Alice Han
@dralicehan.bsky.social
ID physician at MIDC - transforming private practice ID with an academic and lifestyle focus. Opinions my own👩🏻⚕️🧫🩺 #Medsky #IDsky
Pinned
Alice Han
@dralicehan.bsky.social
· Nov 10
Is the grass greener? Life as an ID physician working in private practice
Podcast Episode · Let's Talk ID · 06/10/2023 · 31m
podcasts.apple.com
Hello #IDsky! I’m an ID doctor in private practice and had a great time on the IDSA podcast last year with @paulsaxmd.bsky.social
Spoiler alert: the grass is greener in private practice! Hope it’s just as green over here. 🌱
podcasts.apple.com/us/podcast/l...
Spoiler alert: the grass is greener in private practice! Hope it’s just as green over here. 🌱
podcasts.apple.com/us/podcast/l...
Reposted by Alice Han
#IDSky Blood culture from the febrile patient in ICU. Proteus miralbilis is isolated (susceptibility below). How would you treat?
@dralicehan.bsky.social
@antibioticdoc.bsky.social
@bradspellberg.bsky.social
@idiots-pod.bsky.social
@wwrighid.bsky.social
@cortes-penfield.bsky.social
@dralicehan.bsky.social
@antibioticdoc.bsky.social
@bradspellberg.bsky.social
@idiots-pod.bsky.social
@wwrighid.bsky.social
@cortes-penfield.bsky.social
January 19, 2026 at 8:18 PM
#IDSky Blood culture from the febrile patient in ICU. Proteus miralbilis is isolated (susceptibility below). How would you treat?
@dralicehan.bsky.social
@antibioticdoc.bsky.social
@bradspellberg.bsky.social
@idiots-pod.bsky.social
@wwrighid.bsky.social
@cortes-penfield.bsky.social
@dralicehan.bsky.social
@antibioticdoc.bsky.social
@bradspellberg.bsky.social
@idiots-pod.bsky.social
@wwrighid.bsky.social
@cortes-penfield.bsky.social
Reposted by Alice Han
We are genotyping and phenotyping as many of the isolates as we can get hold of (will be most). So the analysis of blaZ and cefazolin inoculum effect will follow once done. Can't wait to see what this shows!
Altogether there were 1341 participants in SNAP, so much larger than CloCeBa.
Altogether there were 1341 participants in SNAP, so much larger than CloCeBa.
January 18, 2026 at 4:45 AM
We are genotyping and phenotyping as many of the isolates as we can get hold of (will be most). So the analysis of blaZ and cefazolin inoculum effect will follow once done. Can't wait to see what this shows!
Altogether there were 1341 participants in SNAP, so much larger than CloCeBa.
Altogether there were 1341 participants in SNAP, so much larger than CloCeBa.
#IDsky
Somehow I missed this in November! I thought snap put worries about BlaZ and inoculum effect to bed, but in the CloCeBa trial, in the BlaZ
Type A subset, cefazolin did not meet noninferiority. Thoughts?
@steventong.bsky.social @erinmccreary.bsky.social
www.thelancet.com/journals/lan...
Somehow I missed this in November! I thought snap put worries about BlaZ and inoculum effect to bed, but in the CloCeBa trial, in the BlaZ
Type A subset, cefazolin did not meet noninferiority. Thoughts?
@steventong.bsky.social @erinmccreary.bsky.social
www.thelancet.com/journals/lan...
Cloxacillin versus cefazolin for meticillin-susceptible Staphylococcus aureus bacteraemia (CloCeBa): a prospective, open-label, multicentre, non-inferiority, randomised clinical trial
Cefazolin constitutes an alternative to cloxacillin for the treatment of MSSA bacteraemia,
offering non-inferior clinical efficacy and potentially enhanced tolerability.
www.thelancet.com
January 15, 2026 at 12:59 PM
#IDsky
Somehow I missed this in November! I thought snap put worries about BlaZ and inoculum effect to bed, but in the CloCeBa trial, in the BlaZ
Type A subset, cefazolin did not meet noninferiority. Thoughts?
@steventong.bsky.social @erinmccreary.bsky.social
www.thelancet.com/journals/lan...
Somehow I missed this in November! I thought snap put worries about BlaZ and inoculum effect to bed, but in the CloCeBa trial, in the BlaZ
Type A subset, cefazolin did not meet noninferiority. Thoughts?
