Todd C. Lee
@DrToddLee
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Professor of Medicine (McGill). Fellow of the ID Society of America. https://t.co/eoD7MWmsBM co-inventor. The Immortal-time Lord. One day a sub-elite runner?
Montréal, Québec
Joined November 2015
For those who are interested or who missed it, here's the link: https://t.co/56Q0RYCK5c Comments and engagement welcome Particularly excited about @DrEmilyMcD 's dabi-snap trial getting started soon
Giving a talk on <i>S. aureus</i> this week - topics will include: *Adjuctive therapy and the boulevard of broken dreams *Early oral switch *Antithrombotic therapy *Cefazolin as MSSA SOC *Cefazolin in CNS disease I think it's being recorded, if so, I'll post a link.
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🆕🔥🦴 Our 2025 Update to @WikiGuidelines for the Management of Pyogenic Osteomyelitis in Adults 🌟 @BradSpellberg 🧪 Diagnosis 🔹 Nuclear scans & paravertebral biopsies → high accuracy 🔹 Bone histopathology > culture 🔹 MRSA nares negative → >90% NPV for DFO 🔹 PEDD >
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Respiratory PCR testing has exploded since the pandemic, but tests are expensive and sometimes used indiscriminately We produced a statement for our regional network to help guide testing and improve diagnostic stewardship https://t.co/SmyQSTHkzE
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@DrToddLee @DrEmilyMcD It's time for randomized controlled trials to guide our clinical practice in Infectious Diseases. We must learn from #COVID19 SNAP is a great step Now let's go for TENT Random ▶️ Randomized Care #IDXposts @BradSpellberg
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Key points from the recently published meta-analysis is NEJM : -beta-blocker therapy did not reduce the (1)incidence of death from any cause, (2)myocardial infarction, or (3) heart failure in patients with myocardial infarction with Normal EF.
Original Article: Beta-blockers after Myocardial Infarction with Normal Ejection Fraction https://t.co/1LiJFFvnm3
@AHAScience | #AHA25
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🩸🚑 Low pulse pressure sharply boosts mortality risk in trauma, especially at SBP extremes New model reveals a bimodal mortality pattern and a sharp risk rise with low PP in early trauma care 🔗 https://t.co/0R3D20BWQR
#Trauma #CriticalCare #EmergencyMedicine #Hemodynamics
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I'm a victim of intense nostalgia. It's a wonderful blessing and a curse at the same time.
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Now, I have really come to prefer Ridge Vineyards and Monte Bello. But the nostalgia and memories trump the taste buds 9 times out of ten.
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Not going to lie. I miss California wine in the SAQ I remember being at this vineyard in 2008 when I drove from San Diego to Portland along the coast. Unbelievable drive. Wish I could do it again for the first time
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So proud of you, Jimmy, for your amazing work as our masters student. Wishing you much success in your PhD https://t.co/7KdL7pRWva
@DrEmilyMcD
@emilie_courval
academic.oup.com
AbstractBackground. Deprescribing is the clinically supervised process of stopping or reducing medications that are no longer beneficial. MedSafer is an el
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26 yo of inpt medicine has led me to the following conclusion: The most effective Tx, BY FAR, for acute diarrheal illness, is admission to hospital. It leads to immediate cessation of diarrhea in > 90% of cases. Thoughts @AnilMakam @medrants @EdoajoEric @DrToddLee @DrEmilyMcD?
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How is Loi 2 affecting our physicians? Anonymous survey responses revealed these recurring words.
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Gaba-dont
Routine use of gabapentin for postoperative pain is not supported by evidence In a large multicenter double-blind RCT of patients undergoing major surgery, gabapentin did NOT improve pain, opioid use, length of stay, or quality of life confirms a prior meta-analysis
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Routine use of gabapentin for postoperative pain is not supported by evidence In a large multicenter double-blind RCT of patients undergoing major surgery, gabapentin did NOT improve pain, opioid use, length of stay, or quality of life confirms a prior meta-analysis
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3/ Calcium increases mortality in patients undergoing CPR for cardiac arrest according to a RCT published on @JAMA_current: https://t.co/F89Om3wV00 Is it safe in the perioperative period? @tscquizzato
jamanetwork.com
This placebo-controlled randomized clinical trial compares administration of calcium vs saline during out-of-hospital cardiac arrest for sustained return of spontaneous circulation in adults.
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Original Article: Deferring Arterial Catheterization in Critically Ill Patients with Shock (EVERDAC trial) https://t.co/N5ou9POC0r Editorial: A Less Invasive Approach to Intensive Care https://t.co/l5fexdtzZX
#LIVES2025
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"Review or Stop: Is It Still Needed?". This provides guidance on when to review or consider stopping various medications, including bisphosphonates, tamoxifen, anastrozole/letrozole, ferrous sulphate/oral iron, DOACs, PPIs, folic acid, DAPT, and antibiotics for UTI and acne.
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Respect to the guys and gals running out along the lachine canal in the cold October rain this AM. I thought I was the only crazy one but it's good to see that's not true.
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Severe falciparum malaria has too much affinity for being diagnosed at midnight.
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My road map to improving cancer outcomes and where screening fits in TLDR: right now screening is the least important step vs prevention & treatment Read whole thread above and various branches
@AppleHelix @VickersBiostats 1. Cancer is many diseases, so silly to lump together 2. Zero is unrealistic 3. We need better screening, not just early screening. We need to find signatures of Cancer, not "cancer" 4. Prevention carries most weight. Decline in Smoking is king. Hpv vax great. Glp1 huge IMO
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