John Baddley
@jobadd
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Infectious Diseases doc at Johns Hopkins focusing on patients with cancer or transplants. Grammar policeman and Old Fashioned connoisseur.
Baltimore, MD
Joined October 2009
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Back on the COVID-19 service. We have now seen a handful of patients with 2 negative NP tests (Cepheid) 24 hours apart with positive BAL testing. Anyone with a similar experience? Confirms problematic test sensitivity and importance of clinical suspicion for COVID19.
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It has been a tough day. I just said goodbye to my sweet Krewe. He was not even two years old. He lost a battle with retroperitoneal neuroblastoma. This one really hurts as he was such a sweet dog. Oh, the joy he gave me over the past two years! Peace, Krewe.
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Most common questions on rounds today: 1) is the COVID-19 vaccine safe? 2) Dr. Baddley are you recommending it? Important for ID Docs to understand the safety/efficacy data and spread the word.
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Happy that my oldest kiddo graduated from University of Georgia today. Now she’s off to Physician Assistant school. Glad she will be a healthcare professional.
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Sad day today. My last day at
@uabmedicine
and UAB Division of ID. It has been a wonderful 21 years. I was able to work with wonderful fellows and faculty. What a great place to work! Now on to Maryland...
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My daughter, a Physician assistant, just called me about a patient she saw with an infected wound growing ESBL Kleb. She said “Dad, I think we need an ID consult and a carbapenem…” proud dad moment
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So proud to be a part of the
@OFIDJournal
@IDSA
team! Such great humans and thoughtful editors. I look forward to another years of great ID content
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Just saw a patient who finished a 5-day course of oseltamivir for Influenza A diagnosed by RVP. Now acute dyspnea, confusion. Classic post-viral bacterial pneumonia, right? Wrong- SARS-CoV!
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While many people (including me) and businesses are excited about starting to open again, let’s be careful. Today my business was booming on the COVID consult service:
-56 patients (41 in ICU) and lots of sad stories. It’s not over.
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I was consulted today about a UTI. I had forgotten that there was more to ID than PUI or COVID positive...
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Transplant ID Folks- check out this free webinar in November. A wonderful group of talks and speakers. Registration opens later this week
@camwolfe
@maricar_malinis
@tts
@KottonNelson
@EmilyBlumbergMD
@HIV_TID
@PergamIC
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It’s a sad day. We have lost a wonderful friend, colleague and mentor, Francisco Marty. My condolences to your family.
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Any ID docs like bourbon? I’m about taste Pappy 10, 12 and 15 year!
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So nice to finally get this out.
🔥 off the press
MSG07 compared
#cryptococcosis
due to
#Cryptococcus
neoformans (n=452) vs C. gattii (n=257)
Compared to Cn, patients with Cg
☑️ often prev healthy (40vs10%)
⬆️lung infection (60vs32%)
⬇️ 🧠(50vs64%) or🩸 infections (8vs34%)
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Brad Pitt sighting in our hospital! No wait, Dr. Baddley stamping out COVID-19.
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Another goodbye post. Today is my last day at the Institute of Human Virology at the University of Maryland School of Medicine. It has been a great four years. Lots of wonderful colleagues that I will miss.
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Summary slide from my
@ATCMeeting
talk this am. Where might investigational antifungals play a role for our transplant patients?
Great slide summarizing potential use of novel antifungal.
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So happy that my >80-year-old parents were able to get the vaccine and be featured in the Baton Rouge, LA paper. Can’t wait to visit them this year!
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LFG! Finally approved/credentialed and I get to see patients today. Life is great.
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Congratulations to the original FunGal, Carol Kauffman, on receiving the MSGERC Lifetime Achievement Award! She has been a great friend, mentor and researcher.
#MSGERC2022
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Okay smart people I need some help. 62yo with MDS, chemo 4 weeks ago. Disseminated lesions, no neutropenia or animal exposure. Thoughts?
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Need some positive vibes from Twitter. My 1-year-old Cairn terrier (Krewe) was found to have a 12cm retroperitoneal mass, a neuroblastoma. It’s wrapped around the aorta, so no surgical option. Now on vincristine/doxorubicin. Sweetest dog ever
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I love Transplant ID Clinic. On the schedule today: aspergillosis, cryptococcosis, CMV, recurrent UTI, Hep C, recurrent C. diff, pre-tx evaluation.