@steventong.bsky.social @erinmccreary.bsky.social
www.thelancet.com/journals/lan...
#IDsky
Looking for private practice ID groups interested in joining a network that facilitates connections with local fellowship programs. Please contact me if you are interested!
Looking for private practice ID groups interested in joining a network that facilitates connections with local fellowship programs. Please contact me if you are interested!
January 14, 2026 at 10:49 PM
#IDsky
Looking for private practice ID groups interested in joining a network that facilitates connections with local fellowship programs. Please contact me if you are interested!
Looking for private practice ID groups interested in joining a network that facilitates connections with local fellowship programs. Please contact me if you are interested!
Reposted by Alice Han
Malpractice litigation is a reality for many clinicians - even in ID. This article explains the anatomy of a lawsuit and shares proves risk reduction strategies to help protect your practice and your patients 🩺 💡
www.ppidjournal.com/doi10-55636-...
www.ppidjournal.com/doi10-55636-...
An Introduction to Medical Negligence Litigation: Anatomy of a Lawsuit and Risk Reduction Strategies - Private Practice Infectious Disease
Medical negligence litigation poses substantial economic and emotional concerns for healthcare providers, including infectious disease specialists. Even in relatively low risk specialties such as infe...
www.ppidjournal.com
December 21, 2025 at 1:26 PM
Malpractice litigation is a reality for many clinicians - even in ID. This article explains the anatomy of a lawsuit and shares proves risk reduction strategies to help protect your practice and your patients 🩺 💡
www.ppidjournal.com/doi10-55636-...
www.ppidjournal.com/doi10-55636-...
Reposted by Alice Han
Clinical educators - this one’s for you! A pragmatic approach to teaching ID in a busy private practice - actionable strategies to boost engagement and learning!
Teaching Infectious Diseases in the Context of a Busy Private Practice: A Pragmatic Framework for Clinician Educators - Private Practice Infectious Disease
Abstract Teaching infectious diseases (ID) in private practice is inherently constrained by multiple external and internal factors, including time scarcity, documentation burden, and financial…
www.ppidjournal.com
December 22, 2025 at 1:02 PM
Clinical educators - this one’s for you! A pragmatic approach to teaching ID in a busy private practice - actionable strategies to boost engagement and learning!
Medical lawsuits are the most emotionally stressful part of a physician’s job. This was an incredible article outlining how malpractice claims work. I loved the section on risk reduction strategies to protect your practice and patients. One to bookmark!
An Introduction to Medical Negligence Litigation: Anatomy of a Lawsuit and Risk Reduction Strategies - Private Practice Infectious Disease
Medical negligence litigation poses substantial economic and emotional concerns for healthcare providers, including infectious disease specialists. Even in relatively low risk specialties such as infectious...
www.ppidjournal.com
December 21, 2025 at 1:00 PM
Medical lawsuits are the most emotionally stressful part of a physician’s job. This was an incredible article outlining how malpractice claims work. I loved the section on risk reduction strategies to protect your practice and patients. One to bookmark!
Reposted by Alice Han
#idboardreview A Pt w/travel to Mexico a few months prior (drank tap water, ate raw vegetables) noticed a small worm-like object on inner surface of her lower lip. She removed the object with a needle. Dx? #medEd #idmeded #IDsky #parasitology
November 19, 2025 at 11:17 PM
#idboardreview A Pt w/travel to Mexico a few months prior (drank tap water, ate raw vegetables) noticed a small worm-like object on inner surface of her lower lip. She removed the object with a needle. Dx? #medEd #idmeded #IDsky #parasitology
The hospital is handing out taffy apples 🍎today, and I am just here to say they are delicious!
I am ashamed to admit I grew up in the midwest, and this is the first time I have ever had a taffy apple.
Don’t make my mistake, go try one now! They are so good! 😋
I am ashamed to admit I grew up in the midwest, and this is the first time I have ever had a taffy apple.
Don’t make my mistake, go try one now! They are so good! 😋
November 1, 2025 at 4:17 PM
The hospital is handing out taffy apples 🍎today, and I am just here to say they are delicious!
I am ashamed to admit I grew up in the midwest, and this is the first time I have ever had a taffy apple.
