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bradspellberg.bsky.social
Brad Spellberg
@bradspellberg.bsky.social
1.5K followers 37 following 290 posts
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Reposted by Brad Spellberg
lageneral-id.bsky.social
Behind the scenes 🔥🔥 with all the laughs on the latest Febrile Podcast @febrilepodcast.com with @lageneral-id.bsky.social and @bradspellberg.bsky.social #IDSky

player.captivate.fm/episode/dd68...
December 22, 2025 at 4:48 PM
Reposted by Brad Spellberg
infectedterran.bsky.social
Highly recommend you check out @bradspellberg.bsky.social book "Broken, bankrupt and dying". Achieving universal coverage can be done in many different ways. The rest of the developed world has done it in all different ways (government coverage, private/public, state subsidized etc).
December 10, 2025 at 11:53 PM
bradspellberg.bsky.social
Hasn't been much discussion of the 40% failure rate to fill ID programs this match year. Interesting. Wonder if anyone is ever going to do anything about that?
December 8, 2025 at 8:22 PM
Reposted by Brad Spellberg
absteward.bsky.social
🆕🎙️🔥Febrile Podcast just dropped!
✅ID Jedi @bradspellberg.bsky.social
✅Mini-cases OM,IE,Bacteremia
✅IV vs PO debates
✅Duration of therapy
✅Shmidelines Vs WikiGuideline
✅A must-listen for every antibiotic steward! #IDsky #EMIMCC
febrilepodcast.com/episodes/
open.spotify.com/episode/6dkJ...
December 3, 2025 at 8:25 PM
Reposted by Brad Spellberg
febrilepodcast.com
New episode out today: Listen in to this team from LA as they walk through several mini-cases and chat IV vs PO antibiotics!

Feat: Fourth year medical student Hannah Chute, Dr. Paloma Reta-Impey, and @bradspellberg.bsky.social

Also check out: www.bradspellberg.com/oral-antibio...

#IDsky #MedSky
December 1, 2025 at 1:24 PM
Reposted by Brad Spellberg
absteward.bsky.social
🆕🔥🦴 Our 2025 Update to @wiki-guidelines.bsky.social for the Management of Pyogenic Osteomyelitis in Adults 🌟 @bradspellberg.bsky.social
🔗 [link] #idsky
www.amjmed.com/article/S000...
November 19, 2025 at 4:25 PM
bradspellberg.bsky.social
Thrilled that another regulatory innovation out of LA General is now out in @jamanetworkopen.com!

The first hospital in California authorized by CDPH to administer outpt hemodialysis for up to 2 weeks for inpatients newly started on HD who lack insurance.

jamanetwork.com/journals/jam...
Hospital Hemodialysis Unit Flexibility and Hospital Length of Stay
This quality improvement study evaluates the association of hospital length of stay with a first-in-state model in which an inpatient hemodialysis unit received regulatory approval to provide temporar...
jamanetwork.com
November 18, 2025 at 10:06 PM
Reposted by Brad Spellberg
wiki-guidelines.bsky.social
📢📢📢 We are delighted to announce that we are assembling team for our next project, Pharyngitis WikiGuideline

Join us to create guidelines with the humility of uncertainty.

Deadline to sign up is November 21, 2025.
November 3, 2025 at 12:07 AM
bradspellberg.bsky.social
Thanks to @abimfoundation.bsky.social ation for posting the video of my recent lecture on the LA General Policy to Override Policies. For those of you who know my lectures, this one is among the most entertaining. And it's only 10 min. Check it out & implement the policy!
youtu.be/RuKAKH8A604?...
Administrator/Clinician Collaboration: Policies to Put Patients First
YouTube video by ABIM Foundation
youtu.be
September 5, 2025 at 2:05 AM
Reposted by Brad Spellberg
jameswilsondo.bsky.social
Another plug for #wikiguidelines @bradspellberg.bsky.social
When guidelines don’t keep up with medicine
August 22, 2025 at 3:38 PM
Reposted by Brad Spellberg
rmohty.bsky.social
As @bradspellberg.bsky.social would say CRP is missing a letter as a test "A" (CRAP) - www.sciencedirect.com/science/arti...
Revisiting diagnostics: erythrocyte sedimentation rate and C-reactive protein: it is time to stop the zombie tests
www.sciencedirect.com
August 12, 2025 at 5:07 AM
Reposted by Brad Spellberg
absteward.bsky.social
International guidelines recommend 5 to 7 days of antibiotic prophylaxis for patients with cirrhosis & upper GI bleeding.
🆕🔥Systematic Review ( 14 RCTs, N=1322) & Bayesian Meta-Analysis challenged this universally held dogma #idsky
jamanetwork.com/journals/jam...
Prophylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis
This systematic review and meta-analysis evaluates the evidence supporting the current guidelines antibiotic prophylaxis use in patients with cirrhosis and upper gastrointestinal bleeding.
jamanetwork.com
August 11, 2025 at 4:20 PM
Reposted by Brad Spellberg
idiots-pod.bsky.social
#IDsky The Infectious Disease Brad Boy himself, @bradspellberg.bsky.social , has an updated Oral vs IV table, now including the Plague (Y really) and Lyme!

