM
This #nephjc tweetorial masterclass from @hswapnil.medsky.social tells you everything you will need to know for the #nephjcbookclub #allhashtagsmatter
In the introduction, @johngreensbluesky.bsky.social drops some TB facts

Annually more than a million people die of TB

Overall, more than a *billion* people have died of TB in last 2 centuries

That’s also something like 1 in 7 people who have ever lived 🤯

#NephJCBookClub
August 20, 2025 at 1:01 AM
Even world war 1!

The three Archduke assassins had TB, were expecting to die anyways (and did) and hence desperate enough for an assassination attempt en.m.wikipedia.org/wiki/Assassi... which is a great story by itself

#NephJCBookClub
Assassination of Archduke Franz Ferdinand - Wikipedia
en.m.wikipedia.org
June 29, 2025 at 9:44 PM
Remember to add #NephJC (and not #NephJCBookClub) to every post you want to be part of the discussion
August 20, 2025 at 1:05 AM
SO @hswapnil.medsky.social did some great work posting with the hashtag #NephJCBookClub, we will be posting tonight with #NephJC as usual. Don't try to get fancy swap...and my eyes are on you too @jwaitz.bsky.social
August 20, 2025 at 12:58 AM
Also funding coming in for the Ebola crisis and then disappearing post crisis leaves huge gaps and waste of infrastructure

Needless to say - this is happening now with DOGE dismantling USAID 😞

#NephJCBookClub
June 30, 2025 at 9:21 PM
His wife Emma gifted him the 🔬- and he promptly had an affair with a teenage named Hedwig and eventually left Emma a few years later 😳

#NephJCBookClub
June 30, 2025 at 10:44 PM
“It’s easy to make perfect decisions with perfect information. Medicine asks you to make perfect decisions with imperfect information.”

From The Laws of Medicine
#NephJCBookClub http://a.co/dLHqNGZ
December 3, 2024 at 12:02 AM
Especially the poets!

Keats ‘Youth grows pale, spectre-thin, then dies’
Sukanta ‘our history will. E shaped by/hungry stomachs’
Masaoka Shiki was’a phlegm-filled Buddha’

#NephJCBookClub
June 30, 2025 at 10:18 PM
Streptomycin didn’t help the best modern writer of the English language either
See pmc.ncbi.nlm.nih.gov/articles/PMC... from @hildabast.bsky.social

He developed severe side effects. PAS wasn’t enough either

#NephJCBookClub
July 1, 2025 at 2:06 AM
Arkansas does not have much TB, but when it does….look at that race/ethnicity relative risks 😱

jamanetwork.com/journals/jam... in @jama.com JNO

#NephJCBookClub on TB coming up in August
July 27, 2025 at 11:22 AM
In Canada 🇨🇦 in 1930s or so

- white Canadians died of TB at rate of ~ 70/100,000

- the First Nations died at rate of ~ 700/100,000

And
Kids in residential school? At ~ 8,000 per 100,000

8% mortality, just from TB in residential schools 😱

#NephJCBookClub
June 30, 2025 at 11:42 PM
We also read about Gale Perkins friend (Angie’s experience) and Angie’s dad’s poignant letter writing story

Gale Perkins memoir; www.ccbpublishing.com/978192736014...

#NephJCBookClub
C. Gale Perkins Tuberculosis Survivor Memoir
C. Gale Perkins Tuberculosis Survivor Memoir
www.ccbpublishing.com
July 1, 2025 at 12:07 AM
Chapter 13 deals with why we haven’t controlled the disease despite effective drugs

Compliance, adherence - they are dirty words in @johngreensbluesky.bsky.social view

DOTS (pioneered by the late Karel Styblo and others) is now viewed as paternalistic and problematic

#NephJCBookClub
July 1, 2025 at 2:18 AM
Just finished ✅
#NephJCBookClub
August 15, 2025 at 1:59 PM
In Chapter 4 @johngreensbluesky.bsky.social goes back to history

Other famous people with TB (images)

Germ theory didn’t exist. TB’s slow growth makes it heard - though Ibn Sina (aka Avicenna) had written ‘contaminated by tainted foreign organisms ..not visible to naked eye’!

#NephJCBookClub
June 30, 2025 at 8:50 PM
Chapter 1 is about a trip to Lakka in Sierra Leone and a serendipitous side trip to the hospital brimming with TB patient.

Indeed - drugs aren’t enough - the malnutrition is a huge issue - and unfulfilled hunger following TB treatment making people stop therapy 😱

#NephJCBookClub
June 29, 2025 at 9:26 PM
Slightly off topic - but it seems he developed TB, did not take streptomycin, spent time in a TB sanatorium reading the ‘Magic Mountain’

Everything is TB after all #NephJCBookClub @johngreensbluesky.bsky.social
August 2, 2025 at 1:49 PM
This was exposed by ….Arthur Conan Doyle’s sleuthing www.arthur-conan-doyle.com/index.php?ti...

(A few years before his first Sherlock Holmes 🕵️‍♂️ story)

#NephJCBookClub
Dr. Koch and his Cure - The Arthur Conan Doyle Encyclopedia
www.arthur-conan-doyle.com
June 30, 2025 at 11:51 PM
Chapter 7 is about the ‘beauty’ of consumption

‘The flattering malady’ - Charlotte Brontë (all 3 sisters died of TB)

‘The hectic glow of consumption’ Thoreau

#NephJCBookClub
June 30, 2025 at 10:29 PM