Manny Guajardo
@mannyguajardo.bsky.social
750 followers 1.2K following 8 posts
HIV Lead Clinician at New Orleans VA. Assist Prof at Tulane SOM. Interested in #HIV, #ID, #STI, #MedEd, #Telehealth 🇲🇽🇺🇸
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Hi #IDSky - Tulane ID has unfilled fellowship spots. We're looking for applicants to join starting 7/2025

We offer:
-Diverse training across 3 hospital sites
-Broad clinical exposure, including HIV, tropical diseases, and transplant

(1/2)
First media appearance as an HIV expert!

Thanks to Bounce to Zero, Telemundo & Foro Latino for the opportunity to talk about testing, prevention, treatment and stigma
-Educational stipend to earn a Trop Med Diploma at our public health school
-Extensive alumni network, with former fellows now working in a wide range of careers
-A chance to live in one of the most fun & unique cities in the USA

Interested? Please message our PD at [email protected]

(2/2)
Hi #IDSky - Tulane ID has unfilled fellowship spots. We're looking for applicants to join starting 7/2025

We offer:
-Diverse training across 3 hospital sites
-Broad clinical exposure, including HIV, tropical diseases, and transplant

(1/2)
We just had our #WorldAIDSDay event at the New Orleans VA, and it was a great success!

Educated lots of patients and their loved ones about HIV and helped to tear down stigma
Hi everyone, Luke’s House is a clinic that provides free care for folks in need in the New Orleans area. I volunteer there and really believe in their mission.

Please consider donating to help them continue to provide their essential services.

www.zeffy.com/en-US/fundra...
Giving Tuesday 2024
💡 Why Support Luke’s House Clinic This Giving Tuesday?At Luke’s House Clinic, every donation creates a ripple effect of positive change in our community. Here’s why your support matters:💙 Our Mission:...
www.zeffy.com
Reposted by Manny Guajardo
📣 🛑 Don’t combine these two drugs! More VPA levels & higher doses won’t solve the issue. It’s often easier to choose a different antibiotic than adjust a patient’s AED regimen, which may need EEG—hard to get in resource-limited settings. Neuro, ID, & Pharm must collaborate. #IDsky #Pharmsky #Medsky
⚠️Carbapenem antibiotics+valproate combo not advised. VPA levels ↓ markedly & persistently (up to 2 weeks), risking uncontrolled seizures. Even higher doses may not fully counteract this. Carbapenems inhibit key GI enzyme, boosting VPA elimination. See skeetorial👇 #medsky #pharmsky #EMsky #HMsky
ICU Stories:

Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
Reposted by Manny Guajardo
#idboardreview 25 M from North Carolina presents w/ 1wk of flu like sx, facial swelling, fever & myalgia. Consumed undercooked bear meat 3 wks ago; eosinophilia. ⬆️cpk. Diagnosis? #medEd #idmedEd #idtwitter #IDsky #idfellows #idfellowship
Reposted by Manny Guajardo
🌟 ABX Pearl of the Day: Best practices for Tx of uncomplicated GNR bacteremia💊
📋 Q: My patient presented with septic shock from a urinary source, blood cultures positive for E. coli.
What is the duration of therapy, and must I use IV to complete the course for Enterobacterales bacteremia? 🤔
#IDsky
Reposted by Manny Guajardo
Transplant at Tulane is growing! We’re also starting a thoracic transplant program. Looking for an experienced transplant ID physician to join me and our team at @TulaneMedicine . DM for questions

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#TxID #IDSky @txidfellows.bsky.social
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#HIVSky - have you had patients on CAB/RPV develop a persistent ISR (especially a painless lump)?

How did you end up managing them?

Did they need to take a break from CAB/RPV, or stop altogether?
Proud to be part of the Scientific Panel at the annual NOLA HIV Stigma Summit!

We talked to the community about LAI’s & other innovations and how they can be used to combat #HIV stigma