Randy McCreery
@communityiddoc.bsky.social
Community ID Doc in Sacramento, CA
⚽️🎶🎸🔨🪚🎣🏂🍔🌯🍕🍟🍻🍷☕️🏠🏖️ 🥇in description emojis
⚽️🎶🎸🔨🪚🎣🏂🍔🌯🍕🍟🍻🍷☕️🏠🏖️ 🥇in description emojis
It’s all in formalin?
In honour of spooky month, share a 4 word horror story that only someone in your profession would understand.
rm -rf ~/
rm -rf ~/
"The chancellor approved it"
October 13, 2025 at 6:46 AM
It’s all in formalin?
Could re-title the article “The US could learn a lot from Nebraska”.
As of the 2024-2025 academic year, 158 LCME-accredited medical schools operate within the US, reflecting a 26% growth over the last 20 years. #MedEd
Read more about the program demographics: ja.ma/3IQGi9g
Read more about the program demographics: ja.ma/3IQGi9g
October 2, 2025 at 2:11 PM
Could re-title the article “The US could learn a lot from Nebraska”.
Reposted by Randy McCreery
Long C-19 is a plethora of pathways...
No easy fix, because it's many routes to 🤬☠️
link.springer.com/article/10.1...
No easy fix, because it's many routes to 🤬☠️
link.springer.com/article/10.1...
Advances in Understanding Long COVID: Pathophysiological Mechanisms and the Role of Omics Technologies in Biomarker Identification - Molecular Diagnosis & Therapy
Long coronavirus disease (COVID) is a multisystem condition that affects a significant proportion of individuals following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with ...
link.springer.com
June 29, 2025 at 5:47 AM
Long C-19 is a plethora of pathways...
No easy fix, because it's many routes to 🤬☠️
link.springer.com/article/10.1...
No easy fix, because it's many routes to 🤬☠️
link.springer.com/article/10.1...
Reposted by Randy McCreery
I bring here an old article from our group classifying the immunological alterations in sepsis into ten major immunophenotypes. Still useful in my view. #IDsky #immunoSky
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
Defining immunological dysfunction in sepsis: A requisite tool for precision medicine
Immunological dysregulation is now recognised as a major pathogenic event in sepsis.
Stimulation of immune response and immuno-modulation are emerging approaches for the
treatment of this disease. Def...
www.journalofinfection.com
June 28, 2025 at 10:44 AM
I bring here an old article from our group classifying the immunological alterations in sepsis into ten major immunophenotypes. Still useful in my view. #IDsky #immunoSky
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
www.journalofinfection.com/article/S016...
Reposted by Randy McCreery
☝️A Bank of Sand Dollars !
Q: Why are fish poorly educated?
A: All the schools are below C level.
Now that you've sat through that, please watch this video on animal collective names.
A: All the schools are below C level.
Now that you've sat through that, please watch this video on animal collective names.
May 15, 2025 at 2:18 PM
☝️A Bank of Sand Dollars !
Ran into a colleague, he asked me how I was doing. I said with enthusiasm I was on my way to “make a sweet diagnosis”. He said “what, diabetes?” I had a quick laugh but I don’t think he heard a word I said after that because he couldn’t stop laughing for the rest of the time we talked. Good 4 him.
April 29, 2025 at 12:01 PM
Ran into a colleague, he asked me how I was doing. I said with enthusiasm I was on my way to “make a sweet diagnosis”. He said “what, diabetes?” I had a quick laugh but I don’t think he heard a word I said after that because he couldn’t stop laughing for the rest of the time we talked. Good 4 him.
Thank you CDC for calling me back after hours on a Friday. You helped me provide world class care to a patient with a rare and difficult to treat infection. You are an absolute global treasure! #IDSky
April 26, 2025 at 2:38 AM
Thank you CDC for calling me back after hours on a Friday. You helped me provide world class care to a patient with a rare and difficult to treat infection. You are an absolute global treasure! #IDSky
I loaded an antibiogram into google sheets, data on over 100k isolates. Gemini, the AI assistant, offered, without me asking for it, if I wanted it to analyze the data. I thought sure why not, let’s see what it can do. I asked it a few simple questions and guess what? It’s terrible. #IDSky
April 24, 2025 at 12:14 AM
I loaded an antibiogram into google sheets, data on over 100k isolates. Gemini, the AI assistant, offered, without me asking for it, if I wanted it to analyze the data. I thought sure why not, let’s see what it can do. I asked it a few simple questions and guess what? It’s terrible. #IDSky
Reposted by Randy McCreery
Real-World HIV RNA And Antigen/Antibody Testing Among People Who Use Long-Acting Injectable PrEP -
academic.oup.com/cid/advance-...
academic.oup.com/cid/advance-...
