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Randy McCreery @communityiddoc.bsky.social · 3d

It’s all in formalin?

Marjorie James Keenan @unenthusiast.com · 4d

In honour of spooky month, share a 4 word horror story that only someone in your profession would understand.

rm -rf ~/

hammancheez @hammancheez.bsky.social · 4d

"The chancellor approved it"

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Randy McCreery @communityiddoc.bsky.social · 14d

Could re-title the article “The US could learn a lot from Nebraska”.

JAMA @jama.com · 14d

As of the 2024-2025 academic year, 158 LCME-accredited medical schools operate within the US, reflecting a 26% growth over the last 20 years. #MedEd

Read more about the program demographics: ja.ma/3IQGi9g

A table from JAMA titled "MD-Granting Medical Schools in the US, 2024-2025" lists US medical schools, their MD degrees, and enrolled students during 2004-2005 vs 2024-2025 by location.

Randy McCreery @communityiddoc.bsky.social · Jul 22

RIP Ozzie

a black and white drawing of a man pointing at the camera with the words happy birthday ross

ALT: a black and white drawing of a man pointing at the camera with the words happy birthday ross

media.tenor.com

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Randy McCreery @communityiddoc.bsky.social · Jul 11

I had it do that to me about a spreadsheet, so I said sure, let’s see what you can do? It was terrible.

Reposted by Randy McCreery

Dr David Joffe MB BS(Hons), PhD, FRACP @davidjoffe64.bsky.social · Jun 29

Long C-19 is a plethora of pathways...

No easy fix, because it's many routes to 🤬☠️

link.springer.com/article/10.1...

Advances in Understanding Long COVID: Pathophysiological Mechanisms and the Role of Omics Technologies in Biomarker Identification - Molecular Diagnosis & Therapy

Long coronavirus disease (COVID) is a multisystem condition that affects a significant proportion of individuals following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with ...

link.springer.com

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Reposted by Randy McCreery

Jesús F. Bermejo-Martin @biosepsis.bsky.social · Jun 28

I bring here an old article from our group classifying the immunological alterations in sepsis into ten major immunophenotypes. Still useful in my view. #IDsky #immunoSky
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...

Defining immunological dysfunction in sepsis: A requisite tool for precision medicine

Immunological dysregulation is now recognised as a major pathogenic event in sepsis. Stimulation of immune response and immuno-modulation are emerging approaches for the treatment of this disease. Def...

www.journalofinfection.com

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Reposted by Randy McCreery

Me and a small nugget of love. 🇸🇪♥️🇺🇦 @mnotme.bsky.social · Jun 6

#Elephants with jobs: Life guard

39 240 1.5K

Randy McCreery @communityiddoc.bsky.social · May 15

☝️A Bank of Sand Dollars !

Merriam-Webster @merriam-webster.com · May 15

Q: Why are fish poorly educated?
A: All the schools are below C level.

Now that you've sat through that, please watch this video on animal collective names.

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Randy McCreery @communityiddoc.bsky.social · Apr 29

Ran into a colleague, he asked me how I was doing. I said with enthusiasm I was on my way to “make a sweet diagnosis”. He said “what, diabetes?” I had a quick laugh but I don’t think he heard a word I said after that because he couldn’t stop laughing for the rest of the time we talked. Good 4 him.

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Randy McCreery @communityiddoc.bsky.social · Apr 26

Thank you CDC for calling me back after hours on a Friday. You helped me provide world class care to a patient with a rare and difficult to treat infection. You are an absolute global treasure! #IDSky

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Randy McCreery @communityiddoc.bsky.social · Apr 24

I loaded an antibiogram into google sheets, data on over 100k isolates. Gemini, the AI assistant, offered, without me asking for it, if I wanted it to analyze the data. I thought sure why not, let’s see what it can do. I asked it a few simple questions and guess what? It’s terrible. #IDSky

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Randy McCreery @communityiddoc.bsky.social · Apr 8

Yes last data I have in our region was still about 90% susceptible, GBS I have more recent data it’s ~50%. Need to get updated GAS data.

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Randy McCreery @communityiddoc.bsky.social · Apr 8

There was a poster at ID Week out of Henry Ford P-1538 that showed steady ~50% GAS resistance to clindamycin over several years

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Reposted by Randy McCreery

S. Evan Cooper 🦠 @scooper-id.bsky.social · Apr 6

Real-World HIV RNA And Antigen/Antibody Testing Among People Who Use Long-Acting Injectable PrEP -

academic.oup.com/cid/advance-...

Real-world HIV RNA and antigen/antibody testing among people who use long-acting injectable PrEP

Among a real-world cohort of people who use long-acting injectable cabotegravir preexposure prophylaxis, no breakthrough infection was found. HIV RNA testi

academic.oup.com

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Randy McCreery @communityiddoc.bsky.social · Mar 27

Fascinating topic, would look forward to seeing what you find, I think there really are compellingly pros and cons for different structures.

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Randy McCreery @communityiddoc.bsky.social · Mar 24

That’s how dragon dictates it, always thought it was odd, it’s the only thing I can think of that comes out automatically all caps

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Randy McCreery @communityiddoc.bsky.social · Mar 24

I canceled Netflix.

Randy McCreery @communityiddoc.bsky.social · Mar 21

I have one on Abacavir. Finally went rogue from my training and no longer getting HLAB5701 screening on intake because there are multiple other kidney sparing options that I’d use first.

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Randy McCreery @communityiddoc.bsky.social · Mar 12

Your innie “pan cultures” for hospital onset fever

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Randy McCreery @communityiddoc.bsky.social · Mar 8

Only now is it suggested that evidence based medicine be used as evidence in medical malpractice. There’s a lot of weak evidence out there and “custom” often masquerades as weak evidence. Hate to think someone has lost previously because “custom” trumped evidence.

JAMA @jama.com · Mar 8

Most viewed in the last 7 days from JAMA: This Special Communication discusses the changes introduced in the first-ever restatement of the law of medical malpractice by the American Law Institute.

https://ja.ma/41x7MWN

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Reposted by Randy McCreery

Infection Control & Hospital Epidemiology @ichejournal.bsky.social · Mar 6

🆕 from Ilges et al:

Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study

▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality

#IDSky

📄: doi.org/10.1017/ice....

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Randy McCreery @communityiddoc.bsky.social · Mar 5

If you could get any guitar built new today, would you still get an SG?

Reposted by Randy McCreery

Elizabeth Jacobs, PhD @elizabethjacobs.bsky.social · Mar 4

www.dshs.texas.gov/news-alerts/...

Measles Outbreak – March 4, 2025 | Texas DSHS

www.dshs.texas.gov

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Randy McCreery @communityiddoc.bsky.social · Mar 5

There it is, mostly young, ~50% unvaccinated, 50% pending determination.
www.dshs.texas.gov/news-alerts/...

Measles Outbreak – March 4, 2025 | Texas DSHS

www.dshs.texas.gov

Randy McCreery @communityiddoc.bsky.social · Mar 5

Also this was 5 hospitals in Saudi Arabia so would have to consider how that applies if you’re in the US, EU or elsewhere. My guess is that EMR sepsis screening will add work and cost without mortality benefit. 👎