Ryan Beaver DO

@rbarbosa91 But why did you re-scan? If the problem improved clinically, there was no need to re-scan.

PSA: To our medicine/ID colleagues -- ’source control’ of an infection usually doesn’t lead to 100% eradication of all radiographic abnormalities. If you’re going to re-scan, there will probably be some schmutz there (and no, I don’t always need to go back in after it). 🙏

@LadowTiffany High quality work from our awesome ABX Pharmacist!

Love a good IDWeek. Big fan.

@historyinmemes Where is this man today?

@AshleyGWinter I’m just waiting for it to stop unnecessary ABX for asymptomatic bacteriuria. Lowest of low hanging fruits.

Waiting for AI to place ureteral stents, difficult Foley's, debride Fourniers gangrene. Bro. When exactly is it happening?

@ABsteward @CMIComms @Josh_S_Davis @DrEmilyMcD There was an awesome website called Whonamedit.com that was a list of medical eponyms and the story behind them. The medical historian who ran the site, Ole Daniel Enersen, died in 2024.

What’s in a name?” Even microbes carry stories. @CMIComms is launching a new series exploring the people behind eponymous organisms—those whose names live on through microbes like Escherichia or Pasteurella. Open call for submissions @Josh_S_Davis sciencedirect.com/science/articl…

@LadowTiffany We keep it interesting!!!

ID service lately 1. Trypanosoma brucei rhodesiense with HLH from Zambia 2. Measles encephalitis 3. 2 malaria (one pregnant) 4. Brucella endovascular graft infxn 5. 8 NTMs, 1 MDR abscessus 6. More nocardia 7. ? Verticillium pneumonia ? 8. Bactrim-R steno 9. Typhus 10. IA mucor

@unusual_whales Financial only, or others as it pertains to financial.

Hey guys, I know I've been posting a lot of content across the spectrum, financial, news, and politics. Would you guys prefer more financial content, more news, more political content? What do you want to see? And what tools do you want me to build for it?

@blandman19 Great job. I am ID and interested in this topic. If you ever want collaboration, reach out and I’d be glad to help.

Excited to publish an update to our 2015 review! Available open access! A review of antibiotic safety in pregnancy—2025 update - Nguyen - Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - Wiley Online Library accpjournals.onlinelibrary.wiley.com/doi/10.1002/ph…

@LadowTiffany You forgot my Typhus pregnancy and my West Nile strokes.

Adding 8. Confirmed naeglaria 9. Dengue 10. 2 more salmonella bacteremias (what) 11. Mucor sternal infection 12. Toxo in severe G6PD deficiency I think that’s my ID service wrapped for 2024. Here’s to 2025!

ID service lately 1. Scedosporium mastoiditis and osteo 2. Disseminated fusariosis 3. TB 4. Possible echinococcus 5. Q fever endocarditis and aortitis 6. Two nocardiosis w brain & spine involvement 7. Three cases of salmonella bacteremia This is fine.

@Dr_Oubre “All of the rules are in the Tax Code, so why do you pay for an accountant?” This is followed by “your story helps me know where to look quickly and to weave a more accurate picture.”

"It's in my chart, didn't you look?" That comment can fill some with seemingly inexplicable rage. But it's also sad. The frustration is not unreasonable. Patients have no idea how poorly EMRs relay even the most important information to future providers. But while you're doing the best you can, that comment reminds you that not only is that patient now disappointed with you, but explaining the problem will take up even more time...AND there's little you can do about this existential issue. I am hopeful AI can fix this relatively simply. Imagine this: "Hey EMR, give me a brief history of this patient’s heart failure.” “Mr. X was first diagnosed in October 2023 with an LVEF of 35%. He was seen by Dr. Cardiology and a LHC on October 19, 2023 was negative for coronary artery disease. He was started on Lasix 40mg daily, Toprol 25mg daily and Valsartan 80mg BID. He was briefly on Entresto 24-26mg BID in January 2024 but this was discontinued due to hypotension. Aldactone 25mg daily and Jardiance 10mg were added in March 2024. His LVEF improved to 45% in September 2024. He last filled these medications 3 months ago for a 3 month supply.” Wouldn't that be amazing? Some express (founded) concerns about reliability. But here's the truth: the error rate of a computer on this relatively basic task of finding text and summarizing it is far lower than a burned-out provider who doesn’t have time to search the entirety of the chart. But ensuring accuracy of the AI output years from now starts with ensuring your documentation is accurate now.

@PCrowleyDO Way to go!

Today is the day! Come by our posters and hear about Skip Phenomenon and minocycline vs gram negative bacteria

@PCrowleyDO @MayoClinicINFD @IDWeekmtg @MayoMN_IMRES Congrats man!!!

Getting excited for IDWeek. I’ll have 3 posters: idweek2024.eventscribe.net/searchGlobal.a… @MayoClinicINFD @IDWeekmtg @MayoMN_IMRES

@MushtaqBilalPhD Zotero is awesome. My organization stopped paying for desktop access. Does this update give support for Office365 Word online?

The new version of Zotero was recently released. It's more powerful and versatile than ever. It can help you organize your reading lists, take notes, and automate your citations and bibliography. And it's totally free. Here's how to get started with Zotero:

@ChronicUTIAus @ABsteward (Lack of) Quality/accuracy of the diagnosis is driving this metric. “UTI” is one of the easiest ICD-10 codes to push through for admission. Hilarious how many lack symptoms or any support for the diagnosis. EMR diagnostic inertia makes it so much worse.

@ABsteward There is a bit of disturbing insight into this question that should be looked at seriously. Since the introduction of guidelines promoting shorter antibiotic courses for UTI, UTI related hospitalisations in the UK are rising. Why? You'd expect the opposite.

Why clinicians assume that the default is the longer treatment duration and that longer is better and we have to prove by RCT that shorter is better, maybe we need to challenge this culture ! They have to prove that longer is better,default is shorter until proven otherwise!🤔

@BradSpellberg Interested if you need help.

WikiGuidelines is there if a group of folks wanted to put out an evidenced based guideline on OB Gyn ID!

@RIDICULO_pathy Can you link to the autopsy report? Or is it all hearsay?

@RIDICULO_pathy Not a surgeon, but couldn’t he have gotten into complications with splenectomy and removed the extreme left edge of the liver as part of the process, and the path report include “liver” in the specimen report??? That makes wayyy more sense than complete hepatectomy.

@MBrigmon @LadowTiffany

@LadowTiffany On top of that were you dealing with @RBeaverDO ?

@MikeMcNealMD @ChitraHamilton Go Chitra!

Welcome Dr. Hamilton to discuss deprescribing for your geriatric patients. @ChitraHamilton #BSWIMRPadre2024 #BSWHTemple_IMED

@reaperracingTM @phlegmfighter I don’t think in the issue is shortage of physicians as much as underutilization of the existing workforce, who spend 1-3x more with the chart than the actual patient. Balance medicolegal and payment concerns beyond documentation and you can uncork the bottle.

@phlegmfighter We should be creating more jobs, because it’s pretty ridiculous to have to wait sometimes greater than 12 months to see a specialist or even just a PCP.

Intentional controversy: one should not enter into a competitive and high-paying medical profession without the intent to practice it full-time. That goes for MD, DO, DNP, etc. Somewhere, there is a man or a woman from a lower social economic class who needs that slot to support a family, full time. If you take that slot as a hobby horse and work part time or quit the profession early on, the opportunity cost is borne by someone who would utilize it to its full potential to support a family and provide care, full-time, for countless patients