Real-world HIV RNA and antigen/antibody testing among people who use long-acting injectable PrEP
Among a real-world cohort of people who use long-acting injectable cabotegravir preexposure prophylaxis, no breakthrough infection was found. HIV RNA testi
academic.oup.com
April 6, 2025 at 1:19 PM
Real-World HIV RNA And Antigen/Antibody Testing Among People Who Use Long-Acting Injectable PrEP -
academic.oup.com/cid/advance-...
academic.oup.com/cid/advance-...
I canceled Netflix.
March 24, 2025 at 3:56 AM
I canceled Netflix.
Only now is it suggested that evidence based medicine be used as evidence in medical malpractice. There’s a lot of weak evidence out there and “custom” often masquerades as weak evidence. Hate to think someone has lost previously because “custom” trumped evidence.
Most viewed in the last 7 days from JAMA: This Special Communication discusses the changes introduced in the first-ever restatement of the law of medical malpractice by the American Law Institute.
https://ja.ma/41x7MWN
https://ja.ma/41x7MWN
March 8, 2025 at 12:27 PM
Only now is it suggested that evidence based medicine be used as evidence in medical malpractice. There’s a lot of weak evidence out there and “custom” often masquerades as weak evidence. Hate to think someone has lost previously because “custom” trumped evidence.
Reposted by Randy McCreery
🆕 from Ilges et al:
Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study
▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality
#IDSky
📄: doi.org/10.1017/ice....
Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study
▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality
#IDSky
📄: doi.org/10.1017/ice....
March 6, 2025 at 3:12 PM
🆕 from Ilges et al:
Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study
▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality
#IDSky
📄: doi.org/10.1017/ice....
Real-word utility of procalcitonin (PCT) in patients hospitalized with community-acquired pneumonia: A matched cohort study
▶️ Authors find PCT testing not associated w/ reduced antimicrobial utilization, LOS, or 30-day all-cause mortality
#IDSky
📄: doi.org/10.1017/ice....
Reposted by Randy McCreery
There it is, mostly young, ~50% unvaccinated, 50% pending determination.
www.dshs.texas.gov/news-alerts/...
www.dshs.texas.gov/news-alerts/...
Measles Outbreak – March 4, 2025 | Texas DSHS
www.dshs.texas.gov
March 5, 2025 at 3:42 PM
There it is, mostly young, ~50% unvaccinated, 50% pending determination.
www.dshs.texas.gov/news-alerts/...
www.dshs.texas.gov/news-alerts/...
Looking for data on vaccination status and age of those infected to inform wider population risk.
www.nytimes.com/2025/03/04/u...
www.nytimes.com/2025/03/04/u...
C.D.C. Sends ‘Disease Detectives’ to Texas for Measles Outbreak
The Trump administration is stepping in to help Texas respond to the deadly and highly contagious respiratory virus.
www.nytimes.com
March 5, 2025 at 3:32 PM
Looking for data on vaccination status and age of those infected to inform wider population risk.
www.nytimes.com/2025/03/04/u...
www.nytimes.com/2025/03/04/u...
Reposted by Randy McCreery
Among hospitalized patients, electronic sepsis screening compared with no screening resulted in significantly lower in-hospital 90-day mortality.
ja.ma/3XqAyr9
#MedSky
ja.ma/3XqAyr9
#MedSky
March 4, 2025 at 5:37 PM
Among hospitalized patients, electronic sepsis screening compared with no screening resulted in significantly lower in-hospital 90-day mortality.
ja.ma/3XqAyr9
#MedSky
ja.ma/3XqAyr9
#MedSky
Reposted by Randy McCreery
Cannot thank @drandrekalil.bsky.social enough for inviting me to write this commentary on the BALANCE trial for ACP Journal Club in @annalsofim.bsky.social this month!
