Matt Goetz

@Ddrekonja @GOP The very definition of hypocrisy

@glavaidguy @rebsmoe As I like to say, the hard questions occur at the boundaries where lines are drawn that often cleave shades of gray rather than black from white

@rebsmoe “Pneumonia” is another favorite around these parts @mbgoetzca

I will know I have officially succeeded as a program director when all my fellows use air quotes when talking about any of the following: 1. “Bone penetration” 2. “Uncomplicated” S. aureus bact 3. “Sepsis”

@rbganatra Performance characteristics ( sensitivity and specificity) of cr in the setting of negative CCR are too I’ll defined to be of much benefit

1/ You suspect pneumonia, but the CXR shows no opacities. Q: When should you obtain a chest CT? Pick your answer, then read on for a short explanation (PTP = pretest probability)

@bwtrautner Hmmm, and I had thought there was bbq in Houston

VA ID team thrives on Snickers. Not like those LA fellows who need brisket or something like that to keep going…

Proud to be vaccinated at the VA. I’m looking forward to seeing a surge of vaccination to fight this scourge!

@omaigarner @drklausner And deluded

@drklausner Sad.

On our car windshield in Santa Monica—things heating up

46 years ago I marched against racism in Boston. It wasn’t enough, it will never be enough until everyone not only hears but acts on the fact every day, every single day that black lives matter

@tanner_caverly So true

Great graphic

From a well respected friend and intensivist/A&E consultant who is currently in northern Italy: 1/ ‘I feel the pressure to give you a quick personal update about what is happening in Italy, and also give some quick direct advice about what you should do.

@bryant_yang @glavaidguy @glen_huang I’d continue oxacillin, make sure dosing was appropriate, consider continuous infusion, ensure that this isn’t an instaiwith occult mecA and most importantly be sure that there are no focu amenable to better source control, e.g. , visceral abscesses

@BradSpellberg @ABsteward @CGentPharm @koutterson But then again, facilities that prefer to use colistin rather than a carbapenem- betalactamase inhibitor combination to treat KPC infections are not acting in their patients’ best interests. Sometimes newer (and more expensive) is really better.

@CGentPharm @ABsteward @koutterson Agree. It’s completely disgraceful. Our specialty has lost its moral compass.

"You’d never tell a cancer patient, ‘Why don’t you try a 1950s drug first & if doesn’t work, we’ll move on to one from the 1980s" “We do this with antibiotics & it’s really having an adverse effect on patients and the marketplace“ @koutterson #IDTwitter nytimes.com/2019/12/25/hea…

Crisis Looms in Antibiotics as Drug Makers Go Bankrupt nyti.ms/366f7it

Happy holidays right back atcha, @UCLA_ID!

Really powerful Globe article by @ashishkjha. Ending surprise billing: A moral test for physicians bostonglobe.com/2019/12/09/opi… via @BostonGlobe

@ABsteward Kind of depends on whether all CP-CRE are created equal. That not being the case, to paraphrase John Rex, multiple differing fire extinguishers are needed. Granted there is a point of diminishing returns and new classes of agents with activity vs CP-CRE are needed.

Carbapenem resistant Enterobacteriaceae What do you need to know #medtwitter #IDTwitter

@kelechevarria And it particularly sucks when adults get measles. Adults with measles are much more likely to develop severe hepatitis and respiratory failure.

#whyivaccinate - umm because measles, mumps, flu and meningitis suck!

Hey, @pcj46! I'm here.