James Wilson, DO, FACP, FAWM, CTropMed
@jameswilsondo.bsky.social
Navy flight doc vet, infectious diseases/critical care med physician, missing #IDTwitter, looking for medical FOAM communities!
How much continuous neb albut / insulin+D50 got you from 1 -> 2? Or HD?
November 11, 2025 at 9:21 PM
How much continuous neb albut / insulin+D50 got you from 1 -> 2? Or HD?
OOOOoooo!!! do tell, DO tell!
November 11, 2025 at 4:01 AM
OOOOoooo!!! do tell, DO tell!
Was it by serial antibody testing? If I remember correctly, any Gram negative bacteremia can lead to a positive antibody test but at a low ratio… @fungaldoc.bsky.social @drtoddlee.bsky.social @idiots-pod.bsky.social @umn-idim.bsky.social @idvilchez.bsky.social
October 30, 2025 at 3:24 PM
Was it by serial antibody testing? If I remember correctly, any Gram negative bacteremia can lead to a positive antibody test but at a low ratio… @fungaldoc.bsky.social @drtoddlee.bsky.social @idiots-pod.bsky.social @umn-idim.bsky.social @idvilchez.bsky.social
(Random question:
Would you mind following me on blue sky and/or Twitter/X?
I wanted to DM you but we don’t follow each other so I cannot.
I have “Professio-personal academic and practical/clinical career with Internet-related outreach” questions.)
Would you mind following me on blue sky and/or Twitter/X?
I wanted to DM you but we don’t follow each other so I cannot.
I have “Professio-personal academic and practical/clinical career with Internet-related outreach” questions.)
October 14, 2025 at 8:53 PM
(Random question:
Would you mind following me on blue sky and/or Twitter/X?
I wanted to DM you but we don’t follow each other so I cannot.
I have “Professio-personal academic and practical/clinical career with Internet-related outreach” questions.)
Would you mind following me on blue sky and/or Twitter/X?
I wanted to DM you but we don’t follow each other so I cannot.
I have “Professio-personal academic and practical/clinical career with Internet-related outreach” questions.)
And an even better one in those at risk for ampC B-lactamase producing infections ;-)
The fact that @sccmcriticalcare.bsky.social and @accpchest.bsky.social die on this hill of ACORNs against cefepime is bananas to me.
@idsainfo.bsky.social has got my back though.
@absteward.bsky.social you down?
The fact that @sccmcriticalcare.bsky.social and @accpchest.bsky.social die on this hill of ACORNs against cefepime is bananas to me.
@idsainfo.bsky.social has got my back though.
@absteward.bsky.social you down?
October 14, 2025 at 8:46 PM
And an even better one in those at risk for ampC B-lactamase producing infections ;-)
The fact that @sccmcriticalcare.bsky.social and @accpchest.bsky.social die on this hill of ACORNs against cefepime is bananas to me.
@idsainfo.bsky.social has got my back though.
@absteward.bsky.social you down?
The fact that @sccmcriticalcare.bsky.social and @accpchest.bsky.social die on this hill of ACORNs against cefepime is bananas to me.
@idsainfo.bsky.social has got my back though.
@absteward.bsky.social you down?
The argument could be made that patients initially admitted had community acquired AKI which resolves w/in 48h of admit ~60% w/ support. Then, non-V-HAP doesn’t necessarily include AKI. & I would argue most CKD= 3a not >/=3b. So, we good.
I looked into it. ;-)
www.contagionlive.com/view/nonvent...
I looked into it. ;-)
www.contagionlive.com/view/nonvent...
Nonventilator Hospital-Acquired Pneumonia: Epidemiology, Prevention, and Where It Is Now | Contagion Live
The management of hospital-acquired pneumonia requires use of preventive bundles, mitigative of risk factors, and prompt diagnosis with initiation of treatment when highly suspected.
www.contagionlive.com
October 14, 2025 at 8:40 PM
The argument could be made that patients initially admitted had community acquired AKI which resolves w/in 48h of admit ~60% w/ support. Then, non-V-HAP doesn’t necessarily include AKI. & I would argue most CKD= 3a not >/=3b. So, we good.
I looked into it. ;-)
www.contagionlive.com/view/nonvent...
I looked into it. ;-)
www.contagionlive.com/view/nonvent...
Studies out of Atrium health in North Carolina showed that it didn’t matter if you gave the Gram positive or Gram negative coverage first.
I don’t have a Dr Kumar’s contact here, but even he agreed in his abx-timing series that began in 2006 through 2010s.
pubmed.ncbi.nlm.nih.gov/33706252/
I don’t have a Dr Kumar’s contact here, but even he agreed in his abx-timing series that began in 2006 through 2010s.
pubmed.ncbi.nlm.nih.gov/33706252/
First-to-second antibiotic delay and hospital mortality among emergency department patients with suspected sepsis - PubMed
First-to-second antibiotic delay of greater than one hour was associated with an increased risk of hospital death among patients meeting criteria for septic shock but not all patients with suspected s...
pubmed.ncbi.nlm.nih.gov
October 13, 2025 at 3:07 PM
Studies out of Atrium health in North Carolina showed that it didn’t matter if you gave the Gram positive or Gram negative coverage first.
I don’t have a Dr Kumar’s contact here, but even he agreed in his abx-timing series that began in 2006 through 2010s.
pubmed.ncbi.nlm.nih.gov/33706252/
I don’t have a Dr Kumar’s contact here, but even he agreed in his abx-timing series that began in 2006 through 2010s.
pubmed.ncbi.nlm.nih.gov/33706252/