Bryan

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

[Bryan @BDubbMD]

@ABsteward @IDiots_pod Ugh, dumb fingers - PK/PD*

[Bryan @BDubbMD]

@ABsteward Neat article. Was just curious why no mino (dual or mono) therapy was used at all despite their sensi’s. Availability issue or provider hesitancy? @IDiots_pod, what’re your all’s PK/PS thoughts on Mino-mono Tx in SM bacteremia?

[Bryan @BDubbMD]

@TBrnaughtTB Best of luck! You totally got this!!

[Andrea Zimmer, MD @AndreaJZimmer]

If anyone at IDWeek is interested in hearing about our immunocompromised host ID group and position at the University of Nebraska, please reach out! I would love to meet you!

[Megan Klatt @MeganKlatt3]

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!! 🧫💊

[Courtney Harris, MD, FACP @CourtHarrisMD]

Consider sharing this 🔥overview with trainees on the #TxID pre-transplant eval out in @TheTxIDjournal!

*⃣Pertinent history ❓
*⃣Travel screening
*⃣Approach to 💉

@rebecca_kumar @GorslineChelsea @maricar_malinis @TedRader4MD @alan_koff @hboucher3

https://t.co/iYsPIdnZqx

[Infected Terran, MD @Infected_Terran]

So whats up with Meropenem vs Ertapenem in critical illness/hypoalbuminemia? Any good clinical data beyond the pharmaco/theoretical stuff? #idtwitter

[Bryan @BDubbMD]

@InYourFAECIUM @BlackstoneGrid Good luck!

[Gabe 🦊 @IdVilchez]

#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

[Bryan @BDubbMD]

@IdVilchez @BradSpellberg @DrToddLee @wwrighID @Cortes_Penfield @dralicehan @ABsteward @JonathanRyderMD @sebpoule @DrEmilyMcD @BJegorovic @maudi_ahmed Awesome, question. Have a partner in my division who trained in an area with much higher rates than here. There, it was standard to give at least one dose after tx. Would love to even just see a survey in PCN prescribing practices.

[transplantid.net @TransplantIDNet]

🎇Welcome new #IDFellows! 🎉

Is this your first exposure to a #TxID @TxID_Fellows immunocompromised ID service?

Never fear!☑️out our "CORE CURRICULUM" at https://t.co/BOMS6dj5fu

Lots of @AST_info @ASTCT @IDSAInfo @IDSAMedEdCOP @ISHLT @TheEBMT guidelines as well!

[Bryan @BDubbMD]

@Zaydovudine @JonathanRyderMD @IdVilchez @Infected_Terran @morelli_md @p I can understand that. I can see running into a similar issue. Kind of interesting to think about how these risk benefit analyses differ based on the place they’re implemented. Mileage may vary! :)

[Bryan @BDubbMD]

#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

[Bryan @BDubbMD]

@JonathanRyderMD @IdVilchez @Infected_Terran @morelli_md @Zaydovudine @p 100%. For that and the other reasons, "Please refer our institution's guidance document" is a Perfectserve auto-reply I'd want to built into my phone.

[Bryan @BDubbMD]

@JonathanRyderMD @IdVilchez @Infected_Terran @morelli_md @Zaydovudine @p @dosyn_zosyn and I we're playing out the pitfalls just like this on rounds today. :).

[Bryan @BDubbMD]

@JonathanRyderMD @IdVilchez @Infected_Terran @morelli_md @Zaydovudine @p Nice! That time to stop the anti-pseudomonal is really, really cool. We use MRSA nares here, which is great, but the anti-pseudomonal de-escalation a bit of a challenge.

[Bryan @BDubbMD]

@morelli_md In-house non-treponemal. Treponemal is send-out, takes about 4-5 days, but certainly longer on holiday weekends. : / Trained with reverse testing, so has taken a little getting used to.

[Bryan @BDubbMD]

@IDstewardship @IDiots_pod I like it! :) It gets people on here thinking and discussing. And it’s about 100x’s better than the flaming hot magma garbage my feed seems to be filling up with more and more over the past few weeks.

[Bryan @BDubbMD]

@IDiots_pod @IDstewardship