While writing in the smallest font size known to man.

there was an exam in undergrad physics that I felt strong going in. The format was that you only select 2 out of 3 main sections, but if you somehow complete all sections you are marked based whichever two brings you the highest score. It was one of those rare cases where I knew every single question asked like the back of my hand. Asking for a second exam notepad and seeing my good friends panicking thinking that one of the questions must have been particularly hard and lengthy (i mean, why ELSE would this dude need an entire extra notepad?!) was a core memory that will stick with me.

@@hadifalex wow!

This is so true

Can confirm - source my Dad was an ID Consultant (Attending for the Americans).

That video needs to happen!

There's no way infectious disease & Texaco Mike haven't had a one-off, Men in Black-esque adventure together identifying an ancient disease debut from an unearthed Mayan temple in the rural boonies of Florida. They'd see each other, and maybe just do a quick nod in approval of each other because, despite their extremely close, Indiana Jones & Short Round relationship, the CIA prohibits any discussion of the temple, or anybody you met at the temple due to the possibility that, if discovered, "tik tok alien sleuths" would destroy the place in their "investigations."

Out here asking the real questions XD I wonder if they'd be impressed and be studying his unique "antibiotics", or be screaming at the cross contamination that makes them work because the contrast stain just murks the bacteria... then ask him to show them in order to learn his techniques

ID needs to visit rural medicine!! "Texaco Mike sleeps where??"

​@@xalaxie"we've got a 50 year old farmer who raises cattle and sheep, and works as a heavy equipment operator digging holes for ponds and foundations for extra money. There are ticks in the woods and mice in the barn. He had to have his nephew take over a difficult lambing in order to come to the hospital today" Is it - a) Brucellosis b) Lyme c) Q Fever d) Anthrax e) Valley Fever f) Hanta Virus g) All of the above

I say strong work to my students and house staff all the time

With a work ethic like that, that student will be ready to break into, I mean, Investigate patients' living spaces whenever Dr. House asks, maybe even before he asks.

Me too ! 😊

He’s a future felon, I mean Fellow

We use "linezolid" to summon ours.

Part of me wants to Google "meropenem", and all the rest of me believes this is a terrible idea. 😅

I started to notice that my IDC always appears when a certain colleage prescribes...

Ceftazidime-avibactam will do the trick

Yeah Infectious disease doctors got to maintain a bit of that savior of Mankind sort of megalomania to keep going. The recklessness with which doctors prescribe antibiotics for literally any stuff on God's green Earth would have made them go insane Otherwise.

Even the one time House thought it was lupus… it wasn’t

To think, Dr. House had a speciality in Infectious disease and Nephrology, no wonder why his ego was off the charts 😭😭

was literally just thinking this 😂

Honestly, for me it's even more the parts of House where he sends his team to break into people's homes

Make it a thing. And if the admin has a problem with it, revoke their privileges 😂

Best part is when, during a visit, we interrogate patients switching from their sexual habits to their vaccination history and they remain confused on the relation between topics

@@gregoriobasile9040 I’m confused on the relation between those two topics. 🤔

@@dr.floridamanphd monkey pox

During monkeypox epidemic we always searched the scar due to smallpox vaccination

😭🤣🤣

Lyssavirus from the bat!

Recently had a few urines positives for legionella antigen... No idea what the patient history was (I work in a hospital lab so I'm not privy to that stuff), but I'm absolutely sure that the infectious disease doctors must have been absolutely giddy with the idea that they managed to catch actual cases of legionnaires disease in a couple of patients... To be fair, I'd be lying if I said that the positive test results weren't exciting for me as well, but I'm almost positive that the ID docs consulted for those patients were orders of magnitude more excited than I was lol.

Which one is the beer and cheese? Rabies is the bat, leprosy armadillo. Ohio river is histo. I thought legionaries was water?

​@@fulltimeslackerii8229 I don't know if there were specific diseases intended, but both beer making and cheese making involve intentionally creating environments for lots of microbial organisms to grow, and there's lots of ways for unintended organisms to sneak in.

@@ArborScientiaeListeria for the cheesemaker and auto-brewery syndrome/Saccharomyces cerevisiae for the brewer. Source: Cheesemaking Brewing Nurse

I’m not amused by those doctors who write Rx’s for antibiotics for a 98.7° and a runny nose. Isn’t the overuse of antibiotics what got us into antibiotic resistance hell in the first place?

