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Mandy

@pacintx.bsky.social
2.2K followers 1.4K following 186 posts

PA with a PhD in HIV medicine. Full obsessed with my bull terriers and my bird feeder. Views are my own and not those of my employer. She/Her.

PostsRepliesMedia
Mandy @pacintx.bsky.social · 09/10/2026
Retail pharmacy says Bedaquiline must come from a specialty pharmacy. Specialty pharmacy says it’s not a specialty med and can be filled in retail. The most frustrating part is the insurance approved it with no PA but we still have to wait.
static.klipy.com
Spider-Man Pointing Meme: Hamily Seaham
ALT: Spider-Man Pointing Meme: Hamily Seaham
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Mandy @pacintx.bsky.social · 07/10/2026
Update. I got a call from Evernorth. They did not have a direct number to someone at Accredo who could help, despite the affiliation. Gave me the provider services number. Said they can’t ask Accredo to call me w/o pt info, which I won’t disclose since Evernorth isn’t directly involved in care.
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Mandy @pacintx.bsky.social · 07/10/2026
@accredo.bsky.social I have been trying to get long-acting injectable PrEP for an adolescent from you since June. I have the PA approval. My staff cannot get a straight answer on the delay. If this teen seroconverts, it will be because of your organization’s inaction.
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Liz Highleyman @lizhighleyman.bsky.social · 25/09/2026
New HIV diagnoses in SF fell by 8% last year, from 148 to 136 cases, reversing a small uptick seen in 2024, according to the latest HIV epidemiology annual report from SF DPH. @bayareareporter.bsky.social www.ebar.com/story/170572/
ebar.com
HIV cases in SF fall 8%, resume their downward trend
New HIV diagnoses in San Francisco fell by 8% last year, from 148 to 136 cases, reversing a small uptick seen in 2024, according to the latest HIV epidemiology annual report from the city’s Department...
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fox5dc.bsky.social @fox5dc.bsky.social · 25/09/2026
An experimental drug reversed vision loss and paralysis in mice with MS-like symptoms, prompting researchers to explore its potential for human treatment.
bit.ly
Modified HIV drug could reverse vision loss, paralysis from MS, study suggests
An experimental drug reversed vision loss and paralysis in mice with MS-like symptoms, prompting researchers to explore its potential for human treatment.
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Mandy @pacintx.bsky.social · 25/09/2026
I am about half way through this audiobook and it’s a great story. I cannot fathom what the early days of the HIV epidemic felt like. The fear, the grief. So many people died so young. It’s a good reminder of why I work in the field that I do.
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Mandy @pacintx.bsky.social · 25/09/2026
The Internet told me that house sparrows don’t care for safflower or black oil sunflower seeds. It seems that it’s not true. If I could go back in time, I would slap the bird cage out of Nicholas Pike’s hand and tell him to leave these birds in England.
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Mandy @pacintx.bsky.social · 08/09/2026
Walter is just zooming over everything but the obstacles we have been working on.
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Mandy @pacintx.bsky.social · 20/06/2026
Just plowing through that hurdle like the Kool Aid man
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BK. Titanji @boghuma.bsky.social · 15/06/2026
It is pretty ridiculous that the US has been dealing with a national benzathine penicillin shortage now for a year with no resolution in site. There already too many cases of congenital syphilis and not having ready access to treat pregnant women leads to this. www.statnews.com/2026/06/15/p...
statnews.com
Amid confusion over Pfizer's emergency penicillin program, newborn is diagnosed with preventable syphilis
Congenital syphilis should be preventable. An Arizona case shows how drug shortages and procedural hurdles are fueling a growing public health crisis.
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Healthcare-Global @healthcare-global.bsky.social · 16/06/2026
www.latimes.com/science/stor...
latimes.com
What COVID is teaching doctors about the relationship between viruses and cancer
The pandemic has left some evidence that viral infection may play a role in reawakening dormant cancer cells already present in a patient’s body before infection.
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Mandy @pacintx.bsky.social · 14/06/2026
I am going to celebrate myself and this good patient review I got. This person drives far, in horrendous traffic. I keep telling them I can refer them to good clinicians near them to save the time on the road. They always decline.
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Mandy @pacintx.bsky.social · 12/06/2026
Are any of the clinicians on #MedSky unionized? I have questions about it.
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Mandy @pacintx.bsky.social · 28/05/2026
I’ve accidentally started growing corn. I toss the old bird seed on the ground when I clean the feeders. I figure the birds can peck. They left some corn kernels and now I have 8-10 of these growing in my backyard. I’m going to leave them and see if they stay alive.
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Mandy @pacintx.bsky.social · 27/05/2026
Ok, I need opinions from my MedSky PCP colleagues. Am I wrong to think we should try to avoid Propranolol use for an essential tremor in an elderly patient?
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Mandy @pacintx.bsky.social · 21/05/2026
Last year a friend and I rescued a mini bull terrier who had been living in a ditch for at least 6 months. Her name is Gretchen. She had some injuries to her pelvis and hip, and needs a hip replacement. I set up a Go Fund Me to help get her surgery. If you’re able to donate please click the link
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Mandy @pacintx.bsky.social · 19/05/2026
This got real serious.
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Mandy @pacintx.bsky.social · 18/05/2026
A friend said my graduation picture looks like I’m a superhero so I turned it into a comic book cover. With a bull terrier side kick, of course.
