Husband, Dad, ID physician. I like reading, cooking, eating, heavy metal, music. Opinions/views my own, not my employer.

Knoxville, TN
Joined February 2018
Don’t tell me outpatient stewie isn’t sexy! 😂 Thank you Erica (@EStohs), Ryan (@Stevens_AK) and Jame (@IDiots_pod) for this fantastic episode! And shout out to @Evan_Steere for the title!! 🧫💊
🆕#Breakpoints Episode: Drs. Erica Stohs, Ryan Stevens, & Jame McCrae join Dr. Megan Klatt to discuss AS practices at TOC & in the outpatient setting. Learn how to establish programs in this space, best practices for data/reporting & other tips for AS. 🎧 sidp.pinecast.co
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So whats up with Meropenem vs Ertapenem in critical illness/hypoalbuminemia? Any good clinical data beyond the pharmaco/theoretical stuff? #idtwitter
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#IDTwitter #IDXpsost late syphilis with neurosyphilis s/p 14 days of Pen G IV. Would you give additional IM Benzathine penicillin? @BradSpellberg @DrToddLee @wwrighID @Cortes_Penfield @dralicehan @ABsteward @JonathanRyderMD @sebpoule @DrEmilyMcD @BJegorovic @maudi_ahmed @drtimothyli
46%No need
32%Yes one dose
8%Yes 3 doses weekly
14%Don't know
287 votes • Final results
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🎇Welcome new #IDFellows! 🎉 Is this your first exposure to a #TxID @TxID_Fellows immunocompromised ID service? Never fear!☑️out our "CORE CURRICULUM" at transplantid.net Lots of @AST_info @ASTCT @IDSAInfo @IDSAMedEdCOP @ISHLT @TheEBMT guidelines as well!
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#IDtwitter #IDX For your all's HAP/VAP's, how receptive are your colleagues to de-escalation, and if you all utilize the Biofire PNA panel, how has it helped/hurt? @JonathanRyderMD @IdVilchez @Infected_Terran @morelli_md @Zaydovudine @p
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Does anyone work at or know of hospitals that use Labcorp or another third party lab for internal microbiology processing? If so, would love to get connected!
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🔥 Just published 🔥 @IDSAInfo 2024 Guideline Update on the Risk Assessment, Diagnostic Imaging, and Microbiological Evaluation of Complicated Intra-abdominal Infections in Adults, Children, and Pregnant People #idxposts idsociety.org/practice-guide…
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Pt w/ AML s/p allo 1 year out with GVHD. Worsening o2, GGO on CT with 2 cavitating nodules. Counts and oxygen preventing bronch. Karius testing picked up Aspergillus calidoustus. Patient on posa ppx. Treatment of choice? @FungalDoc @IdVilchez @BradSpellberg - tag others if needed
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Linezolid+Mavyret (or Epclusa). Don’t forget MOUD if that’s a player - probably most important tbh. Can totally start HCV treatment inpt - happy to discuss. Have fantastic outcomes and oftentimes more engagement. Plus Tx as prevention.
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#IDTwitter For patients with chronic HCV (no cirrhosis) and MSSA infective endocarditis, what are your experiences with Rifampin based combo regimens? (Rif + FLQ/LZD). Shying away? Favoring Bactrim or LZD mono Tx? @BradSpellberg @JonathanRyderMD @Infected_Terran @IdVilchez
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Most patients with sepsis don't need anti-anaerobic antibiotics. But most get them anyway. Why not, what's the harm? I worry the harm is considerable. Our new study in @JAMAInternalMed: using a 15-month pip-tazo shortage to answer this question. 1/n jamanetwork.com/journals/jam…
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PHANTOMA IS UNLEASHED TODAY!!!! We're having a listening party on bandcamp in just over an hour if you want to come hang out! unleashthearchers.bandcamp.c…
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At SHEA last year, many saw/commented on our poster about increased cefazolin prescribing after suppression of non-severe penicillin allergy alerts in our EMR, and now the manuscript has been published by ICHE! @unmc_ID | bit.ly/3UrSWNK
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#IDXposts aka #IDTwitter folks using @Cerner_Corp, how are your clinics maintaining your OPAT lists? (i.e., ensuring timely safety lab follow-up, communication with infusion companies, home health, etc.) Any special applications?
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Fantastic 🆕️🔥Review article @OFIDJournal Antifungals in Patients with Extracorporeal Membrane Oxygenation: Clinical Implications #idxposts #ECMO Suggested dosing and TDM recommendations 🌟👇 academic.oup.com/ofid/articl…
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Has anyone actually experienced treatment failure with dapto combo tx with bacteriostatic agents (e.g., doxy, linezolid) in MRSA BSI c/b lung involvement? There’s some in vitro stuff suggesting an antagonistic effect. How concerned should we really be? #IDtwitter @BDubbMD
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