Pharmageddon
pharmageddon.bsky.social
Pharmageddon
@pharmageddon.bsky.social
Making games to teach & learn antibiotics, microbiology, and (soon) infectious disease epidemiology! Also sharing any good ID memes and infographics I find in the process...

https://labbeaglegames.com/
Pinned
The Epipocalypse is here!

Learn infectious diseases while playing cards. Epipocalypse: Bug Detectives teaches symptoms, transmission, reservoirs, geography, & more for over 150+ different infections.

#IDSky #MedSky #EpiSky

www.kickstarter.com/projects/pha...
Epipocalypse: Bug Detectives, A Medical Card Game
Learn infectious diseases by playing cards. Symptoms, transmission, reservoirs, and more!
www.kickstarter.com
Reposted by Pharmageddon
Advantages with HD. Check out this week’s KASIC pearl to learn about Hemodialysis-only Antibiotic Dosing kymdro.org/kasic/?p=8784

#IDsky #AntimicrobialResistance #antimicrobialstewardship #rxsky #pharmacy #FOAMed #NPs #PAs
January 17, 2026 at 3:26 PM
Reposted by Pharmageddon
nothing will betray you faster than the front shirt pocket of hospital scrubs

one lean forward and your pens and dignity end up on the floor
January 17, 2026 at 10:36 PM
Reposted by Pharmageddon
I started reading up on the whole "loneliness pandemic" narrative because this seems like a literature where the age-period-cohort problem may be relevant (or maybe it isn't?).

Here's data from Australia (HILDA), average agreement with the statement "I often feel very lonely" (SD of ca. 1.8).>
January 15, 2026 at 1:24 PM
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🌟 ABX Pearl of the Day:

❓Q: Candida in the urine? Should you treat?

✅ A: Usually not. Candiduria almost always reflects colonization, not infx. It should prompt elimination of risk factors- e.g., d/c indwelling catheters rather than antifungal tx🚫

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
January 15, 2026 at 3:40 PM
Reposted by Pharmageddon
Everything is a zoonosis! Drawing/listing challenge
#28- Gorilla

Considering how closely related we are to 🦍, the main issue is how do we keep them safe from all the ifx we humans can transmit to them.
Good review at PMID:39816808
#IDSky

p.s. C’est dur de se remettre a dessiner, a mon age… ASE
January 15, 2026 at 11:26 PM
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Everything is a zoonosis! Drawing/listing challenge
#27- Fox

I associate 🦊 w the countryside and The Little Prince… but no, turns out they are also urban creatures.

A case linked leptospirosis in a gardener in London bit by a fox cub. @gpollara.bsky.social is this a thing over there? 😅

#IDSky
January 13, 2026 at 11:30 PM
Reposted by Pharmageddon
Yeah yeah we all know what to do with Penicillin Allergy BUT: what about cephalosporin allergy? Bet you don’t know what to do about that!

Well this week’s episode can help! Listen below, or on your podcast app…

#IDsky #Microsky #infection #allergy

podcasts.apple.com/gb/podcast/i...
129. Penicillin allergy 3: CEPH FAST
Podcast Episode · ID:IOTS - Infectious Disease Insight Of Two Specialists · 12/01/2026 · 56m
podcasts.apple.com
January 12, 2026 at 1:01 PM
Fun (and educational?!) little game about cerebral vascular anatomy and stroke presentations by @mettermd.bsky.social and inspired by @befast.bsky.social. 🤩 I'm jealous!

The Circle of Thrillis!

micahetter.me/CircleOfThri...
Circle of Thrillis: Clot Busters
micahetter.me
January 9, 2026 at 4:58 AM
Reposted by Pharmageddon
🌟 ABX Pearl of the Day:

❓Q: My patient has isolated yeast (NOT Cryptococcus) from a respiratory culture. Do I need to treat this?

✅ A: In the vast majority of cases… NO.

#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
January 8, 2026 at 3:21 PM
Reposted by Pharmageddon
Read it here!
January 7, 2026 at 8:21 PM
Reposted by Pharmageddon
Everything is a zoonosis! Drawing/listing challenge.
#26 - Geckos

Salmonella, as expected 😅

I wonder if these outbreak investigations are ongoing given things at CDC? 🤔

www.cdc.gov/salmonella/o...

#IDSky #VetSky
January 7, 2026 at 11:56 PM
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Azithromycin: once a pharmacologic breakthrough, now a textbook case of overuse.
Part 2 explores resistance, muddled diagnoses, and the cases where it's still arguably the drug of choice. #IDSky #Medsky

blogs.nejm.org/hiv-id-obser...
How the Z-Pak Took Over Outpatient Medicine, Part 2: The Reckoning
Share Tweet Pin Mail SMS Part 1 of this azithromycin series explained how the drug became ubiquitous. In Part 2, we’ll explore why many ...
blogs.nejm.org
January 6, 2026 at 8:09 PM
Reposted by Pharmageddon
I don't think it's true (or helpful) to say that Denmark recommends fewer vaccines because their healthcare system can treat the diseases better.

