iiinova — where your digital self keeps evolving

Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 21/07/2026

I bet they already sent you the Ted Lasso collection for being their premier customer:)

Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 21/07/2026

@shematologist.medsky.social - I’m sure you saw the @jenisicecreams.bsky.social announcement about the Ted Lasso’s return of Biscuits with the Boss.

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 08/07/2026

I love me some Lee’s iced Vietnamese coffee :) I used to buy the frozen concentrate whenever I was in LA to make it at home

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 05/06/2026

Sometimes?!? I took a roadtrip there years ago and the traffic on the 405 was the worst no matter what time of day. It’s scarred me from ever wanting to drive in LA again

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 05/06/2026

Washington DC (or nearby) peeps: I’ll be visiting for a meeting June 17th-19th. If you want to meet up for dinner or drinks on the 17th, and maybe later in the evening on the 18th, hit me up!!

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 13/05/2026

Evening story time with my little princess! She’s learning all about antigens and antibodies. #vaccines #vaccineswork

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 22/04/2026

I just saw this today. He is absolutely one of the worst human beings and unfit for this role and sadly more people will suffer because of his misinformation and garbage policies

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 04/04/2026

MONSTER wins by both the @avalanche.bsky.social and @nuggets.bsky.social. Each picking up their 50th win of the season

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 31/03/2026

Thank you Gabby! I totally understand tho :) never hurts to ask.

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 31/03/2026

Peloton Community: Who would like to join me on the bike tomorrow for my birthday?!? 20 min 90’s pop ride with Bradley Rose. 6am MST @glibrizzi27.bsky.social @gretchemaben.bsky.social @saltylungs.medsky.social

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 27/03/2026

Perfect! I just followed you :) Hope to see you on a ride so I can high-five. Cheers

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 27/03/2026

I didn’t know you had a Peloton!!! I love mine so much. I would love to follow you :) my leaderboard name is Micafungin in case you wanted to follow me back

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 17/02/2026

After getting some ink, fuel up at Dalessandro’s for the finest cheesesteak in Philly

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 10/02/2026

Bout of mastitis and never had any issues after that. And she found the heat soothing

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 10/02/2026

They might argue & say that diclox/cephalexin is part of their protocol but I just argued that we’re worried about MSSA here & BID is easier to take & the worst ABX is the one the patient won’t take. Also, they make warming pads to heat up to help unclog the ducts. My wife used those after her 1st

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 10/02/2026

I would’ve told them to prescribe cefadroxil since it’s BID instead of q6h diclox/cephalexin. That’s what I had the midwife prescribe for my wife when it happened. Aint nobody got time for q6h!

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 24/01/2026

Pend fungal ball removal in 2 wks. AMB MIC 1. Orig had sternal OM w/ Scedo in 2022 s/p BOLT. We were denied fosmano last yr when the pt had perinephric collection w/ Scedo. Orig POS MIC 0.25. They were on IV & irrigation AMB-D until their kidneys took a hit & they feel terrible after the infusion

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 23/01/2026

#TxID #Mycology Challenging case of disseminated Scedo in a BOLT pt who has been on olorofim/posa x 3.5 years. MICs for posa now >16. Fungal ball in renal collecting system. Worsening renal fxn on AMB-D irrigations. HELP! @fungaldoc.bsky.social @germhuntermd.bsky.social @michaelisonmd.bsky.social

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 18/01/2026

The city of #Denver has been cursed with devastating injuries this year. Jokic, Gordon, Braun, Val, Landeskog, Nix But congrats to the @denverbron on their exciting victory over Buffalo today. Good luck next week

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 16/01/2026

Super niche pathogen for sure. But keep on your radar if your patient is in septic shock after a dog bite. They’re usually pretty ill with this organism. Another pathogen associated with dogs is Staph pseudointermedius. 1st thing to ask them when you see it: what’s the name of your dog?!?

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 16/01/2026

One of my favorite teaching points in ID :) however, the treatment doesn’t change but it’s a fun organism to pronounce on rounds

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 16/01/2026

Congrats Gabby!! Parenthood is the absolute best :) enjoy the baby snuggles!