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Merry Christmas to me! Thanks to all of the clinical trial volunteers and scientists for getting this done.
#byebyeCOVID
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How about this Sweet 16 Birthday present. Pfizer COVID
#1
on his birthday
@ClaytonBaddley
#vaccinate
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Big day today. Finally finished compliance, billing, HIPAA, security, EPIC, IRB and sexual harassment training at my new institution. Today I get to see real patients on the transplant consult service!
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Time for
@ATCMeeting
in San Diego!
Please come see us at the Tuesday's session "Year in Review- Top Papers in Transplant ID." At 3:50 I will be discussing the cool fungal papers, see the thread.
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I finally submitted a manuscript for a cryptococcosis study I have been working on for years! Hope the material is still relevant...Thanks
@DrPappasID
@AlisaPeinhardt
@MSG_ERC
for being patient.
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I have been lucky to serve as a part-time physician in the VA healthcare system. I have leaned a lot about patient care, leadership and teamwork. I love Veterans- they are truly special. Today is my last day at the VA after 22 years. It has been rewarding but time to move on.
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Sad, sad day today. My sweet 9-year-old Cairn terrier Mardi died today. What a wonderful dog! I love you, Mardi, RIP.
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@ABsteward
@tmhohl71
@FungalDoc
In general, candidemia is unlikely to develop in patients with prior canduria. A nice paper from candiduria expert Carol Kauffman.
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Consensus position statement on advancing the standardised reporting of infection events in immunocompromised patients - ScienceDirect
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Great to have Transplant ID Superstar and great friend Ban Hok Tan visiting from Singapore.
@KatesOlivia
@ttsorg
@TTS_TID
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Proud Dad Moment: congratulations to my son Clayton on realizing a dream of playing college lacrosse. Lots of hard work on and off of the field. Go Lafayette Leopards!
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Ok fungal friends. OFID is looking for clinical mycology papers. An announcement will be out soon with details.
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Has anyone seen a case of adrenal insufficiency caused by fluconazole? Looks like I have my first case.
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Really hope this will protect from Omicron. At least it was easy to get…
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We will soon be discussing ibrexafungerp and other new antiungals and potential role in transplant patients. Join us next Wednesday
@ATCMeeting
🎂Happy 1st Birthday🍾
#Ibrexafungerp
/
#Brexafemme
licensed for
#VVC
in the US June1⃣,2⃣0⃣2⃣1⃣ - the 1st of the urgently needed new antifungals - life-saving news for our patients and their families 🙏
#scynexis
#cidara
#f2g
#mycovia
#pfizer
#pulmocide
🙏
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Information on imaging as a diagnostic tool for fungal infection.
@BarbAlexanderMD
@DrPappasID
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Passive antibody therapy in COVID-19 | Nature Reviews Immunology
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A very special night and a goodbye to our wonderful ID fellows. Thanks for making me look good! Good luck and keep in touch
@UniversityMD_ID
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Excited that my good friend
@MichaelGIsonMD
will be visiting
@JohnsHopkinsSPH
tomorrow!
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Another TID Superstar! Congrats
@HannahImlay
@OFIDJournal
Dr. Hannah Imlay, assistant professor in the Division of Infectious Diseases, has been awarded the Internal Medicine Fellow's Faculty Teaching Award. 🎉 This is awarded each year to one faculty member, who is nominated and presented by fellows.
Congratulations, Dr. Imlay!
#uofu
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I am back in my happy place. Started on the Cancer ID service for the first time at U Maryland. So thankful to the nurses for keeping me in line.
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Are people using combination therapy (lipid amb plus azole or echinocandin) for treatment of mucormycosis? In addition to debridement I tend to stick with lipid amb alone per guidelines
@CornelyOliver
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First report of Histoplasma capsulatum left ventricular assist device infection - Non - Transplant Infectious Disease - Wiley Online Library
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@FungalDoc
@OFIDJournal
@IDSAInfo
@PaulSaxMD
All right, brother! So nice to team up with you on this. An exciting time!
