Alice Han
@dralicehan.bsky.social
ID physician at MIDC - transforming private practice ID with an academic and lifestyle focus. Opinions my own👩🏻⚕️🧫🩺 #Medsky #IDsky
Omg. 😱
I would ask how in the world does this ever happen, but I do remember ordering takeout once years ago and finding a huge cooked roach in the food.
It was horrifying. These are the kinds of cases that give you delusional parasitosis.
I would ask how in the world does this ever happen, but I do remember ordering takeout once years ago and finding a huge cooked roach in the food.
It was horrifying. These are the kinds of cases that give you delusional parasitosis.
November 20, 2025 at 11:50 AM
Omg. 😱
I would ask how in the world does this ever happen, but I do remember ordering takeout once years ago and finding a huge cooked roach in the food.
It was horrifying. These are the kinds of cases that give you delusional parasitosis.
I would ask how in the world does this ever happen, but I do remember ordering takeout once years ago and finding a huge cooked roach in the food.
It was horrifying. These are the kinds of cases that give you delusional parasitosis.
Pt relapsed twice. Has a deep seated infection until proven otherwise and now has a prosthetic valve so would suppress indefinitely
November 20, 2025 at 12:13 AM
Pt relapsed twice. Has a deep seated infection until proven otherwise and now has a prosthetic valve so would suppress indefinitely
I got a different antibiotic this time! I am now moxifloxacin! I don’t know what that means about me. I feel like I was penicillin before
November 19, 2025 at 1:01 AM
I got a different antibiotic this time! I am now moxifloxacin! I don’t know what that means about me. I feel like I was penicillin before
I would repeat TEE to make sure there isn’t a perivalvular abscess and consider imaging of spine as well. Would consider linezolid, tedizolid (not sure if it’s available anymore) or dalvance suppression after repeat treatment course
November 19, 2025 at 12:58 AM
I would repeat TEE to make sure there isn’t a perivalvular abscess and consider imaging of spine as well. Would consider linezolid, tedizolid (not sure if it’s available anymore) or dalvance suppression after repeat treatment course
I would start empiric cefepime for neutropenic fever pending workup and then try to figure out if the neutropenia is drug related or a newly diagnosed heme malignancy
October 31, 2025 at 11:53 AM
I would start empiric cefepime for neutropenic fever pending workup and then try to figure out if the neutropenia is drug related or a newly diagnosed heme malignancy
I appreciate that the bluejay puts wing hygiene first
October 24, 2025 at 1:26 PM
I appreciate that the bluejay puts wing hygiene first
I am still catching up but I really enjoyed this one. Very helpful to go through cases and the decision making involved. The cmv case provided more clarity for me as those cases are very challenging
October 24, 2025 at 12:57 AM
I am still catching up but I really enjoyed this one. Very helpful to go through cases and the decision making involved. The cmv case provided more clarity for me as those cases are very challenging
I don’t think I will be able to do it unless micro makes me learn all these new names
October 24, 2025 at 12:51 AM
I don’t think I will be able to do it unless micro makes me learn all these new names
Agree. It was a far different year, but it was great to see everyone who came. Honestly, I felt optimistic about the future after talking to fellows excited about ID & their upcoming careers. I hope next year will be better!
October 24, 2025 at 12:50 AM
Agree. It was a far different year, but it was great to see everyone who came. Honestly, I felt optimistic about the future after talking to fellows excited about ID & their upcoming careers. I hope next year will be better!
It’s crazy. Sometimes the interpretation of the reference is completely incorrect too. It is really scary
October 23, 2025 at 5:57 PM
It’s crazy. Sometimes the interpretation of the reference is completely incorrect too. It is really scary
Where are the references? They usually reference something and it’s shocking what references get pulled
October 23, 2025 at 5:50 PM
Where are the references? They usually reference something and it’s shocking what references get pulled
Omg. That’s terrible. I am so sorry. I didn’t realize the system was like that in Canada
October 23, 2025 at 1:08 PM
Omg. That’s terrible. I am so sorry. I didn’t realize the system was like that in Canada
Reposted by Alice Han
Really proud to be a part of this community and always inspired by my colleagues around the country who continue to show up even when it's hard.
October 22, 2025 at 11:59 PM
Really proud to be a part of this community and always inspired by my colleagues around the country who continue to show up even when it's hard.
#IDsky
Do granulocyte infusions help with IFI?
Dr Girmenia says that they do not do it.
Dr Papanicalou says they only do it as a bridge to anticipated neutrophil recovery if neutrophil recovery is actually anticipated to occur. But it is logistically difficult
Do granulocyte infusions help with IFI?
Dr Girmenia says that they do not do it.
Dr Papanicalou says they only do it as a bridge to anticipated neutrophil recovery if neutrophil recovery is actually anticipated to occur. But it is logistically difficult
October 22, 2025 at 11:34 PM
#IDsky
Do granulocyte infusions help with IFI?
Dr Girmenia says that they do not do it.
Dr Papanicalou says they only do it as a bridge to anticipated neutrophil recovery if neutrophil recovery is actually anticipated to occur. But it is logistically difficult
Do granulocyte infusions help with IFI?
Dr Girmenia says that they do not do it.
Dr Papanicalou says they only do it as a bridge to anticipated neutrophil recovery if neutrophil recovery is actually anticipated to occur. But it is logistically difficult
#IDsky
Someone asked what do you do when you find an incidental finding concerning for IFI on pretransplant CT?
Dr Girmenia rec bronch & possibly Lamb
Also review old CT scans
If diagnostic bronch nonrevealing, consider repeat ct to make sure it is not advancing. Dr Papanicalou uses isavu.
Someone asked what do you do when you find an incidental finding concerning for IFI on pretransplant CT?
Dr Girmenia rec bronch & possibly Lamb
Also review old CT scans
If diagnostic bronch nonrevealing, consider repeat ct to make sure it is not advancing. Dr Papanicalou uses isavu.
October 22, 2025 at 11:34 PM
#IDsky
Someone asked what do you do when you find an incidental finding concerning for IFI on pretransplant CT?
Dr Girmenia rec bronch & possibly Lamb
Also review old CT scans
If diagnostic bronch nonrevealing, consider repeat ct to make sure it is not advancing. Dr Papanicalou uses isavu.
Someone asked what do you do when you find an incidental finding concerning for IFI on pretransplant CT?
Dr Girmenia rec bronch & possibly Lamb
Also review old CT scans
If diagnostic bronch nonrevealing, consider repeat ct to make sure it is not advancing. Dr Papanicalou uses isavu.
#IDsky
Someone asked what do you do with IFI if the lobe is able to be resected? Do you recommend?
Recommended if possible with mucor, not typically with IA
Hard to know what to do with other rare IFI
Someone asked what do you do with IFI if the lobe is able to be resected? Do you recommend?
Recommended if possible with mucor, not typically with IA
Hard to know what to do with other rare IFI
October 22, 2025 at 11:34 PM
#IDsky
Someone asked what do you do with IFI if the lobe is able to be resected? Do you recommend?
Recommended if possible with mucor, not typically with IA
Hard to know what to do with other rare IFI
Someone asked what do you do with IFI if the lobe is able to be resected? Do you recommend?
Recommended if possible with mucor, not typically with IA
Hard to know what to do with other rare IFI
October 22, 2025 at 10:56 PM