iiinova — where your digital self keeps evolving

Reposted by Patrick Crowley

Joseph Marcus @josephmarcusid.medsky.social · 20/09/2026

For those attending #IDWeek2026, you are invited to an #IDSky Social Media Meet-Up ⏰ Oct 22 8 PM-10:30 PM Place: Marriott Marquis Lobby Bar

IDWeek Social Media Meet-Up
October 22 from 8-10 PM ad the Lobby Bar of the Marriott Marquis

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Reposted by Patrick Crowley

taylr @taylordahlin.com · 19/09/2026

if you’re the white woman who was picking up a bat in downtown minneapolis on hennepin ave between washington & 3rd on 9/15 at noon, the minnesota department of health would like to talk to you because that shit was RABID! i would also like to talk to you because girl, wtf

mi
DEPARTMENT OF HEALTH
protecting, maintaining and improving the health of il Minesotans
RABID BAT FOUND ON SIDEWALK
On Tuesday, September 15 at about 12pm, a bat was found on the sidewalk on Hennepin Ave between N. Washington Ave and N 3°St.
The bat died and was sent for rabies testing. This bat tested positive for
rabies.
A woman was seen crouching by the bat and putting it into a bag. She was described as a 25-to-30-year-old white woman, about 5'5", with curly brown hair and a curly-haired golden retriever-like dog. If this was you, please call 911 and ask to be connected to Animal Care & Control.
Bites from bats are tiny, may be painless, and may not leave a mark. An person who had physical contact or touched this bat should talk with health care provider this weekend for assessment. During the week, Minnesota Department of Health can also provide rabies assessments at 651-201-5414.
If vou did not touch or have any contact with the bat, you have no risk of rabies and do not need shots.

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Patrick Crowley @pcrowleydo.bsky.social · 19/09/2026

Good news, everyone. I finally finished making a statue out of pinecones, just like you asked

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Reposted by Patrick Crowley

Ben Ereshefsky, PharmD @brainofbpharm.bsky.social · 17/09/2026

I find it increasingly annoying when I hear “we need pseudomonas coverage b/c patient is immunocompromised from diabetes” regardless of infection or DM severity!

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Patrick Crowley @pcrowleydo.bsky.social · 16/09/2026

My brother is Seattle said he fully funded the alternative public radio station during the pandemic, and they said “thanks! But you know we won’t ever play any of your music on the station, right?”

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

Unfortunately no. There were no linked diagnoses as these are not needed in hospice, so hard to track. Even harder to confirm, without UA, lab work, or imaging! My understanding is a lot will be for fever and/or acutely declining mental status. Truly a stewardship challenge

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

Absolutely. I think there’s definitely a role in some cases (cellulitis in a patient expected to live another 3 months comes to mind) but the more I looked into practice, the more it looked like most were “just in case” with the assumption there could be few/no side effects!

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

What does this mean? Are antibiotics killing people? Probably not. But something changes that triggers the prescription, and I suspect it’s often advancement of the dying process

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

Using a Landmark Analysis and time-dependent cox analysis to control for Immortality bias, we showed a new antibiotic prescription in hospice was associated with shorter time left alive

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

You can’t (or shouldn’t) enroll patients who are in hospice into a trial. Also not a great population for extensive surveys. But we can look at indirect effects - in this case time to death

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Patrick Crowley @pcrowleydo.bsky.social · 14/09/2026

Super excited for our research to get published. 20-50% of patients enrolled in hospice will get an antibiotic, and we have little understanding of the effects of these #IDSky #MedSky

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Patrick Crowley @pcrowleydo.bsky.social · 12/09/2026

Aww, man. I was hoping UT would win this one

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Patrick Crowley @pcrowleydo.bsky.social · 03/09/2026

Tell her how she can break the ice and win friends with a Jiminy Glick impression. Show her an example

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Patrick Crowley @pcrowleydo.bsky.social · 01/09/2026

One article forthcoming, another in submission, so MAY actually meet one of these goals…

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Oversized jar of Sweet Marty’s Cookies, oversized frozen lemonade and back on the shuttle!

