Matthew Brigmon
@MBrigmon
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Infectious disease and Critical care physician @UTHealthSA @UTHealthSA_ID @uthsa_pccm
Joined September 2010
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My amazing trauma surgeon wife came home crying today. She is 33 weeks pregnant and saw the aftermath first hand. Amazing mobilization by
@UnivHealthSA
. When will our lawmakers try to tackle this problem the same way? Our hearts break for the families of uvalde.
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@DGlaucomflecken
My consult note done at a va was pasted as a photo to the hpi once the patient was transferred to the academic facility.
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@AskRossWhite
@AckertKathleen
I can give you 50 dollars for it. Best I can do, I have to store it and I don’t even know if I can sell it...
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If you are ever lonely, just tweet about vaccines. People will find you.
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I am excited to say that I will be finishing an amazing 2 years of my ID fellowship
@BSWHTemple_ID
and will be training next year for critical care with
@UTHSA_PCCM
!!!!
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What do we think about the resistant mechanisms of this baddie?
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@cannula_service
@Jay9968
@LukeAmos__
@DrNeilStone
How is this allowed? I saw some of the stuff and my PAs are my friends and colleagues. I saw it from that perspective. I agree something is wrong with all of that. Who is behind it? This seems intentional. Is this retalliation for the strikes?
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I feel like minocycline monotherapy is ok for stenotrophonas bacteremia but the idsa guidelines say otherwise. The data says it ok. Who disagrees with it?
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Man the UK peeps are being downright mean about PAs. Do some of them realize how unbecoming it is to see the volatile comments from providers? Fill me in
@DrNeilStone
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I don’t usually brag but I made tamales tolimenses. You can’t find these done well anywhere and it was almost perfect.
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Happy ID pharmacist day! I was in the MICU today and missed yall
@Lingroff9
@ktraugott1
@emmypenem_
@samaureus
I am sorry if i missed a tag, it’s been a long day.
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So, this is probably not that big of news for some, but I completed my first Investigational New Drug application through the FDA. Small wins make the long days worth it!
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I feel so spoiled that our ID pharmacists are so great. Thew stewardship quarterly is 👨🍳💋
@samaureus
@Lingroff9
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Sometimes you just walk into a costco, take a deep breath, and realize you are about to spend 500 dollars when you came for just eggs and some diapers.
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@DJJonnyTravieso
@TheDrJon
Since i bought my brown shoes I haven’t gotten cancer. Must be the shoes.
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@EsdeProfugos
La gente cree q cancer es algo sencillo. La verdad es q cada cancer es diferente xq vienen del cuerpo en adn de cada persona. La creencia q hay un tratamiento universal es creer q hay un tratamiento simple xa un problema complejo.
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@SerWisdom69
@Ntombi
@TheAimercat
@JollyBoySwagg
@GridironStuds
@ZachAbolverdi
@AschoffESPN
It happens after the flu a lot, i have seen 4 serious ones after the flu with two deaths thus far in the flu season.
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We set up a little ID vigil at the
@BSWHTemple_ID
fellow’s office today.
#standwithfauci
@RBeaverDO
@LCahuayme
@AHowellID
@s_ranganath9
@jmidturi
@Blantonks
@LadowTiffany
@lauren_sisco86
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@SerWisdom69
@Ntombi
@TheAimercat
@JollyBoySwagg
@GridironStuds
@ZachAbolverdi
@AschoffESPN
So the flu shot is like a seat belt. It may not prevent the flu but it makes you less likely to die from the flu and super infection. Everyone that was hospitalized did not get the flu shot. Would you get in your car without a seat belt?
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@DrNeilStone
I guess we are used to the system and for me it is usually a great collaboration which allows me to see more patients without getting decisional fatigue from the small decisions. I also find that they can really add to patient care and never subtract.
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Team: Can you think of any reason this could’ve got infected?
Patient: Nothing unusual that I can think of.
screams erupted from the orthopedic OR
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Got my ESCMID pin and it was wrapped in a paper towel. I thought it was thoughtful. My wife, the surgeon, said, “the college would never do that.” That is when i learned they refer to themselves as THE college.
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@QuackDetector
I eat small prescription lenses every day to build an immunity to bad eye sight.
