I’ve often written about the low salary of infectious disease (ID) physicians as compared to other medical specialities. Much of this is due to ours being a cognitive field where we think more than we do and to the payment incentive plan being designed to reward volume and procedures more so than medical decision thinking. […]
How I Re-certified for the ID Boards
Unlike my experience preparing for the Internal Medicine re-certification exam, I quite enjoyed refreshing my knowledge of infectious disease for the re-certification examination for the Infectious Disease Subspecialty of the American Board of Internal Medicine (here-forth known as the ID Boards). That is not surprising because I love this field. For the past ten years […]
Acute Kidney Injury with Concomitant Vancomycin & Pip/Tazo (Vancosyn, Vanczosyn, Vosyn)
Recently, a nephrologist I work with chased me down to ask my opinion of the new and interesting study that concludes concomitant vancomycin and piperacillin-tazobactam (hereforth to be called vancosyn) was more nephrotoxic than concomitant vancomycin and cefepime (vancopime). “Yes, indeed, I have heard the data but which study are you calling new?” I wondered. […]
Coding Sepsis
September is sepsis awareness month and I want to discuss coding sepsis. First I will introduce the concept of medical coding and the definition of sepsis. Skip to half way down for specific coding sepsis examples. What is Medical Coding? Medical coding is the transformation of diagnoses and procedures into a set of universal alphanumeric […]
Historic United Nations General Assembly Meeting on Antimicrobial Resistance
Today at the United Nations General Assembly Meeting, all 193 member countries are set to agree to combat antimicrobial resistance, “the biggest threat to modern medicine”. I couldn’t be happier. Antimicrobial resistance has been well-known to scientists since the first antibiotic, penicillin, was created. But it has only been in the last few years that […]
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