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Matthew Brigmon

@mbrigmon.bsky.social
58 followers 97 following 39 posts

I took an hour to make my banner in chat gpt and it still sucks. ID/Critical Care physician at University of Texas in San Antonio. Please stop the antibiotics.

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Matthew Brigmon @mbrigmon.bsky.social · 20/10/2025
Olorofim/fosmanogepix you are our only hope
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Matthew Brigmon @mbrigmon.bsky.social · 19/10/2025
Man, the amount of times someone wants to do a perc cholecystostomy on someone in shock is mind boggling. “They aren’t improving!!!” “They still have staph in their blood.” “We put the perc chole tube in and the pressors got a little better” “They have endocarditis”
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Matthew Brigmon @mbrigmon.bsky.social · 19/10/2025
Acorns showed statistical but negligent clinical effect with cefepime neurotoxicity.
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Matthew Brigmon @mbrigmon.bsky.social · 19/10/2025
I have done linezolid in cns infections. I feel much better for CNS penetration than a lot of others.
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Matthew Brigmon @mbrigmon.bsky.social · 17/01/2025
I was informed today by my surgical colleagues that their boards state that fidaxomicin is better than vancomycin for c diff. Is that a consensus in the ID community?
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Matthew Brigmon @mbrigmon.bsky.social · 08/01/2025
I had a really bad acute strep meningitis and everyone was surprised. The patient was very sick and got better quickly so it was a cool case.
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Matthew Brigmon @mbrigmon.bsky.social · 05/01/2025
I think doggy palliative care services are better on average than human palliative care services.
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Matthew Brigmon @mbrigmon.bsky.social · 27/12/2024
To clarify, the question is that a patient was given two doses of ivermectin prior to transplant. We are consulted bc they just transplanted them and they want to know about retreating with 4 dose protocol.
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Matthew Brigmon @mbrigmon.bsky.social · 26/12/2024
So i had a consult about someone with a positive igg for strongy. Are any of the transplant id physicians out there ok with only single dose of ivermectin pre transplant? pubmed.ncbi.nlm.nih.gov/31558376/
pubmed.ncbi.nlm.nih.gov
Multiple-dose versus single-dose ivermectin for Strongyloides stercoralis infection (Strong Treat 1 to 4): a multicentre, open-label, phase 3, randomised controlled superiority trial - PubMed
There was no funding source for this study.
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Matthew Brigmon @mbrigmon.bsky.social · 17/12/2024
For those not on the IDSA IDea exchange. I am in the process of trying to get a meeting together for those interested in ID Critical Care society/idsa community. Please dm me your email if you would like to be included/involved.
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Reposted by Matthew Brigmon
Paul Sax @paulsaxmd.bsky.social · 12/12/2024
Remembering Dr. Thomas O'Brien -- expert in antimicrobial resistance, and all-around great guy. Plus, there's that interesting thing about his son ... 😄 #IDSky blogs.jwatch.org/hiv-id-obser...
blogs.jwatch.org
Dr. Thomas O'Brien -- Expert in Antimicrobial Resistance and Giant in His Field (Literally)
Dr. Thomas (Tom) O’Brien was born in January 1929, in between the discovery of penicillin (September 1928) and the publication of the findings in a medical journal (May 1929). As noted by his longtime...
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Matthew Brigmon @mbrigmon.bsky.social · 12/12/2024
Bad gateway
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Matthew Brigmon @mbrigmon.bsky.social · 11/12/2024
Is that also why your texts to me are riddled with mistakes?
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Matthew Brigmon @mbrigmon.bsky.social · 10/12/2024
I use eosinopenia as a surrogate marker for pct and it is about as useful and the test is already ordered! I find the test pretty useless in the icu.
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Matthew Brigmon @mbrigmon.bsky.social · 09/12/2024
I see. What say you about the vaccines?
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Matthew Brigmon @mbrigmon.bsky.social · 09/12/2024
Are you saying that the vaccines are a silent war against autistic people or that there is a war against autism and vaccines are an excuse? #Hashtags #unclear
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Matthew Brigmon @mbrigmon.bsky.social · 08/12/2024
