Mandy @pacintx.bsky.social · 09/10/2026Retail 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.comSpider-Man Pointing Meme: Hamily SeahamALT: Spider-Man Pointing Meme: Hamily Seaham 110
Mandy @pacintx.bsky.social · 07/10/2026Update. 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. 000
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. 100
Reposted by MandyLiz Highleyman @lizhighleyman.bsky.social · 25/09/2026New 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.comHIV cases in SF fall 8%, resume their downward trendNew 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... 043
Reposted by Mandyfox5dc.bsky.social @fox5dc.bsky.social · 25/09/2026An experimental drug reversed vision loss and paralysis in mice with MS-like symptoms, prompting researchers to explore its potential for human treatment.bit.lyModified HIV drug could reverse vision loss, paralysis from MS, study suggestsAn experimental drug reversed vision loss and paralysis in mice with MS-like symptoms, prompting researchers to explore its potential for human treatment. 011
Mandy @pacintx.bsky.social · 25/09/2026I 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. 000
Mandy @pacintx.bsky.social · 25/09/2026The 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. 001
Mandy @pacintx.bsky.social · 08/09/2026Walter is just zooming over everything but the obstacles we have been working on. 020
Reposted by MandyBK. Titanji @boghuma.bsky.social · 15/06/2026It 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.comAmid confusion over Pfizer's emergency penicillin program, newborn is diagnosed with preventable syphilisCongenital syphilis should be preventable. An Arizona case shows how drug shortages and procedural hurdles are fueling a growing public health crisis. 16947
Reposted by MandyHealthcare-Global @healthcare-global.bsky.social · 16/06/2026www.latimes.com/science/stor...latimes.comWhat COVID is teaching doctors about the relationship between viruses and cancerThe 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. 032
Mandy @pacintx.bsky.social · 14/06/2026I 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. 010
Mandy @pacintx.bsky.social · 12/06/2026Are any of the clinicians on #MedSky unionized? I have questions about it. 010
Mandy @pacintx.bsky.social · 29/05/2026It is Texas so of course we aren’t going to go about things rationally. 010
Mandy @pacintx.bsky.social · 29/05/2026He 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! 110
Mandy @pacintx.bsky.social · 29/05/2026My brother pre-ordered a copy for me. I’m looking forward to reading it. 110
Mandy @pacintx.bsky.social · 29/05/2026It 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. 260
Mandy @pacintx.bsky.social · 28/05/2026I’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. 000
Mandy @pacintx.bsky.social · 27/05/2026So 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. 100
Mandy @pacintx.bsky.social · 27/05/2026Ok, 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? 111
Mandy @pacintx.bsky.social · 21/05/2026She’s such a wonderful dog and deserves a mobile, pain-free life 000
Mandy @pacintx.bsky.social · 21/05/2026www.gofundme.com/f/help-gretc...gofundme.comDonate to Help Gretchen Get Her Hip Surgery, organized by Amanda MillerFor 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 100
Mandy @pacintx.bsky.social · 21/05/2026Last 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 100
Mandy @pacintx.bsky.social · 18/05/2026A 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. 010
Mandy @pacintx.bsky.social · 09/05/2026Apparently the hurdle is much easier when he doesn’t also need to clear the fire pit. 000
Mandy @pacintx.bsky.social · 08/05/2026I 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. 000
Mandy @pacintx.bsky.social · 01/05/2026To 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. 140
Mandy @pacintx.bsky.social · 01/05/2026I definitely need someone to tell me if I’m allowed to wear a bikini in my personal time. Might be worth the cost. 180
Mandy @pacintx.bsky.social · 17/04/2026I 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. 110
Mandy @pacintx.bsky.social · 13/04/2026Ok but hear me out, she shouldn’t have to be door dashing to afford his treatment. We need universal coverage. 000
Mandy @pacintx.bsky.social · 06/04/2026Sir.media.tenor.coma 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 " 000
Mandy @pacintx.bsky.social · 31/03/2026He’s looking a little scraggly with that molting but he’s still so adorable and tiny. 000
Mandy @pacintx.bsky.social · 29/03/2026I 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*** 020
Mandy @pacintx.bsky.social · 29/03/2026I 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. 010
Mandy @pacintx.bsky.social · 29/03/2026I stayed at the Westin at the Denver airport this weekend. They brought back phone booths. We’ve come full circle. 010
Mandy @pacintx.bsky.social · 29/03/2026He might take one for you too, only if there are a few rounds of fetch when he recovers. 010
Mandy @pacintx.bsky.social · 29/03/2026I 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. 110
Mandy @pacintx.bsky.social · 29/03/2026This 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. 020