Link here:

www.bradspellberg.com/oral-antibio...
Oral Antibiotic RCTs | mysite
www.bradspellberg.com
August 9, 2025 at 6:48 PM
Reposted by Brad Spellberg
wiki-guidelines.bsky.social
WikiGuidelines lapel pins are available for purchase on
WikiGuidelines website: www.wikiguidelines.org
Support us to incorporate humility of uncertainty into guidelines!
August 3, 2025 at 5:02 PM
Reposted by Brad Spellberg
drrossanarosa.bsky.social
“We’re asking the wrong question. Let’s use fundamental PK. Let’s get the drug to where the bug is, at a high enough concentration to kill the bug, and not worry about whether we label the drug static or cidal”.
As said by @bradspellberg.bsky.social 🤩😇

Fabulous conversation!
#IDSky #MedSky #AMSSky
asm.org ASM @asm.org · Jul 9
Bactericidal vs Bacteriostatic Antibiotics. This controversial topic has important conceptual ramifications to treat severe infections. youtu.be/3z4BItBrzbk
Bactericidal vs Bacteriostatic Antibiotics - Editors in Conversation Podcast, Live from ASM Microbe
YouTube video by American Society for Microbiology
youtu.be
July 10, 2025 at 4:26 PM
bradspellberg.bsky.social
Really compelling story by @corinnepurtill: "Strangers in the middle of a city: The John and Jane Does of L.A. General Medical Center". This short video tells the powerful story of the unidentified admissions to one of the busiest trauma centers in the US.
www.latimes.com/00000197-c35...
LA Times Today: Strangers in the middle of a city: The John and Jane Does of L.A. General Medical Center
Watch L.A.
www.latimes.com
July 3, 2025 at 12:19 AM
Reposted by Brad Spellberg
pulmcrit.bsky.social
Great article on dogma in ID (with parallels to critical care)

We have HUGE problems re: guidelines making recommendations & *redefining* entire diseases based on minimal data.

Gov't metrics exacerbate this further.

@bradspellberg.bsky.social @absteward.bsky.social @drtoddlee.bsky.social #EMIMCC
June 26, 2025 at 11:47 AM
Reposted by Brad Spellberg
infectedterran.bsky.social
Oh snap! I hope this conversation happened near a hospital that has a burn unit @bradspellberg.bsky.social
June 26, 2025 at 12:08 AM
Reposted by Brad Spellberg
absteward.bsky.social
How much evidence is needed to revise established clinical practices? and, can data alone truly catalyze such shifts?
Our 🆕🔥 Article at @cidjournal.bsky.social with 🌟s @bradspellberg.bsky.social
Practicing With Intent: How to Teach an Old Dogma New Tricks #IDSky
academic.oup.com/cid/article/...
June 24, 2025 at 1:12 PM
bradspellberg.bsky.social
Thank you to @jamanetworkopen.com for publishing economic analysis of our Safer@Home virtual acute care program! Modeling shows simple reimbursement would enable a win-win-win: patients get better patient-centered care, hospitals save money/free beds, and payors save!
jamanetwork.com/journals/jam...
Health Economic Analysis of an All-Virtual, At-Home Acute Care Model
This economic evaluation estimates hospital and payer costs associated with an all-virtual, at-home acute care program.
jamanetwork.com
June 23, 2025 at 7:45 PM
Reposted by Brad Spellberg
jakescottmd.bsky.social
The work has been deeply collaborative. The idea to crowdsource controlled vaccine trials came from
@bradspellberg.bsky.social, and we've had a phenomenal team - @abhaydhand.bsky.social, @alejodiaz81.bsky.social, Dr. Ali Meza Vazquez, Neal Fox, and help from many contributors from around the world.
June 6, 2025 at 9:48 PM
Reposted by Brad Spellberg
wiki-guidelines.bsky.social
#JoinTheMovement #MedicalScience #ClinicalResearch #RCTmatters #HealthcareInnovation #MedEd #WikiGuidelines
June 5, 2025 at 3:23 PM
Reposted by Brad Spellberg
wiki-guidelines.bsky.social
Your Role: Review existing guidelines across all specialties to evaluate whether or not recommendations are based on high-quality, adequately powered, peer-reviewed, and publicly accessible prospective studies, including at least one randomized controlled trial
June 5, 2025 at 3:23 PM