Oh, I have seen this and it won’t end well no matter what you use…probably. I would give olorofim maybe try inhaled ampho or other (opelconazole) if you got it. If at a place not in a trial, i would do vori/ampho/mica until you know.
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Matthew Brigmon @mbrigmon.bsky.social · 08/12/2024
Sit down with the resident and write the abstract to show them how relatively simple it is.
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Matthew Brigmon @mbrigmon.bsky.social · 07/12/2024
Have you gotten to the point where you eat a peanut butter and jelly sandwich everyday so the bread gets used before it stales?
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Matthew Brigmon @mbrigmon.bsky.social · 06/12/2024
The arguments will still remain the same.
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Matthew Brigmon @mbrigmon.bsky.social · 05/12/2024
That must be one of the bestest boys.
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Matthew Brigmon @mbrigmon.bsky.social · 05/12/2024
Your forgot 5. Profit
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Matthew Brigmon @mbrigmon.bsky.social · 05/12/2024
The thing is, you never know when your spidey sense is good enough. If you think it is, it probably isn’t.
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Matthew Brigmon @mbrigmon.bsky.social · 27/11/2024
Until a house guest leaves your dumbbells out and messes up your plate organization
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Matthew Brigmon @mbrigmon.bsky.social · 22/11/2024
They ask for high resolution with a 16kb size limit.
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Matthew Brigmon @mbrigmon.bsky.social · 21/11/2024
I learned about this page today www.phagerounds.com which is a place to connect to live lectures on phage therapies. Highly recommended for the curious.
phagerounds.com
PhageRounds.com
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Matthew Brigmon @mbrigmon.bsky.social · 21/11/2024
This is a jpeg and the guidelines clearly say cyan only png.
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Matthew Brigmon @mbrigmon.bsky.social · 20/11/2024
Sounds like a mirror image of the us as far as reimbursement.
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Matthew Brigmon @mbrigmon.bsky.social · 19/11/2024
I tapped out at 550 for 6 reps because my back started to hurt. I have the rogue rhino and it has been a godsend to be able to do heavy squat motion again but i don’t think i will ever get back to the glory days.
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Matthew Brigmon @mbrigmon.bsky.social · 18/11/2024
Just don’t britta this up.
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Matthew Brigmon @mbrigmon.bsky.social · 15/11/2024
Onion never misses: theonion.com/heres-why-i-...
theonion.com
Here’s Why I Decided To Buy ‘InfoWars’
Today we celebrate a new addition to the Global Tetrahedron LLC family of brands. And let me say, I really do see it as a family. Much like family members, our brands are abstract nodes of wealth, int...
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Matthew Brigmon @mbrigmon.bsky.social · 14/11/2024
It is now too mainstream for my punk palate.
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Matthew Brigmon @mbrigmon.bsky.social · 13/11/2024
Just looking at this pic makes me feel like you are too close to it and that makes me nervous. If you touch it, the recalibration will be a pain in the ass. Or is that just us?
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Matthew Brigmon @mbrigmon.bsky.social · 13/11/2024
What about pretentiousness?
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Matthew Brigmon @mbrigmon.bsky.social · 12/11/2024
I mean there are a lot of organisms i wouldn’t have gotten a tee for before. They hade it more sensitive but dropped the specificity.
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Matthew Brigmon @mbrigmon.bsky.social · 12/11/2024
If you ask the updated duke criteria guidelines everyone needs a tee. I am only sort of joking.
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Matthew Brigmon @mbrigmon.bsky.social · 11/11/2024
Have you tried khakis with new balance?
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Matthew Brigmon @mbrigmon.bsky.social · 09/11/2024
Is this a blue dress vs gold dress debate? I read the blog and it sounds like it should be PJP.
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Matthew Brigmon @mbrigmon.bsky.social · 09/11/2024
I followed you here to ensure this “brisket isn’t bbq” does not propagate. I am a bbq truther.
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Matthew Brigmon @mbrigmon.bsky.social · 08/11/2024
This feels right.
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