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Toddler got to play on the play gyms

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Got to see a parade. And because of where we were trying to go, we got to see it 3 times. The kids were happy

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

And the crop art was worth the wait

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

TotBoss. Elite tots. Lived up to the hype

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

The trick to coming with a group is some people can peel off to get food

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Now in line for the Crop Art. Hour and a half wait so it will be lunch time for these kids

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Got to see Princess Kay of the Milky Way posing for her butter sculpture

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Beer soft serve! Surprisingly fruity

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

Shuttle was 1/2 mile walk from our house - sidewalk the whole way. We have a massive 2 seat stroller that we didn’t have to break down to get under the bus

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Patrick Crowley @pcrowleydo.bsky.social · 29/08/2026

I saw a teen riding an e-bike 30 mph up hill without pedaling once and - no. Not on the sidewalk.This should be illegal

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Patrick Crowley @pcrowleydo.bsky.social · 28/08/2026

if we’re thinking of the same guy, I think I scrubbed in for a C-section with him. He spends half the year doing Doctors Without Borders so he told me about going through a Syrian city as soldiers cleared ISIS out. Like, 2 blocks behind the advancing line of attack giving med aid

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Patrick Crowley @pcrowleydo.bsky.social · 24/08/2026

Doing my part to heal US/Canada relations by getting them to play Bruce Cockburn on the radio

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Reposted by Patrick Crowley

Philipp Markolin @philippmarkolin.eurosky.social · 14/08/2026

The lab leak theory is not a strict scientific theory, but mostly a narrative of different allegations Rand Paul is not only falsely accusing Fauci of creating SARS-CoV-2, he is endorsing a very stupid version of the origin theory that has incredibly strong evidence against it. Let me illustrate:

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Patrick Crowley @pcrowleydo.bsky.social · 16/08/2026

Got 6 Christmas specials recorded on that thing

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Patrick Crowley @pcrowleydo.bsky.social · 14/08/2026

WW2 soldiers returning home, but in the US and the Kaiju is housing affordability and geriatric poverty

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Patrick Crowley @pcrowleydo.bsky.social · 12/08/2026

This is such small potatoes when you consider the reaction involved masked federal agents gunning down people in the street

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Reposted by Patrick Crowley

😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 11/08/2026

when we were kids we never wore “safety gear” or worried about broken bones and we were fine. except for tim neely. tim jumped out of a treehouse and landed on his neck. i know he survived because there wasn’t a funeral but i don’t think his parents ever let him outside again. man i forgot about tim

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Patrick Crowley @pcrowleydo.bsky.social · 07/08/2026

Shout out to the GenZer at @startribune.com who set this layout 👀

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

I like that. One of our attendings at the VA would ask if we “have stock in these drugs?” when we suggested it multiple times on rounds

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Reposted by Patrick Crowley

bugsdrugs.bsky.social @bugsdrugs.bsky.social · 05/08/2026

I used to tell them, unless you have stock in the prebiotic company, some yoghurt or kefyr will likely be as beneficial

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

Would love to hear others’ approach though. I’m sure I’m not the only one on #IDSky who has these conversations!

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

Ultimately, it’s their money. I respect that patients are just looking for something that will help with the very real side effects of the antibiotics. But I hope they don’t break the bank on ‘em

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

So instead, I usually recommend food as medicine - fermented food, prebiotics - kombucha, Kimchi, sauerkraut, yogurt, kefir. These may help the good bacteria rebuild, but they are definitely way cheaper and people like eating them

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

If pharma could prove the benefits of probiotics, I guarantee these two would be sold for a lot more conditions!

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

Second, if they did do what they say, they would probably be WAY more expensive Vowst and Rebyota are honest-to-god gut bacterial replacements used for recurrent C diff. They are between $5000-$10,000

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

First, they often don’t have the bacteria they say, and if they do it is not in the numbers they say. And them being shelf stable is mostly a guess. As anyone who has worked in a micro lab can tell you, hard to propagate bacteria

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

Usually I start by telling people I am skeptical of probiotics in general for 2 reasons

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Patrick Crowley @pcrowleydo.bsky.social · 05/08/2026

One of the most common questions I get asked is whether to take a probiotic with an antibiotic. #IDSky #MedSky🧵

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Patrick Crowley @pcrowleydo.bsky.social · 04/08/2026

This made a lot more sense to me when I realized the only Christians (tm) he talks to think we need to support Israel to start help start the apocalypse

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