Danny Leiva, DO FAWM FACEP

Thank you

Battle sign! #EMsky #EMedSky

A natural experiment on the effect of herpes zoster vaccination on dementia - Nature Using a natural experiment that avoids common bias concerns, this study finds that the live-attenuated shingles vaccine reduced the probability of a new dementia diagnosis within a follow-up period of...

Interesting idea, vaccination may have an effect on development of dementia. Another reason to keep up with vaccine promotion

Moyamoya Disease- A Clinical Mimic for Psychiatric Disorders in the Emergency Setting: A Case Report Patient presentations to the emergency department for mental health evaluations are common, with an estimated 1 in 4 adult visits made for this reason…

An interesting case report I published after a couple years of it having been lost including at the publisher 😂 #MedSky #EMSky #NeuroSky

www.sciencedirect.com/science/arti...

@ericmigi.com facebook is reminding me of how excited I am for open source pebble

Patella Alta physical exam finding #EMsky #EMedSky

My series of tubes to help with paracentesis drainage. I was able to get 8L out of this patient with no intervention needed to change out bottles. I hope others are using this time saving trick! Don't worry, a tech was watching it the whole time to monitor for complications
#EMsky #EMedSky

Chylothorax from radical neck dissection. From rare process to bedside drainage. Interesting! #EMsky #EMedSky

pubmed.ncbi.nlm.nih....

Sudden Unexpected Infant Death and Disparities in Infant Mortality in the US, 1999-2022 This cross-sectional study examines temporal trends and disparities in specific causes of infant death in the US from 1999 to 2022.

"Our analysis, which included 2021 and 2022 data, showed a ... generalized increase. Possible explanations ... COVID-19 or other respiratory illnesses, maternal opioid use, and social media’s influence on infant sleeping practices." I hope we can better educate on safer sleep habits #Pedsky #Medsky

Kansas tuberculosis outbreak is now America's largest in recorded history Kansas public health officials say the state's ongoing tuberculosis outbreak is the largest since the CDC started reporting TB cases in the 1950s.

Just wanted to share with the bluesky community in case people haven't seen this yet.
#MedSky #IDsky #InfectiousDisease

#DuelingDragons

Sauna as a means of heat stroke. Interesting, but not entirely unexpected. casereports.bmj.com/content/18/1...

Can you read cursive? It's a superpower the National Archives is looking for. — USA TODAY The National Archives is looking for volunteers with an increasingly rare skill: Reading cursive.

I thought this was an interesting endeavor. Something to do with time downtime:

apple.news/A51AaXZQZTXK...

#LosAngeles #Runyon

The canyon leading to our front door just caught on fire. Why is this not a national emergency? Why can’t we request help from other states. This situation has gotten completely out of hand. #LosAngeles

#LosAngeles on fire. Pray for #LA

Cold-Related Deaths in the US, 1999-2022 This study examines trends in cold-related mortality overall and by demographic characteristics between 1999 and 2022 in the US.

"Cold-Related Deaths in the US"
jamanetwork.com/journals/jam... #WildSky #MedSky

Evolution journal editors resign en masse Board members expressed concerns over high fees, editorial independence, and use of AI in editorial processes.

Elsevier is gross. This type of mistreatment of academia will spread to all subjects if it hasn’t already #MedSky

arstechnica.com/science/2024...

Bucky lounging with the family at the breakfast table. He wants to know why I’m taking photos of him

#dog #dogs #corgi #corgilover #corgis

Caffeine can disrupt your sleep — even when consumed 12 hours before bed A new study has found that a 400 mg caffeine dose disrupts sleep up to 12 hours before bedtime, yet many people fail to notice these disruptions, especially when consumed earlier in the day.

www.psypost.org/caffeine-can...

A personalized pup cup for Bucky! Happy Saturday!

#dog #dogs #corgi #corgilover #corgis

I like doxycycline for many reasons but one of them is its anti-inflammatory effects. I wouldn’t necessarily give a broad recommendation to use it over something more simple that can target the most likely organisms, but just as a talking and #MedSky point

Bucky requesting his morning stomach rubs 👋🏼

#dog #dogs #corgi #corgilover #corgis

The sentence commutations of Conahan, Crundwell, and Carlson are pretty gross. Did this really fly under the radar for everyone? Kids for cash scheme? Municipal fraud? Drug lord of synthetics drugs? Oof

Cluster of Extensively Drug-Resistant Shigella sonnei Carrying blaCTX-M-15 in Los Angeles, California, 2023-2024 We describe 3 cases of extensively drug-resistant (XDR) Shigella sonnei infections among men who have sex with men (MSM) in Los Angeles, CA. Using whole-genome sequencing, we determined that they are highly genetically related, exhibit similar antimicrobial resistomes, and appear to be distinct from other circulating strains. These cases highlight the rapid expansion of XDR Shigella in the U.S. and urgent need for appropriate detection and management.

For my providers in #LosAngeles #LA be on the lookout for resistant shigella. I try to send stool samples on pts coming in with significant diarrhea and have definitely had a good number of salmonella and shigella in the past year. #MedSky #IDSky #EMSky

Sleepy Bucky before he migrates to the floor

#dog #dogs #corgi #corgilover #corgis

Christmas Lights and a beautiful moon from the Grove #LA #LosAngeles

UnitedHealth Is Strategically Limiting Access to Critical Treatment for Kids With Autism Advocates told ProPublica the insurer’s strategy may be violating federal law.

A sad state of affairs to have needed therapy withdrawn because a company with 22 billion in net profits needed a bit more in their pockets #MedSky #PedsSky #Autism #AutismAwareness