No kidding. We got dinged for scheduling a few travelers close to their travel date instead of within 28 days of when the consult was placed!
24.10.2025 00:52 β π 0 π 0 π¬ 0 π 0@thehitch-md.bsky.social
Infectious disease physician and hospital epidemiologist at the Richmond VAMC in Richmond, VA, and assistant professor of ID at VCU. Way too junior to speak for the federal government. Cincy-bred, and UVA-, Duke-, and Stanford-trained.
No kidding. We got dinged for scheduling a few travelers close to their travel date instead of within 28 days of when the consult was placed!
24.10.2025 00:52 β π 0 π 0 π¬ 0 π 0I had to get through a couple lectures first, but I finally finished Theodore Rex. It was much more of a blow-by-blow of his Presidency than a portrait of the man that Rise Of Roosevelt was, but it was still fascinating. I have to take a break but will finish the trilogy with Colonel Roosevelt.
18.10.2025 03:29 β π 1 π 0 π¬ 1 π 0If our main target is not associated with HO-CDI, it further brings into question whether this is a useful metric at all
09.10.2025 15:06 β π 1 π 0 π¬ 0 π 0Listened to a talk about using it for letters of recommendation and it seemed like by the time you got the prompt good enough to make a letter you could have already written it yourself.
07.10.2025 15:03 β π 1 π 0 π¬ 1 π 0Do you think attendance will send any strong messages to the front office? Canβt sat Iβm excited to spend any money to watch the Kickers be uncompetitive.
04.10.2025 13:44 β π 0 π 0 π¬ 1 π 0I have no interest in being the gatekeeper of this, but providers should not be able to order a multiplex PCR panel unless they have some semblance of how to interpret the results.
03.10.2025 19:05 β π 0 π 0 π¬ 0 π 0People just have to touch the stove, unfortunately.
02.10.2025 22:51 β π 1 π 0 π¬ 0 π 0I hope that also got them an automatic kick in the nuts
24.09.2025 22:22 β π 1 π 0 π¬ 1 π 0Would not want this to be my leagueβs national display of refereeing
17.09.2025 23:34 β π 0 π 0 π¬ 0 π 0Agreed!
04.09.2025 03:24 β π 1 π 0 π¬ 0 π 0Thatβs an interesting study bc I usually make that switch to drop ABC for the possible cardiac risk, not really for weight (itβs BIC/FTC/TAF to DTG/3TC for that). It would be nice if this study has an ongoing follow-up period to see if there is a lower risk of cardiac events with the switch.
04.09.2025 02:29 β π 1 π 0 π¬ 1 π 0From @drrossanarosa.bsky.social et al: Using in-house PCR for C auris screen, we observed β¬οΈ rates of new colonization POA but have maintained stable rates of C. auris hospital-onset BSI. This suggests rapid ID and isolation can mitigate horizontal transmission of C. auris. doi.org/10.1017/ash....
28.08.2025 14:12 β π 6 π 3 π¬ 0 π 1From a VA perspective, the cytology is fairly easy to get (when the patient is agreeable), but the HRA is extremely difficult to get even on higher-grade abnormalities bc there are very few physicians who do that.
15.08.2025 18:01 β π 2 π 0 π¬ 0 π 0Do you think this makes him GK1 at least until the Kickers are eliminated from playoff contention?
10.08.2025 00:40 β π 0 π 0 π¬ 1 π 0That makes sense to me. I always tell learners that I think the improved outcomes with ID consultation is purely about approaching SAB systematically (and also being obsessed with not overlooking deep foci)
27.07.2025 14:38 β π 2 π 0 π¬ 1 π 0@thehitch-md.bsky.social et al: AI v. ASP Experts: Chatbots for BCID2 Interpretation
doi.org/10.1017/ash....
It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
11.07.2025 16:15 β π 2 π 3 π¬ 0 π 0That wasβ¦not great, though I will say that Lage seems like what they needed in the back.
13.07.2025 01:17 β π 0 π 0 π¬ 1 π 0It was a pleasure to work on this project with our ID pharmacist colleagues. AI has a lot of potential in this space, especially with the basic interpretation of data, but still needs human guidance to work through the complexities of patient management. Looking forward to doing more of this!
11.07.2025 16:15 β π 2 π 3 π¬ 0 π 0I was actually just pondering why there doesnβt seem to be much action for League One as a loan destination (or maybe thatβs just a Kickers thing). It seems like a good option for a cash-strapped team.
09.07.2025 19:16 β π 0 π 0 π¬ 1 π 0No, not yet! I wanted to get closer to my book goal before starting another 900 page book. Itβs one of my next books in the coming months.
25.06.2025 22:14 β π 1 π 0 π¬ 1 π 0And itβs hilarious that the highlight package leaves out the controversial play altogether www.uslleagueone.com/richmondkick...
01.06.2025 03:05 β π 0 π 0 π¬ 0 π 0Great time at the Kickers game tonight, too bad the officiating wasnβt as good as the play
01.06.2025 01:59 β π 2 π 0 π¬ 1 π 0No kidding!
26.05.2025 03:57 β π 1 π 0 π¬ 0 π 0I can live with 2 points out of 3 very different road games, but their defense keeps putting them in a hole. That has to change or it will be a long rest of the season.
26.05.2025 01:57 β π 0 π 0 π¬ 1 π 0Had a surgeon bring up SC administration once, but I have never done it. It seems like it would not be comfortable for extended therapy, but who knows.
26.04.2025 13:03 β π 1 π 0 π¬ 1 π 0I just mean that the same person is usually drawing both cultures so even if itβs a clean stick, if youβre in a hurry for one, youβre in a hurry for both. I see my fair share of dual positives with absolutely no risk factors for a true CONS bacteremia. Itβs all about the assessment, not the sets.
26.04.2025 01:33 β π 1 π 0 π¬ 1 π 0I have always thought one CONS is a contaminant, 2 is probably real to be a weak heuristic. These culture collections are not independent events.
26.04.2025 00:49 β π 1 π 0 π¬ 1 π 0Great work by a great colleague! I hope more studies like this come out to help support high rates of childhood vaccinations, especially MMR.
24.04.2025 16:36 β π 1 π 0 π¬ 0 π 0I donβt know how to feel about a game where the Kickers simultaneously squandered a win and also got jobbed and Kirkland is now a folk hero.
20.04.2025 01:06 β π 1 π 0 π¬ 0 π 0