Patrick Crowley

Patrick Crowley

@pcrowleydo.bsky.social

ID doc in MN. TexPat. All people deserve access to quality healthcare. MN Med PAC board #IDSky

471 followers356 following378 posts

Fun fact, this is the 4th IDWeek in the last 6 years the same week as a wedding I’m invited to. I actually managed to figure out my brothers wedding date before he did because I saw these dates leaked

Joseph Marcus@josephmarcusid.medsky.social

An announcement at beginning of #IDWeek2026, IDWeek2027 will be in Boston from October 6-9, 2027

Patrick Crowley reposted

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

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

Clinical Infectious Diseases@cidjournal.bsky.social

Relationship between Antibiotic Prescription and Survival in Hospice ✅ Just Accepted ⭐ Editor's Choice ✍️ @pcrowleydo.bsky.social 🔗 https://bit.ly/4A7n7Ox

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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

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

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

Clinical Infectious Diseases@cidjournal.bsky.social

Relationship between Antibiotic Prescription and Survival in Hospice ✅ Just Accepted ⭐ Editor's Choice ✍️ @pcrowleydo.bsky.social 🔗 https://bit.ly/4A7n7Ox

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 reposted

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:

Patrick Crowley reposted

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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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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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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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

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

Asking my cousin who’s a Flood Denier how to build a boat: Cousin: Grandpa Noah did it all wrong Me: okay, How would you start? C: never should of had all those animals on it Me: … C: shouldn’t use wood

Aaron Rupar@atrupar.com

BASH: How do you prepare for next pandemic? RFK Jr: We did almost everything wrong B: But what about now? K: We need to protect our rights B: ? K: During covid we dismantled our rights B: But I'm asking what *to* do K: You were part of the problem B: You want to sit here and attack me?

Patrick Crowley reposted

The headlines are still covering the cyclosporiasis outbreak from lettuce, but let's talk about a different summer, long ago. The headlines in Bavaria would have called it "summer diarrhea" & it was killing babies. Enter our hero, Professor Theodor Escherich of the Julius Hospital, Würzburg.

Patrick Crowley reposted

ID physician Anthony Fauci, MD, FIDSA has led with courage, scientific integrity and an unwavering commitment to improving public health. These qualities inspired IDSA to establish the Anthony Fauci Courage in Leadership Award. We thank him for his service to patients, science & the ID community.

Surprised they were able to prosecute all the PPP loan frauds and exploitative wellness grifters harming the US public during the COVID pandemic, but I guess they must have, if there’s nothing better to do than grill Dr. Fauci

Also, if the viral load is <20 for the past 5 years, whatever syndrome the patient has is probably not the HIV

Joseph Cherabie MD MSc (They/He)@jncherabiemd.bsky.social

HIV Clinic Tip: you will be asked frequently if the "HIV med" is causing a plethora of lab findings or symptoms. HIV medications are generally well tolerated for treatment and prevention. Do a workup for other causes, and then, if nothing else, consult ID docs and we can look into it.