Don’t make my mistake, go try one now! They are so good! 😋
I am ashamed to admit I grew up in the midwest, and this is the first time I have ever had a taffy apple.
Don’t make my mistake, go try one now! They are so good! 😋
Reposted by Alice Han
‼️Just shared at #IDWeek2025 & now published in @ofidjournal.bsky.social cephalexin vs. cefdinir for tx of uUTI in females. Spoiler: Cefdinir was independently associated with/failure & cefdinir pts were twice as likely to fail. Let’s stop Rx’ing cefdinir for UTI! 🛑💊 academic.oup.com/ofid/article...
Cefdinir Versus Cephalexin for the Treatment of Uncomplicated Urinary Tract Infections
Due to its poor bioavailability and urinary excretion, cefdinir may be a suboptimal agent for UTI treatment. Our findings demonstrate that patients treated
academic.oup.com
October 24, 2025 at 12:01 AM
‼️Just shared at #IDWeek2025 & now published in @ofidjournal.bsky.social cephalexin vs. cefdinir for tx of uUTI in females. Spoiler: Cefdinir was independently associated with/failure & cefdinir pts were twice as likely to fail. Let’s stop Rx’ing cefdinir for UTI! 🛑💊 academic.oup.com/ofid/article...
#IDsky
Wow!!! This is a really exciting prospect. To think that the COVID19 mRNA primes the immune system to make immunotherapy more effective against cancer is a BIG deal. This is fascinating science 🤩
Wow!!! This is a really exciting prospect. To think that the COVID19 mRNA primes the immune system to make immunotherapy more effective against cancer is a BIG deal. This is fascinating science 🤩
October 23, 2025 at 5:59 PM
#IDsky
Wow!!! This is a really exciting prospect. To think that the COVID19 mRNA primes the immune system to make immunotherapy more effective against cancer is a BIG deal. This is fascinating science 🤩
Wow!!! This is a really exciting prospect. To think that the COVID19 mRNA primes the immune system to make immunotherapy more effective against cancer is a BIG deal. This is fascinating science 🤩
Reposted by Alice Han
Really proud to be a part of this community and always inspired by my colleagues around the country who continue to show up even when it's hard.
October 22, 2025 at 11:59 PM
Really proud to be a part of this community and always inspired by my colleagues around the country who continue to show up even when it's hard.
Reposted by Alice Han
This year's #IDweek is now over. Our community has taken so many hits since the pandemic and now the assaults on public health, science, vaccines etc.
Yet the infectious disease community has some of the most dedicated, resilient and thoughtful people I know.
Here's to hope & staying with the fight.
Yet the infectious disease community has some of the most dedicated, resilient and thoughtful people I know.
Here's to hope & staying with the fight.
October 22, 2025 at 11:57 PM
This year's #IDweek is now over. Our community has taken so many hits since the pandemic and now the assaults on public health, science, vaccines etc.
Yet the infectious disease community has some of the most dedicated, resilient and thoughtful people I know.
Here's to hope & staying with the fight.
Yet the infectious disease community has some of the most dedicated, resilient and thoughtful people I know.
Here's to hope & staying with the fight.
