Clinical Section Chief and infectious disease fellowship Program Director, SSM-Saint Louis University Hospital. My views are not medical advice & mine only!
Congratulations to our graduating fellows Nisma and Oscar! We are so proud of the dedication, perseverance, and caring you both demonstrated throughout your journey of becoming ID Docs #cheers#congrats#classof2026#SSM#ID#SLU
Carbapenem’s are rarely first choice for empiric antibiotic rx!
1. They’re really sick, doesn’t count!
2. Necrotizing pancreatitis, Nah(yes, even if it’s infected)
3. I’m scared of cefepime neurotoxicity? No!
4. Risk factors for ESBL or MDR? Yes
5. Being immunocompromised. Nope
@BradSpellberg 3. What if we’re wrong? Antibiotics are not the magic bullet that will cure your patient; IV fluids, nursing care, vent, Pressors, an immune system, source control are just as important.
@BradSpellberg The other classic is, “I don’t feel comfortable stopping the antibiotic or de-escalating” My teaching point to learners is antibiotics are not: 1. A security blanket or Psychotherapy. 2. The recommendations we’re giving you are not a guess, they’re based on epidemiology
Walmart to shut all health clinics in US over lack of profitability
Another reminder that Healthcare is not just like any other industry. For those business experts who look in from the outside and think they have all the answers, be humble! https://t.co/K8xih1x1R5
@Cortes_Penfield@PaulSaxMD This is what we’re piloting. It will have 2 APP’s and an Attending. In our pilot program we’ve kept the General ID service mostly around 20. It also helps build better communication with orthopedics and Neurosurgery
In honor of Black History Month we would like to shine the spotlight on prominent African Americans who impacted the field healthcare. First is Dr. Kizzmekia Corbett- Helaire who lead a team of scientists contributing to the first stage clinical trials of a COVID-19 vaccine.