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@vicenteegm
@DrCanuckMD
Someone hasn’t been in high level federal government. Someone approves everything you say and it is frustrating.
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Phage is here! Finally going to start another journey. Thank those who have helped me get to this point.
@GinaSuhMD
@chngin_the_wrld
@BSWHTemple_ID
@KarenBrustMD
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USC and Prisma consistently put out great work.
@BBookstaver_USC
@julie_justo
et al does it again. Recommend everyone check out their poster.
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A day removed from my 4 weeks with
@BSWHTemple_PCC
and I can’t thank everyone enough
@TasneemLat
@avazquezpccm
@BoethelCarl1
and the fellows who whipped me into fighting shape. I am ready to wake up less early for a few weeks.
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How I feel mid ID fellowship applying to Critical Care fellowship.
@ErikaPIbarra
almost made that same face.
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@IUIDfellowship
@DrDanRestrepo
As a former hospitalist with an id habit, i used to get countless “patient needs admit for chest pain...oh and they have a uti.” This was a little triggering.
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When I ask the primary team why did they start antibiotics.
The unpredictable moves of the Boulenger's Garter Snake serve as a defensive tactic.
Watch this
📹delport botma
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I just signed up for
@CritCareIDN
conference next week. This should be a great couple of days for those of us in ID and/or critical care. Looking forward to it.
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At what PGY year should I expect to learn this poise? Fantastic interview
@DrJeanneM
Cruise ships are like “incubators, petri dishes” for coronavirus, says Dr. Jeanne Marrazzo, who is the infectious diseases director at the University of Alabama at Birmingham.
“They’re really incredibly very healthy environments for the pathogens.”
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When the primary team asks if the metronidazole will cover the yeast in the urine.
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@k_vaishnani
@IUIDfellowship
Kushal is always going for the throat. I found this series of bites, most are GNRs.
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@cannula_service
@Jay9968
@LukeAmos__
@DrNeilStone
Privatizing the NHS turns you into the US like healthcare or something similar to Colombia where the administrative barriers make getting healthcare cumbersome. Our biggest issue is access due to cost which is detrimental to patient care.
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So the DOTs trial looks nice, well done, good randomization. The only thing that brings me pause is the amount of exclusions. I get that they had to be cautious but I feel I will be waiting for the phase 3. They also have more data coming out for f/u and MSSA vs MRSA subgroups.
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When someone shows me an article which debunks my dogma. Am I doing it right
@IDdocAdi
?
#StewardMeme
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@okwalding
You forgot the joy when you get to snort and say sarcastically chart reviewing a new consult, “you gotta double cover them anaerobes”
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D5 w/o power and I don’t know what I would’ve done without great neighbors and friends. We have bad politicians but amazing people that really care.
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@IM_Crit_
I think there are statistically significant but not clinically relevant findings in the study. Conclusion is short term it is ok, long term we still don’t know. Also they did push dose high dose cefepime vs lower dose continous infusion zosyn which is relevant.
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@HenryLovesYou
@LPontheleft
Take care of your big baby, he is most at risk. Covid 19 loves velour track suits.
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@patrickching
@GermHunterMD
@FungalDoc
@boulware_dr
@IdVilchez
@Infected_Terran
@BradSpellberg
@dralicehan
@JonathanRyderMD
@SAIRABT
@IDdocAdi
I always keep this in my back pocket for the hailmary cases.
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@ABsteward
@NEJM
I think the major question for the steward in me is, what if we all start doing this? You are likely to get Ag resz and then probably more res. Why do prophylaxis if then the treatment is harder and the mortality is the same? You save money short term. Y do i want to not like it?
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@dralicehan
A-actinomyces B-bacillus C-clostridium D-diptheroids E-erysipelothrix L-lactobacillus/listeria T-tropheryma
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@Cortes_Penfield
His son raises messenger pigeons and they do not give azithromycin prophylaxis, but otherwise unremarkable.
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Doing my antimicrobial stewardship program and BAM
@julie_justo
flashbacks to remind me to take off the vancomycin. I miss it!
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My wife up on the stage with one of the Uvalde survivors. I am so proud of her and the whole University of Texas San Antonio and University Health teams. The family is also a testament of strength.
@UTHealthSASurg
#mayahstrong
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Imagine if we didn’t treat viral pneumonias with antibiotics.