The trend is for countries to move to universal recommendations over time. Some countries do it much earlier than others.
Here it is compared across countries instead, with rotavirus as an example:

Denmark is one of very few western countries that doesn't recommend rotavirus vaccines universally (yet?)
January 6, 2026 at 8:03 PM
Reposted by Pharmageddon
Ok 2026. I am going to do draft illustrations for my vector borne illnesses from cats alphabet.

Whatever medium is available and fine if they suck.

Also any ideas for J are GREATLY appreciated
January 5, 2026 at 3:55 AM
Reposted by Pharmageddon
Icy weather is hitting here this week ❄️ If you've ever wondered why snowflakes are six-sided, why ice floats on water, and what ice cores can tell us about the past climate, then check out this edition of #PeriodicGraphics in @cenmag.bsky.social: cen.acs.org/environment/...

#ChemSky 🧪
January 5, 2026 at 12:35 PM
Reposted by Pharmageddon
Doctordle #169
🏥 🟩 ⬛ ⬛ ⬛ ⬛ ⬛

doctordle.org
Doctordle
Test your medical knowledge with daily clinical scenarios.
doctordle.org
January 1, 2026 at 6:49 AM
Reposted by Pharmageddon
Battling a post-NYE hangover? Here’s what we know about the biochemistry of alcohol’s effects on the body: www.compoundchem.com/2016/01/01/h...

#ChemSky 🧪
January 1, 2026 at 1:30 PM
Reposted by Pharmageddon
Before you take out your new years recycling be aware Velveeta boxes are excellent Magic the Gathering storage containers.
January 1, 2026 at 7:40 PM
Reposted by Pharmageddon
How did a five-day antibiotic course become a cultural phenomenon?

A brief (ha ha, ID docs can't be brief) but riveting history of how the Z-Pak took over outpatient antibiotic prescribing.

Part 2 (the problems) coming soon. #IDSky #Medsky blogs.nejm.org/hiv-id-obser...
How the Z-Pak Took Over Outpatient Medicine
Chances are, across this great land of ours, right at this very moment, someone is coughing, or sneezing, or struggling with a sore throat, or some combination of the above, and taking the antibiotic ...
blogs.nejm.org
December 29, 2025 at 10:35 PM
Reposted by Pharmageddon
🎖️📄Top infectious disease journal articles from 2025 is out! May be good for a quick review to see if you missed anything or if you need to pick a journal club article. #pharmacist #infectiousdiseases #pharmacyschool #FYP #IDstewardship @absteward.bsky.social

www.idstewardship.com/year-in-revi...
December 29, 2025 at 5:25 PM
Reposted by Pharmageddon
New post!

There was a lot of innovation in medicine and biomedical research this year, and I've tried to summarize the biggest ones in this blogpost.

Medical breakthroughs in 2025. Plus a serious note at the end.
www.scientificdiscovery.dev/p/medical-br...
Medical breakthroughs in 2025
... and a happy new year.
www.scientificdiscovery.dev
December 28, 2025 at 6:37 PM
Got some holiday free time? 🎄

Checkout Frontline's various free ID-themed small games. 🧩

Includes "Contagion Crossword," "Infectious Connections (matching game)," "Microbial Pursuit (trivia)," & "Microbe ID (emoji puzzle)."

#IDSky #MedSky

firstline.org/games/
Firstline
Localized Clinical Decisions Platform for ID and Antimicrobial Stewardship
firstline.org
December 27, 2025 at 9:26 PM
Reposted by Pharmageddon
I made Choose Your 2026 Vibe cookies for my running group: hearts, brains and bacteria
(they think I'm a nerd) (not wrong) (these are the leftovers)
December 27, 2025 at 5:43 PM
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Everything is a zoonosis! Drawing/listing challenge.
#25 - Goat

Remember rabid sheep? Time for rabid goat! (and a whole lot more stuff!)

www.cfsph.iastate.edu/Assets/zoono...

#IDSky #VetSky
December 26, 2025 at 11:22 PM
Reposted by Pharmageddon
The hepatitis B vaccine is amazing.

It was the first viral protein subunit vaccine, the first recombinant vaccine, AND the first vaccine to prevent a type of cancer.

That's right: we've had a cancer vaccine for over 40 years.

Our new three-hour episode of Hard Drugs is all about it:
The first cancer vaccine
open.spotify.com
December 22, 2025 at 5:13 PM