Miranda So PharmD MPH (Epidemiology)

Thanks for sharing this case report!

Antimicrobial stewardship during extracorporeal membrane oxygenation: challenges and new perspectives Extracorporeal membrane oxygenation (ECMO) has emerged as a crucial modality in managing severe cardiac and respiratory failure; however, nosocomial infections and complex antimicrobial prescribing ch...

Important review of stewardship in ECMO

#IDSky

🔑 points:
-ID should be part of multi-disciplinary team
-More interventions not associated with 👍 outcomes
-Lots of gaps in 📚

Thanks to @mirandapharmdmph.bsky.social and team for writing!

www.clinicalmicrobiologyandinfection.org/article/S119...

Yesterday’s run 🏃🏻‍♀️ before the major storm kicks in today. ❄️❄️❄️

50 Years Ago, He Was an Olympian. At 80, He’s Just as Happy to Finish Last.

www.nytimes.com/2026/01/02/w...

Fantastic story. 🏃🏻‍♀️

What Use Is the Physical Examination in Current Medical Practice? Share Tweet Pin Mail SMS A very interesting, quite scholarly perspective appeared in the NEJM last month called, “Strategies to Reinvigorate the Bedside Clinical ...

Thoroughly enjoyed this by @paulsaxmd.bsky.social in @nejm.org
blogs.nejm.org/hiv-id-obser...
My in-laws often complain about the lack of physical exam by their MDs as an inadequacy.
Yet my 1st year nursing student daughter is learning to use the stethoscope and sphyngomanometer in her skills lab.

Marathon Running Does Not Appear to Damage Heart Ten-year follow-up of male marathoners showed no long-term negative effects on heart health.

www.medscape.com/viewarticle/...

As a runner 🏃🏻, this seems like good news but will have to read the paper itself to understand more.

First proper ❄️ winter run this season. Very refreshing 10km.

📢 Registration for #ISHLT2026 is NOW OPEN! Join your global, multidisciplinary colleagues in Toronto.
✨ New this year: you can book your hotel at exclusive room rates while registering. ➡️ Register by 4 February 📅 to qualify for the early registration fee: 🔗 bit.ly/4aFzxTd

#TransplantSky #MedSky

Could you outrun the train? Finch LRT takes 55 minutes to cover 10.3-km route | CBC News Northwest Toronto's newly-opened light-rail transit (LRT) line is getting its first taste of rush hour Monday — but it doesn't appear to be rushing.

Yes, yes I can outrun the LRT 🏃🏻‍♀️and I’m a slow runner! 😂

www.cbc.ca/news/canada/...

Lost for 5 months in the Northern Rockies, this cat is heading home to Oklahoma for Christmas | CBC News After five months lost in northeastern B.C, a beloved family cat is heading home for the holidays. Since July, Shadow the cat has been surviving in the wilderness of the Northern Rockies.

www.cbc.ca/news/canada/...

What a lovely story. 👏👏👏

Blackpool report: why do England’s deprived areas have the most troubled hospitals? Clinicians in deprived areas are overwhelmed by generational ill health and poverty

At a few recent talks, I showed the overlapping distribution between level of deprivation and density of #antibiotics use using the example of England (and others from HIC).

A targeted approach is needed to better support clinicians in #antimicrobialstewardship

www.theguardian.com/society/2025...

Three university students debating loudly in the quiet zone of the train about when to use t-test, one-way ANOVA and two-way ANOVA. Trying to memorize the rules before their exam.
Fond memories for me from undergrad stats course. 🥸 TBH I didn’t understand those concepts till much later!
#biostats

Any Canadian who asks for HIV prevention drugs should get them, doctors say | CBC Radio For the first time since 2017, Canadian doctors have released updated clinical guidelines for antiretroviral medications used to prevent HIV.

www.cbc.ca/radio/asitha...

Antibiotic resistance: how a pioneering trial is using old drugs to save babies from sepsis The infection is responsible for 800,000 newborn deaths each year, but clinics in eight countries are working together to find new treatments

www.theguardian.com/global-devel...

#AntibioticResistance

📣 New #Communicable drops Mon 20 Oct!
@angelahuttner.bsky.social & @erinmccreary.bsky.social welcome Barbara Trautner @bwtrautner.bsky.social & Valéry Lavergne, the co-chairs of the first IDSA guidelines for complicated UTIs, to discuss this important milestone!

#IDSky #UTIsky #MedSky #clinmicro

Running on empty: why are so many marathon runners so miserable? One in four endurance runners displays ‘worryingly high’ levels of anxiety and depression, according to a study led by a man who has himself run more than 400 marathons. Isn’t exercise supposed to mak...

www.theguardian.com/lifeandstyle...

I’ve only ever done half marathons. While they were not necessarily “fun” in the physical sense, they were fun in the “look what I’ve accomplished!” 🙌sense. I aim to improve my PB each time but enjoying the journey is much more important! 🏃🏻‍♀️🏃🏻‍♀️🏃🏻‍♀️

‘He loves splashing around’: UK pools host doggy dips for pets and owners Gourock outdoor pool in Inverclyde drops its humans-only policy on last day of the swim season – part of a trend at lidos around the country

This brings me joy! 🐕🦮🐕‍🦺🏊‍♀️🏊‍♂️🏊

www.theguardian.com/lifeandstyle...

@ichejournal.bsky.social is the journal’s website down by any chance ? I have not been able to get on it today to read these excellent papers.
Thank you. 🙏

Info sheet: "Antimicrobial resistance occurs when germs evade drug treatments." Risk factors include antibiotics, catheters, hospitalization, weakened immunity, age, and chronic conditions. Reduce resistance by avoiding overuse, washing hands, and getting vaccinated.

Antimicrobial resistance is the ability of germs to evade the treatment effects of antimicrobial drugs.

This JAMA Patient Page describes antimicrobial resistance, its risk factors, and how to decrease the spread of antibiotic resistance.

ja.ma/46ieWAE

Excellent pro-con debate on selective digestive tract decomtaination (SDD)

www.cmi-comms.org/article/S295...
@cmicomms.bsky.social

v1.108 is rolling out today 🚚

Now live, at long last: Bookmarks, aka Saved Posts. For all those posts you'll definitely plan to come back to!

Update the app and give it a try. The button is right down there 👇

#TheMoment Mark Carney surprised a volunteer at an Ontario race Agnes Jung tells The National about the moment she ran alongside Prime Minister Mark Carney when he appeared at the Haliburton Forest Trail Race in Ontario.

www.cbc.ca/player/play/...

As a runner 🏃🏻‍♀️ I love this story so much! May be I will sign up for next year !!
🇨🇦

The Millionaire Who Left Wall Street to Become a Paramedic

A remarkable and moving human interest story.

The Millionaire Who Left Wall Street to Become a Paramedic www.nytimes.com/2025/09/02/n...

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📌 always appreciate the analyses and recommendations from ECIL! 👏

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