Solid advice once more from the onion

Re found this study which I now must have googled appropriately. Are the swedes just more based and goated? Look at that table comparing the guidelines and look at outcomes. At the very least its provocative. academic.oup.com/cid/article/...

🆕🔥State-of-the-Art Review with 🌟s @trubianojason.bsky.social : Antibiotic Allergy—A Multidisciplinary Approach to Delabeling #idsky url: academic.oup.com/cid/article/...

To follow up this post, I looked up some of the available data and ran some numbers. Math isn't my forte so I had my senior partner look over them but please correct me if you see flaws @jonathanrydermd.bsky.social

Someone way smarter than me once posted the MIC math behind the 2g/12 ceftriaxone for strep pneumo meningitis and also a discussion of how many pt would need vanco to treat 1 CRO resistant S.pneumo. Anyone remember? @bradspellberg.bsky.social @jgpharmd.bsky.social

We should have a system like those "Prove you're not a robot" but for UA and culture. Like show me you know what a UTI is for realsies. Multiple choice and essay.

Rejoice! For you are live in a timeline where Jeff Buckley's "Grace" exists.

Hey #idsky. Working on a presentation and wanted to embed this graph but be able to move the lines at the website does. Theres an option to copy an html link. Anyone know how to embed this on powerpoint? ourworldindata.org/grapher/meas...

Because I hate copilot and most of its variations

Uncertainty is ubiquitous in the practice of medicine. A new review characterizes clinical uncertainty and shows how teachers can guide learners to recognize, manage, and communicate uncertainty in practice. Read the full review: nej.md/43xKSQX @gdhaliwal1.bsky.social #MedSky #MedEd

Thank you for the in depth, detailed, borderline Homeric in scale, message about your patient. I don't have time to read the first 8 chapters of War and Peace. At that point, just call me lol

Guilty as charged. And yet she's still a Swifty.

At this point, my non work wardrobe boils down to Warhammer 40k, obscure bands and video game T-shirts. 13 year old me is very proud.

I want to know everything and anything about SBP, an entity that vexes and frustrates me, so I can annoy my hepatologist wife. Hit me with your best stuff #idsky

I've been waiting for a pressing for years. Man I love this record so much.

Antibiotics don't fail. We fail. You have the wrong diagnosis. #idsky

Antibiotics don't fail. We fail. You didn't have source control. #idsky

Great clinical conference today and first day of recruitment! Check out some of our cases from today.

I knew it!!!

I'll admit I started on the 1g/lb hype train when I started lifting. Looks like it's a good thing I never really hit that number.

Common sense!

This retrospective cohort from 🇫🇷showed that oral switch is a suitable option for treating IE, even for POET-ineligible patients ➡️treatment failure HR=0.55 favoring oral, 95%CI 0.27-1.17 ➡️more days alive outside 🏥 in oral group (59 vs 47, p=0.001) doi.org/10.1093/cid/... #IDSky

Is there ANYTHING vancopime can't treat?? #idsky

Life needs a balance patch. The "2 kids, 2 working parents and a mortgage" DLC makes progression too brutal (DLC is overpriced too!). Oh, and stay away from the "Modern politics" community mod. What a shitshow.

I once heard that if you have read 5 books on a subject you are considered close to an expert. At this point I have read 24 Warhammer 40k/Horus Heresy novels and played multiple games. Within the hobby community, this is considered an advanced novice.

Does endocarditis imply the existence of exocarditis?? #idsky #showerthoughts

Me trying to get my wife into Warhammer 40k by explaining The war in heaven, the difference between a Thunder Warrior and a Space Marine and how Magnus did nothing wrong

I think it's worth checking out. Good to have more RTS around and keep the passion alive. Give it a look!

Flucytosine dosing in cryptococcal meningitis: FLOOR trial = single-arm trial evaluating reduced flucytosine dosing (60 mg/kg in 3 divided doses x10d) Outcomes were inferior compared to historical data using standard dosing (100 mg/kg in 4 divided doses x14d) We're stuck with full dosing #IDsky

There's always a bigger fish

The Animatrix is free on YouTube in the US right now. It's a great collection of shorts and features material from people that worked on Evangelion, Cowboy Bebop, Aeon Flux, and more. Check it out if you've got 100 minutes to spare. youtu.be/QNVeOWDOvvU

Oh Admech. Never change...

Has anyone designed ID fellow evaluations using EPA that I could model off of? Happy to collaborate as well! #idsky #meded

I think about this meme like once per day and crack up #Warhammer #Horusheresy

Are you interested in becoming an astute and well rounded ID clinician with a healthy dose of transplant, HIV management and tropical diseases? Come join us at Jefferson Einstein Philadelphia! #idsky

Microsoft Teams is the Microsoft Teams of Microsoft Teams

Coldplay is the Microsoft Teams of bands

Microsoft Teams. The Coldplay of meeting apps.

Goodbye Ozzy. The one person I would be happy if they told me "I'll see you in Hell". Goodnight sweet prince (of darkness)

There is no war in Ba Sing Se

I clearly remember reading a post hoc analysis of the STOP-IT trial where people got 4 days abx regardless of bacteremia and did fine. I think no later than 2016. It was in a less known journal but can't for the life of me find it. Help! @bradspellberg.bsky.social @dralicehan.bsky.social anyone?

Do you ever find yourself just thinking about Staph aureus? #showerthoughts

What I think of when people treat severa CAP with Vanco cefepime

Please work...

Does anyone have experience with pulmonary mac infection in someone who needs solid organ transplant? Especially fibrocavitary disease and deciding when to proceed with transplant? Any objective measure of risk of progression/dissemination? #idsky @germhuntermd.bsky.social @fungalspore.bsky.social

Me making dumb memes adds significant time to my rounds. Worth it.

TIL there's a Bacteroides merdae and...bit on the nose isn't it?? How did we get away with this one??