Me: Dad, still listening to Zeppelin? That came out like 30 years ago! Dad: Son, still listening to Downward spiral. That came out 30 years ago. Me: oh fuck

You do your patient no favors by treating their CAP with vanco cefepime.

Reason #35436736467834 why I am not a fan of AI...sigh

There is something profoundly anti democratic/plutocratic about how expensive sporting event and concert tickets have gotten. What average income American family can afford these? No entertainment or culture for the common folk I guess...what could go wrong?

Expedition 60. You magnificent bastards. #Forthosewhocomeafter

Every GOTY award that Expedition 33 got is not enough. Game of the generation. For those who come after!

Early career advice hot take. Say "No" a lot. Unless you're passionate about it, drop it. Learn to say "No" early. Your time is by far your most valuable asset. Everything you say "yes" to is a "no" to something else.

How do I incorporate "deadass" and "Aura farming" into my daily rounds and documentation? Need to stay hip with the youts!

This Rational Clinical Examination evaluates the diagnostic accuracy of clinical examination, radiographic imaging, and laboratory testing in assessing volume overload in nonintubated patients. Save this for your next clinical encounter: ja.ma/4aYIVQs #MedEd

Blink 182's self titled album came out almost 23 years ago. Let that sink in.

ESR and CRP are about as useful as an ashtray on a motorcycle

I must have really internalized Crislips personality when I first listened to him in med school because I read this in my own voice lol. Pretty much summarizes my thoughts so far sciencebasedmedicine.org/md-enshittif...

One day everyone will have been against this

This is good stuff for patients/general public to know www.mariashriversundaypaper.com/dr-lucy-mcbr...

Looking for an article on TB treatment that breaks down all the drugs, logic for their use (like how it affects duration etc) and explains like im a 5 year old. Any recs? #idsky

Trying to find a cool speaker for ID grand rounds. Any recs for people geographically close to Philadelphia? Like DC to NY range? #idsky

When I am declared God King Emperor, I am banning Cdiff PCR's

Thank you to everyone who donated and attended the reading of Hannah Arendt's essay "Personal Responsibility Under Dictatorship" last night. Here's the recording: substack.com/home/post/p-...

@sebpoule.bsky.social is there evidence to justify the ACIP recommendation of measuring post vaccine antibodies for HBV in healthcare workers? This seems strange in immune competent patients.

@bradspellberg.bsky.social and other ID gurus - Does this look OK to you? Any critiques and/or additional thoughts you would pass along to front-line clinicians about implementing this regimen in real life? (disclosure: my hatred of ampho-induced AKI runs deep) emcrit.org/ibcc/cryptoc...

Most people: free will exists! Me: if I don't shine this bright light in my face every morning during winter my brain goes full emo Most people: uh.....

Just another day where I ask you, do you REALLY need to use Zosyn?

In response to the unfolding terror in Minnesota I wanted to create a space to come together. I’m hosting a book club on Hannah Arendt’s essay Personal Responsibility Under Dictatorship next Tuesday to raise money for the Immigrant Law Center of Minnesota samantharosehill.substack.com/p/a-special-bo

Just started my ID LKA. I know its hard to write questions at this level. But In the span of 9 questions, I have already submitted 2 feedback notes for bad questions/debatable answers. I've never done this for IM (maybe I know less there and cant complain as much) #idsky

“A fundamental difference between modern dictatorships and all other tyrannies of the past is that terror is no longer used as a means to exterminate and frighten opponents, but as an instrument to rule masses of people who are perfectly obedient.” — Hannah Arendt

That feeling when you thought the positive culture was contaminated and then... #idsky

David Bowie died ten years ago today. The world grew a bit darker that day. And never quite recovered.

"No one has the right to obey." — Hannah Arendt

It's never the wrong time to rock and stone!

Forget G0545 for ID consults and progress notes. We need a special code for Friday 3:30 pm consults in patients who've been hospitalized since the Carter administration that's worth like 7863482736482736487 RVU #IDsky

Why is isolation recommended for MRSA but not methicillin resistant CONS? It's the same MEC A gene right? (Fwiw I don't think there's evidence for isolation in normal circumstances anyways) @bradspellberg.bsky.social #idsky

Happy new year and "Your LKA questions are now available" day to those who celebrate

Patient with alcohol use disorder, unhoused, presenting with Listeria sepsis. No obvious source. No meningitis symptoms. To LP or not to LP? #idsky

Stop. Smelling. People's. Urine. Signed, your friendly neighborhood ID doc.

Clofazimine? More like Clofazimeme amirite?

Rosalia's "Lux" shoe in for album of the year. Oklou's "Choke enough", Wet leg's "Moisteurizer" and Turnstiles "Never enough" are honorable mentions. Not as good a year as 2024 but pretty good highlights.

‘No Way To Prevent This,’ Says Only Nation Where This Regularly Happens https://theonion.com/no-way-to-prevent-this-says-only-nation-where-this-regularly-happens-3/

Me trying to have a normal Friday on service....sigh...

To the best of my knowledge, the real edge it has over vanco is decreased recurrence rate (at the cost of thousands vs pennies). Am I wrong? #idsky

Oral fosfomycin for non UTI esbl gram neg sepsis. Any data/anecdotes/thoughts? #idsky @bradspellberg.bsky.social

Great discussion!

I know we're all bogged down by bullshit. Burnout is rampant in medicine. The system sucks. But ignore that for a second and remember: what we do is interesting, meaningful and actually matters. Medicine is beautiful. You're fucking awesome.

Deer: Deer Are Fine - Horrifying Planet

A picture is worth a 1000 words. The birth dose of hepatitis B vaccines in the USA eliminated perinatally acquired hepatitis B infection from over 20,000 cases a year before the vaccine was introduced to <20 cases a year. The gaslighting by the current members ACIP is obscene, unethical and cruel.

🚨 >50% of ID fellowships went unfilled—just as the need is surging. Currently on ID consults and seeing unprecedented volumes and an increasingly immunocompromised population at risk for life-threatening infections. I’m worried we’re heading toward fewer specialists when we need them most.

We have an open spot. Come join our awesome family! @febrilepodcast.com

Spotify thinks I'm 21 so...hooray?

Based, goated and...uh...PO pilled

You've heard of "door to balloon" time. But are you aware of the "Taco Bell to the loo" time? #dadjokeforlike4people