Try to avoid vancomycin/pip-tazo

If we are worried about anaerobes, pseudomonas and MRSA then we might legitimately use the VPT combination – although some would just add anaerobic coverage to VC.

#5goodminutes Type IV RTA

I hope this short explanation helps you understand type IV RTA and also understand why nephrologists and cardiologists.

The daily clinical post #KashlakChief

I would love suggestions of what should go into the daily tweet.  Please hold me accountable.

My suggested New Year’s resolution for physicians and patients

This should come as no surprise to regular readers.  I admit to an exercise obsession.  Each day I make plans to do something.

My descent into guideline fatigue syndrome (GFS)

My former resident and present colleague, Terry Shaneyfelt first authored Are Guidelines Following Guidelines?

More on sepsis

This story is a diagnostic nightmare.  We have code sepsis that leads to automatic blood draws (for lactate) and emergency decision making. 

The IDSA takes an admirable position in not endorsing the new Sepsis Guidelines

I believe that injudicious antibiotic use in the ICU represents the greatest danger for antibiotic resistance. 

Ward attending notes to my younger self

Hopefully, these notes to myself will help some newly minted ward attendings.  The job is quite difficult and multifaceted.

The Emperor of Performance has no clothes

Fortunately, physicians and researchers are finally focusing on this problem. Unfortunately, it is not clear that the Emperors are listening. 

On setting achievable goals for behavior change

I know that this approach works.  I hope that some readers will read this and start on their own behavior changing journey.