iiinova — where your digital self keeps evolving

Rossana Rosa @drrossanarosa.bsky.social · 11h

A mini zine about My Infectious Diseases Life Issue #39- surprise, the end or the beginning?, another go, 30 issues later… With some illustrations in collaboration with ORS ❤️ #IDSky #MedSky

This was a short short work week, but still plenty happened in this Infectious Diseases life of mine
on Thursday, you were supposed to be a classic textbook case

On Thursday, I wondered what your diagnosis actually portends

Thursday, we were both tired of dealing with this

On Friday, flashback to issue #9 and now…HCV RNA undetectable

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Angela Huttner @angelahuttner.bsky.social · 01/10/2026

Yikes! We have this but it's true we didn't report explicitly. It might take some time but I will go in & get it. If it helps, I can already say that in the 3 sites, common practice for uncomplicated GN bacteremia is to switch on ~D3 (culture results back, patient afeb). But I'll come back! #IDSky

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Rossana Rosa @drrossanarosa.bsky.social · 30/09/2026

Everything is a zoonosis! Drawing/listing challenge. #50- Mouse Technically I drew a Mus musculus, but it was difficult to disentangle rodent vs house mice hence this list 😅 I kept thinking about the Ratatouille short “Your Friend The Rat” w this one 🤣 #IDSky www.sciencedirect.com/science/arti...

A cute drawing of a mouse and zoonoses associated with rodents

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José Molina @josemolinagb.bsky.social · 20/09/2026

I find cefepime very useful to diversify empiric antipseudomonal treatments among immunocompromised hosts, and as a carbapenem-sparing agent against ampC producers. This recent metaanalysis made me wonder if I should stop using it… 🧵(1/5) jamanetwork.com/journals/jam... #IDSky #AMSsky #IDOnc

jamanetwork.com

Cefepime and Mortality

This systematic review with bayesian meta-analysis of randomized clinical trials examined the association of cefepime with all-cause mortality compared with other β-lactam antibiotics.

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Rossana Rosa @drrossanarosa.bsky.social · 28/09/2026

A mini zine about My Infectious Diseases Life Issue #38- starts, hallways, poisons, daggers, me? #IDSky #MedSky

On Monday, I started plans and dreams against RSV

On Tuesday, hallway conversations will save the world

On Wednesday, we had picked an antibiotic… and for you it was poison…

On Thursday, I understood how some labels feel like daggers

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Rossana Rosa @drrossanarosa.bsky.social · 22/09/2026

Everything is a zoonosis! Writing/listing challenge. #49- Octopus Perhaps they are so different from humans that I must confess I am a bit unsure about this one... This was a fascinating read (although not about zoonosis): wwwnc.cdc.gov/eid/article/... #IDSky

A cute drawing of an octopus and maybe a zoonosis?

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Rossana Rosa @drrossanarosa.bsky.social · 21/09/2026

A mini zine about My Infectious Diseases Life Issue #37– teamwork, words I can’t forget, who’s the resilient here?, invaluable, PISCES! *I’m traveling, and only have with me a few pens and markers, no glue or good lighting, but still gotta process the week that was #IDSky #PharmSky #MedSky

On Monday, couldn’t have done it without an awesome community pharmacist

on Tuesday, your infection came back because you forgot to prep your pills, because of bad memory, because of treatments, trauma, and all that stuff

On Wednesday, nothing was more frequent more frustrating more challenging than a recurrent UTI
on Thursday, I was reminded that a good infection prevention is this a treasure

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Joseph Marcus @josephmarcusid.medsky.social · 20/09/2026

For those attending #IDWeek2026, you are invited to an #IDSky Social Media Meet-Up ⏰ Oct 22 8 PM-10:30 PM Place: Marriott Marquis Lobby Bar

IDWeek Social Media Meet-Up
October 22 from 8-10 PM ad the Lobby Bar of the Marriott Marquis

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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 18/09/2026

Just preparing for this talk! bsky.app/profile/sidp...

