iiinova — where your digital self keeps evolving

Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 14/09/2026

Had the best cheer 📣 squad with very clever signs during my half marathon yesterday! Hope others enjoyed them too!🎉 Thanks to @melaniernicol.bsky.social and @draphilbrick.bsky.social for the support! #IDsky #UTIsky #medsky #pharmsky

Three women at a half marathon with a sign that reads “Run like you’ve got Cyclospora”

Three women with signs that say “Run like you’ve got Cyclospora” and “Run like a gram-negative bacteria from meropenem”

Two neon signs that say “Run like you’ve got Cyclospora” and “You’ve got more resistance than E. coli”

A woman with a race bib posing in front of trees

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 01/06/2026

Dr. Amy Mathers recognizing Dr. Jim Lewis during his last CLSI meeting as Vice chair holder of the AST Subcommittee. First ever PharmD chair holder of the AST subcommittee!👏 Amy presents Jim with a Texas sized belt buckle #Medsky #pharmsky #microbiology

Dr. Jim Lewis being celebrated by Dr. Amy Mathers at the CLSI meeting

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 06/04/2026

POV: you show up to teach class the hour after your former ID course co-director @draphilbrick.bsky.social , a fellow Swiftie, and last year you made your course TS themed. Pretty good TS-themed trolling here🤩 #UMNPharmacy #Pharmsky #TaylorSwift

A woman pointing at another woman’s shirt which reads “Who is Dr. Hirsch anyway? Ew.”

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 31/03/2026

It’s oyster 🦪season! Almost asked if I could purchase this chandelier for @mmpharmd.bsky.social The restaurant was full of them

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 28/03/2026

📣Results from a national survey of ID/AMS pharmacists! Grateful to @sidpharm.bsky.social for sponsoring this project and for all the amazing people who contributed! Huge thank you to everyone who participated and to @ashejournal.bsky.social for publishing our work!👏 #IDsky #Pharmsky #Medsky

A national survey of the infectious diseases and antimicrobial stewardship pharmacist workforce in the US: work settings, characteristics, employment activities, resources and needs

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 17/12/2025

Minnesotans will be like “I really needed this”…and it’s just a sunny winter day with a temp above 32F ☀️

Snow covered ground with a bench and lamppost in the background

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 26/11/2025

Puppy’s first snow! ❄️ Reaction: tastes good but it’s cold! Needs a heavier coat #dog #MN

Cute dog in a buffalo plaid jacket with snow on the ground in the background

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 07/11/2025

Houston friends, I’ll be visiting UH College of Pharmacy next week! ✈️My trip is relatively short, but let me know if you’re around! #IDsky #UTIsky #Pharmsky

Seminar announcement for UH College of Pharmacy

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/10/2025

Absolutely phenomenal @sidpharm.bsky.social keynote 🔑 from Dr. Mati Hlatshwayo Davis @matih-id.bsky.social today: Reducing Barriers Toward Health Equity: Advocating for Change in the Healthcare Industry and Beyond. I laughed, I cried. All the things. Just wow 👏👏👏 #IDWeek2025 #IDSky

Keynote talk from Dr. Matifazda Hlatshwayo Davis at the SIDP Annual meeting

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 07/09/2025

13.1 miles around the lakes this morning!✅⛵️ Grateful to be injury free and to be able to do hard things! #Running #HalfMarathon

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 21/08/2025

Adopted a new furry child. 🐾🦴Welcome to the family, Scooby Doo! #dog #puppy #IDsky #Pharmsky #Medsky

The cutest puppy wearing a Scooby Doo bandana around his neck

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 08/08/2025

Seems our new puppy 🐾🦴 brought some passengers along with him. ❓What are your guesses as to what we are treating? #Medsky #pharmsky #idsky #vetsky

Two medication labels, one for ponazuril and one for fenbendazole

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 12/07/2025

Love this! My daughter’s Girl Scout troop wrote letters to our #MN state senator and House Rep about a bill regulating pesticides to protect pollinators 🐝 🌼🪻She just received a written response from Jamie Long. So awesome his office took the time to do that! #Minnesota #advocacy #GirlScouts

A letter from Jamie Long’s office, MN State Representative, DFL Floor Leader. He explains ways that MN laws impact application of pesticides and treated seeds. He fully supports H.F. 2761, a bill to modify pesticide-treated seed provisions.

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 03/06/2025

📌Gentamicin and tobramycin breakpoints also lowered one dilution ➡️ now </= 2 mg/L susceptible 📌Based on extrapolation of amikacin PK/PD targets and gent/tobra PTA analysis for Enterobacterales and Pseudomonas

Gentamicin and tobramycin breakpoint summaries

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 03/06/2025

Amikacin breakpoints were lowered down to </=8 S; 16 I; >/32 mg/L R ➡️ largely based on USCAST PK/PD modeling and ECOFF Finder demonstrating ECV of 8 mg/L, which agrees with EUCAST. **Based on dosing of 20 mg/kg** 📌See pubmed.ncbi.nlm.nih.gov/36946729/