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Mandy @pacintx.bsky.social · 16/05/2026
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Mandy @pacintx.bsky.social · 09/05/2026
Apparently the hurdle is much easier when he doesn’t also need to clear the fire pit.
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Mandy @pacintx.bsky.social · 08/05/2026
I love that this insurance company gave me a 2 hour window for this peer-to-peer call as if I am not seeing patients during that period.
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Mandy @pacintx.bsky.social · 13/04/2026
Ok but hear me out, she shouldn’t have to be door dashing to afford his treatment. We need universal coverage.
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Mandy @pacintx.bsky.social · 06/04/2026
Sir.
media.tenor.com
a woman is standing in a living room with the words " curl mirror look at it "
ALT: a woman is standing in a living room with the words " curl mirror look at it "
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Mandy @pacintx.bsky.social · 06/04/2026
3 more days until my defense.
A stack of papers with the title page reading “Depression as a risk factor for obesity and weight gain among people with HIV: A retrospective study.  A dissertation” and the OP’s information.
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Mandy @pacintx.bsky.social · 31/03/2026
He’s looking a little scraggly with that molting but he’s still so adorable and tiny.
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Mandy @pacintx.bsky.social · 29/03/2026
I think that what I like most about my bird feeder is that it’s made me reconnect with nature in a small way. It’s also something silly that helps distract me from ***gestures broadly***
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Mandy @pacintx.bsky.social · 29/03/2026
I rarely prescribe Paroxetine. I have maybe 2-3 patients on it. The possibility of rebound hypertension with Clonidine scares me. I’ve never written for it. That combination has been magic for this dog.
A white bull terrier with a black left ear holding a stuffed cactus in his mouth.
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Mandy @pacintx.bsky.social · 29/03/2026
I stayed at the Westin at the Denver airport this weekend. They brought back phone booths. We’ve come full circle.
Two booths labeled “Talk Box” with a small desk and chair inside.  The booths are to be used when making a phone call.  Photo from the hotel Instagram.
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Mandy @pacintx.bsky.social · 29/03/2026
I am trying to teach Walter how to jump a hurdle. He’s gets it about 50% of the time. He can easily clear the fire pit.
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Mandy @pacintx.bsky.social · 29/03/2026
This is one of my favorites. Since birds are dinosaurs her flying in and vocalizing at the others until they leave made me think of a tiny T. Rex.
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Mandy @pacintx.bsky.social · 29/03/2026
A Carolina wren has been building a nest in one of the nest boxes. This was the second time one of the sparrows was at the entrance.
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Mandy @pacintx.bsky.social · 29/03/2026
Last year I bought a bird feeder with a camera to feed the cardinals. Now I have multiple feeders, nest boxes and cameras. I am very into making little music videos with the birds. I have to say, middle age is great.
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Mandy @pacintx.bsky.social · 09/01/2026
I would love it if other providers stopped writing for once daily Losartan and either dosed it twice a day or used another ARB.
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Mandy @pacintx.bsky.social · 06/10/2025
Happy PA Week to my PA colleagues and friends!
“Celebrate PA Week” written in real and white on a navy background with teal, white, orange confetti.  There is an orange banner with the dates October 6-12. #PAsgobeyond
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Tim Lahey @timlaheymd.bsky.social · 03/10/2025
Was it something she said, here in the Land of the Free? www.nytimes.com/2025/10/02/h...
nytimes.com
Kennedy Fires N.I.H. Scientist Who Filed Whistle-Blower Complaint
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Tim Lahey @timlaheymd.bsky.social · 02/10/2025
Ending Ryan White funding could result in a 49% increase in new HIV infections in the US by 2030 www.acpjournals.org/doi/10.7326/...
acpjournals.org
The Potential Impact of Ending the Ryan White HIV/AIDS Program on HIV Incidence: A Simulation Study in 31 U.S. Cities | Annals of Internal Medicine
Background: With antiretroviral therapy, people with HIV can live a normal lifespan and not transmit HIV. The Ryan White HIV/AIDS Program provides care for over half of people with HIV in the United S...
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S. Evan Cooper 🦠 @scooper-id.bsky.social · 01/10/2025
Study Identifies Factors Tied To Increased Likelihood Of Achieving Virologic Suppression Among Patients With HIV #IDSky #MedSky www.cureus.com/articles/383...
cureus.com
Evaluating Linkage to Care Among Patients With HIV Viremia in Los Angeles, California
Multiple barriers hinder retention in the HIV care continuum, including structural, systemic, and individual factors. We conducted a retrospective study to characterize people living with HIV (PLH) in...
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BK. Titanji @boghuma.bsky.social · 29/09/2025
Cutting funding for HIV treatment and prevention is short sighted and will reverse progress that has been achieved through decades of consistent funding and prioritization. We cannot allow this to happen. www.nbcnews.com/health/sexua...
nbcnews.com
Republicans seek deep cuts to HIV prevention and treatment funding
Cuts proposed by the Trump administration and House Republicans could drive up new HIV cases by more than 200,000 by 2030, one expert projects.
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Edward Nirenberg @enirenberg.bsky.social · 23/09/2025
I don't know whether this has been discussed by anyone yet, but the meta-analysis that claims to find a relationship between acetaminophen and autism: ehjournal.biomedcentral.com/articles/10.... Here's how it reported the results for the largest study. This study carries massive weight...
Authors, Year

