Gretchen Arnoczy MD
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gretchengerms.bsky.social
Gretchen Arnoczy MD
@gretchengerms.bsky.social
910 followers 300 following 67 posts
Infectious diseases physician at FirstHealth of the Carolinas. Community ID doc. Medicine geek. Loves cool cases, nice people, and my patients. Here for community and learning.
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I feel personally attacked 😆
Plague is a high-consequence infectious disease with epidemic potential.

The latest video in our partnership with @glaucomflecken.bsky.social summarizes new research evaluating ciprofloxacin versus aminoglycoside–ciprofloxacin for bubonic plague in Madagascar. 👉 nej.md/DrG27
Reposted by Gretchen Arnoczy MD
"Go to an old cemetery. See all the baby graves from before the 1950s & 60s? After that, hardly any. That's when people started vaccinating their children. If you're unsure what to do to protect your kids, the answer is literally written in stone." — Michael Okuda

How quick we forget.
So it’s weird to see the state rejecting everything it ever taught me.9/9
You have to understand how odd it is. The things I learned while living in Florida propelled me into becoming a disease specialist. My formative years there taught me how important all this stuff is. 8/9
Florida is about to become a dangerous place for all those Make-A-Wish kids going to Disney World. 7/9
In the past month, my former home painted over a rainbow crosswalk under cover of darkness. Today the surgeon general of my childhood home declared that vaccine requirements for school were basically slavery. Abandoning all pretense and immunologic protection. Going full pro-disease.6/9
The thing about Florida, is it’s always been weird. It’s a weird place to live. “Florida man” and all that. But we liked it. We were proud of it. The neon flamingos, the alligators in the swimming pools. Mickey Mouse and South Beach, Florida used to be the place for the weird. 5/9
a man is kneeling on top of a large alligator in the grass .
ALT: a man is kneeling on top of a large alligator in the grass .
media.tenor.com
I was in Florida in med school learning from some of the best minds at USF public health when I decided to venture out to try a new state. 4/9
I was 19 that summer I left Florida for a summer internship at the CDC. I was 20 when I started volunteering at the local Northeast Florida AIDS network - helping people living with HIV in Jacksonville in the late 90s. 3/9
I was living there the first time I watched the HBO movie, “And the Band Played On…” I was home sick from high school and became riveted by the depiction of these passionate disease fighters at the CDC.
Bad news for all the Make-A-Wish kids who go to Disney World in between chemo treatments. 😭
We are Through the Looking Glass now. Ladapo is barking mad, and I mean actually deranged. And please stop calling him a skeptic. He’s a full out anti-vaxxer and denialist. This only ends badly not just for Florida, but for the entire country. www.theguardian.com/us-news/2025...
Florida to end vaccine mandates for children as state’s surgeon general likens them to ‘slavery’
Joseph Ladapo, a long-time vaccine skeptic, says that every state vaccine requirement would be repealed
www.theguardian.com
Reposted by Gretchen Arnoczy MD
This 🧵 is long so please bear with me. It is compiles evidence in a historical timeline on how effective #COVIDVaccines are. When a pandemic ends we quickly and easily forget the tools that got us out of it. So here is my labour day gift to you prompted by this headline.
When I ask older patients if they’ve ever been exposed to TB, most say no. If I phrase it, “Have you ever known anyone who had TB?” they tell me stories of people they knew who went to McCain. www.dncr.nc.gov/blog/2024/01...
State Sanatorium (I-47)
Opened in 1908. First state institution in North Carolina for treating tuberculosis. Sponsored by Dr. J. E. Brooks of Greensboro.
www.dncr.nc.gov
ID:
1. Antiretroviral management when the management is “just don’t stop their Biktarvy.”
2. Cavitary lung lesion when the patient is not on isolation and no sputums have been sent because they are “waiting on the Quantiferon Gold”.
3. “Extensive purulence encountered, no cultures sent.”
My daughter: here I have a doctor’s note.
Teacher: this says, “Sorry she’s late, the barista at Starbucks started crying so our drinks took forever.”
My daughter: …
Teacher: …
My daughter: she IS a doct-
Teacher: Go to class.
Thank you for telling the story! Pathology’s win for sure!
Trying not to let the Hospitalist on the phone hear me googling in the background…
Is the best thing about the @wintercourseid.bsky.social week the amazing lectures? Getting to know ID colleagues better? Probably. But this Campfire Hot Cocoa during the break tastes a little like magic…
Reposted by Gretchen Arnoczy MD
Infectious disease doctors watching them mess with public health and USAID
When I find one of those, we usually have a blissful honeymoon period for about two months when everyone is happy at least one night a week. Then someone decides they’re sick of it.
a young boy is sitting in a chair with his mouth open .
Alt: Child at dinner table looking disgusted
media.tenor.com
Skepticism is good. Blindly ignoring decades of data? Not good.
"Given the lack of appropriate guardrails that would normally prevent an anti-vaccine activist, science denialist and conspiracy theorist from heading the country’s most important public health agency, it’s a dangerous time to be a child in the USA."
Read this!
www.nytimes.com/2025/01/13/o...
Opinion | RFK Jr. Is a Vaccine Cynic, Not Skeptic. (Gift Article)
My job is to ask tough questions of vaccine makers. That’s not what he is doing.
www.nytimes.com