Manny Guajardo
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mannyguajardo.bsky.social
Manny Guajardo
@mannyguajardo.bsky.social
HIV Lead Clinician at New Orleans VA.
Assist Prof at Tulane SOM. Interested in #HIV, #ID, #STI, #MedEd, #Telehealth 🇲🇽🇺🇸
Pinned
Hi #IDSky - Tulane ID has unfilled fellowship spots. We're looking for applicants to join starting 7/2025

We offer:
-Diverse training across 3 hospital sites
-Broad clinical exposure, including HIV, tropical diseases, and transplant

(1/2)
Reposted by Manny Guajardo
The policy rises to the level of "absurdity," said @DrPaulOffit "It's gotten to the point of parody, where a public health agency doesn't promote the public's health."

"It's a dangerous, dangerous thing.” shorturl.at/Asf85 #BlueSky  #MedSky 🧪 #IDSky #scisky #medtwitter #EMSky #nursesky #pedsky
Louisiana forbids public health workers from promoting COVID, flu and mpox shots
An NPR investigation found Louisiana health officials told staff to stop promoting vaccines for COVID, flu and mpox, holding flu shot events or otherwise encouraging the public to get those vaccines.
shorturl.at
December 22, 2024 at 6:51 PM
First media appearance as an HIV expert!

Thanks to Bounce to Zero, Telemundo & Foro Latino for the opportunity to talk about testing, prevention, treatment and stigma
December 22, 2024 at 7:07 PM
Hi #IDSky - Tulane ID has unfilled fellowship spots. We're looking for applicants to join starting 7/2025

We offer:
-Diverse training across 3 hospital sites
-Broad clinical exposure, including HIV, tropical diseases, and transplant

(1/2)
December 5, 2024 at 2:08 PM
We just had our #WorldAIDSDay event at the New Orleans VA, and it was a great success!

Educated lots of patients and their loved ones about HIV and helped to tear down stigma
December 3, 2024 at 4:19 PM
Hi everyone, Luke’s House is a clinic that provides free care for folks in need in the New Orleans area. I volunteer there and really believe in their mission.

Please consider donating to help them continue to provide their essential services.

www.zeffy.com/en-US/fundra...
Giving Tuesday 2024
💡 Why Support Luke’s House Clinic This Giving Tuesday?At Luke’s House Clinic, every donation creates a ripple effect of positive change in our community. Here’s why your support matters:💙 Our Mission:...
www.zeffy.com
December 3, 2024 at 4:17 PM
Reposted by Manny Guajardo
📣 🛑 Don’t combine these two drugs! More VPA levels & higher doses won’t solve the issue. It’s often easier to choose a different antibiotic than adjust a patient’s AED regimen, which may need EEG—hard to get in resource-limited settings. Neuro, ID, & Pharm must collaborate. #IDsky #Pharmsky #Medsky
⚠️Carbapenem antibiotics+valproate combo not advised. VPA levels ↓ markedly & persistently (up to 2 weeks), risking uncontrolled seizures. Even higher doses may not fully counteract this. Carbapenems inhibit key GI enzyme, boosting VPA elimination. See skeetorial👇 #medsky #pharmsky #EMsky #HMsky
ICU Stories:

Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
November 30, 2024 at 2:10 PM
Reposted by Manny Guajardo
#idboardreview 25 M from North Carolina presents w/ 1wk of flu like sx, facial swelling, fever & myalgia. Consumed undercooked bear meat 3 wks ago; eosinophilia. ⬆️cpk. Diagnosis? #medEd #idmedEd #idtwitter #IDsky #idfellows #idfellowship
November 26, 2024 at 12:51 AM
Reposted by Manny Guajardo
In last @cidjournal.bsky.social issue, "Bictegravir Use During Pregnancy: A Multicenter Retrospective Analysis Evaluating HIV Viral Suppression and Perinatal Outcomes"
Reassuring data.
#HIVSky #IDSky

academic.oup.com/cid/article/...
Bictegravir Use During Pregnancy: A Multicenter Retrospective Analysis Evaluating HIV Viral Suppression and Perinatal Outcomes
Abstract. This study describes the largest cohort to date (n = 147) of pregnant patients with human immunodeficiency virus (HIV) on bictegravir (BIC). BIC
academic.oup.com
November 22, 2024 at 7:33 PM
Reposted by Manny Guajardo
🌟 ABX Pearl of the Day: Best practices for Tx of uncomplicated GNR bacteremia💊
📋 Q: My patient presented with septic shock from a urinary source, blood cultures positive for E. coli.
What is the duration of therapy, and must I use IV to complete the course for Enterobacterales bacteremia? 🤔
#IDsky
November 20, 2024 at 6:39 PM
Reposted by Manny Guajardo
Transplant at Tulane is growing! We’re also starting a thoracic transplant program. Looking for an experienced transplant ID physician to join me and our team at @TulaneMedicine . DM for questions

apply.interfolio.com/157421

#TxID #IDSky @txidfellows.bsky.social
Apply - Interfolio {{$ctrl.$state.data.pageTitle}} - Apply - Interfolio
apply.interfolio.com
November 19, 2024 at 4:02 AM
#HIVSky - have you had patients on CAB/RPV develop a persistent ISR (especially a painless lump)?

How did you end up managing them?

Did they need to take a break from CAB/RPV, or stop altogether?
November 18, 2024 at 2:51 PM
Proud to be part of the Scientific Panel at the annual NOLA HIV Stigma Summit!

We talked to the community about LAI’s & other innovations and how they can be used to combat #HIV stigma
November 17, 2024 at 2:28 PM
Reposted by Manny Guajardo
Y’all are going to need some infectious diseases experts

#IDSky Starter Packs

IDSky 1 go.bsky.app/LnAQjdq
IDSky 2 go.bsky.app/JNfSvQT
IDSky 3 go.bsky.app/FeogT7o
IDSky 4 go.bsky.app/D1zxj4E
IDSky 5 go.bsky.app/NgGSPeF
IDSky 6 go.bsky.app/22VBL8z

#MedSky
a man in a lab coat says no reason in front of a wall of cards
Alt: a man in a lab coat says “no reason”
media.tenor.com
November 15, 2024 at 12:33 AM