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Last consult of the day. AML, s/p allo SCT now with relapsed AML and dyspnea. Thoughts?
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Single high dose lipid AmB for cryptococcal meningitis. The reality is that repeating the initial clinical trial in other populations is unlikely. We need to make choices based on safety and science
@NateBahrID
@FungalDoc
@boulware_dr
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Please join us tomorrow and Thursday for a fantastic conference. It's FREE. Register today at
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An exciting time in transplantation. Let’s hope it opens new pathways to decrease organ shortages.
University of Maryland School of Medicine Faculty Scientists and Clinicians Perform Historic First Successful
#Transplant
of Porcine Heart into Adult Human with End-Stage Heart Disease
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Looking much more like a bullseye lesion now. Anyone at
#IDWeek
have doxycycline?
Okay I woke up with this Saturday and it keeps growing. Hope I can learn the cause at
#IDWeek2023
!
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Great start to the Transplant ID Symposium as keynote speaker
@EmilyBlumbergMD
discusses future challenges in TID
@shahidh80523771
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Get those abstracts in! I’m looking forward to this meeting. Please make a plans to attend the pre-meeting TID workshop! Excellent speakers. More details soon.
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It is a very Good Friday. A new testing platform is up and running at our hospital. We are finally able to test all who need testing! Thanks to Kristie Johnson,
@paul_luethy
@gregschrank
and the Microbiolgy lab for working non-stop to make this happen for patients.
@UMMC
@umms
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Happy ID Pharmacist Day! I have had the pleasure of working with many over the past 20 years. Thanks so much for all you have done for our patients and me
@katesabol
@emilylheil
@OncIDPharmd
@mmPharmD
@mlbrownrx
@MandeeNoval
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Did you hear the one about the ID Doc, Epidemiologist and Scientist who walked into a bar?
Sorry, not gonna happen....
#maskingforafriend
#physicaldistance
#damnyouCOVID
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Happy ID Pharmacists Day! Wow, so glad to have you. Thanks for all you do for the patients.
@OncIDPharmd
@emilylheil
@ClaeysKcclaeys
@mmPharmD
@MandeeNoval
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This will be a great TID conference- check out the wonderful speakers! See you there.
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Congratulations
@CourtHarrisMD
!
@ID_MUSC
Award Week!
2nd award of 2024:
@ID_MUSC
faculty Dr. Courtney Harris
@CourtHarrisMD
was the winner of the Outstanding Junior Faculty Clinician Educator of the Year Award along with Dr. Susan Evenhouse
@EvenhouseSusan
from GIM!
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I evaluated an HIV elite controller yesterday for renal transplantation. We have not yet transplanted a patient not on ART with an undetectable VL. Thoughts on role of ART?
@MichaelIsonMD
@ShohamTxID
@EmilyBlumbergMD
@nikkitheomd
@CMDurandMD
@jschaenman
@PCH_SF
@drmichelemorris
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There is an epidemic of “soft” blood pressures at our hospital. Can someone enlighten me and tell me at what point the blood pressure becomes “hard” again?
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I love
@DrJeanneM
‘I’m never going to be Tony’: Jeanne Marrazzo, Anthony Fauci’s successor, vows a new direction at NIAID | Science | AAAS. I love
@DrJeanneM
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I am lucky to have spent 18 years work at VA hospitals. Thanks for your service and happy Memorial Day!
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Leaving tomorrow for Toronto to attend a fantastic TID Symposium! Can’t wait to learn from superstars in the field such as
@shahidh80523771
@KottonNelson
@RazonableMD
@ldanzigerisakov
@dktransplant
@MelinhL
@cleverwebber
@ArmelleID
Register for the Tx ID Symposium before it’s too late 🦠 Registration will be closing soon!
We are only 14 days away - Register today!!
This cutting edge event has been endorsed by CST and AST + CME will be offered for this event totaling 12.5 credits
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This sounds a bit crazy but I really miss seeing patients with cryptococcosis regularly. Different epi in Baltimore. Psyched I will see 2 in clinic this week!
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