Matthew Brigmon

Olorofim/fosmanogepix you are our only hope

Man, the amount of times someone wants to do a perc cholecystostomy on someone in shock is mind boggling.
“They aren’t improving!!!”
“They still have staph in their blood.”
“We put the perc chole tube in and the pressors got a little better”
“They have endocarditis”

Acorns showed statistical but negligent clinical effect with cefepime neurotoxicity.

I have done linezolid in cns infections. I feel much better for CNS penetration than a lot of others.

I was informed today by my surgical colleagues that their boards state that fidaxomicin is better than vancomycin for c diff. Is that a consensus in the ID community?

I had a really bad acute strep meningitis and everyone was surprised. The patient was very sick and got better quickly so it was a cool case.

I think doggy palliative care services are better on average than human palliative care services.

To clarify, the question is that a patient was given two doses of ivermectin prior to transplant. We are consulted bc they just transplanted them and they want to know about retreating with 4 dose protocol.

Multiple-dose versus single-dose ivermectin for Strongyloides stercoralis infection (Strong Treat 1 to 4): a multicentre, open-label, phase 3, randomised controlled superiority trial - PubMed There was no funding source for this study.

So i had a consult about someone with a positive igg for strongy. Are any of the transplant id physicians out there ok with only single dose of ivermectin pre transplant? pubmed.ncbi.nlm.nih.gov/31558376/

For those not on the IDSA IDea exchange. I am in the process of trying to get a meeting together for those interested in ID Critical Care society/idsa community. Please dm me your email if you would like to be included/involved.

Dr. Thomas O'Brien -- Expert in Antimicrobial Resistance and Giant in His Field (Literally) Dr. Thomas (Tom) O’Brien was born in January 1929, in between the discovery of penicillin (September 1928) and the publication of the findings in a medical journal (May 1929). As noted by his longtime...

Remembering Dr. Thomas O'Brien -- expert in antimicrobial resistance, and all-around great guy.

Plus, there's that interesting thing about his son ... 😄 #IDSky
blogs.jwatch.org/hiv-id-obser...

Bad gateway

Is that also why your texts to me are riddled with mistakes?

I use eosinopenia as a surrogate marker for pct and it is about as useful and the test is already ordered! I find the test pretty useless in the icu.

I see. What say you about the vaccines?

Are you saying that the vaccines are a silent war against autistic people or that there is a war against autism and vaccines are an excuse? #Hashtags #unclear

Oh, I have seen this and it won’t end well no matter what you use…probably. I would give olorofim maybe try inhaled ampho or other (opelconazole) if you got it. If at a place not in a trial, i would do vori/ampho/mica until you know.

Sit down with the resident and write the abstract to show them how relatively simple it is.

Have you gotten to the point where you eat a peanut butter and jelly sandwich everyday so the bread gets used before it stales?

The arguments will still remain the same.

That must be one of the bestest boys.

Your forgot 5. Profit

The thing is, you never know when your spidey sense is good enough. If you think it is, it probably isn’t.

Until a house guest leaves your dumbbells out and messes up your plate organization

They ask for high resolution with a 16kb size limit.

I learned about this page today www.phagerounds.com which is a place to connect to live lectures on phage therapies. Highly recommended for the curious.

This is a jpeg and the guidelines clearly say cyan only png.

Sounds like a mirror image of the us as far as reimbursement.

I tapped out at 550 for 6 reps because my back started to hurt. I have the rogue rhino and it has been a godsend to be able to do heavy squat motion again but i don’t think i will ever get back to the glory days.

Just don’t britta this up.