#medtwitter #idtwitter #medxposts #idxposts #critcare #ICU @WakeForestCCM @wakeforestid @RushCCH_ID @RushPulmCC @MayoClinicINFD @IdVilchez @KMirza Share the love!

We’ve tethered ourselves to subsidies that codify a broken system; we need a working reimagining/vision of replacing it while providing interim coverage. #MedTwitter #medxposts #idtwitter #idxposts @ABsteward @votevets #votevets #veteran @DeptVetAffairs @ACPIMPhysicians @WHO @CDCgov @IDSAInfo @ACCP @HHSGov @DrOz #affordability @TheDemocrats @MedicareGov @MedicaidGov @CMSGov

@BradSpellberg I really think we’re at another point where we need a #wikiguidelines ;-) But yes, I would rather empirically start Zyvox LINEZOLID if there was even a question about efficacy. #neurotwitter #neuroxposts #idtwitter #idxposts #MedTwitter #medxposts #TwitteRx

You can now PAY for shots. As CMS stops coverage, private insurance will follow suit. Life expectancy has increased over the last 125 years due to sharp decline in childhood death, most notably thanks to childhood vaccination and improved trauma care. Removing vaccine coverage will decimate our herd immunity experienced in the US for those diseases that we experience sterile immunity thanks to vaccines. URI (upper resp infections) are generally caused by viruses with short incubation times (<3 days) and thereby sterile immunity is not possible as your immunoglobulins can’t amass that quickly to totally PREVENT disease, whereas for things like measles with longer incubation times, vaccines PREVENT disease altogether and therefore disease can’t spread. flu/COVID have milder illness when vaccinated and shorter terms of transmissiblity as your Ig ramps up over 3-5 days. 147 viruses cause the common cold and we don’t experience “immunity” to them hence why it’s not an area of robust active vaccine research. But flu & COVID lead to significant morbidity (loss of school days for kids & productivity for work) & mortality (in at risk populations), so we vaccinate for those. Your timeline of post infection immunity for them is generally 1 month for mild illness and <3 months for severe, but when vaccinated and exposed, you get a year or more. Hence, vaccinations. COVID has mutated/adapted enough to become endemic so as to survive (if all hosts died, it would too) and so only at risk pops suffer when sick but “normies” spread to at risk people. As for flu, northern and southern hemispheres have opposing seasons. We base our flu vax from the Australian (or Argentinian, etc) flu strain with hopes that it will lead to that 40-50-% rate of protection. But that’s for the NEW strains we try and predict. The older ones are endemic and remain. Hence, we see H1N1 still after 2009, but those combos of H’s and N’s lead to some nasty infections. And we know flu infection leads to pVL changes and allows for staph aureus pneumonia as well as ARDS and myocarditis (and and and) in general, so flu shots are always recommended seasonally. Disclosure: I worked on the ACTIV trial for COVID vax (my academic dept was on it), and published studies on immunity during phases 1 through 3 in 2020-21. I ran SHOT-EXs when active duty pre COVID, as an aerospace medicine physician (Navy flight doc) performing a lot of prev and occ med. And I’m an infectious diseases and critical care medicine physician today. #covid19 #influenza #flu #endemic #measles #childhoodmortality @DrNeilStone @DrToddLee @IdVilchez @PaulSaxMD @BradSpellberg #navyvet #veteran #flightdoc #idtwitter #MedTwitter #IDXposts #medxposts #TwitteRx #ards #pneumonia @dralicehan

#ACIP is taking public comments..! Get yours in TODAY! #idtwitter #IDXposts #MedTwitter #medxposts #covid19 #vaccineswork regulations.gov/docket/CDC-2… @BradSpellberg @IdVilchez @wwrighID @AntibioticDoc @stopamr_org

Please comment with whatever you’d like to see for socials for #idtwitter #IDXposts #MedTwitter #medxposts. I’m looking to get more active again online, and I “like” #TwitteRx (lol) more than the others, but want to meet people where they are. And I hate Musk too, but… But so many great people left Twitter (dear IDIOTS podcast…)

#climatechange #IDtwitter #idxposts #MedTwitter #medxposts Happy to chat Gabe!

#IDtwitter #idxposts #MedTwitter #medxposts #NSAIDs and #tylenol #acetaminophen help induce #antimicrobialresistance #antibioticresistance when present along with in vitro when #ecoli is being treated with #ciprofloxacin @wwrighID @rodolfo_alpizar nature.com/articles/s44259-0…

I had some elderly patients on chemo and some on checkpoint Inhib that developed PNA->ARDS/shock that I gave RDV Decadron. 23-24 and 24-25 winters. Anaecdotally, I had some improved outcomes against my partners that were on that didn’t give it for similar patient pop. Our randomization was “is James on this week in the unit” vs “no he’s not.” Time on vent, ICU LOS, inpatient->28d mortality… My n value was like 12 though. But, did you just… did you claim your editorial is the best one..? Lmao! Love you Todd. #idtwitter #IDXposts #medtwitter #medxposts #remdesivir #covid19

Be safe out there, everybody! If you buy canned tuna from Trader Joe’s, Costco, and others, as noted in the article, know that there’s been a recall! #idtwitter #MedTwitter #idcrit #idxposts #medxposts #PublicHealth #botulism nbcchicago.com/news/local/wh…

Join us on 01/09/2025 at 12PM ET for the webinar IV to PO conversion @BradSpellberg #VIPTC #IDXPosts #MedXPosts #antimicrobialstewardship #infectionprevention

#MedTwitter #medxposts #gitwitter #gixposts #CriticalCare Does anyone I know or under any of these hashtags an expert on AIP? #porphyria? I’m not sure if this would be more hematology or hepatology. All I know is this has been a really interesting patient issue. #hemin

How.. prescient… #medtwitter #medxposts #idtwitter #idxposts #vaccinate ⁦@IdVilchez⁩ ⁦@ABsteward⁩ facebook.com/share/v/17jFihW…

Universal 😷during COVID was associated w⬇️incidence of healthcare-associated respiratory viral infxns @WashUMedID @OFIDJournal #IDXPosts #HealthcareEpidemiology #IDTwitter #MedXPosts academic.oup.com/ofid/articl…

CDC recommends 💉lowering the age for pneumococcal vaccination from 65 ➡️ 50 💉2nd dose of COVID vaccine 2024-25 for 65 or those moderately/severely immunocompromised cdc.gov/media/releases/2024/… cdc.gov/media/releases/2024/… @CDCgov #MedXPosts #IDTwitter #IDXPosts

Sharing our poster on @VIPTC a comprehensive #infectionprevention program that leverages existing expertise within the IPC community of professionals @VDHgov @VCUHealth @IDWeekmtg #IDWeek2024 #WeAreID #IDXPosts #MedXPosts #IDTwitter

Sharing our poster on a comprehensive #infectionprevention program that leverages existing expertise within the IPC community of professionals @VIPTC @VDHgov @VCUHealth #healthcareepidemiology #IDXPosts #IDTwitter #MedXPosts

Likelihood of C diff infection based on consensus from expert panel #IDXPosts #MedXPosts #MedTwitter #IDTwitter cambridge.org/core/journals/…

#Medtwitter #MedXposts Patient 3 months post BMT. Presenting with fevers, purpuric skin lesions, and found to have these blood cultures. Diagnosis? What therapy would you start?

Sharing our case series of PLHIV w detectable viremia started & then suppressed on CAB/RPV LEN #IDXPosts #IDTwitter #MedTwitter #MedXPosts #HIV #undetectable @SageJournals journals.sagepub.com/doi/10.…