SMK

Internal Medicine Nocturnist PA and Army National Guard Physician Assistant. Views are my own and do not reflect those of employer or DoD

[Grace Yarrow @YarrowGrace]

NEWS: Screwworm has been detected in Texas, USDA confirmed - marking a serious threat to US cattle and other animals

Larvae of the parasite were found in the umbilical cord of a 3 week old calf

Screwworm was eradicated from the US in 1966

[SMK @SmkIDPA]

#memorialday #rucksonmain

[Houstonomics @Houstonomics]

MD Anderson approved for massive $2.9B expansion featuring one of TMC's largest buildings

[OpenEvidence @EvidenceOpen]

Until now, physicians using AI in clinic had to assemble the patient’s context themselves. Allergies, comorbidities, medications, prior procedures, copy-pasted in from the chart.

Today we’re announcing a partnership with @CedarsSinai. OpenEvidence now works directly inside Epic, drawing on the patient’s full record and interpreting the medical literature through the lens of that specific patient.

Cedars-Sinai is the first academic health system to deploy patient-aware clinical intelligence at enterprise scale. The clinician asks a complex question in natural language. The answer reflects both the best available evidence and the patient in front of them.

Patient data is never stored after the clinical session or used for any other purpose.

[SMK @SmkIDPA]

Interesting. I have noticed a symbiotic relationship between dorymyrmex and pogonomyrmex. They often co-locate their nests, but I have never observed this grooming ritual.
#ants #entomology #nature https://t.co/14p2A9flL6

[SMK @SmkIDPA]

It’s a wrap. My last day as the battalion PA for the 1/124th. One last ruck with the team, a hantavirus lecture, and a suturing class for the medics. It’s been real. #Hantavirus #suturing #medicine

[MedCram @MedCramVideos]

Hantavirus is a deadly master of infiltration. After it's inhaled through dust, it suppresses your body's interferons—part of your immune system—and the resulting infection can go on for days before death. Learn more about why hantavirus is so deadly: https://t.co/k3W0VzSDkV

[Emma Hilton @FondOfBeetles]

On hantavirus: a thread.

(Disclaimer: I am a biology PhD, but not a virologist - I leave that to Husbandman. I am told I’m fairly good at communicating, so here’s my shot.)

#hantavirus

[SMK @SmkIDPA]

1987 Doctors using AI
#hospital #AI https://t.co/3QNl9X5Q8X

[SMK @SmkIDPA]

2 flats in the first 12 miles. Great way to get low-impact cardio but the flat tires can really ruin a ride. I think I’ll go tubeless.

[Laura Vater, MD, MPH @doclauravater]

Four million physician hours are spent on mandatory modules each year. They represent not just clinical time lost but “evenings reclaimed and cognitive load reduced.”

Redundant training and low-value modules should be a thing of the past.

https://t.co/896bWbZoVQ

[SMK @SmkIDPA]

My goodness is this true: “It became the antibiotic people expected (and asked for by name — I want a Z-Pak!)”
#azithromycin #antibiotics https://t.co/oq37jowPHt

[SMK @SmkIDPA]

#ThePitt #PA https://t.co/SE3RG9DBKz

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

💥💥CEFMEC RCT Abstract eposter session
Cefmetazole demonstrated non-inferiority to meropenem regarding 30-day all-cause mortality in patients with ESBL-producing E.coli BSI, supporting its use as a definitive carbapenem-sparing option
#ESCMIDGlobal2026

[SMK @SmkIDPA]

CBRN casualty training. Doing the best we can without access to MOPP gear…
#CBRN

[Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 @ABsteward]

🆕🔥SCOUT RCT*
The RCT found that Nitrofurantoin was the most effective treatment and single-dose fosfomycin the least effective treatment for UTIs #ESCMIDGlobal2026
https://t.co/gNtrZZXKfl

[SMK @SmkIDPA]

GiveSendGo | Please support PFC Tyler Murad during his recovery
#army #military https://t.co/ZaLXE0dQxp

[Jose Ramos Vivas @joseramosvivas]

LEPTOSPIRA ⚠️ Un review sobre las nuevas especies de Leptospira, ideal para clases de #Micro Clínica.

¿Sabías que esta enfermedad causa más de 1 millón de casos y ~60.000 muertes al año? 🌍
Pues esta zoonosis sigue siendo una amenaza creciente. 🧵👇

🦠 ¿Qué es?
Una enfermedad causada por bacterias del género Leptospira, transmitida por contacto directo o indirecto con la orina de animales infectados, o con agua y suelo contaminados.

🌧️ Cambio climático. Las inundaciones, la urbanización no planificada y el aumento de la interacción humano‑animal están favoreciendo brotes, especialmente en regiones tropicales.

🔬 Novedad
El artículo revisa la clasificación basada en genómica (clados patogénicos, intermedios y saprófitos) y analiza la evidencia disponible sobre resistencias antimicrobianas, subrayando la necesidad de vigilancia continua. 💊

🚨 Diagnóstico
Se destaca la urgencia de mejorar el acceso a pruebas diagnósticas rápidas, ya que el estándar actual (MAT) es complejo y poco viable en zonas con recursos limitados. @SEMicrobiologia @SEIMC_ @ANIH_1

🔗 Artículo open access:
👉 https://t.co/jGfIXKzMop
#Leptospirosis #SaludPública #Zoonosis #OneHealth #Microbiología #CambioClimático #Medicina

[SMK @SmkIDPA]

“at least one sugar alcohol, erythritol, might raise its own risks”
#VTE #Stroke #health https://t.co/C9Tm6cUh68

[SMK @SmkIDPA]

#STI #TMVII https://t.co/sf4KcdbiVj