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Rossana Rosa @drrossanarosa.bsky.social · 16/09/2026

Now that we 2 endocarditis guidelines recommending TEE before switch to PO- is there any data on the percentage of pts meeting clinical stability criteria for whom a follow up/pre-switch echo resulted in decision to continue IV or surgery? #IDSky @jonathanrydermd.bsky.social @absteward.bsky.social

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Rossana Rosa @drrossanarosa.bsky.social · 13/09/2026

A mini zine about My Infectious Diseases Life Issue #36- Diet orders, face off, farewells, routines, lessons #IDSKy #MedSky

On Monday, you had an excellent post source Control menu request

on Tuesday, it was time to prepare for another face of against H pylori

On Wednesday, we said goodbye to that sneaky Mycobacteria

On Thursday, I was happy to settle back into Fall’s routines

On Friday, it was time to teach about strategic emails

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Rossana Rosa @drrossanarosa.bsky.social · 10/09/2026

Everything is a zoonosis! Drawing/listing challenge. #48- Lion Still wrapping my head around the concept of commercial lion farming 🫤 (also… so many viruses didn’t even attempt to write them all 😅) pmc.ncbi.nlm.nih.gov/articles/PMC...

A cute drawing of a lion and some zoonoses associated with them

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Rossana Rosa @drrossanarosa.bsky.social · 09/09/2026

It’s coming back!!!!!!!! 💫💫💫 #IDSky

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Rossana Rosa @drrossanarosa.bsky.social · 08/09/2026

Everything is a zoonosis! Drawing/listing challenge. #47- Spider monkey So… TIL it’s macaques that carry B virus. I used to think it was all monkeys 🫣… don’t judge me too harshly 😅 *I tried to draw it holding a paint brush but I think it doesn’t show well (it’s not blood!) #IDSky #VetSky

A spider monkey holding a paint brush and some zoonoses associated with them and w other non human primates

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Rossana Rosa @drrossanarosa.bsky.social · 06/09/2026

A mini zine about My Infectious Diseases Life Issue #35- no pauses, meta- meanings, deadly chancletas, evil concoctions, wall art #IDSky

On Monday, you reminded me that your life outside the hospital has kept going on

on Tuesday, I pondered about a CRP.

On Wednesday, your story started with some dollar store chancletas

on Thursday, some things were pure poison

On Friday, I met the human behind the report

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Rossana Rosa @drrossanarosa.bsky.social · 30/08/2026

A mini zine about My Infectious Diseases Life Issue #34- awkwardness-o-meter, alliances, good news, surprise messages, a girl can dream #IDSky #MedSky

On Monday, awkward results led to awkward conversations
On Tuesday, took the first steps to join a fight against my number one enemy

On Wednesday, I got some good news

On Thursday, the promise of a good thing started with a message

On Friday, I took some time to dream about how to prevent infections

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Joseph Marcus @josephmarcusid.medsky.social · 27/08/2026

To #IDSky, I highly recommend listening to @boghuma.bsky.social talk with such joy and precision what it is like to be an infectious diseases clinician. open.spotify.com/s/UBKP81U

open.spotify.com

An Infectious Disease Doctor

What It's Like To Be... with Dan Heath · Episode

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Rossana Rosa @drrossanarosa.bsky.social · 23/08/2026

A mini zine about My Infectious Diseases Life Issue #33- monsters, second chances, no passport, fandoms, Friday emails #IDSky #MedSky

On Monday, the wild things felt like they had taken over
on Tuesday, you had trusted me you gave estrogen replacement a chance, and it worked!

On Wednesday, what do viruses know about borders, and drug costs and insurance?
On Thursday, it turns out we are both new Blue Jays fans.

On Friday, I think you email made me feel part of a community

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Rossana Rosa @drrossanarosa.bsky.social · 16/08/2026

A mini zine about My Infectious Diseases Life Issue #32- the kitchen sink strategy, logistics, you know who you are, nightmares, movie binging from the ICU #IDSky #MedSky #zine

On Monday, I brought everything I’ve got
On Tuesday, I tried to focus on things I can’t control

On Wednesday, somethings never change
On Thursday, they called them chain so necessary for a recent

On Friday, movie watching was a sign of source control

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Rossana Rosa @drrossanarosa.bsky.social · 15/08/2026

Everything is a zoonosis! Drawing/listing challenge! #46- Llama Nice and handy article ➡️ pmc.ncbi.nlm.nih.gov/articles/PMC... #IDSky #VetSky #MedSky

A cute drawing of a llama and some zoonoses associated with them

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Rossana Rosa @drrossanarosa.bsky.social · 13/08/2026

Bad aura is a LRINEC of 8 and a dusky patch of skin 😬 #IYKYK #IDSky #MedSky

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Rossana Rosa @drrossanarosa.bsky.social · 09/08/2026

A mini zine about My Infectious Diseases Life Issue #31- Not locked away, war, party plans, old ladies, diagnosis matrix #IDSky #MedSky #zine

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Rossana Rosa @drrossanarosa.bsky.social · 02/08/2026

A mini zine about My Infectious Diseases Life Issue #30- Vacation edition! No insights. Maybe still worried about spores… #IDSky #MedSky #graphicmedicine

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Onisillos @onisillos.bsky.social · 31/07/2026

I'm so tired of clueless pundits relitigating this because they feel it in their water.

