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”

Great point about considering the sens/spec of the given scan, in the given patient, at the given time. Those reported in literature are averages… but this particular scan might be better or worse. But regarding even the pooled “sensitivity of CT for cholecystitis of 94%”… Thread 🧵 1/

Miss Major has passed away. We've lost an icon for the ages. Rest in power.

Truly diabolical that the open enrollment periods for my wife and my respective jobs do not overlap at all.

New Plagdle's up. 🦠 A fun infectious disease one. #IDSky #MedSky #EpiSky www.plagdle.com

I spoke extensively with the Crimson reporter. She understood the strength of the evidence, and it shows. Odds ratios can be eye-glazing, but let's just say that when 2.5 million kids are studied, and it's still not possible to detect added risk from taking acetaminophen...there's no added risk.

Finished up 3 weeks of a relaxing and very educational Clinical Microbiology rotation with a presentation on biosafety and lab-associated infections ➡️ vacation time now

this from my piece on charlie kirk is probably the most important takeaway if you want to know why bad faith, right-wing voices in media are treated as just another set of peers

Like a mold, I, too, exhibit vegetative growth when cultured in a nutrient-rich medium

I spent years researching and trying to explain the imperial boomerang to people and he just … tweeted this out

friendly reminder that we have good stuff like weekends and overtime and work safety protections because of the Labor movement

Who’s up laboring for capital on Labor Day

Primo day on weekend consults: get in at 8:00, spend most of the day answering curbsides or telling teams you agree with the workup they’re already doing, then get out at 5:00 and go for a long run where I run into old high school classmates

We cannot control the direction of the wind, but we can adjust our heading, sail trim, and rig tension to optimize our VMG

Must read for all teams consulting infectious diseases #idsky #idmeded #meded #stewardship #voicesofID @cidjournal.bsky.social academic.oup.com/cid/advance-...

Trying to get my mileage back up in anticipation of the Cambridge Half Marathon and running into the classic problem of maintaining a running schedule in training. Right now my best bets are Thursday (Consultant's Friday) and the weekend

Always a pleasure when the event (ABIM board exam) turns into BWH alumni social hour (gossiping about fellowship/attendinghood before and on breaks during the exam). Also a delight as always to spend quality time with cofellows @alainnajj.bsky.social and Erin

Increasingly feels like demands made on our time as MDs undermine our ability to engage in the clinical reasoning we preach to trainees. It’s really, really hard to be thorough in my chart review, listen to the patient, done an adequate exam, and communicate recs to teams and leave work before 9PM

Excellent essay by @brendanlittle.bsky.social. www.bostonglobe.com/2025/08/12/o...

Do you think corn sweat was a significant quality-of-life issue in pre-Columbian Cahokia?

Survived 3 weeks of Transplant ID at a small community hospital in downtown Boston. Met so many people and learned so much about their dogs, their farms and gardens, their naturally or iatrogenically whacked out immune systems, and all of the many bugs that threaten the good lives they’ve built.

RIP Columbia University (1754-2025).

🚨 IDSA has released the first guidelines for the management and treatment of complicated urinary tract infections (cUTIs)! The new guidelines simplify the prior definitions of uncomplicated UTIs and cUTIs, & address treatment for cUTIs. View guidelines: bit.ly/4lUjN1a

ID fellowship is great—much better than residency. But what are these bags under my eyes??

i almost can’t read this it makes me so angry. delusional grifters with purity fetishes and eugenic worldviews have brought pain, suffering and death to children www.nytimes.com/2025/06/22/u...

The federal HIV guidelines face a shutdown. A trusted, living resource -- used by clinicians, programs, and public health agencies for decades -- may disappear due to “budget decreases and revised priorities.” Big mistake. #IDSky blogs.jwatch.org/hiv-id-obser...

After 104 days of being unjustly detained for his advocacy for Palestinian rights, Mahmoud Khalil is finally home with his wife and newborn son.

1. On Tuesday, Congresswoman Sarah McBride gave a interview with Ezra Klein at the New York Times. It has been used to seed the ground for a rightward shift in the Democratic Party on trans rights. Some allies have failed to grasp the problems with her approach. Here's what McBride gets wrong.

“Medical staff are still required to treat veterans regardless of race, color, religion and sex, and all veterans remain entitled to treatment. But individual workers are now free to decline to care for patients based on personal characteristics not explicitly prohibited by federal law.”

Very appropriate that I just listened to @patrickwyman.bsky.social’s 2024 interview with Daniele Bolelli on why ordinary people choose to do terrible things!