The hardest lessons after training aren’t always in the OR or clinic. 🙏 I wrote this essay for anyone navigating their first year as an attending. “Unseen Scars” in @JAMA_current 🔗 https://t.co/0e09Zx1nb6

Hey ivermectin cures cancer folks: I’d love to see this “evidence” you keep talking about Do you mind sharing the best article in support of that? Two things: 1️⃣Post the link 2️⃣say whether the study was performed in cell culture, animal model, or humans. Thanks.

When it comes to time spent on the EHR, we ID docs are #1, and that’s not a good thing. Some thoughts about why, and what to do. (Hint: Write shorter notes.) https://t.co/MEkqNOB3hv @realdocspeaks @AJHolmgren @LisaRotenstein

【Fever of Unknown Origin】@NEJM 2022 👉Always important review article! https://t.co/3XdBfmwrp2 #IDMedEd #IDFellow

Infections in cirrhosis @LancetGastroHep ✨ Pathogenesis and potential treatment targets ✨ Consequences ✨ Initial approach ✨ Principles of antibiotic treatment https://t.co/PXoDtjrPXo

What is the optimal steroid tapering regimen in patients no longer requiring long-term steroids? 🤔 The 🆕 glucocorticoid-induced adrenal insufficiency guidelines gives us great guidance ‼️ https://t.co/wdcwEGtucx

Today I heard about a person that needed a splenectomy who has a dog, and another who found a dead rabbit on their lawn, and of course thought immediately about Capnocytophaga canimorsus and Francisella tularensis because that's the way ID is wired

#IDTwitter #SIDPharm @ASMicrobiology @jac_amr #AMRrounds called about >100K CFU/ml laboratory confirmed Aerococcus urinae associate with urinalysis below, serum BUN 26, Cr 1.12 (baseline 0.9), WBC 5, and temperature 36.9C. No urinary catheter. Symptoms unreliable (dementia).

#IDTwitter #SIDPharm @ASMicrobiology @jac_amr #AMRrounds called today about this laboratory confirmed isolate associated with a secondary bloodstream infection inquiring the risk of AmpC resistance.

【Percutaneous nephrostomy catheter-related infections】J Hosp Infect. 2023 Nov 👉Useful algorithm for management of one of the most frequent consults: PCN-related infections! @ADSzvalb @MDAndersonNews #IDFellow #IDMedEd   https://t.co/FseySZ9JuP

Does anyone routinely give 7-10 days of anti-MRSA antibiotics for facial erysipelas? @BradSpellberg @DrToddLee @IdVilchez @dralicehan @BJegorovic @edenhelmi

🆕️⚡️🔥 Retrospective analysis Assessed the effectiveness & safety of a beta-lactam +aminoglycoside vs.3d-generation cephalosporin monotherapy for the treatment of endocarditis caused by PEN-Intermediate viridans& gallolyticus group streptococci #IEwiki

Now published in @CIDJournal Clinical Testing Guidance for Coccidioidomycosis, Histoplasmosis, and Blastomycosis in Patients with Community-Acquired Pneumonia for Primary and Urgent Care Providers https://t.co/xZNWiD3rol Algorithms downloadable here: https://t.co/3VE42fGaEf

#IDTwitter Who should be offered suppressive abx therapy for PJI post DAIR? This table is great. Bookmark it. @Cortes_Penfield @laura_certain https://t.co/kgKIOX0MIg

Kelowna is on fire.

Estradiol 0.01% cream. Sig: apply 1 gram nightly for 2 weeks, then 1 gram twice a week forever. For all your menopausal patients. Every damn one. The rate of UTIs will plumet around the world. Make your smart phrases. Dispense liberally.

Empyema (pleural fluid LDH 8000, pH <7) Culture: Streptococcus intermedius On ceftriaxone Do you add metronidazole? @BradSpellberg @DrToddLee @IdVilchez @dralicehan @BJegorovic

If someone has recurrent shingles within weeks/months or even a year or two Swab the lesion It’s almost always hsv.

Annoy an Infectious Diseases doctor in one tweet

The volume and frequency of distractions in modern medicine has created a stressful work environment. MyChart messages, EPIC chat, emails, texts, pages, etc. it's out of control. Can't talk with patient or colleagues or think without a distraction. This culture's got to change.