“Antibiotics are among the most potent psychoactive drugs in all the pharmacopoeia. They are incredibly potent anxiolytics.They just act on the prescriber rather than the patient” -Dr. Brad Spellberg @bradspellberg.bsky.social #idquotes #idsky

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"Empyema needs a surgeon and 3 inches of cold steel, instead of a fool of a physician.” , Sir William Osler (1849–1919) #idsky #idquotes

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“Mycotic aneurysm” may be one of the most misleading medical terms Despite the name, most are bacterial—not fungal. William Osler first used the term in 1885 to describe a mushroom-shaped aneurysm in a patient who died with bacterial endocarditis. Today,the preferred term is infected aneurysm #idsky

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NEW in ICHE: Performance of an artificial intelligence model for evaluation of unnecessary central lines, Northern California 2025 LLM for unnecessary lines: ▶️ 16% sensitivity ▶️ 99% specificity #IDSky @jlsalinas.bsky.social 📄: doi.org/10.1017/ice....

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An 80-y-o ♂️treatment for multiple myeloma: 2-week history of low-grade fevers, obtunded MR: multiple ring-enhancing lesions (A) CSF: 923 nucleated cells/μL ( 91% neutrophils), glucose 36 mg/dl, protein 147 mg/dl. CSF culture (B): ? 1/2 DOI: 10.1056/NEJMicm2104629 #IDSky #MedEd #microbiology

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