π ABX Pearl of the Day:
β Q: My patient with febrile neutropenia (FN*) on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
04.02.2026 19:32 β π 5 π 2 π¬ 1 π 0
10 Movies to Stream for Black History Month
Not only is it Black History Month. Itβs also its 100th anniversary!!
To commemorate its centennial, I wrote a list of 10 Black films, one from each of the last 10 decades, to stream.
03.02.2026 16:27 β π 1007 π 470 π¬ 11 π 19
this is exactly right. "popularism" in practice amounts to an abdication of political leadership!
04.02.2026 02:25 β π 2054 π 433 π¬ 53 π 8
Louisiana 1965-67 Department of Highways Biennial Report with a black & white collage of highway infrastructure
Black & white collage of highways snaking through a swamp landscape with water and twisted trees
02.02.2026 22:06 β π 52 π 7 π¬ 1 π 4
The press has done a lot over the years to manufacture presidential gravitas and prestige, going above their expected duties as state stenographers.
But I don't think any other president has had so much free PR and image management coordinated across so many media outlets, not even close
30.01.2026 16:16 β π 36 π 6 π¬ 2 π 0
Alex Pretti was a colleague at the VA. We hired him to recruit for our trial. He became an ICU nurse- I lover working with him. He was a good kind person who lived to help and these fuckers executed him.
White. Hot. Rage.
24.01.2026 19:31 β π 60724 π 18978 π¬ 1406 π 745
Personal announcement: my medical license has been renewed to 2028.
23.01.2026 16:22 β π 5 π 0 π¬ 0 π 0
Just listened to @fivefourpod.bsky.socialβs episode on INS v. LopezβMendoza, and thereβs definitely a straight line from there to here. Rest in pieces, OβConnor π
22.01.2026 01:56 β π 4 π 2 π¬ 0 π 0
Very hectic but rewarding weekend of ID consults. Not a sustainable volume, but did feel like I did good work.
19.01.2026 22:54 β π 1 π 0 π¬ 0 π 0
Brilliant gambit sir
15.01.2026 22:37 β π 253 π 41 π¬ 6 π 3
if you were in college during your first βNo Blood For Oilβ protest then now is a good time to discuss with your doctor which age-appropriate cancer screenings are right for you.
03.01.2026 19:13 β π 197 π 45 π¬ 8 π 4
the default tone of right-wing writing on Mamdani at the moment is sweatily pathetic
30.12.2025 21:07 β π 386 π 46 π¬ 12 π 1
Mike F tweet:
Rembrandt was unsurpassed in his ability to depict light and shadow in his works, until the camera came out. then he got insanely surpassed
Rest in peace to Mike F, one of the all-time greats
30.12.2025 20:37 β π 6674 π 715 π¬ 16 π 14
Read Moby-Dick!
13.12.2025 17:26 β π 1 π 0 π¬ 1 π 0
Practice changing plenary #ASH25βΌοΈ
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.
π©Έgreater hemoglobin increase
π©Έlower mortality at 14 & 90 days
06.12.2025 18:46 β π 96 π 27 π¬ 5 π 4
Finally, we can all stop wringing our hands about this lol
06.12.2025 18:54 β π 1 π 0 π¬ 1 π 0
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
03.12.2025 20:30 β π 37 π 33 π¬ 0 π 3
THE FIRST JAMES BOND FILM!
IAN FLEMINGβS
DR. NO
007
04.12.2025 03:17 β π 1 π 0 π¬ 0 π 0
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! π
#medsky #pharmsky #EMsky #IDsky #emimcc #MedEd
03.12.2025 22:54 β π 4 π 1 π¬ 1 π 0
ID once again dragging ourselves across the finish lineβwhich is a crying shame because I love my job and I love treating people with infections. IM residents, ask me about my work and Iβd be happy to sing its praises!
04.12.2025 00:47 β π 5 π 0 π¬ 0 π 0
Tell me how consults is *really* going.
04.12.2025 00:43 β π 1 π 0 π¬ 1 π 0
Thereβs also an emerging body of evidence showing that reliance on AI eventually leads to de-skilling of humans, and we need a better sense of the long-term consequences of that (e.g., are we comfortable with a future where radiologists are just worse at interpreting mammograms?).
30.11.2025 09:48 β π 4 π 0 π¬ 0 π 0
This is the challenge of any cancer screening program: knowing whether detecting cancer before it causes symptoms saves lives is challenging! Weβve gone back and forth on this for prostate cancer and breast cancer for decades. AI *may* help, but I donβt think we have good data for that.
30.11.2025 09:48 β π 3 π 0 π¬ 1 π 0
Thereβs a more sober approach to this that is being missed: we donβt know if these AI-driven analyses would save lives or outweigh harms of overdiagnosis. AI could be better at screening for cancer *and* still not be useful for screening (in the way we do breast or colon cancer screening).
30.11.2025 09:48 β π 3 π 0 π¬ 1 π 0
My most petty βno I will not βlive and let liveββ opinion is that your definition of βsmall personal itemβ and where it goes on an airplane plane says a lot about your respect for other humans
29.11.2025 16:28 β π 2 π 0 π¬ 0 π 0
Solidarity with the SWISS flight attendants shaming Americans for putting their jackets and backpacks in the overhead bins
29.11.2025 16:24 β π 5 π 0 π¬ 1 π 0
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."
26.11.2025 16:07 β π 11841 π 3857 π¬ 53 π 33
More like procalci-NO-nin am I right
22.11.2025 19:19 β π 2 π 0 π¬ 1 π 0
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