@@Crymeariver227 Read again more carefully.

@@stephenmcginnis5789 I did; I didn’t misread what you wrote or what I meant. The patient can’t get the antibiotics without the physician, right? Maybe our thoughts just went in two different directions.🙂

@@Crymeariver227 Hard agree. They even told us in our molecular biology classes that "Doctors should be taught not to overuse antibiotics." You're telling me they didn't know that already?

@@emperor8716 they do but I still see it being done.

Don't be ridiculous. We use zyvox.

IM? Internal Medicine?

Damn is the antibiotic resistance so bad in US that you need to use those as empirical antibiotics?

@@ninjacuttingonions5861 I wonder how bad it will become after pip-taz is used for all their patients...

@@ninjacuttingonions5861 Yes

It’s so uncommon that they only test you for Chagas if you’re a first time donor or you have a travel history. I worked in the relevant lab for five years and I don’t think I ever saw a positive Chagas.

I'm sorry to hear that you went through that, I hope you are doing better now 🫂

The notes are too offload some of the information so that you can put more into thinking and problem solving. Is this much technique that makes someone look smart as it is being smart when it comes to complicated systems like that where you need to be watching for outbreaks and transfer mechanisms to head them off before they get out of control.

Also, Dr. House is a fictional character made up by a writer with no medical background

ID jail. Quantity of data is quality of date

​@@tyrant-den884You want to focus on granularity, not quantity. They're not exactly the same thing.

I plan on taking microbio (undergrad) next semester and this makes me excited. Am I insane?

@@sarahelo9656 Nah bro, microbiologists and Infectious disease doctors are the whistleblowers medical professionals need before they accidentally make the most resistant concoction of pathogens and end half the human population like Thanos 😭 The world shall always be grateful to u guys

​​@@sarahelo9656 microbiology undergrad I think will cover alot more than med school microbiology, We usually only read about pathogenic microorganisms in medicine... But U gonna read about the good and helpful ones as well. I bet u gonna have a complex love-hate relationship with microbes 😅

Then there’s the problem of not enough work/research going into new antibiotic treatments cuz that’s not where the money is… so Pharma isn’t funding the studies…

Yep... As a "horse-people", I'm seeing VERY similar issues in the barn - Over the past 20 years or so, we've effectively lost several previously very useful and effective dewormers to rapidly increasing resistance among the target worms. Today, we're starting to see clear sign that resistance to currently used ones is increasing rapidly, and at last word, we have practically nothing "on the drawing board" that's at all likely to come into accepted use anytime in the next 15-20 years, if that soon, to replace both the ones we've already "lost", and the ones that we're actively "losing" right now due to mis-application.

He's also got Legionnaire's disease and probably all kinds of GI stuff.

The raw milk is better linked to Brucella. TB is generally person-to-person transmission

H5N1 goat milk FTW

@@MikeMD47 intestinal TB spreads to humans via raw milk from an ungulate with disseminated TB.

WILL NO ONE THINK OF THE MACROPHAGES????

Avian flu has been giving farm cats lethal brain hemorrhages, might want to lay off the raw milk

eh, it's just leprosy, not that interesting.

@@PierSilver 😆

Mine too😂😂😂❤

I too have chronic fatigue, except doctors have no explanation for it. I 'm sending positive, healing thoughts your way.

@@S-mf8co thank you. Five years is a long time to have been sleeping my life away…

Doc here, check your ferritin levels, and vitamin D, B9, and B12 as well for good measure. I've seen incredibly low ferritin (storage form of iron) in postviral patients, and that can explain severe tiredness and cognitive dysfunction.

