We are hiring! The UCSF Health ID Division is hiring faculty for 2 roles: (1) academic clinicians interested in general ID & (2) Director of General ID Programs. Details & application in link. Reach out to Brian Schwartz with questions. aprecruit.ucsf.edu/JPF05192

CDC Confirms Human H5 Bird Flu Case in Missouri | CDC Newsroom cdc.gov/media/releases…

In an alternate reality Dr. Kamala Harris is a fantastic medical subspecialist but you better have a specific question when you call for a consult

Update: Working on my Spanish so I can eavesdrop in more languages

Month 1 pearls from palliative fellowship: ⁃ allow silence, listen more than you speak - you know medicine but patients are the experts of their own body - you don’t decide how much pain someone is in - an “acceptable” way of living for a patient is not your choice/decision

Me as I tell the team to continue vanc, cefepime, and metronidazole (H/t Shailin Thomas)

Excited for an upcoming week on the ID teaching service! Will post pearls and/or other things of interest that come up this week To start, here’s a thread of tips intended for new fellows, but worth reviewing for more experienced consultants, too! x.com/AllisonRBond/s…

First up: Endocarditis in Strep bacteremia! TTE needed? Streps sanguinis, bovis, mutans and mitis most likely to cause endocarditis; beta-hemolytics (pyogenes, (dis)galactiae) least likely! Regardless of species, calculate HANDOC score to help decide! academic.oup.com/cid/article/79…

Your notes could be a lot better if you included the dates of surgeries, procedures, and starting/stopping antibiotics 😇

Makes me so happy when someone admitted to the hospital with an infection related to substance use starts addiction treatment in-house. This should always be the case

Did you know you can only get coccidioides once, but you can get histoplasmosis as many times as it darn well pleases? This is a review worth reading if you haven't already nejm.org/doi/full/10.10…

On my OB rotation, a man in the elevator asks if I am “an infant doctor”. I explain “I have at least 5 more years until I’m a full grown doctor.” He clarified he was asking if I was a pediatrician

Super interesting thread about the prion disease chronicled in the book “The Family That Couldn’t Sleep” Doxycycline is being studied as a possible therapeutic! Just another reason it’s an MVP of the antibiotic world

Multiple mechanisms at play science.org/doi/10.1126/sc…

In a family meeting, patient/family asks lots of questions about the future. 1) "What if A doesn't work? " 2) "We will do B or C " 3) "What if B (or C) doesn't work?" If you start answering this Q 3), you will get stuck, because more Qs will come. It won't end. 1/

Button batteries are so scary - this one caused an esophageal-carotid fistula. Luckily, the kid was ok nejm.org/doi/full/10.10…

In J-school I learned there was a famous journalist who (pre-computers) wrote articles 1 sentence at a time, painstakingly copying/pasting/rearranging each word before moving on, & as someone whose 1st draft style is decidedly “word vomit,” I’ve been thinking about it ever since

15 million people trusted 23&me with their DNA. Now the company is almost bankrupt, the stock about to be delisted, and almost the entire board has resigned. Who will they decide to sell your info to? 1/