🆕💥💥
@jamanetworkopen
@ClancyNeil
et Al
US Outpatient Antibiotic Prescription Trends During COVID-19 in 2020 via
@JAMANetwork
#IDTwitter
#medtwitter
#TwitteRx
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@ID_fellows
Can you please sit me down and make me study? I am very tired right now. Tell me that you are disappointed in me. That’ll help.
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There is no way this replaces transplant but neat. My fear is now I have to figure out who I have to consult to have an infected artificial kidney removed and how do I prove it. I am looking at you LVADs.
Artificial
#Kidney
successfully tested by scientists.
#MedTwitter
🎥
@HashemGhaili
h/t
@CurieuxExplorer
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I had a great great month and little bit onservice learning and becoming a better student/teacher/fellow. Thanks to
@LCahuayme
@jmidturi
@s_ranganath9
@HRam97276119
@Blantonks
. The definition of role models!
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@IDdocAdi
@EmmGeezee
@jungleland
@emily_fri
I can attest to a good wholesome internet chat with
@IDdocAdi
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Two days of Critical Care/ID conference followed by a day of TEE and advanced cardiac POCUS today. I am feeling very lucky.
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Today I read a HPI from surgery that was far superior to the medicine HPI. It is a sad day.
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@PaulSaxMD
My neighbors think I am lying being in ID because I end up shrugging my shoulders a lot to their question after giving them a blast of information.
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@mangarone23
@realbowtiedoc
@AAHPM
@GeriPalBlog
@JasAWebb
@kjdelay1
@MasoodPashaSyed
@danieljweiner
@DrRayMD
@rubin_allergy
@PedsTraumaMan
@amarkelkar
@zachradcliffphd
@DrPWave
@asaguirremd
@JMMCondor
@BobMackey1
@AkSedai606
@sdbeck
@glicklab
@DocWithBowtie
@PeterHotez
I swear next friday i am in
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Power is out in central texas. Time to finally read all of the CIDs that I swore I would get back on.
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Interesting that in this study, the highest risk for COVID were the phlebotomist in addition to nursing and respiratory therapy. Talk about a true frontline position! Thank you for all that you do.
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@ID_fellows
I like when attendings tell me all about their professional journey. My attendings have told me all about the things they wished they know. I also talk to my cofellow constantly about jobs and future during continuity clinic.
#idfellowchat
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RIP Dr Mandell! I found his obituary fantastic as well as this little blurb:
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Things are looking good for me with my second shot. Good to know there is good data besides an anecdote when talking to my patients.
Per CDC, COVID vaccines looking impressively safe.
Through Dec 22, after nearly 1 million doses, only 307 ED visits, almost all of them for minor symptoms.
#1
: dizziness
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So I can no longer get pens from drug reps but SCOTUS can take extravagant vacations from political donors?
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As a fellow
#IDWeek2020
is like going to a concert and I get excited when I see people I have spoken with or have seen before.
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@davidvanduin
@IDdocAdi
@IDSAInfo
@ClancyNeil
@OncIDPharmd
@SIDPharm
@ARLGnetwork
@jac_amr
Adjuntive phage therapy is my 2cents but combo therapy data is more immediately important.
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@PulmCrit
@pulmtoilet
@IM_Crit_
@msiuba
@PulmPEEPs
@EMNerd_
@emily_fri
@heart_lung
@ThinkingCC
@icmteaching
@AZviman
@nickmmark
@CriticalCareNow
You should really try being an intensivist if your podcasting doesn’t work out.
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@mmPharmD
@PaulSaxMD
Everyone talks about PEP but no one talks about POP (post oyster prophylaxis)
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@LukeAmos__
@DrNeilStone
They work under our supervision in our area. They don’t make more than physicians in their same geographic location but they can do very well.
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@DrJBhattacharya
If these are the comments to your op-ed, you are in the wrong company. I bet you got everything right during the pandemic didn’t you? Get off your high horse and your anchor biases and take a seat with the other clout chasers.
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Gettin a little organization going on. I found my massive growler from
@AHowellID
Fermentation forver lives on!
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@IDSAFoundation
@LCahuaymeMD
El honor es de todas las personas que aprenden de una persona tan ejemplar. You couldn’t have picked a better person.
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