Infected Terran
infectedterran.bsky.social
Infected Terran
@infectedterran.bsky.social
ID doc in Philly. Lover of all things infectious, medical education, ethics and Starcraft.
When I am declared God King Emperor, I am banning Cdiff PCR's
snoop dogg is wearing glasses and a red turtleneck sweater and says i said what i said
ALT: snoop dogg is wearing glasses and a red turtleneck sweater and says i said what i said
media.tenor.com
February 6, 2026 at 7:35 PM
Reposted by Infected Terran
Thank you to everyone who donated and attended the reading of Hannah Arendt's essay "Personal Responsibility Under Dictatorship" last night. Here's the recording: substack.com/home/post/p-...
Personal Responsibility Under Dictatorship Playback
A special reading group in solidarity with Minnesota
substack.com
February 4, 2026 at 3:08 PM
@sebpoule.bsky.social is there evidence to justify the ACIP recommendation of measuring post vaccine antibodies for HBV in healthcare workers? This seems strange in immune competent patients.
February 2, 2026 at 3:26 PM
Reposted by Infected Terran
@bradspellberg.bsky.social and other ID gurus -

Does this look OK to you?

Any critiques and/or additional thoughts you would pass along to front-line clinicians about implementing this regimen in real life?

(disclosure: my hatred of ampho-induced AKI runs deep)

emcrit.org/ibcc/cryptoc...
February 1, 2026 at 5:14 PM
Most people: free will exists!
Me: if I don't shine this bright light in my face every morning during winter my brain goes full emo
Most people: uh.....
January 31, 2026 at 2:22 PM
Just another day where I ask you, do you REALLY need to use Zosyn?
January 29, 2026 at 4:44 PM
Reposted by Infected Terran
In response to the unfolding terror in Minnesota I wanted to create a space to come together. I’m hosting a book club on Hannah Arendt’s essay Personal Responsibility Under Dictatorship next Tuesday to raise money for the Immigrant Law Center of Minnesota samantharosehill.substack.com/p/a-special-bo
samantharosehill.substack.com
January 26, 2026 at 10:19 AM
Just started my ID LKA. I know its hard to write questions at this level. But In the span of 9 questions, I have already submitted 2 feedback notes for bad questions/debatable answers. I've never done this for IM (maybe I know less there and cant complain as much) #idsky
January 15, 2026 at 6:50 PM
Reposted by Infected Terran
“A fundamental difference between modern dictatorships and all other tyrannies of the past is that terror is no longer used as a means to exterminate and frighten opponents, but as an instrument to rule masses of people who are perfectly obedient.”

— Hannah Arendt
January 11, 2026 at 10:32 AM
That feeling when you thought the positive culture was contaminated and then... #idsky
January 10, 2026 at 5:49 PM
David Bowie died ten years ago today. The world grew a bit darker that day. And never quite recovered.
January 10, 2026 at 2:49 PM
Reposted by Infected Terran
"No one has the right to obey."

— Hannah Arendt
January 10, 2026 at 1:27 PM
It's never the wrong time to rock and stone!
January 10, 2026 at 1:48 AM
Forget G0545 for ID consults and progress notes. We need a special code for Friday 3:30 pm consults in patients who've been hospitalized since the Carter administration that's worth like 7863482736482736487 RVU #IDsky
January 9, 2026 at 8:24 PM
Why is isolation recommended for MRSA but not methicillin resistant CONS? It's the same MEC A gene right? (Fwiw I don't think there's evidence for isolation in normal circumstances anyways) @bradspellberg.bsky.social #idsky
January 5, 2026 at 4:22 PM
Happy new year and "Your LKA questions are now available" day to those who celebrate
January 1, 2026 at 3:09 PM
Patient with alcohol use disorder, unhoused, presenting with Listeria sepsis. No obvious source. No meningitis symptoms. To LP or not to LP? #idsky
December 31, 2025 at 3:33 PM
Stop. Smelling. People's. Urine. Signed, your friendly neighborhood ID doc.
December 29, 2025 at 10:17 PM
Clofazimine? More like Clofazimeme amirite?
December 18, 2025 at 2:58 PM
Rosalia's "Lux" shoe in for album of the year. Oklou's "Choke enough", Wet leg's "Moisteurizer" and Turnstiles "Never enough" are honorable mentions. Not as good a year as 2024 but pretty good highlights.
December 17, 2025 at 2:42 PM
Reposted by Infected Terran
‘No Way To Prevent This,’ Says Only Nation Where This Regularly Happens https://theonion.com/no-way-to-prevent-this-says-only-nation-where-this-regularly-happens-3/
December 15, 2025 at 5:21 PM
Me trying to have a normal Friday on service....sigh...
December 12, 2025 at 7:13 PM
To the best of my knowledge, the real edge it has over vanco is decreased recurrence rate (at the cost of thousands vs pennies). Am I wrong? #idsky
December 12, 2025 at 2:34 PM
Oral fosfomycin for non UTI esbl gram neg sepsis. Any data/anecdotes/thoughts? #idsky @bradspellberg.bsky.social
December 11, 2025 at 5:09 PM
Great discussion!
Can someone remind me why we don't use amoxicillin to treat primary, secondary, early latent syphilis?

(Other than that the GODlines don't mention it)

#IDSky #MedSky
December 11, 2025 at 5:02 PM