Engaging in perhaps the most thankless of chores—cleaning up my Zotero library—as a way of procrastinating from more pressing obligations.

Another block of fellowship done ✅ Down to the last 8 weeks of inpatient consults as an ID fellow. Save a few weekends, next year will be all-outpatient as the HIV fellow. Exciting!

Excellent talk on oral antibiotics for endocarditis from @gkenny1.bsky.social as part of this morning’s Harvard-wide ID conference! @mgb-id.bsky.social

Had an absolute blast representing my colleagues at CIR–SEIU’s national convention this weekend. We’re fired up and ready to build union power at Boston and New England hospitals for our patients and for ourselves.

Hey is this ID? Can we do a quick in person curbside before I have to run to the ED to see another consult for a traveler from an antique land? Meet me by the two vast and trunkless legs of stone outside the cafeteria

just hanging out in chat with the boys and typing "nominal" back and forth at each other

Earlier this week, I had the honor of breaking fast at Rikers Island with New Yorkers in custody. It was a night that will stay with me for quite some time.   In a system too often defined by what it takes, I was reminded of what it means to give—mercy, dignity, and humanity. Eid Mubarak, New York.

The 2010 K-drama Secret Garden 시크릿 가든 has some truly wild TV medicine, but it also has the most accurate description of a VIP medical encounter ever put to screen.

an incredible website where everyone is normal and people know the difference between NPR The News and NPR the Tiny Desk.

If I were a prominent and very publicly Catholic member of the administration, I would just retreat to a monastery for the rest of my life

If anyone has ever described you as a "movement elder," it's time to be screened for high cholesterol, diabetes, and consider scheduling your first colonoscopy.

The rich and powerful will do anything except not be freaks about medical beliefs! defector.com/jeffrey-epst...

Marlboro Reds taste great when you don’t have a surgeon in your ear telling you it’ll impede wound-healing

Making an HBO gay sex show about Rosencrantz and Guildenstern call that Heated Ribaldry.

No son, they are not "magically delicious." The workers made them delicious. This is a slogan meant to mystify the social conditions of labor

Man goes to doctor. Says, "doctor, I am so depressed. I only want to sleep all the time. I am always hungry and thirsty, and I spend all my time on the toilet urinating. My wife says my breath smells like sour milk. What can I do?" Doctor says "solution is simple. Go and see great clown Pagliacci,"

“Diseases desperate grown by desperate appliance are relieved or not at all”: the story of amphotericin B

🌟 ABX Pearl of the Day: ❓ Q: My patient with febrile neutropenia (FN*) on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

Not only is it Black History Month. It’s also its 100th anniversary!! To commemorate its centennial, I wrote a list of 10 Black films, one from each of the last 10 decades, to stream.

this is exactly right. "popularism" in practice amounts to an abdication of political leadership!

The press has done a lot over the years to manufacture presidential gravitas and prestige, going above their expected duties as state stenographers. But I don't think any other president has had so much free PR and image management coordinated across so many media outlets, not even close

Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him. White. Hot. Rage.

Personal announcement: my medical license has been renewed to 2028.

Just listened to @fivefourpod.bsky.social’s episode on INS v. Lopez–Mendoza, and there’s definitely a straight line from there to here. Rest in pieces, O’Connor 👎

Very hectic but rewarding weekend of ID consults. Not a sustainable volume, but did feel like I did good work.

Brilliant gambit sir

if you were in college during your first “No Blood For Oil” protest then now is a good time to discuss with your doctor which age-appropriate cancer screenings are right for you.

the default tone of right-wing writing on Mamdani at the moment is sweatily pathetic

Rest in peace to Mike F, one of the all-time greats

Practice changing plenary #ASH25‼️ Iron is hypothesized to feed infxn & IV iron often avoided in that setting. >85k people hospitalized w/5 most common bacterial infxns, compared those who recvd IV iron to those who did not. 🩸greater hemoglobin increase 🩸lower mortality at 14 & 90 days

OPEN SPOT ALERT! There is an ID fellowship spot available at Boston Medical Center. Incredible team, sane workload (including consult caps and non-teaching service). Highly recommended if you're interested in TB/global health, HIV, SUD, or AMR/stewardship. Message me if interested! #IDsky #MedSky

Thought I'd repost a relevant skeetorial from last year! I often get asked about renal dosing adjustments of Abx in critically ill pts in the ED, so I'd thought I'd share my thought process & perspective. Caveat: only in ED! Lets dive in! 👇 #medsky #pharmsky #EMsky #IDsky #emimcc #MedEd

ID once again dragging ourselves across the finish line—which is a crying shame because I love my job and I love treating people with infections. IM residents, ask me about my work and I’d be happy to sing its praises!

Solidarity with the SWISS flight attendants shaming Americans for putting their jackets and backpacks in the overhead bins

Lots of people sharing this clip because it's funny and cathartic but I also genuinely believe it's important. We have to win the narrative battle between "I live in a corrupt society and that's just how it is" and "I live in a corrupt society and we are going to defeat and humiliate these ghouls."

More like procalci-NO-nin am I right

Scheduling mifepristone largely invalidates the point of the schedule. Ostensibly, the schedule is meant to monitor drugs *which have the ability to form physical dependence*. This step makes the schedule a list of drugs that lawmakers dislike for feelings reasons. www.pbs.org/news-hour/sh...

Also watched David Cronenberg's DEAD RINGERS this evening. Is everyone in private practice like that?

Went for a run for the first time since the half marathon I ran last Sunday. Felt good, but definitely a little creaky!

“I want you to understand what it is like to live in Chicago during this time.” aphyr.com/posts/397-i-...

There's a vicious war on the right. Please join me in praying for our ally, sepsis.

Showed my wife the Emblaveo ad material and her immediate question was “why are they marketing this to men only??”

Please read the following statement by Executive Director Audrey Sasson, condemning the flood of racist and Islamophobic attacks this week against @zohrankmamdani.bsky.social. We call on our City and State political leaders and organizations to condemn and forcefully reject these smears. (1/5)

So I said sounds like he's just feeding antibiotics to the resistance genes and his intern started crying.

A lot of y’all still don’t get it ESBL holders can use multiple antibiotics on a single species So if you have 1 monoculture and 3 antibiotics you can create 3 new beta lactamases This hospitalization is essentially a mint event for both Carbapenamase and Efflux pumps

Hate that every time I see the brand name of lenacapavir, my brain comes up with a jingle for it based on “Hot To Go”