@@radicalratx7790 trust me, I have EXTENSIVE blood work done every three months. Every test - ferritin, all vitamins, every hormone, liver & kidney function, everything - comes back in the normal range. The only ones that fall outside the normal range are the ones related to the Type 1 Diabetes I’ve had for 44 years (A1C of 6.2 on my last test), occasional dips in testosterone (I’m on replacement therapy), and liver enzymes that sometimes creep up due to lingering effects from near-failure of my liver a few years back due to toxicity from a prescription drug I was taking - a drug that doesn’t have liver toxicity as one of its common side effects. Oh, and my cortisol levels tend not to rise in the morning. That one puzzles all my doctors, but it might explain at least some of the constant fatigue. I’ve had extensive neurological examination, which discovered a cyst on my pituitary. (We initially thought it was metastatic melanoma, but it turned out to be just a cyst, thankfully. Probably congenital.) Without more tests, we can’t determine if the cyst is affecting any of my hormones, but my neurologist didn’t think it would be causing my CFS. The thing is, my chronic fatigue started suddenly. I can pinpoint the week I started sleeping way more than usual. That week coincides with the West Nile recovery, coming about a week or two after my West Nile symptoms faded. That’s why the doctors are fairly confident in calling it PVFS. I went from my usual nine hours of sleep per night to about 14 hour of sleep plus constant daytime fatigue in the space of a few days. After months of tests, scans, and imaging, the doctor’s advice was to try to wait it out to see if it got better. Then the world shut down for the pandemic and I didn’t work for a year (I’m an opera musician and all live theater was shut down until mid-2021. I continued to sleep 11-14 hours every day, more on days after I did something as strenuous as going grocery shopping. My iron levels, ferritin, B & D vitamins have never fallen outside the normal range. Being on testosterone replacement, I’ve actually had trouble with elevated hematocrit levels in the past, requiring regular therapeutic phlebotomy, but it’s been about a decade since that last happened and we altered my testosterone treatment to prevent elevated hematocrit. I’ve seen my primary care physician, my endocrinologist, and also a neurologist, a hematologist, an oncologist, an infectious disease specialist, a vascular specialist, an ENT specializing in apnea, and probably a couple of other doctors that I’m forgetting about. I have had to cut back on work by about 90% because I’m either asleep all the time or too exhausted to function, so I’m living below the poverty level. I can’t afford any more tests or doctors except when absolutely necessary, like last year when we discovered I had stage 2 melanoma. That, along with all the MRIs to look for metastasis, wiped me out financially - and I have insurance. The copays just drained all my savings, which I had only started to build back up after the liver failure of a few years earlier, which sent me into medical bankruptcy. So there’s nothing more I can do to try to find a cause for the fatigue. I’ve resigned myself to just sleeping away half or more of the rest of my life, too tired to do anything else despite the fact that I’m only in my mid-50s. If I could afford to move into a retirement facility of some sort, I would, but I’ll never be able to afford that. Oh, and I’ve been turned down for SSI/Disability three times - all three using disability attorneys to help me navigate the process. If the melanoma comes back, I’ve decided that there would be no point in trying to fight it. How’s that for a fun little comment?

I suggest checking with endocrinology next in case there's a hormone issue involved. I really hate the catch-all I don't want to deal with this category of illnesses and the whole oh you had a virus before and now you just have lingering effects for the rest of your life, sucks to be you type of mentality is something that bothers me a lot. Obviously something still wrong, we just need to understand how the something is still wrong so that we can fix it. It's great that you figured out a virus is the reason something went wrong, but what does the something?!

Ok...I'M NOT the infectious disease guy But, I play one on tv.... This can be the problem Do you start a wide spectrum antibiotic NOW (Like the dopey ED doc on the weekend) Or a type specific antibiotic that may not cover the bacteria you fear and then wait for the cultures And if you guess wrong...that patient MIGHT be in extreme condition by the time you have the results to justify using the right antibiotic

The mistake is not taking cultures first. Then try broad spectrum until cultures come back.

I thought he died from flesh eating bacteria from a toe cut that he didn't seek help with in time. The whole reason people know now that if you get red lines radiating out from a small infection that you need to see a doctor immediately is because of his case and all of the publicity around it. I can't think of who that could possibly be confused with to lead to the idea that his death was a pneumonia based death and pneumonia is not necessarily bacteria and way more complicated than I care to get into right now but I can guarantee you that if pneumonia is involved there's a darn good chance that antibiotics are not going to be the solution anyway. Bacterial infections alone very rarely actually lead to pneumonia, there's almost always another complicating factor at the root of it and It remains a symptom that is very very deadly regardless of what causes it. I just think it's important people understand that most of the causes of pneumonia are not actually bacterial in origin even though at one point in time we thought that. Also please get your vaccines against the various organisms that cause pneumonia, it matters a lot.

