Thanks to @NEJMEvidence for the chance to share our framework on the risks of IDU and opportunities to mitigate harm.
A privilege to work with and learn from @katherinemrich, the engine and the brains behind this operation. The future of ID/addiction medicine is bright.
๐
What are the mechanisms (structural, social, physiologic) that result in complications of injection drug use?
And how can we improve health among individuals who inject drugs?
@dsolsMD and I share a framework and a review of current evidence in a new 2 part series. 1/x
@SanjayDivakaran@BrighamMedRes Did I really say "tell the truth?" Sounds so patronizing, but I suppose it is remains good advice to live by.
And look how prescient I was โ a decade on we are still having fun and learning together.
We should update our (non-patronizing) tips for new interns.
I am so excited and to take over the reins from @PaulSaxMD (aka the GOAT ๐) - grateful for your mentorship and friendship.
And thrilled to work with and learn from our wonderful ID fellows like @JessicaLittleMD@DrWilfredoM@CourtHarrisMD@EllenNagami and many more.
We bid a heartfelt adieu to @PaulSaxMD and thank him for 20 years as Associate Program Director for the fellowship. ๐ค Congratulations on your new role as editor-in-chief of CID!
And we are SO excited to welcome @dsolsMD as our incoming APD! โญ๏ธ Thank you for coming aboard!
Last Call:
ID Providers, how do you treat bacterial infections in PWID in the US? By completing this 5 min survey, you will help us understand practice patterns & advance patient-centered care @dsolsMD @shireeshabug @ABeieler@SikkaMon @alicecthornton
#ID providers, we would like to know how you treat bacterial infections in PWID +/- outpatient parenteral antimicrobial therapy (OPAT) in the U.S. Please share in this 5 min survey: https://t.co/alufRNckJn
Please and Thank you! @dsolsMD @alicecthornton @SikkaMon@ABeieler
@keenanconazole@BWDionne@mmPharmD Or give both? Dalbavancin with Rx for TMP/SMX understanding that oral adherence / 2nd dose are hard for people for different reasons.
You have probably seen this study by @shireeshabug and colleagues. High loss to f/u as expected.
https://t.co/eMAtiKqu1o
@BrighamMedRes@DPipilasMD Great case, and wonderfully presented by @DPipilasMD
Would highlight: when to start ART in setting of OI?
*Usually* the answer is right away.
Major exception is Crypto meningitis esp when CSF WBC are low.
h/t pre-COVID @boulware_dr
https://t.co/2afnnU9UQU
Throwback to Lyme session -- useful summary of different stages of infection from @dsolsMD
Note: PTLD is a REAL syndrome, but not treated with more abx.
What a beautiful morning. @SteveKornacki@JohnKingCNN and then Eric Rubin from @NEJM being interviewed by @dsolsMD for the #PcareID course. I need a 3rd screen.
Hope this race is called while Dr. Rubin is being interviewed!
Lyme disease - just the sort of twitter action I need in my life, thanks Jake. While we are here though...required reading from the lay media for all of us living in New England: https://t.co/M30yz8w9CU
Day #11 ID Learning: Lyme disease is challenging - it's a multisystem illness with nonspecific symptoms that presents from days to years after exposure. My go to table courtesy of @dsolsMD
Students in MA required to get flu shot this year. This is the kind of policy that can make a huge impact on public health. Let's hope that 1) other states follow suit and 2) this requirement sticks in subsequent years. @jabarocas @SaadOmer3
https://t.co/PpmnPAYa3P
How will we manage patients with non-specific viral respiratory symptoms this winter? How will our efforts to control COVID-19 impact flu epidemiology? Some answers and more questions here @SanjatKanjilal @Dr_AmyKacin @JakeJohnsonMD@PaulSaxMD@sigal_md
https://t.co/SP2uVYi2Xv
Flu season is around the corner. BUT if we maintain NPIs through the winter, we are likely to see a decrease in influenza this year. Can we use the lessons we learn from COVID-19 to decrease influenza morbidity and mortality in subsequent seasons?
https://t.co/xXjbufVEWD via @JAMA_current@dsolsMD, @Dr_AmyKacin and I discuss the interaction of #COVID19 and #flu
For the upcoming virus season, *all* ppl w/upper respiratory sx will require testing for #SARSCoV2 +/- flu. Does your lab have the capacity to handle it?