This is a what I’d call a funny tale about how you never know how things are going to circle back:
(Long thread warning, but I think it's worth it)
1/?
For my own safety I eventually ran away from her to live with my dad. I left behind my dog (who was also 12), and my three cats (Rocky 8, Jewel 10, and Scamper 12 years old). 3/?
My dad, being an electrician, would come home from work after particularly hard days and jokingly say, "Just don't work in electrical Bernie." 4/?
5/?
On our first interaction, he very slowly approached my desk and started a conversation.
7/?
"Okay Bill" I reply.
"Tell me, if you went fishing, got drunk, woke up in the morning without any memories and your ass hurt, would you tell anyone?"
"No Bill, I don't think I-"
"GREAT! Want to go fishing?!" He blurted excitedly. 8/?
To paraphrase the person on the phone informed me he was my brother, and that our mother died.
For lack of a better way to put it, this was a (half) brother I didn't know I had. 11/?
I made arrangements not only for taking time off work to grieve and process this event, but also to use some summer vacation in a month's time when my new older siblings came down to spend time with them. 13/?
14/?
For instance, my first interaction with my brother was when picking him up at the airport. 15/?
At the exact same time my brother and I said:
"The top goes up" and "Hold it upright".
If I'm honest, I'm not even sure which of us said which.
16/?
Cat food? 18/?
19/?
At the back of one of these photo albums was an obituary for one "Elmer Vance".
23/?
In the "survived by" section, it listed Arthur as Elmer's son. This was my great grandfather, my mother's grandfather.
24/?
Huh. 25/?
The front door opens, and in walks Mr. Bill Adams. He hobbles along slowly, taking at least one full minute to walk to my desk where most do it in 10-15 seconds.
"Bill," I start.
26/?
Perplexed, he looks at me, "Yes..."
"Was her father's name Elmer?"
"Yes. What's going on?" He inquires.
Ignoring his question, I continue: "Did she have a brother named Arthur?"
27/?
More from For later read
#IDTwitter #IDFellows
Introducing our new series: “IDFN top 10 articles every fellow should read”🔖
#1: SAB management
by @mmcclean1 @LeMiguelChavez
Reviewers @KaBourgi, @IgeGeorgeMD, @Courtcita, @MDdreamchaser
We know is subjective & expect feedback/future improvements 👇
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Introducing our new series: “IDFN top 10 articles every fellow should read”🔖
#1: SAB management
by @mmcclean1 @LeMiguelChavez
Reviewers @KaBourgi, @IgeGeorgeMD, @Courtcita, @MDdreamchaser
We know is subjective & expect feedback/future improvements 👇
1. Clinical management of Staphylococcus aureus bacteremia: a review.
https://t.co/9tBCtp9mlP
👉 A must read written by Holland et al. where they review the evidence of the management of SAB.
2. Impact of Infectious Disease Consultation on Quality of Care, Mortality, and Length of Stay in Staphylococcus aureus Bacteremia: Results From a Large Multicenter Cohort Study.
https://t.co/XujO68pCuH
👉ID consult associated with reduced inpatient mortality.
3. Predicting Risk of Endocarditis Using a Clinical Tool (PREDICT): Scoring System to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia
https://t.co/otcA1pxjAw
👉Predictive risk factors for infective endocarditis, and thus the need for TEE.
4. The Cefazolin Inoculum Effect Is Associated With Increased Mortality in Methicillin-Susceptible Staphylococcus aureus Bacteremia.
https://t.co/CQZiryVWZz
👉Presence of cefazolin inoculum effect in the infecting isolate was associated with an increase 30-day mortality.