1. PASSED MY ID BOARDS!! You are now looking at a board certified ID physician! This ends a decade long journey in medical training as a Foreign Medical Graduate (FMG). This was a challenging & fulfilling journey, with many people to thank. My journey as an FMG, in a thread 🧵

NDM versus KPC be like #stewardmeme

Characterization of ventilator-associated pneumonia in patients receiving #ECMO 🔍 incidence 17.7 per 1,000 ECMO days (VA 22.1, VV 13.8) ⏱️ median time from cannulation to diagnosis 4 days 🧫 majority of pathogens Gram-negative bacteria 💨 significant ⬆️ in SGF 2 days pre - 1 day post diagnosis 🩺 25% patients met NHSN definitions: these criteria may not capture VAP in this population 🩺 after developing modified VAP definition, including 500 ml/min SGF increase as evidence of worsening respiratory status, 51% met criteria; they had worse mortality VAP common during ECLS: incorporation of ECMO settings (sustained SGF escalation) into composite definition may improve recognition of respiratory deterioration and VAP detection sensitivity. This approach should be interpreted in conjunction with microbiologic, inflammatory, clinical findings and requires prospective validation. #FOAMcc #FOAMecmo on @asaiojournal 🔓 bit.ly/4xdTbOY

📢 New paper on VAP in #ECMO! Only 25% of clinically diagnosed episodes met conventional NHSN criteria 🔑 ECMO changes physiology: our definitions may need to change with it. #ECLS parameters may help capture what conventional markers miss Great work led by @IDdocAdi @MayoClinic

My nana (maternal grandad) turned 101 years old earlier this month but if a bullet fired by the police under the British Raj would have strayed a few inches to the other side, he probably wouldn't have been able to see his 21st birthday. There are a lot of interesting stories about my nana's legendary life but this one is among the most fascinating one and since it is related to a protest, I will narrate it in brief here. Nana moved to Bombay (now Mumbai) from his village near Ahmedabad in the mid 1940s. It was an era when protests against the British Raj were aplenty. During his early days in the city, he decided to join once such protest near Goldeval temple in South Bombay. The police under the British Raj opened fire at the protesters. When the firing ceased, nana saw his kurta was full of blood stains and believed he had been shot at, only to realize it was the person next to him who received a bullet in the arm. They rushed the injured protester to the nearby Sir HN Hospital (now Sir HN Reliance Hospital) for treatment. Nana returned home to realize just how close he was to death at the age of 19-20. I took the time out to narrate this because I read a poster from a recent protest which read, "Simon come back". Irrespective of how disgruntled you are with the government in power, wanting Simon to come back (even as a joke) is an insult to every Indian who participated in the freedom movement. Jai Hind!

Welcome to Rome, my friend! 🇮🇹🇮🇳

13/Bottom line: At this point person to person transmission still seems to occur only to those with close prolonged contact. Risk to general public is very low

Hantavirus: A Primer Thread. 1/Hantavirus is a zoonotic infection, Transmitted to humans from infected rodents - via aerosolization from their droppings/other secretions/excretions

On Hantavirus: a (non-technical) thread. Disclaimer: I am a biology PhD, but not virology/epidemiology. Husbandman is a virology PhD. But I’m told I’m good at communicating science, so here’s my take. #Hantavirus

Happy Easter, California! 🐣 Jen and I wish everyone celebrating across California a restful day of hope, reflection, and new beginnings.

Happy Easter, New York! Today, millions of New Yorkers celebrate the resurrection of Jesus Christ and the victory of hope over despair and faith over fear.  As the air warms and cherry blossoms begin to bloom, this holy day is a sacred time to pause and reflect on a season of rebirth. Whether you spend this day singing in pews, parading on Fifth Avenue, joining a processional guided by the bamboo trumpets of Haitian Rara music, or hunting for painted eggs amidst the spring grass, I wish every New Yorker celebrating a joyous day. Let us all embrace this holiday's spirit of hope and renewal as we build the City — and the world — that we deserve.

Greetings on Easter. This sacred day celebrates hope and renewal. May it bring peace, joy and brightness to everyone’s lives. May the teachings of Jesus Christ inspire all to be kind and strengthen the spirit of togetherness in society.

To everyone celebrating Easter, Michelle and I wish you a joyful holiday filled with reminders of the enduring power of faith and hope.

Champions! Congratulations to the Indian team on winning the ICC Men’s T20 World Cup! This remarkable triumph reflects exceptional skills, determination and teamwork. They have shown outstanding grit through the tournament. This victory has filled every Indian heart with pride and joy. Well done, Team India!

India becomes the first team in history to win back-to-back t20 World Cups

A moment of pure chills as India sing their national anthem in front of their home crowd in the grand finale🇮🇳 Goosebumps 🔥

Not just a team. A family. Not just a trophy. A dream for a billion of us. PROUD to lead this group, PROUD to represent my India 🇮🇳🏆 A huge thank you to everyone standing beside me. You are the pillars of my strength 💙🙌🏼🫶🏻

They have not just been the best team at this T20 World Cup. India may be the best side in the 21-year international history of the short-form they have conquered and now own. The challenge for every other team, after India defended their T20 world title in emphatic style by thrashing New Zealand in brutal fashion, is to stop them dominating T20, and possibly all cricket, for years to come. 📝 @Paul_Newman66 Free to read here ⬇️ 🔗 nyti.ms/40gkgSL

Congratulations to Team India on a fantastic T20 World Cup win 🇮🇳 Tough luck today, New Zealand. @Jaspritbumrah93, once again a match winner when it mattered most. @IamSanjuSamson, what a tournament and what an impact. Absolutely incredible.

A TEAM OF WINNERS 🥇 Suryakumar Yadav-led India etch their name in history as they become the first team to defend the #T20WorldCup 🙌 Made with Google Gemini

𝐂.𝐇.𝐀.𝐌.𝐏.𝐈.𝐎.𝐍.𝐒 🇮🇳 #TeamIndia clinch a record 3️⃣rd ICC Men's #T20WorldCup title 🏆 Take. A. Bow 🫡 #MenInBlue | #Final | #INDvNZ