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amanteuffel.bsky.social
Friendly Pharmacist
@amanteuffel.bsky.social
Brief excursions from 59-86 degrees Fahrenheit are permitted
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🌟 ABX Pearl of the Day:

❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
December 10, 2025 at 10:41 PM
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Oh @rianjohnson.bsky.social played all innocent "I'm not doing a muppet thing with Knives Out" he knew HE KNEW
'Forks Out': A Benoit Blanc Sesame Street Mystery | Wake Up Dead Man | Netflix
YouTube video by Still Watching Netflix
www.youtube.com
December 2, 2025 at 5:06 PM
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🌟 ABX Pearl of the Day:

❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days?

💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
October 29, 2025 at 7:07 PM
1, 2, 3…. awwwwwww
The news in the world is awful, but it's almost Halloween, so let's talk about pumpkin enrichment for big cats.

This is Jinx the black leopard (Big Cat Rescue, Florida) enjoying shredding a pumpkin.
October 19, 2025 at 8:29 PM
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Position Statement: ACMT Supports the Safe Use of #Acetaminophen in Pregnancy.

Read our full statement here➡️ bit.ly/3VxbKw8
September 23, 2025 at 10:45 PM
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ACOG reaffirms that acetaminophen is safe for managing pain and fever during pregnancy. No reputable studies support suggestions like those in HHS’s recent announcement linking acetaminophen use in pregnancy to autism; in fact, high-quality studies show no such risk. https://bit.ly/47Wxc59
September 22, 2025 at 9:24 PM
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🌟 ABX Pearl of the Day:

❓ Q: My patient is growing yeast in blood cultures. Is this Candida?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
September 17, 2025 at 5:08 PM
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Timeline cleanse
September 3, 2025 at 8:42 PM
True art
This is one of the most beautiful things I have witnessed, the craft here is impeccable.
August 14, 2025 at 5:46 AM
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I will *never* apologize for a post
August 6, 2025 at 4:32 AM
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📚
1. For more information, check the 🔥 new 2025 IDSA guidelines on complicated urinary tract infections: www.idsociety.org/practice-gui...

2. Nelson, Z., et al. UTI: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024;7(11):e2444495
Complicated Urinary Tract Infections (cUTI): Clinical Guidelines for Treatment and Management
www.idsociety.org
July 24, 2025 at 2:52 PM
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💡 A: No, he does not have a complicated UTI. While it was previously thought that male gender, anatomic abnormalities, or immunocompromised status always indicated a complicated UTI, this is no longer supported by IDSA guidelines.(1,2) See Classification of UTI here:
July 24, 2025 at 2:52 PM
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🌟 ABX Pearl of the Day: UTI in males

❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 24, 2025 at 2:52 PM
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Today’s FDA panel on SSRIs in pregnancy lacked balance and failed to reflect the evidence. Untreated depression and anxiety can lead to serious health risks for pregnant patients—SSRIs can be lifesaving. Patients deserve access to evidence-based, compassionate care. Learn more: buff.ly/NcCZno8
July 21, 2025 at 8:39 PM
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🌟 ABX Pearl of the Day: penicillin allergies

❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 16, 2025 at 3:23 PM
Ten authors by whom I’ve read more than 5 books:

Terry Pratchett
Patricia C. Wrede
Anne McCaffery
Seanan McGuire
Jim Butcher
Patricia Briggs
Madeline L’Engle
Tamora Pierce
Lois McMaster Bujold
Courtney Milan
Ten authors by whom I've read more than five books

Anne McCaffery
Octavia Butler
Sarah Monette / Katherine Addison
Megan Lindholm / Robin Hobb
Roger Zelazny
Kurt Vonnegut
Holly Black
Martha Wells
Peter S. Beagle
Jim Kjelgaard
Ten authors by whom I've read more than five books:

Arthur C. Clarke
Robert A. Heinlein
Ursula LeGuin
Angela Carter
John Varley
Terry Pratchett
Tanith Lee
Storm Constantine
Christopher Brookmyre
Courtney Milan

… Honestly, I could keep going forever?
July 13, 2025 at 7:18 PM
Good pep talk!
I know we don't feel like there's much to celebrate this July 4th. It's been a rough several years.

So I want to talk about how we're making history right now.
July 4, 2025 at 5:43 PM
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🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia

❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
July 2, 2025 at 3:23 PM
So delighted to be in the pharmacy business in this new age of snake oil salesmen.
As someone who did molecular simulations in undergrad and grad school, I’m telling you now that a computer cannot fucking know about drug interactions.
What's the worst that could happen?
July 2, 2025 at 12:10 AM
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NASA is being told to cancel 19 *active* missions to save $6B, which looks to be less than the ICE *hiring/retention* budget going forward.

I need people to let that sentence sink into their bones for a minute.
If the GOP reconciliation bill passes, ICE gets through FY2029:

- $45 billion for detention, on top of the current annual budget of $3.4 billion
- $14.4 billion for transportation and removal, on top of the current annual budget of $750 million
- $8 billion for hiring/retention
- Billions more.
‼️‼️
June 29, 2025 at 4:17 PM
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Wow! Scientists engineered E. coli to convert plastic waste (PET) into pain medicine paracetamol (acetaminophen or Tylenol) in under 24 hours with up to 92% yield.
www.nature.com/articles/d41...

#medsky #pharmsky 🧪
Everyday painkiller made from plastic — by E. coli
Study highlights potential for sustainable synthesis of paracetamol.
www.nature.com
June 29, 2025 at 5:35 PM
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Vaccination schedules on the CDC website have already started changing under RFK Jr. So we published a guide to the evidence-based vaccine recommendations in place *before* all 17 members of the advisory panel were abruptly dismissed by the new admin. www.scientificamerican.com/article/see-... 🧪
Here’s Your Cheat Sheet for Vaccine Recommendations Backed by Science
These graphics will guide you through science-based vaccine guidelines for children and adults
www.scientificamerican.com
June 25, 2025 at 11:49 AM
Reposted by Friendly Pharmacist
"Proposed recommendations regarding thiomersal..."

Ffs how many times do we have to have this discussion with these morons.

1. Most US vaccines have had thiomersal removed for literally decade+
2. We need to discuss again the difference between ethyl & methyl mercury...

From my old website:
June 18, 2025 at 5:38 PM
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June 18, 2025 at 6:02 PM
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🌟 ABX Pearl of the Day: Corynebacterium in resp cultures- do I treat?

❓ Q: My patient’s sputum culture is growing Corynebacterium species in addition to normal respiratory flora. Do I need to treat this?

💡 A: In most cases, no tx is necessary.

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
June 18, 2025 at 5:15 PM