William “Bill” Barr (yes, THAT Bill Barr) is conversing with Jeffery Epstein in the new data dump by the DOJ… The #idsky #medsky in me is wondering about #mono Because Y’know #EpsteinBarr… I’ll see myself out…

10y f/u for APPAC on antibiotics vs surg for initial presentation appendicitis show that ~50% pts went onto appy w/i 10y in abx arm. Does this change your practice/recs #medsky #IDsky #surgery #criticalcare #sepsis #appendicitis #ceftriaxone #flagyl #zosyn #piptazo jamanetwork.com/journals/jam...

MN Doctor: I learned that Renee Good still had a pulse 8 minutes after she was shot by an ICE agent. Yet the offer to administer aid from a physician on the scene was denied. I can't say how much that stirs the blood of everyone here as we try to fulfill our oath to care for the people of Minnesota

One way to make him less “unfettered” would be to be the paper of Graham, Baron, Woodward, and Bernstein. But that @washingtonpost.com is dead. RIP. This Bezos rag writes puff pieces like this while it cheers on “free-markets” (but ignores tariffs, seizing stakes in companies, etc). So gross 🤢

@wakeforestid.com you can drag them out, right? Dr/professor Maves? @anandkumar.bsky.social #CCIDN2022 was fantastic. I would LOVE to help set up another meeting/conference.

@mbrigmon.bsky.social So I stumbled across this podcast… It seems to be about #IDcrit #IDSky #MedSky @paulsaxmd.bsky.social mentioning my mentor as a tasking sunuvaB witches, Ryan Maves yo a T. Who wants to start an ID/CCM society?!?! @drandrekalil.bsky.social podcasts.apple.com/us/podcast/l...

In a new trial, one dose of an HPV vaccine was noninferior to two doses in preventing HPV type 16 or 18 infection. Full ESCUDDO trial results: nej.md/49OEzg1 Editorial: Evidence to Action — Single-Dose HPV Vaccination and Cervical HPV Infection nej.md/3XsH9Rx #MedSky #IDSky

#DailyVaccinePost #Chickenpox / #Varicella can lead to a debilitating disease. Though most of us #xennials and older had no option other than chickenpox parties, vaccination is far superior for ongoing immunity w significantly lower rate of shingles later in life. #VaccinesSaveLives #idsky #medsky

One dose of the #measles #vaccine (available as #MMR) is 93% effective at preventing measles. Two doses are 97% effective. Yes: #vaccines prevent infections. This is called sterile immunity. #VaccineSaveLives #IDSky #MedSky

#HappyThanksgiving #Thanksgiving

It’s World Antimicrobial Awareness Week! Did u know AMR might kill us all? @bsacandjac.bsky.social do: they partnered up with interested politicians to drive AMR up the UK's political agenda. How is what this episode is all about! Listen on! #IDsky #microsky #amr podcasts.apple.com/gb/podcast/i...

Do you think Musk will find a way to decontaminate these surgical robots he thinks we’ll take over in less than half of our lifetimes…?

#quoteoftheday “…a long habit of not thinking a thing to be wrong, gives it a superficial appearance of being right…” Thomas Paine, Common Sense #thomaspaine #CommonSense #America #unitedwestanddividedwefall

#idsky #medsky #moringa #supergreens @fda.gov #africaimports #supergreens #salmonella #outbreak www.fda.gov/food/outbrea...

#MTB #tuberculosis #idsky #tropmed @astmh.bsky.social @accpchest.bsky.social @idsainfo.bsky.social

Brucella abortus present in ~1/1000 blood donors in endemic areas in this estimate, with potential to transmit Brucellosis. Authors suggest need for screening in this regions… #IDSky www.nature.com/articles/s41...

@drtoddlee.bsky.social Hey, mind dropping a “follow” for me so I can DM you like we used to on Twitter/X? Wanted to chat about some things. Thanks!

All at Olympia Fields, IL, amirite..?! The SHIRE..!! Bagginnnnssss (That SNF/LTACH had third highest rate in US in the 2010s… ask IDPH, it was where I saw more Colistin/Tygacil usage than anywhere in my life) #idsky #medsky #microsky @drtoddlee.bsky.social @idiots-pod.bsky.social

Hmmmm… what about rebound..? Also, weren’t we seeing good use in patients who couldn’t come in or take Paxlovid / RDV? @drtoddlee.bsky.social @bradspellberg.bsky.social @absteward.bsky.social

Got my hand culture plates ready for a horror show today! Nothing drives the point of hand hygiene better than showing folks what grows in unwashed hands 😱🧼 #IDSky

#IDSky @lucialunaw.bsky.social parasites!

Interesting case! It does make me wonder if he had “unknown” pathology of his mitral valve, perhaps rheumatic heart disease that had gone unidentified… Another key point - 6/6 cx positive for same organism unlikely to be a contaminant, esp in sick person. #IDSky www.cureus.com/articles/427...

#idsky #neurosky #idcrit #MRSA/#MRSE CNS infection not responding to IV #Vancomycin, follow @idsainfo.bsky.social ‘17 guidelines & begin intrathecal/intraventricular vanc, or switch to #linezolid? @bradspellberg.bsky.social @mbrigmon.bsky.social @pulmcrit.bsky.social @idvilchez.bsky.social

#hottake #Cefepime is safe & ACORN trial is overblown. Avoid in elderly+AKI. #idsky #medsky #pulmsky #IDcrit #criticalcare @pulmcrit.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social @idvilchez.bsky.social @erinmccreary.bsky.social @abxstewardess.bsky.social @pharmageddon.bsky.social

#hottake Early identification and supportive management is more important than early #Antibiotics in #Sepsis #SepticShock #idsky #medsky #pulmsky #IDcrit #criticalcare @pulmcrit.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social @vipsmdmed.bsky.social @idvilchez.bsky.social

I can’t imagine this is what people actually voted for. This is a travesty. We used to be the world leading experts and medical science. What have we done…? #medsky #idsky #rfkjr #rfkjrisdangerous #trumpisanationaldisgrace

Join @defendpublichealth.bsky.social in showing that RFK Jr is NOT supported by physicians and scientists bsky.app/profile/evil...