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Rossana Rosa @drrossanarosa.bsky.social · 28/07/2026

Everything is a zoonosis! Drawing/listing challenge. #45- Wallaby Because @pharmageddon.bsky.social asked for it 😇 Very comprehensive resource found here: arwh.org/wp-content/u... #IDSky #VetSky #MedSky

A cute photo of a Wallaby and zoonoses associated with them

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paul evan bunce, md @paulbuncemd.bsky.social · 27/07/2026

a few pearls about fever that i find myself repeating to trainees (and patients): - fevers often resolve on their own, and it can be hard to know if any intervention changed the course - fevers tend to come at night. "afebrile so far today" is not always reassuring - fever ≠ infection #idsky

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Rossana Rosa @drrossanarosa.bsky.social · 26/07/2026

A mini zine about My Infectious Diseases Life Issue #29- me rasgo las vestiduras!, that first photo, barely making it, courage, still believing #IDSky #MedSky #zine #graphmed

On Monday, I despaired over C diff
On Tuesday, we rejoiced together, and left difficult conversations for another day

On Wednesday, it was Wednesday

On Thursday, j’etais courageous et vous avez ete patient

On Friday, I chose to believe that blue skies are coming

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Rossana Rosa @drrossanarosa.bsky.social · 20/07/2026

A mini zine about My Infectious Diseases Life Issue #28- stats, just being, life imitates art?, tactics, making it visible #IDSky #MedSky #AMSSky

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Rossana Rosa @drrossanarosa.bsky.social · 13/07/2026

A mini zine about My Infectious Diseases Life Issue #27 - queen for a day, with Telemundo in spirit, reset and replay, the inevitable… #IDSky #MedSky

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Rossana Rosa @drrossanarosa.bsky.social · 05/07/2026

A mini zine about My Infectious Diseases Life Issue #26- struggles, trends, irises, spores and forests #IDSky #MedSky

On Monday, you asked a question that I struggle to answer, but

On Tuesday, I saw a trend that
On Wednesday, allowed me to have Hope

On Thursday, I said the word “spores” too many times
On Friday, I saw you emerge from a dark forest

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Rossana Rosa @drrossanarosa.bsky.social · 30/06/2026

I love how Telemundo announcers always say “uno de los nuestros” is playing. Y si, es nuestra gente. Grande Paraguay!! #LatinSky #WorldCup2026

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Rossana Rosa @drrossanarosa.bsky.social · 28/06/2026

A mini zine about My Infectious Diseases Life Issue #25- RoRo rising, problematics will be problematic, tables turned, time to pop, don’t hate Teams #IDSky #MedSky #zine

Monday— I knew we would be about rising

Tuesday- my problematic fave gave me problems

Wednesday- I myself was a cat needing herding

Thursday - it was time to pop some delusional bubbles

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Rossana Rosa @drrossanarosa.bsky.social · 22/06/2026

Everything is a zoonosis! Drawing/listing challenge #44- Kangaroo This case report was quite the read 🤯 www1.health.gov.au/internet/mai... #IDSky #VetSky

A cute drawing of a kangaroo and some zoonoses associated with them

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Rossana Rosa @drrossanarosa.bsky.social · 21/06/2026

A mini zine about My Infectious Diseases Life Issue #24- a haze, some you win, some you lose, even more herding, not enough expletives #IDSky #MedSky #zine

Cover My Infectious Diseases Life, Issue #24

On Monday, was there on Monday? I wouldn’t know as I was put out of commission by a virus. No antibiotics needed.

On Tuesday, I score one against H pylori

On Wednesday, H pylori scored one against me

On Thursday, there was more cat-herding to do

On Friday- F U Candida. F.U.