Amikacin breakpoints were lowered from </16 to </8 for susceptibility

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 03/06/2025

Breakpoint updates from #CLSI for Acinetobacter spp. 📌Tetracycline urine breakpoint was removed based on absence of data to support. Doxycycline removed in Jan 2025 and minocycline breakpoint lowered #MedSky #IDSky

Tetracycline and Acinetobacter breakpoints in table format

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 02/06/2025

Drs. Jim Lewis and Matt Wikler honoring Dr. Lauri Thrupp at the #CLSI meeting. 🏆 He’s one of the founders of CLSI and a wealth of knowledge

Dr. Lauri Thrupp on the screen holding the CLSI M100 document

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 25/05/2025

It’s one of my favorite seasons in Minnesota—when the lady’s slippers are in bloom 💛

A closeup photo of a yellow lady’s slipper flower

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 14/05/2025

🚨Impacts of federal funding disruptions and terminations at the University of Minnesota and to Minnesota citizens ➡️As of April 25, 72 federal awards had been terminated, totaling $22.3 million in lost grant funding, and impacting 220 UMN personnel #MN #Medsky #ScienceSky

Email explaining that As of April 25, 72 federal awards had been terminated, totaling $22.3 million in lost grant funding, and impacting 220 University of Minnesota personnel.

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 10/05/2025

Congrats to the University of MN College of Pharmacy class of 2025!!🎓 You did it!✨ @melaniernicol.bsky.social @draphilbrick.bsky.social #PharmSky #pharmacy

Inside of Northrop Auditorium with graduates and family

UMN College of Pharmacy commencement program

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 15/04/2025

Had an amazing time in Vienna for #ESCMIDGlobal2025 🧫Good science ⭐️Great people & networking 🏢 Beautiful city #IDsky #Pharmsky #ESCMID

A man taking a photo of a speaker at the lectern at ESCMID Global

Buildings in Vienna with a cherry blossom tree

Horse drawn carriage in front of Cafe Central

St. Stephen’s Cathedral in Vienna, Austria

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 27/03/2025

Ice is out and the ducks 🦆are happy! Running is keeping me sane while it feels like the world is burning down. Sunshine ☀️ makes everything better too

Blue water on a lake with ducks swimming in the distance

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 28/02/2025

You should check out Boon Boona Coffee! ☕️@usfidpharmd.bsky.social told me about them. A Black owned family business in Seattle, beans sourced from Africa. This first bag I’ve tried is good! www.boonboonacoffee.com/pages/about-us #coffee #Blackowned

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 24/02/2025

Peak MN winter ❄️ activity day in gorgeous 45F weather -4 mile run around the lake -outdoor sauna 🥵 and cold 🥶plunge session with friends ☀️Feeling refreshed and ready to start a new week #saunaculture #hygge

Frozen lake with people walking on it and building a snow fort

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 20/02/2025

‼️The @idsainfo.bsky.social cUTI guideline 📄 draft is now available for public comment🗣️! This version has been reviewed by 15+ orgs & revised according to extensive feedback provided to us. www.idsociety.org/practice-gui... UTIsky IDsky Medsky PharmSky

Screenshot of IDSA cUTI guideline open for public comment

Draft of IDSA cUTI guideline showing steps to follow for selection of therapy

Figure 2 flowchart showing stepwise assessment of IV to PO switch and duration of therapy

Figure showing old vs new definition of uUTI, cUTi, and acute pyelonephritis

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/02/2025

A very timely read with themes about anti-science 🧪🥼 and not trusting scientists as he had to advocate for years before policy makers listened to their work and warnings. Toward the end, one of the kids said “Should we be scared?!” I had a hard time answering honestly…

A photo and summary of Dr. Mario Molina’s work on CFCs and ozone layer

Summary of Dr. Mario Molinas work on the ozone layer and climate change

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/02/2025

It’s Read-a-Thon 📚 month at my son’s elementary school! Got to be a guest reader for second graders and my son chose this excellent book about Dr. Mario Molina and his work with CFCs and depletion of the ozone layer #sciencesky #medsky #chemistry #pharmsky

Front cover of a children’s book named “Mario and the Hole in the sky: how a chemist saved our planet” written by Elizabeth Rusch and illustrated by Teresa Martinez

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/02/2025

This is an excellent kids book on him and his work! Just read 📚 to my son’s second grade class today #science

Cover of a children’s book named “Mario and the hole in the sky: how a chemist saved our planet” Written by Elizabeth Rusch and illustrated by Teresa Martinez

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 31/01/2025

She’s a beauty and all grown now!😻 Here is another #cat sitting on a desk

A striped cat sitting on a desk and looking handsome and adorable

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 27/01/2025

The doxycycline breakpoint has now been *removed*✌️after approval from the full AST Subcommittee. Not enough micro, PK/PD, or clinical outcomes data exist to support a breakpoint. Tetracycline not formally reviewed yet, but likely to be removed in future

Slide explaining the 3 options the Acinetobacter ad hoc working group considered after review of micro, PK/PD, and clinical outcomes data

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 27/01/2025

🧫Doxycycline breakpoint update for Acinetobacter from CLSI Table below displays tetracycline breakpoints prior to 2025. Minocycline breakpoint was reduced at June 2024 meeting and published in 2025 #IDsky #Medsky #Pharmsky