Location

Study Period

Risk Estimate

Study Design

Sample Size

Missing Data

Inclusion Criteria

Exposure Definition

Outcome Definition

Ahlqvist, 2024 (overall study)

Sweden

1995–2019

HR = 1.05 (95%CI 1.02–1.087)

Prospective cohort

N = 2,480,797

Exclusion and covariates imputed using dummy category approach

All Singleton live born children in Sweden with linkable personal identifiers with follow-up until Dec 31,2021

Ever use APAP derived from midwife interview at 8–10 weeks gestation and later during pregnancy. From 2005 onward supplemented by Prescribed Drug Registry data

Autism from ICD codes recorded in the National Patient Registry
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Mandy @pacintx.bsky.social · 23/08/2025
I appreciate the Radiologist’s use of the arrow but I think even I could see that defect without it 😯
An MRI image of the cervical spine showed a large disc protrusion severely narrowing the right C5 neural foramen.
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Mandy @pacintx.bsky.social · 12/08/2025
It is so disappointing that in the year 2025, a physician would ask if I get nervous working with people living with HIV.
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Mandy @pacintx.bsky.social · 08/07/2025
Ummmm ok SHEIN
A black tshirt with butterflies and groovy pink don’t that says “In my chlamydia survivor era”
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Fenit Nirappil @fenitn.bsky.social · 21/06/2025
The Trump administration is phasing out support of HIV clinical guidelines, which affect what tests, treatments and medications are covered by insurance companies and Medicare www.washingtonpost.com/science/2025...
washingtonpost.com
Administration to phase out NIH support of HIV clinical guidelines
The National Institutes of Health will phase out its support of the clinical practice guidelines that advise doctors how to diagnose and treat HIV.
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Mandy @pacintx.bsky.social · 15/05/2025
I’m in a training for our EHR upgrade and they are calling the SOAP the APSO document? What???
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Mandy @pacintx.bsky.social · 08/05/2025
I’m watching The Pitt and when Dr. Robby tells the med students where to stand while they are waiting for the helicopter I immediately thought of Dr. Romano. It’s so hard to not see Noah Wyle as Dr. Carter warning the students because he’s seen what can happen.
Dr. Robert Romano from the TV show ER wearing blue scrubs. He is standing in the ER with his hands on his hips.
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Mandy @pacintx.bsky.social · 27/04/2025
Want to support Bull Terrier rescue but can’t foster or transport? Go to www.bonfire.com/support-bull... to pick up a shirt to support the Rescue Welfare Trust Fund of the BTCA 🙂
bonfire.com
Support Bull Terrier Rescue | Bonfire
https://bullterrierclubofamericarescue.com/. The Rescue and Welfare Trust Fund of the Bull Terrier Club of America is run by dedicated volunteers and depends on a network...
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BK. Titanji @boghuma.bsky.social · 22/04/2025
In case you were looking for motivation to give up on dairy products. Look no further. www.reuters.com/business/hea...
reuters.com
US FDA suspends milk quality tests amid workforce cuts
The Food and Drug Administration is suspending a quality control program for testing of fluid milk and other dairy products due to reduced capacity in its food safety and nutrition division, according to an internal email seen by Reuters.
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Mandy @pacintx.bsky.social · 21/04/2025
Every Easter I think of the eggs we got as a thank you for our work during the pandemic.
Wooden purple egg with a bunny wearing a surgical mask that says “White House Easter Egg Roll 2021” sitting on a letter with White House letter head.
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Mandy @pacintx.bsky.social · 17/04/2025
And then a patient will make you a gift and you will get a glimmer of good.
A crochet spiral wall hanging made with rainbow yarn and a 60’s floral bead at the end hangs from a desk.
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Mandy @pacintx.bsky.social · 17/04/2025
The moral injury that comes with a healthcare job is real.
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