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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.

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Mandy @pacintx.bsky.social · 09/10/2026
One would think.
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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
@evernorth.bsky.social
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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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Reposted by Mandy
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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Reposted by Mandy
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 · 10/07/2026
I do have a really good brother 🙂 Thank you!
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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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Reposted by Mandy
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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Reposted by Mandy
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 · 02/06/2026
Thank you!
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Mandy @pacintx.bsky.social · 02/06/2026
Thank you!
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Mandy @pacintx.bsky.social · 02/06/2026
Thank you!
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Mandy @pacintx.bsky.social · 29/05/2026
It is Texas so of course we aren’t going to go about things rationally.
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Mandy @pacintx.bsky.social · 29/05/2026
He knows your husband and was telling me about how he got an email about the release 🙂. We talked about your first book and your art. This was a surprise for my PhD graduation. He is very thoughtful. Congratulations on the upcoming release!
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Mandy @pacintx.bsky.social · 29/05/2026
My brother pre-ordered a copy for me. I’m looking forward to reading it.
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Mandy @pacintx.bsky.social · 29/05/2026
It should be.
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Mandy @pacintx.bsky.social · 29/05/2026
It kills me that they’re calling him a vegan as an insult because he ate a potato, egg, and cheese taco which isn’t even vegan.
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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
So it’s for my mom. Her PCP put her on 60mg. It really wasn’t helping the tremor and my mom was occasionally feeling lightheaded. I suggested some alternatives but the PCP ended up stopping the propranolol and not prescribing anything else. I just worry about falls in that age group.
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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
She’s such a wonderful dog and deserves a mobile, pain-free life
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Mandy @pacintx.bsky.social · 21/05/2026
www.gofundme.com/f/help-gretc...
gofundme.com
Donate to Help Gretchen Get Her Hip Surgery, organized by Amanda Miller
For six months, Gretchen survived alone in a drainage ditch in South San Antonio. … Amanda Miller needs your support for Help Gretchen Get Her Hip Surgery
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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 · 05/05/2026
Congratulations!
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Mandy @pacintx.bsky.social · 01/05/2026
To be fair, I don’t remember if it was another med twitter provider who said she shouldn’t be posting that or a member of the public but it felt right to add it to the discussion about the new app.
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Mandy @pacintx.bsky.social · 01/05/2026
I definitely need someone to tell me if I’m allowed to wear a bikini in my personal time. Might be worth the cost.
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Mandy @pacintx.bsky.social · 17/04/2026
I was looking for something to watch the other day and when I saw a thumbnail for their game I said “Ew why are they orange?” They’re supposed to be teal.
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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 · 08/04/2026
I think you should also get to name the trial.
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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
He might take one for you too, only if there are a few rounds of fetch when he recovers.
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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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