Infected Terran
@infectedterran.bsky.social
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📥 168
📝 322
ID doc in Philly. Lover of all things infectious, medical education, ethics and Starcraft.
Happy new year and "Your LKA questions are now available" day to those who celebrate
2 days ago
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Patient with alcohol use disorder, unhoused, presenting with Listeria sepsis. No obvious source. No meningitis symptoms. To LP or not to LP?
#idsky
3 days ago
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Stop. Smelling. People's. Urine. Signed, your friendly neighborhood ID doc.
5 days ago
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Clofazimine? More like Clofazimeme amirite?
16 days ago
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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.
17 days ago
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reposted by
Infected Terran
The Onion
19 days ago
‘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/
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Me trying to have a normal Friday on service....sigh...
22 days ago
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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
22 days ago
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Oral fosfomycin for non UTI esbl gram neg sepsis. Any data/anecdotes/thoughts?
#idsky
@bradspellberg.bsky.social
23 days ago
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Great discussion!
add a skeleton here at some point
23 days ago
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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.
24 days ago
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reposted by
Infected Terran
The Onion
25 days ago
Deer: Deer Are Fine - Horrifying Planet
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Infected Terran
Paul Offit
29 days ago
youtu.be/2uURMKLAPZw?...
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Doctor Answers Vaccine Questions | Tech Support | WIRED
YouTube video by WIRED
https://youtu.be/2uURMKLAPZw?si=MFGFVcgwWlBAH789
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reposted by
Infected Terran
BK. Titanji
about 1 month ago
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.
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Infected Terran
Krutika Kuppalli, MD FIDSA
about 1 month ago
🚨 >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.
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We have an open spot. Come join our awesome family!
@febrilepodcast.com
add a skeleton here at some point
about 1 month ago
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Spotify thinks I'm 21 so...hooray?
about 1 month ago
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Based, goated and...uh...PO pilled
add a skeleton here at some point
about 1 month ago
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You've heard of "door to balloon" time. But are you aware of the "Taco Bell to the loo" time?
#dadjokeforlike4people
about 1 month ago
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Infected Terran
Antibiotic Steward 🅱️C🆔🅿️🌟
about 2 months ago
🆕🔥🦴 Our 2025 Update to
@wiki-guidelines.bsky.social
for the Management of Pyogenic Osteomyelitis in Adults 🌟
@bradspellberg.bsky.social
🔗 [link]
#idsky
www.amjmed.com/article/S000...
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Another great Farkas takedown
add a skeleton here at some point
about 2 months ago
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Reviewing applications for IM . My yearly reminder that I am extremely fortunate and would probably not get into residency in 2025. Holy crap these folks are impressive!
about 2 months ago
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Unless volunteered by the patient without any promoting, I am deeply skeptical of urinary frequency of suprapubic pain as symptoms of cystitis/UTI. Fight me.
about 2 months ago
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Just your weekly reminder
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about 2 months ago
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I love Wikipedia with a passion
www.mcsweeneys.net/articles/hi-...
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Hi, It’s Me, Wikipedia, and I Am Ready for Your Apology
“Wikipedia, the constantly changing knowledge base created by a global free-for-all of anonymous users, now stands as the leading force for the dum...
https://www.mcsweeneys.net/articles/hi-its-me-wikipedia-and-i-am-ready-for-your-apology
about 2 months ago
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Solid advice once more from the onion
add a skeleton here at some point
about 2 months ago
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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/...
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Lumbar Puncture Performed Promptly or After Neuroimaging in Acute Bacterial Meningitis in Adults: A Prospective National Cohort Study Evaluating Different Guidelines
Swedish guidelines recommend prompt lumbar puncture (LP) liberally. Adherence to these guidelines was associated with decreased mortality and increased fav
https://academic.oup.com/cid/article/66/3/321/4110207
about 2 months ago
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reposted by
Infected Terran
Antibiotic Steward 🅱️C🆔🅿️🌟
about 2 months ago
🆕🔥State-of-the-Art Review with 🌟s
@trubianojason.bsky.social
: Antibiotic Allergy—A Multidisciplinary Approach to Delabeling
#idsky
url:
academic.oup.com/cid/article/...
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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
add a skeleton here at some point
about 2 months ago
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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
about 2 months ago
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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.
2 months ago
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Rejoice! For you are live in a timeline where Jeff Buckley's "Grace" exists.
2 months ago
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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...
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Rate of measles cases and deaths in the United States
The reported annual rate of new cases and deaths from measles, per 100,000 people in the population.
https://ourworldindata.org/grapher/measles-cases-and-death-rate
2 months ago
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Because I hate copilot and most of its variations
2 months ago
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reposted by
Infected Terran
NEJM.org
2 months ago
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
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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
2 months ago
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Guilty as charged. And yet she's still a Swifty.
add a skeleton here at some point
3 months ago
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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.
3 months ago
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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
3 months ago
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I've been waiting for a pressing for years. Man I love this record so much.
3 months ago
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Antibiotics don't fail. We fail. You have the wrong diagnosis.
#idsky
4 months ago
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Antibiotics don't fail. We fail. You didn't have source control.
#idsky
4 months ago
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Great clinical conference today and first day of recruitment! Check out some of our cases from today.
add a skeleton here at some point
4 months ago
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I knew it!!!
add a skeleton here at some point
4 months ago
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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.
add a skeleton here at some point
4 months ago
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Common sense!
add a skeleton here at some point
4 months ago
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reposted by
Infected Terran
Timothy Li
5 months ago
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
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Is there ANYTHING vancopime can't treat??
#idsky
5 months ago
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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.
5 months ago
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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.
5 months ago
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