Yep. I'm an RN on the gen med / respiratory ward. CF get single rooms as 'protective isolation' to stop you getting any resp bugs you don't need..... But there is an unspoken awareness that it's also bc if anyone is going to cultivate their own personal science project of an antibiotic resistant bug, it's gunna be y'all

Yeup! 😂

Anyone *else*, you mean. Congratulations on your longevity, anyway. :)

Loophole: they quit and are immediately rehired. Their “life” ended upon termination and a new “life” began upon being hired. 🤭

BUT THEY ARE SO CUTE!

Horrifying for one reason or another, but you get that in meds. As a total layman the ones I know about is "the sickle cell mutation protects people from malaria because the cells implode when the disease attaches" and of course the famous cow-pox-prevents-smallpox

Well, that would certainly be an interesting cancer cure

That's unlikely, but actually possible.

​@@FrommermanActually extremely likely. Cancer needs fuel to grow. GI tract infections are usually treated by putting the patient on a low-residue diet (very low carb, no fiber) so they don't have much poop. Cancer needs carbs to grow, so that's one way to starve it out. Not to mention the infection in the GI tract was sopping up that sugar for itself, also starving the cancer.

Well, considering chemo nearly kills you so it can kill off the cancer, maybe it's not so odd after all?

Ooh, what was the reference?

I know!! PASTEURIZATION STOPS TUBERCULOSIS!! WHAT ARE THEY THINKING??

Listeria isn't a problem any more, is it? We got rid of that stuff with... oh right, pasteurization.

@@jaredragland4707 Also, anthrax! Tuberculosis! Bird flu! E. Coli! Salmonella! Camphylobacter!

The anti-vaxxers brought back deadly childhood diseases so why not listeria too??

They don't see it as a risk, and they do see things like pasteurisation as a risk. They're wrong, but because of their views they're not just convinced they're doing the right thing, they're also convinced that the people trying to help have a secret evil agenda so they don't believe it when people try to explain this stuff. It's not an easy problem to address

Don't know which prion the patient has, but their brain looks like a kitchen sponge, so it's definitely one of them.

Which tribe?

OK.. ___, that deer variant that destroys brains, Creuztfield Jacob, and Kuru

Olympia beer campaign: I Brake for Artesians

I WISH the AMA, etc would stop listing it as something that should be in your home/workplace first aid kit.

RIGHT?! It's the devil istg

​@@FayeVertplease elaborate, for i am an ignorant civilian and need all the help I can get

@@FallacyBites it's no more effective than plain vaseline, the antibiotics in it aren't concentrated enough to actually kill anything, but are likely to contribute to antibiotic resistance. Also, it's occlusive (meaning it keeps dirt in and air out) and sticky (dirt sticks to it). I hates it.

@@FayeVert well, crap. Now I know! Thank you ❤

Yeah maybe look for a different vet? That's not good.

@@DaTimmeh I agree, although I think it’s common for vets to give antibiotics “just in case”. I tend to refuse them unless there are clear indications of an infection.. I’d hate to leave our vet though, they are wonderful besides the antibiotics.

@@stephanieparker1250 If they do a good job otherwise, and they don't push for antibiotics with no reason, that's fair. Haven't seen that personally, but I'm sure they're out there.

@@DaTimmeh My vet is close by, does same week (often same day) appointments, and around here that’s almost unheard of. Both vets in the office are extremely experienced, education and specialized training, so I’m reluctant to change due to the antibiotic issue.. but I may bring up my concerns next visit and see what they say. Could be they know more than I do lol

@@stephanieparker1250 I could see it being a result of a lot of overly dramatic pet owners. So they just offer something before another person flips out because of "bad care". I've seen and heard of a lot of crazy vet appointments...

That’s why we need to unionize and re-evaluate using SIRS criteria. You can meet SIRS criteria after a brisk walk in the summer. Stand up to them.

I am not an infectious disease specialist but if I had to guess, start immediately and 4 weeks after symptoms resolve so it's 4 weeks if they go away immediately and 6 weeks if it takes a long time for the symptoms to go away. But that's just a hunch based on how it's done for animals and plants.

I recently read a (news) article about an individual who was suspected to be carrying a new to the US strain of an illness. They could tell because they had found signs of the disease in sewage samples. The “fun” part came in when they said they lived in either city 1 and commuted to city 2 or vice versa because their stool had been isolated to those two cities. There was a large population in those two cities who did have commute patterns in either direction depending on their industry.