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SO SO SO thrilled to announce I have taken a position @WashUID in St. Louis where I will serve as #PD for the #IDFellowship, VC of Education, and Director of educational programs for the Division starting Sept 1. I cannot wait for this next adventure!!!

Interested in #GlobalHealth and applying for #IDfellowship? Come join us @WashUID !

Some of the most dangerous catch phrases used in the hospital are "chronic", "at their baseline", "that's normal for them" a it anchors to: permanent, diagnosis/plan is correct & people aren't as bothered by it happened twice on service took me a min to realize it wasn't true

CONGRATS to ID faculty selected as top doctors: Hilary Babcock, MD, MPH, Tom Bailey, MD, Erik Dubberke, MD, MSPH, Nigar Kirmani, MD, Steve Lawrence, MD, MSc and Bill Powderly, MD Hilary Babcock William Powderly infectiousdiseases.wustl.edu/we-are-proud-t…

if you suspect C diff and the GDH/PCRs are negative multiple times you should maybe reconsider the diagnosis. If you still empirically treat CDI multiple times to no benefit - you might just want to consider other etologies. Or not. “ID referral: recurrent tx refractory c diff”

to my continental european colleagues have you all seen or heard of borrelial lymphocytomas w/ delayed diagnosis >1 year(s) after onset but w/ persistent lesion? most of the cases Ive been able to find have been diagnosed <2mo of onset

The amazing Adriana Rauseo giving her second talk at MSGERC, on our efforts to increase diagnostic testing for histoplasmosis in the ED

I dont often check a crp but when I do I nearly always regret it

Agree These diagnoses are harbingers of a diagnostic error: UTI Pneumonia HFpEF exac B/l cellulitis AMS

trying to trim the list on a friday

Has anyone here tried or had success with pentoxifylline for xylazine related wounds (ala venous wounds) along with standard wound care? #IDTwitter

In the 1800s, Irish farmers asked their estate manager, Charles Boycott, for a rent reduction. He said no. So, they refused to pay him. Boycott brought in new workers and won the battle. But he lost the war to history: his name became used for this kind of organized protest.

Soooo excited to hear Laura Marks talking about the intersection of IDU and Staph aureus. @WashUID 🥳🥳woot woot 🥳🥳 She is a national leader in this area we should all try to emulate.

Darcy Wooten she/her Laura Marks @WashUID When a rock star is playing a solo, all you do is sit there and it wash over you. Brilliantly done, Laura Marks!

With all that is going on in healthcare, it is easy to forget what an honor and privilege it is to care for patients. My last patient of the week caught me off guard with a hug and a "thank you." Policies, systems, and bureaucracies suck. People are precious. #MedX #MedTwitter

Join me in exploring the critical role #healthsystems, #supplychains, and #laboratory practices play in addressing the growing threat of #antimicrobialresistance (#AMR) @MSH's in-person event, "On the Frontlines of AMR: A Systems Approach," in advance of the UN HLM on #AMR.

first, antibiotics correctly narrowed to azithro after diagnosis made (good!) but because of QT prolongation concern it was switched to an inferior antibiotic (wtf bad!) lesson: harms > benefits if prioritize preventing rare adverse effect over treating active severe illness

I get about the same use out of any single lightning cable as I do from a birthday candle

Excited to share a new publication: ID Fellow training in caring for people who use drugs: A national assessment of an emerging training need academic.oup.com/ofid/article/d… This is a project led by the incredible @shilpa_vasishta in conjunction with Raagini Jawa MD, MPH, FASAM and Sarah Kurz

dothienteritis was apparently a term used for typhoid fever - originating from french. Does anyone know what the “dothi” referred to? Google has failed me #IDtwitter