Hello May. At least I’m reading some articles

At #ESCMID2026 Trial Run session, Dr. David. Paterson made a call to the ID community to join platform trials. So I want to tell you how we did that. I am a clinician, and also medical lead for IPC and stewardship. Our small but mighty ASP was already reviewing all pts with bacteremia 1/ #IDSky

🦷 💊 Dental prescribing and antibiotic stewardship - here is a great poster from Dr. Goff at #ESCMIDglobal2026 #pharmacist #dentist #Antibiotics @escmid.bsky.social @krutikakuppalli.bsky.social @drneilstone.bsky.social

Normal urine is not sterile! Urine microbiome being introduced by @nicoledenisco.bsky.social #ESCMIDGlobal2026 #UTISky

Always gets me. Gown, gloves, N95 for patient COVID + 8 days ago. Go in the doctors lounge, 6 people coughing and no one wearing a mask

Anyone in #idsky have experience with Gentamicin bladder irrigation for recurrent UTI?

Over the past 50 years, money from Medicaid and other federal programs such as Medicare, Social Security and the Supplemental Nutrition Assistance Program has become a bigger share of American incomes, according to research from the bipartisan Economic Innovation Group.

Too young for the MMR shot, babies become ‘sitting ducks’ in measles outbreaks

For the next 24h, drop any infectious disease and/or vaccine-related questions in response to this post, and I will do my best to answer them. Answers are for information only, NOT medical advice. #AskAnIDDoc April 2026 edition.

For 8 years, I’ve been calling the disposable stethoscope in contact rooms a “fisher price stethoscope.” The neighbor gave us their old one and the comparison isn’t fair to the toy

My paperbacks from before 2012 still happen to exist

Infectious diseases experts call on Secretary Kennedy to maintain the scientific integrity of the Centers for Disease Control and Prevention’s Advisory Committee on Immunizations Practices charter as he undertakes his review. Our statement: https://bit.ly/3PX8BWW

Saw 2 cars run hard red lights (came to a full stop before going) and now I would like red light cameras everywhere, please

Yeah, but also no one ever asks to see my vinyl collection

After taking time to connect with the Pretti family and with their consent, we are honored to share that we have created the Alex Pretti Nursing Scholarship. For those interested, you can learn more and make a gift here: crowdfund.umn.edu/campaigns/Al...

If microplastics are in all our organs, why isn’t there a mention on pathology reports?

March done. Finished a book I’ve been ready for 4 years

Realizing today that something like 95% of people on BlueSky don’t know that St. Paul is its own city

A $50 billion fund to help rural hospitals could actually lead to closures and cuts - NPR apple.news/AmNJjPkXkTW-...

And yet somehow the positive predictive value of this technique is greater for influenza A than Hantavirus. Curious.

Yeah, I don’t think it’s good to have secret police using intimidation tactics against elected officials

How it feels listening to #kneecap as a 35 year old American:

From 2003 through 2024, the PEPFAR program prevented an estimated 11.0 million cases of tuberculosis and 2.1 million tuberculosis-related deaths. This administration has been blocking and withholding PEPFAR funds.

me looking up renal adjustment for Zosyn while our group gets 4 new consults #idsky

We are looking to recruit transplant ID faculty. Happy to support different career types. WashU Medicine Division of Infectious Diseases is seeking a full-time transplant infectious diseases clinician. facultyopportunities.wustl.edu/Posting/Deta...

Thank you, phone number with 12 digits. I was not aware that I had an issue with my license in a state I don’t live in

Deeply cruel system. Able to “care” about a life until the day after it’s born. If we want someone to have a c-section, supporting them through recovery is less than the least we shiuld do apple.news/AhJHWR8PKTki...

Sinners deserves Best Cinematographer simply for the fact that it's a modern movie where you can tell what's going on during all the night scenes

🚨A new study by incoming fellow Dr. Okuno, mentored by faculty Dr. Boulware and Dr. Bahr, evaluates the association between therapeutic LPs and survival in patients with Cryptococcal Meningitis. The Findings: repeat LPs are a life-saving intervention across diverse patient populations. #IDSky

Shared by an ICU-ID mentor. Vanc/zosyn nearly 6000mg sodium a day! Hard to keep ahead of “bilateral cellulitis and pneumonia” in our CHF patients on that. #idsky academic.oup.com/ofid/article...

“Of the 279 people accused by officials on X of attacking federal officers in the past year, 181 were U.S. citizens, the Journal found. Close to half of those Americans were never charged with assault. None have been convicted at trial.”

Excited to share that our article was accepted at Clinical Infectious Diseases! We applied the 4-quadrant approach (an alternative to the classic 4 principles of bioethics) to antibiotic use in Hospice Bottom line: benefit is in the eye of the patient/family academic.oup.com/cid/advance-...

End of February. Some progress

When you spend on healthcare you get an added boost because people can go back to work and, like, nurses live in the community. When you spend on militarized “defense” groups you have to spend extra because they wind up doing stupid dangerous stuff with the tech

I’ll stop testing for tick-borne pathogens in January when we fix global warming

Team US wins hockey, and to celebrate Donald Trump is lowering the global tariff rate to 13.5%! Use code “US250” at scam.us.statedepartment to claim your tariff reduction

Surgical ICU attending walking away with Ceftriaxone after I reject their request for Meropenem to treat a susceptible E coli.

Never thought of it before, but if ANY agency needs a luxury jet, it’s gotta be the Epidemic Intelligence Service

Take away: minocycline was often effective against the GNBs, including otherwise resistant organisms Mayo started routine testing of gram negative isolates from all sites, leading to a wealth of data

Very pleased to share that our study into Mino susceptibility in 26,000 Gram negative isolates has been published! Hopefully this will be a pill option where none existed otherwise. journals.sagepub.com/doi/10.1177/...

“Billy Joe!” Would be a great name for a cover band

Sometimes I think about all the medical breakthroughs that would become available to us if only someone figured out how to turn us into mice.

Valentine’s Day ASP and IPC style: Gram-negatives are red Gram-positives are blue You can switch to PO No matter the hue Roses are red Violets are blue Wash Your Hands Prevention starts with you 🥰💊🧼💝🌹 #IDSky #AMSSky #IPCSky #MedSky

If I was elected president, the first thing I would do is release all mentions of Trump in a big document describing context. I wouldn’t even wait to be inaugurated. I’d leak that stuff from the confidential information meetings they do before, possibly sparking a constitutional crisis

End of January. Off to a start

Any one with #idsky have a good approach to high leukocytosis? Have seen a handful of WBC 40-70k. All neutrophils, never abnormal flow cytometry, always dissatisfying

How much would it cost to do a nation-wide TV ad buy to tell people it’s not a UTI if you don’t have symptoms because

Oh yeah? You think this is an illegal action against a legitimate state actor? Well what about [other illegal action against a legitimate state actor]??

I was told sitting presidents couldn’t be prosecuted for criminal activity?

Thought I was mostly up to date on Vaccine science, but thanks to this non-practicing surgeon on Twitter, I realized I had missed some sensational articles over on “open.substack.” Wasn’t familiar with that journal