From the Lancet today, the Global Burden of Disease… #IDSky “During the COVID-19 pandemic, disability-adjusted life-years (DALYs) due to infectious, maternal, neonatal, and nutritional diseases all increased, but have since returned to pre-pandemic levels. “ www.thelancet.com/journals/lan...

In today’s Global Burden of Disease overview in the Lancet, “remarkable” health gains in communicable diseases. Public Health/ID research, outreach, prevention and treatment save lives. #IDSky

On a positive note, declines in communicable diseases including diarrheal illness, TB and measles have contributed to decreases in overall mortality. Hat tip to the public health programs that fostered this progress #IDSky

Hot take: You WANT the #creatinine to go up while diuresing in #cardiorenal syndrome AKI. It’ll come back down when they’re better. It’s a feature, not a bug. #Medsky #Nephsky #cardiosky #cardiology #criticalcare @pulmcrit.bsky.social @imcrit.bsky.social #AKI #heartfailure #diuresis

@pulmcrit.bsky.social Are you coming to Chicago..? I have things for you to sign… THINGS…

#Medsky🧪 #IDsky #immunosky #oncosky #publichealth While not a classic #oncogenicvirus, #SARSCoV2 might fuel #lungcancer through multiple indirect mechanisms, creating a pro-tumorigenic environment in t🫁 .

Next draft Infection Card for Epipocalypse: Bug Detectives: Nocardia! One of my favs. Doesn't get enough love. The other group of organisms causing chronic CNS + pulmonary syndromes besides TB and fungi. #IDSky #MedSky #EpiSky any feedback or suggestions?

The Centers for Disease Control and Prevention (CDC) provided more information on a multistate outbreak and genomic testing. #IDsky #Medsky

@accpchest.bsky.social this is going to be addressed soon, right? I mean, it’s October now..? #accp #chest #abimexams #boardprep

www.instagram.com/reel/DOJdAFk... God…. Thank you for @glaucomflecken.bsky.social Every IM & ICU rounds with nephrology and every time someone ordered urine chemistries and serum osmolalities… Did it change your clinical management…? Did it? DID IT, ABIM EXAM? #nephrosky #criticalcare #medsky

#ACIP is taking public comments..! Get yours in TODAY! #idsky #medsky www.regulations.gov/docket/CDC-2... @idvilchez.bsky.social @bradspellberg.bsky.social @wwrighid.bsky.social @paulsaxmd.bsky.social @astmh.bsky.social @alt-hhs.altgov.info @idsainfo.bsky.social @idstewardship.bsky.social

Is the new @natmicrobiol.nature.com study about Cipro and NSAIDs and APAP, is this practice changing for you? Reply: 1 yes! 2 …ehhhhh… 3 need in vivo data 4 what study..? #idsky #medsky

Another plug for #wikiguidelines @bradspellberg.bsky.social When guidelines don’t keep up with medicine

Re: #PLSF #medsky #idsky www.instagram.com/p/DNeY_yKK0E...

@accpchest.bsky.social #idcrit Cool. Can we skip fellowship now? Just apprentice as physicians? Why do ANY medical training AT ALL?! What is this assault on physicians? Be willing to staff appropriately. Let an IM or FP or EM PHYSICIAN take a bronch course and cover the ICU before an NPP!!

Hello physician community. And especially our emergency, infectious diseases, pulmonary docs. Had a friend reach out about a case in Texas of Melioidosis (Burkholderia pseudomallei) in a patient without a travel history. #idcrit #idsky #Pulmsky #EMsky #emcrit #pulmcrit #bioterrorism 1/x

SCARY

Sometimes you just gotta suck it up and get flucytosine, or, if you’re feeling spicy, just give fluconazole #idsky #medsky @idvilchez.bsky.social @bradspellberg.bsky.social @mbrigmon.bsky.social

RE:CLABSI Do we believe it to be sufficient in a critically ill patient on escalating pressors with intestinal/mesenteric ischemia to claim bacteremia in the setting of a necessary central line as a #CLABSI? #idsky #medsky #criticalcare #idcrit @bradspellberg.bsky.social @pulmcrit.bsky.social

#methyleneblue #idcrit #criticalcare #ICU #shock #resuscitation #resuscitationist #EMsky #CCsky #FoaCC #FOAMcc #FOAMed Methylene blue: when you’re all out of options @pulmcrit.bsky.social @mbrigmon.bsky.social you use this w any regularity? www.instagram.com/reel/DJZWlkJ...

BROADER ≠ STRONGER when talking about #antibiotics, can we please stop using that terminology for patients especially? #IDsky #Medsky #idcrit

#Hottake (..?) Respiratory pathogen/viral panels are being heavily overused. (RPP/RVP) Between hospitalist, pulm, ID teams: I see usage of swabs on nearly Q pt w cough or pulm infiltrate. Even w clear aspiration. #idsky #medsky #pulmsky #stopit @idvilchez.bsky.social @bradspellberg.bsky.social

#losangeles #protests #losangelesprotests #nationalguard #usmc @marinecorpstimes.bsky.social @usmarinecorp.bsky.social The #USMC is not trained to act as the police and deal with US citizens and FAMILIES