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Jonathan Ryder, MD @jonathanrydermd.bsky.social · 21/06/2026

Happy Father's Day!! I finally found some Honduran coffee in Omaha to help celebrate @josephmarcusid.medsky.social @drrossanarosa.bsky.social

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Rossana Rosa @drrossanarosa.bsky.social · 17/06/2026

I will do great things at work today: #IDSky

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Rossana Rosa @drrossanarosa.bsky.social · 16/06/2026

Friends, if are able to, watch el Mundial in Telemundo. Even if you can’t speak Spanish, you will understand the emotion 😘😉 #worldcup #mundial

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Rossana Rosa @drrossanarosa.bsky.social · 15/06/2026

A mini zine about My Infectious Diseases Life Issue #23- selflessness, (un)certainty, resilience, politics, mystery! (with posting delays due to sickness) #IDSky #MedSky #zine

Monday- seflessness
Tuesday- (un)certainty

Wednesday- resilience
Thursday- politics

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Rossana Rosa @drrossanarosa.bsky.social · 11/06/2026

Even though Honduras is not at the World Cup, la Garra Catracha siempre está presente 🥰⚽️ #IDSky #LatinSky #MedSky

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Rossana Rosa @drrossanarosa.bsky.social · 08/06/2026

And here’s boomonia, or ghost pneumonia, whatever you call it, you know it when *see* it 😂👻… @pharmageddon.bsky.social @empiricgame.bsky.social #IDSky #MedSky #AMSSky

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Rossana Rosa @drrossanarosa.bsky.social · 07/06/2026

A mini zine about My Infectious Diseases Life Issue #22– running, landscaping, still going, taxonomy entries, monsters #IDSky #MedSky #graphicmedicine #zine

Issue #22 of My Infectious Diseases Life

On Monday, you told me you can run for an hour… Perhaps you’ve left TB behind

On Tuesday, you showed me a photo of your koi pond, and I understood what health means

On Wednesday, you told me how you didn’t die, you live

On Thursday, the term “ghost pneumonia” was born

On Friday, a monster somewhere brought up monsters elsewhere

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Rossana Rosa @drrossanarosa.bsky.social · 06/06/2026

I felt a profound sadness reading this report. Perhaps because it’s “only” 3 patients, two of whom died… perhaps because one can see all the connections between them… perhaps because the faults in the system can be identified … 1/x www.cambridge.org/core/product... #IDSky

Donor derived and nosocomial-acquired Candida auris transmission involving solid organ transplant recipients

Outbreak could be traced to a donor with unspeciated yeast and environmental persistence due to ineffective cleaning

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Rossana Rosa @drrossanarosa.bsky.social · 05/06/2026

If Strep pyogenes had a walk up song (thought brought about by the most recent Breakpoints episode 🔥🧫) @sidpharm.bsky.social @joshosowicki.bsky.social podcasts.apple.com/us/podcast/b... #IDSky #MedSky #PharmSky open.spotify.com/track/0jfIKx...

open.spotify.com

Firestarter

The Prodigy · The Fat of the Land · Song · 1997

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Rossana Rosa @drrossanarosa.bsky.social · 03/06/2026

Everything is a zoonosis! Drawing/listing challenge. #43- Hedgehog It’s great to google “zoonoses associated with hedgehogs” and the first hit is and EID article titled “Hedgehog zoonoses” 💓 pmc.ncbi.nlm.nih.gov/articles/PMC... #IDSky #VetSky #MedSky

A cute drawing of a hedgehog and some zoonoses associated with them

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🇨🇷 Rolando Ulloa-Gutierrez @rolandoug.bsky.social · 03/06/2026

Los 3 países con mayoría de casos de #sarampión en Las Américas en 2025 🇨🇦🇲🇽🇺🇸 serán los países sede del mundial #WorldCup2026 ⚽. En esta publicación alertamos sobre nuestras preocupaciones de brotes. Por @drajrodriguezm.bsky.social et al. #idsky #measles #travelmedicine. Link👇 doi.org/10.1016/j.tm...

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Rossana Rosa @drrossanarosa.bsky.social · 31/05/2026

A mini zine about My Infectious Diseases Life Issue #21- Maritimers unite against AMR!, seeing y’all just get back to life… #IDSky #MedSky #graphicmedicine #zine

On Monday, I travel to join folks from across the Maritime fighting AMR

On Tuesday, anchor, they brought together, physicians, biologist, pharmacist, epidemiologist, public partners, veterinarians, policy makers,

On Wednesday my drive back was full of ideas from anchor! And some good C diff listening

On Thursday, and on Friday, I had the joy of seeing former patients of mine now out and about going on with their lives

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