Luke Turner 🦠

Caitlin Jensen, 28, walked into a Georgia chiropractor in June 2022. She came out with four dissected arteries, a stroke, cardiac arrest, and a traumatic brain injury. It took her nine months to say "Mom" again. She had come in for lower back pain. Your brain runs on four arteries. Two carotids in front, two vertebrals in back. The vertebrals don't run free. They thread up through narrow bone tunnels inside each cervical vertebra, C6 to C1, then loop around the top vertebra in a tight horizontal curve called the V3 segment. When a chiropractor performs a high-velocity rotational thrust on the upper neck, V3 gets stretched and snapped against bone. The inner artery wall tears. Blood seeps between the layers. A flap forms. Flow blocks, or clots break off and travel to the brainstem. In Caitlin's case all four vessels tore. Paramedics worked 12 minutes restoring her pulse. Surgeons placed a stent in one artery and repaired what they could in the rest. The brain injury came from the bleed that followed the stroke that followed the dissection. One in 20,000 spinal manipulations triggers this. Arterial dissection causes 2% of strokes overall but 8 to 25% of strokes in patients under 45. In 55% of cases symptoms start within 12 hours of the adjustment. No screening test identifies who's at risk beforehand. The American Chiropractic Association's own spokesman told the New York Times patients should get vascular scans before neck manipulation. Almost none do. Informed consent matching a surgical risk disclosure isn't standard. The average victim is 40. Caitlin's back pain lived four vertebrae below the artery the thrust tore.

Wait...this is brilliant. @doctordaoud

Understanding MICs and CLSI breakpoints is one of the most important skills in infectious diseases and antimicrobial stewardship. A culture report should never stop at: “Susceptible.” Instead, we should ask: • What is the MIC? • Is it close to the breakpoint? • Is the dosing optimized? • Does the patient’s condition affect clinical success? A great reminder that not all “susceptible” results are equally strong clinically. #ClinicalPharmacy #InfectiousDiseases #AntimicrobialStewardship #CLSI #MIC #IDPharmacist #PharmacyResidency #CriticalCare #HealthcareEducation

Of course, isolation as a practice came about much earlier than the word to describe it. As early as the 8th century lepers were segregated from the general population. en.wikipedia.org/wiki/Quarantine

Passengers exposed to Hantavirus now facing a 40-day quarantine is remarkable. It echoes the *700* year old meaning of the word which kept ships from plague-stricken countries waiting offshore for 40 days to assure that no cases were aboard. bbc.co.uk/news/live/cy59…

Did you know? #Hantaviruses are a group zoonotic viruses carried by rodents that can cause severe disease in humans. Learn how to prevent it and what to do during an outbreak. Watch this explainer👇🏾

Hantavirus latest: The UN World Health Organization (WHO) says human-to-human transmission aboard cruise ship in Atlantic Ocean cannot be ruled out, although it is rare. Seven of 147 passengers and crew have fallen ill and three have died. news.un.org/en/story/2026/…

#IDXposts Iconographic inspired by marvelous post by @BradSpellberg CIDAL vs. STATIC antibiotics - NOT A THING 🚫

Cruise ships are well known for the spread of viruses, norovirus in particular, but hantavirus is surprising, and in this case, tragic 😢 bbc.co.uk/news/articles/…

Sneezing sloths - oropouche right? 👀

**Dr. Tige ‘roar’ cycline and the Case of the Sneezing Sloths** In the lush, buzzing heart of the Darwin's Grove—a jungle where birds sang in four-part harmonies and trees gossiped in rustling whispers—there lived someone very remarkable.

@andrewsuleh Thanks 😊

@MicroLukas great information

Pinch PUNCH first of the month 🤪

@kakule06 Yes good call. Brucella is a great one if using test to ID. I think Kleb and pseuds are more variable?

@MicroLukas Other bacteria? Brucella, Klebsiella, Pseudomanas, etc. Aren’t they urease positive?

AI users forget faster. #phd #student #AI

Así funcionan las vacunas 😌

@ABsteward VanA AND VanB??

A “confused” Enterococcus faecium bloodstream isolate — keeping us on our toes today! #idxposts