#IDsky
Sometimes the best part of the conferences are the Q&A sessions afterwards
-Someone asked what do you do with pts colonized with MDRO’s prior to transplant
-Dr Papanicolau creates a detailed abx plan for when pt has a neutropenic fever
-Someone said that they decolonize w/ oral gentamicin 🤯
Sometimes the best part of the conferences are the Q&A sessions afterwards
-Someone asked what do you do with pts colonized with MDRO’s prior to transplant
-Dr Papanicolau creates a detailed abx plan for when pt has a neutropenic fever
-Someone said that they decolonize w/ oral gentamicin 🤯
October 22, 2025 at 11:06 PM
#IDsky
Sometimes the best part of the conferences are the Q&A sessions afterwards
-Someone asked what do you do with pts colonized with MDRO’s prior to transplant
-Dr Papanicolau creates a detailed abx plan for when pt has a neutropenic fever
-Someone said that they decolonize w/ oral gentamicin 🤯
Sometimes the best part of the conferences are the Q&A sessions afterwards
-Someone asked what do you do with pts colonized with MDRO’s prior to transplant
-Dr Papanicolau creates a detailed abx plan for when pt has a neutropenic fever
-Someone said that they decolonize w/ oral gentamicin 🤯
#IDsky
AML is the primary hematologic malignancy associated with invasive fungal infection
What a great slide looking at the mutations we see in AML, very rare pts with MRD post induction and not need to proceed with allo HSCT as shown in green box
AML is the primary hematologic malignancy associated with invasive fungal infection
What a great slide looking at the mutations we see in AML, very rare pts with MRD post induction and not need to proceed with allo HSCT as shown in green box
October 22, 2025 at 10:42 PM
#IDsky
AML is the primary hematologic malignancy associated with invasive fungal infection
What a great slide looking at the mutations we see in AML, very rare pts with MRD post induction and not need to proceed with allo HSCT as shown in green box
AML is the primary hematologic malignancy associated with invasive fungal infection
What a great slide looking at the mutations we see in AML, very rare pts with MRD post induction and not need to proceed with allo HSCT as shown in green box
#IDsky
Fascinating lecture on the respiratory microbiome
Our understanding of the resp microbiome has changes dramatically but the commensals may actually be protective against pathogenic bacteria
Fascinating lecture on the respiratory microbiome
Our understanding of the resp microbiome has changes dramatically but the commensals may actually be protective against pathogenic bacteria
October 22, 2025 at 8:58 PM
#IDsky
Fascinating lecture on the respiratory microbiome
Our understanding of the resp microbiome has changes dramatically but the commensals may actually be protective against pathogenic bacteria
Fascinating lecture on the respiratory microbiome
Our understanding of the resp microbiome has changes dramatically but the commensals may actually be protective against pathogenic bacteria
#IDsky
does higher dosing of L-amB matter for mucorales?
Does combination therapy provide any benefit?
By Dr Farmakiotis at Beth Israel
Highly angioinvasive nature of mucorales and increased LAMB MIC compared to other molds
does higher dosing of L-amB matter for mucorales?
Does combination therapy provide any benefit?
By Dr Farmakiotis at Beth Israel
Highly angioinvasive nature of mucorales and increased LAMB MIC compared to other molds
October 21, 2025 at 9:36 PM
#IDsky
does higher dosing of L-amB matter for mucorales?
Does combination therapy provide any benefit?
By Dr Farmakiotis at Beth Israel
Highly angioinvasive nature of mucorales and increased LAMB MIC compared to other molds
does higher dosing of L-amB matter for mucorales?
Does combination therapy provide any benefit?
By Dr Farmakiotis at Beth Israel
Highly angioinvasive nature of mucorales and increased LAMB MIC compared to other molds
October 21, 2025 at 4:44 PM
#IDsky
serotype distribution & resistance prior to pcv 20/21
- non bacteremic hospitalized episodes of pneumococcus have a different serotype distribution and tend to have higher resistance than IPD
- interesting breakdown on differences bw what pcv20 vs 21 would cover if vaccinated
serotype distribution & resistance prior to pcv 20/21
- non bacteremic hospitalized episodes of pneumococcus have a different serotype distribution and tend to have higher resistance than IPD
- interesting breakdown on differences bw what pcv20 vs 21 would cover if vaccinated
October 21, 2025 at 4:40 PM
#IDsky
serotype distribution & resistance prior to pcv 20/21
- non bacteremic hospitalized episodes of pneumococcus have a different serotype distribution and tend to have higher resistance than IPD
- interesting breakdown on differences bw what pcv20 vs 21 would cover if vaccinated
serotype distribution & resistance prior to pcv 20/21
- non bacteremic hospitalized episodes of pneumococcus have a different serotype distribution and tend to have higher resistance than IPD
- interesting breakdown on differences bw what pcv20 vs 21 would cover if vaccinated
#IDsky
One of my partners Dr Pinsky is presenting data on staph aureus colonization, risk factors for infection and whether vanc changes risk of infection
One of my partners Dr Pinsky is presenting data on staph aureus colonization, risk factors for infection and whether vanc changes risk of infection
October 21, 2025 at 3:14 PM
#IDsky
One of my partners Dr Pinsky is presenting data on staph aureus colonization, risk factors for infection and whether vanc changes risk of infection
One of my partners Dr Pinsky is presenting data on staph aureus colonization, risk factors for infection and whether vanc changes risk of infection