Table displaying tetracycline breakpoints for Acinetobacter

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 27/01/2025

It’s the best time of January! #CLSI Antimicrobial Susceptibility Subcommittee plenary session starting now 🌟 And the 35th edition of the M100 publishes today! #IDsky #Medsky #pharmsky

A blue PowerPoint slide that says CLSI AST Subcommittee Update

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/01/2025

New year, new mini Corsi-Rosenthal boxes 🦠 @corsiaq.bsky.social These DIY air purifiers (+ masking) have helped prevent household 🏡 transmission of at least one COVID infection and one influenza A infection 🙌 #IDsky #Medsky #Pharmsky

3 white mini Corsi-Rosenthal boxes on a rug

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 16/01/2025

Painting my second favorite lake tonight @lakesuperior.bsky.social Not too shabby for a person who doesn’t paint🤣 🎨 #IDSky #PharmSky Very #TaylorSwift 1989 coded

Painting of a lake with waves crashing over rocks

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 04/01/2025

I’m vaccinated and can confirm this flu is awful. Has taken me out for 2 days #IDSky

Antigen test with positive line across the FluA test line

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 12/12/2024

Well that’s going to be a bit of a shock to the system

Screenshot of weather app showing temps in 80s and 90s F

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 12/12/2024

Some highlights from day 1 of our CDC workshop on CPO 🧫yesterday! #IDsky #pharmsky

A meeting room with the slide displayed showing the workshop name: 2024
Regional Workshop Benchtop to Bedside Use of Antimicroblal Resistance Data: Detection, Prevention, and Response to Carbapenem Resistance In Southeast Asia

Slide showing hospital participant names

Dr. Twisha Patel from the CDC presenting a talk on: Infectious Diseases Interventions Galore: Choosing the Best Antimicrobial Stewardship Action to Implement

Me presenting a slide showing example microbiology laboratory workflows

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 10/12/2024

In our @sidpharm.bsky.social Breakpoints era at the pool. With a fruit 🍍skewer delivery! I ❤️ you, Thailand

Image of a blue water bottle with a sticker that says “in our breakpoints era” and a plate with fruit skewers. A pool and tall buildings in the background

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 09/12/2024

Before we talk about carbapenemase producing organisms 🧫 this week, we are talking about (and seeing) the history and culture of Thailand 🇹🇭 @sundermannaj.bsky.social

Group of people at the Grand Palace in Bangkok, Thailand

Fountain outside the reclining Buddha temple

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 06/12/2024

We were down bad for the TTPD theme for our team based learning activity in class today: “Lights, camera 📸, PRep, smile” ✨ #IDsky #HIVsky #pharmsky #swifties #WAOLOM #ICDIWABH @draphilbrick.bsky.social

Betsy in sequin pants and Ann wearing a t-shirt with the lyric “who’s afraid of little old me” on the front?

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 30/11/2024

Still trying to figure out tricks to this place. Harder to see posts without the “notification” function, but you can create personal lists and pin to your feeds! So, now I am curating My Faves! 🫶🦋 #IDsky #MedSky #PharmSky @empiricgame.bsky.social @mmpharmd.bsky.social @jasonmordino.bsky.social

Screenshot of the feed called “My Faves”

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 29/11/2024

I was blissfully unaware of all the money I was saving prior to being a #Swiftie ✅ Up early to get the book ✅ Coffee consumed ✅ Cat cuddles

A cat sitting on a person’s lap who is reading the Taylor Swift Eras Tour book

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 27/11/2024

They were on the other side of the bushes. *VERY* hard to see from this view

Three turkeys circled near a parking lot with a brick building in the background. Clearly, they are confused and can’t find their cars.

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 21/11/2024

We were honored to have the amazing Dr. Barbara Trautner visit @umn-idim.bsky.social to give the Wesley Spink Memorial Lecture. It seemed appropriate to gift her matching friendship bracelets: UMN ❤️ UTI in maroon & gold. She also got to see snow ❄️ yesterday! #IDSky #UTIsky #MedSky

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 21/11/2024

Great chatting with you! Such a good talk. She’s not here on 🦋yet but I think she will be soon so dropping this one too #IDsky #UTIsky

Dr. Barbara Trautner introducing her talk and career journey: “More turns than a back road”

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 19/11/2024

What do you think for me?! Accurate or no? ➡️ moxifloxacin #pharmsky #idsky

A photo of the chemical structure of moxifloxacin, a fluoroquinolone. Followed by a description of personality

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 14/11/2024

Second annual London dinner with the Abdul-Mutakabbirs 😍🤣 @jaycdoesid.bsky.social Love that they put up with me as the third wheel 🛞on their dinner dates #IDSky #PharmSky

JAM and Betsy in front of a door to a restaurant in London

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Betsy Hirsch, PharmD (TLOAS) @ebhirsch.bsky.social · 09/11/2024

A gray 5.5 miles for today 🏃🏻‍♀️ Feeling like fall! IDSky

Photo of a lake with tall buildings in the distance

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