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 04/11/2025

Chicken wings are my weakness. I would have ZERO self-control if this was in front of me. Those look amazing

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 20/09/2025

Woohoo, the @colorado--rockies.bsky.social won their 42nd game this year escaping the possibility of tying the modern day era for the worst record ever set by the White Sox last year. Phew 😅

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 14/09/2025

Come join me tomorrow (9/14) at 6AM MDT/8AM EST for my 600th ride on Peloton. Let’s share some high-fives!! 45-min EDM ride with Emma Lovewell

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 31/08/2025

Time to finally open this bottle of whiskey that I bought a couple of months ago after paying off my mortgage. #whiskey #colorado #debtfree

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 19/08/2025

Me: Saachi, are you excited for school? S: no, I want to stay 🏠 b/c I want snacks M: but you get snack time at school S: yea but yesterday, you didn’t pack enough and I was really hungry the rest of school M: 🥺😢🥺 Broke my heart hearing that. Extra snacks packed today

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 12/07/2025

Spending Friday night making some necklaces with my oldest daughter. Quality time together while we listen to Mozart for kids. #girldad #mozart #necklaces

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 04/06/2025

I don’t think I’ve seen @espn.com write about the @rockies.com this much since their 2007 WS run. Sadly, it’s for the wrong reasons. But hey, we got our 1st series win in 22 attempts this season! #mlb

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 16/04/2025

When will the owners of the @rockies.com sell this team?!? They are absolutely awful. We need to hit the restart button on this team

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 14/04/2025

Has anyone noticed a recent change in the taste and texture of Costco pizza? We went and had some slices today and the cheese had a crumbly texture, very salty, and had an odd flavor. Very off putting. It was not the gooey, voluminous cheesy pizza that we once loved.

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 04/03/2025

Especially with the lights inside! That is *chefs kiss*

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 03/03/2025

I have that same tent for my daughter!! She loves it

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 20/02/2025

Woohoo!!! This was a long time coming. Glad it’s finally out. My amazing colleague, Madison Salam (sadly not on Bluesky) and are excited to share this case with you all! #IDSky #AntimicrobialResistance

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 12/02/2025

While it’s certainly nice to save on gas and other maintenance, I definitely did not enjoy my trip to the DMV for plates and shelling out $1026 :( I miss the standard $46.50 in NJ regardless of vehicle. @candicecounsel.bsky.social - I feel we discussed this a while back.

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 14/12/2024

Joining the EV club! 2024 Honda Prologue. Gotta upgrade the vehicle to welcome baby girl #2 in May 2025!!! #Honda #EV #girldad #IDSky

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 12/12/2024

I refuse to accept this change! I’m still banning all the fungal taxonomy changes. Ain’t nobody got time fo “Nakaseomyces glabrata”

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 11/12/2024

Shorts and T-shirts weather in Minneapolis today

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 10/12/2024

Check out my 2024 Spotify Wrapped Certainly an interesting mix for sure :) #Spotify #music #EDM #EMO

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 28/11/2024

Want to burn some calories before consuming a gazillion of them?!? Come ride with me at 8:00a MST for the Robin Arzon 45-min #peloton Turkey Burn Ride Give me a high five 👋🏻 too! Leaderboard name: Micafungin @glibrizzi27.bsky.social @gretchemaben.bsky.social

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 27/11/2024

@ashleygwinter.bsky.social would be proud to hear that I recommended vaginal estrogen today to the primary team after they consulted me for ABX recs in a post-menopausal woman with several UTI’s these past few months that have “failed” optimal ABXs #stewarship

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 26/11/2024

I will also include fosmanogepix! Both are some banger names for a medication

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 21/11/2024

Do you plan on shipping some for the holidays?!! That looks scrumdilyumptious

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 20/11/2024

I also find it very useful for wrapping cheese in it and storing it in a glass container in the fridge to help prevent mold!

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Michael Casias, PharmD, BCIDP, AAHIVP @inyourfaecium.bsky.social · 20/11/2024

Keep it coming with all these recs!! Thanks for all your efforts so far :)

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