#ShorterIsBetter #IDSky @unmc-id.bsky.social
www.acpjournals.org/doi/10.7326/...
#ShorterIsBetter #IDSky @unmc-id.bsky.social
www.acpjournals.org/doi/10.7326/...
March 4, 2025 at 3:44 AM
Cannot thank @drandrekalil.bsky.social enough for inviting me to write this commentary on the BALANCE trial for ACP Journal Club in @annalsofim.bsky.social this month!
#ShorterIsBetter #IDSky @unmc-id.bsky.social
www.acpjournals.org/doi/10.7326/...
#ShorterIsBetter #IDSky @unmc-id.bsky.social
www.acpjournals.org/doi/10.7326/...
I indiscriminately cancel procalcitonin when I see it ordered.
February 27, 2025 at 4:11 PM
I indiscriminately cancel procalcitonin when I see it ordered.
Reposted by Randy McCreery
Study finds no link between CMS sepsis bundle, fewer deaths
A systematic review and meta-analysis found no high- or moderate-level evidence that compliance with SEP-1 was associated with a mortality benefit.
www.cidrap.umn.edu/a...
A systematic review and meta-analysis found no high- or moderate-level evidence that compliance with SEP-1 was associated with a mortality benefit.
www.cidrap.umn.edu/a...
February 19, 2025 at 8:34 PM
Study finds no link between CMS sepsis bundle, fewer deaths
A systematic review and meta-analysis found no high- or moderate-level evidence that compliance with SEP-1 was associated with a mortality benefit.
www.cidrap.umn.edu/a...
A systematic review and meta-analysis found no high- or moderate-level evidence that compliance with SEP-1 was associated with a mortality benefit.
www.cidrap.umn.edu/a...
Heard this on NPR
posting like an article I didn’t want to lose.
“To fixate too much on the word God, I think, is to miss out the fact that prayer arises naturally in the human heart, whether or not anybody has a relationship to formal religion” - Padraig O’Tuama
posting like an article I didn’t want to lose.
“To fixate too much on the word God, I think, is to miss out the fact that prayer arises naturally in the human heart, whether or not anybody has a relationship to formal religion” - Padraig O’Tuama
February 8, 2025 at 3:10 PM
Heard this on NPR
posting like an article I didn’t want to lose.
“To fixate too much on the word God, I think, is to miss out the fact that prayer arises naturally in the human heart, whether or not anybody has a relationship to formal religion” - Padraig O’Tuama
posting like an article I didn’t want to lose.
“To fixate too much on the word God, I think, is to miss out the fact that prayer arises naturally in the human heart, whether or not anybody has a relationship to formal religion” - Padraig O’Tuama
Taking a history today, asked the patient if they had any metal or plastic in their body. Patient replied “No, nothing recyclable” #IDSky
February 7, 2025 at 2:24 AM
Taking a history today, asked the patient if they had any metal or plastic in their body. Patient replied “No, nothing recyclable” #IDSky
Is the CDC/IDSA Avian flu call still on?
Date & Time Jan 23, 2025 04:00 PM Eastern Time (US and Canada)
Webinar ID 948 4482 2767
Description Date: Thursday, January 23 (4:00 p.m. - 5:15 p.m. ET) (U.S. and Canada)
#IDSky
Date & Time Jan 23, 2025 04:00 PM Eastern Time (US and Canada)
Webinar ID 948 4482 2767
Description Date: Thursday, January 23 (4:00 p.m. - 5:15 p.m. ET) (U.S. and Canada)
#IDSky
January 22, 2025 at 2:43 AM
Is the CDC/IDSA Avian flu call still on?
Date & Time Jan 23, 2025 04:00 PM Eastern Time (US and Canada)
Webinar ID 948 4482 2767
Description Date: Thursday, January 23 (4:00 p.m. - 5:15 p.m. ET) (U.S. and Canada)
#IDSky
Date & Time Jan 23, 2025 04:00 PM Eastern Time (US and Canada)
Webinar ID 948 4482 2767
Description Date: Thursday, January 23 (4:00 p.m. - 5:15 p.m. ET) (U.S. and Canada)
#IDSky