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Hayley Sharma, MD

@multilingualmd

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Welcome!¡Bienvenidos!Bem-vindos!🎉
👩🏻‍⚕️Med-Peds Infectious Diseases fellow🦠
🗣A 🇮🇳🇩🇪 doc who 🗣 🇺🇸🇧🇷🇪🇸🇮🇹+
👩🏻‍🏫 @medicalenglishforyou
📸 Views mine

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•Typo: *Me, Dr. Hayley*
So glad to have met so many of you recently! Because of that, I think it’s time for a little re-intro. Hi, I’m Dr. Hayley Sharma, a Med-Peds ID doc holding it down in the Midwest who loves to teach, loves to learn languages, and loves to enjoy life (generally with passport in hand 😉). I’ve had this account since I started med school so it’s fun to look back at my journey up until now. Let me know what questions you have for me & I hope you stick around! ❤️ #medpeds #infectiousdiseases #infectologia by @multilingualmd

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a month ago

Alright folks this is a big one. MICs. You know, the numbers on a susceptibility panel you usually tend to gloss over because what’s most important is the shiny green “S” next to it. Well, in this post, I’m going to teach you what they mean. Now, this is just scratching the surface, but for the generalist, this is what I’d love for you to know ❤️ #medpeds #infectiousdiseases #infectologia #pharmacy #MedEd by @multilingualmd

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2 months ago

🚨IMPORTANT🚨
Resistance does not correlate with how destructive a bacteria can be in your body. Take syphilis for an example: If untreated, it can cause blindness, neurologic changes, death, etc and yet the #1 drug to treat it is … penicillin. Compare that with the nastiest, most resistant bacteria you can think of growing in the urine of an asymptomatic non-pregnant individual— are we treating that? No. It’s not causing problems. So resistance ≠ how “powerful” a bacteria is in your body. And understanding this will help you be a better steward of antibiotics and take better care of your patients! #medpeds #infectiousdiseases #infectologia #ICU by @multilingualmd

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2 months ago

It’s that time of year! I remember when I was interviewing it was hard to get great advice on how to navigate this process… so I had to learn in the moment.

So here you go! For all the students out there this is for you.

What interview advice does the practice shift community have?? by @multilingualmd

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7 hours ago

*Reposted same day: The 1st version I was worried came in a little hot 😅*

Nothing but facts
🫳
🎤
But yes.
🔴”Chronic osteomyelitis in a stage IV ulcer” is a common consult request we get. But if there’s no plan for a flap or resolution of the wound, that bone, which is open to air, will just continue to get bacteria on it. All my antibiotics are going to do will be to make the patient have more resistant bacteria in the future.
🔵That infected CVL? Yep, there’s the launching point for bacteria to go elsewhere (I.e. heart, bones, brain, etc!). Can’t clear your Cx? Well…I think I know what may help. [I see you, ICU, in your super unstable patients. New temp caths are okay if you need central access!]
🔴We all know this by now. And yes, I call it the COPD special. Stop giving my kiddos steroids & a Z-pack! A Z-pack isn’t even the 1st line tx if you’re worried about pneumonia.
🔵 Certain bacteria cause certain infections. Where is the fever coming from? Obviously if someone’s in septic shock, absolutely. Broad-spectrum until we know more. But that fever in a ward patient on a whiff of O2 just admitted with signs of pneumonia? Nuh-uh. Focused is best when able.
🔴Many tests in infectious diseases are serology (antibody)-based. Bartonella, Lyme, Coxiella, EBV, etc. (I know those have antigen-based testing too, but generally you start with serologies in an immunocompetent pt depending on the case). So if they come back slightly elevated, what are you going to do if the patient has no risk factors and their symptoms don’t match? Don’t order a test if you don’t know what to do with the result and take an exposure history (and call your ID docs ❤️) prior to ordering serology send-out testing.

Anything to add? Let me know below!

Key words: Infectious diseases, hospitalist, doctors, pharmacists, primary care, emergency room physicians, PAs, NPs, antibiotics, stewardship by @multilingualmd

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4 days ago

•
A little different content than you’ve seen recently (this is more the type of content I would post in med school!) but I wanted to put it out there so that others wouldn’t feel alone. I have test anxiety. And yeah, I chose to go into a field with a billion of tests. But I’m a full-blown doctor, here, board certified in at least one of my specialties (and hopefully the other one soon enough 😉). I talk about this because if you also have test anxiety, I want you to know that a) you are not alone and b) don’t let this stand between you and the career you are hoping to pursue. I know what works best for me to reduce test anxiety, and so it’s important for you to do the same. Let me know what questions you have about it! by @multilingualmd

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5 days ago

Stimulate your germinate centers just at the right time!
Available now!

#infectiousdisease #fluseason by @multilingualmd

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6 days ago

One thing that I LOVE about being an infectious diseases doctor is that I get to work with literally everybody in the hospital, from generalists to sub specialists, from medical services to surgical services, from case management to micro, etc! I love it. And there are so many things that I’m grateful to you all for so here’s just a sneak peek into how much I appreciate working with you all 😊!

✨P.S. I couldn’t fit every field on here, so if you’re in a field, I didn’t mention, comment below, and I will let you know what I am grateful to you for!
🌟Let me know also who you are grateful for! ❤️ by @multilingualmd

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6 days ago

The term “root cause” gets thrown around a lot. Do you know one common root cause of severe infections? It’s not having antibodies already ready to go to fight said infection. Did you know there’s a virus out there that kills many of the cells used to create antibodies from prior infections? Yep. And it is measles. That is why it’s not just that 1-3/1,000 kids with measles die (which should be enough for people to hear anyway because that percentage is HIGH) but also that those who survive measles are at higher risk for more serious infections down the line. And the root cause of that? Measles. So please, getting protected with an MMR immunization will protect you from this effect AND others by way of eradicating this virus again. We’ve done it before & we can do it again but we need your help. Let me know what questions you have.

Sources:
•Measles can cast a long shadow, even after an apparent full recovery | CIDRAP @cidrap_
•Michael J. Mina et al.,Measles virus infection diminishes preexisting antibodies that offer protection from other pathogens.Science366,599-606(2019).DOI:10.1126/science.aay6485

Key words: Infectious diseases, measles, vaccines, pediatrics, public health by @multilingualmd

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7 days ago

Love the Fall, but not the flu 😉🍂🥰
Here in the Northern Hemisphere we seem to be off to an early start to the flu season.
Get your flu shot, and make sure your patients are vaccinated too. We should emphasize the well-established benefits of the flu vaccine: lower risk of severe disease, hospitalization, ICU admission, cardiac complications and death.

Share your favorite Fall things and immunization tips 😇

#infectiousdiseases by @multilingualmd

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8 days ago

OP notes are pure gold for infectious diseases doctors & we will take time to pore through them to gain information that will then help us continue to take best care of our patients. Imaging can only show so much, so surgeons are truly our eyes on the inside (pun intended). What did you see? Was the fluid purulent or just serous? How deep did the infection go? How much were you able to take out/clean? What were you able to send to micro & path? Were you able to take out all the hardware or was there some left behind for stability sake? And more. So we appreciate a timely & detailed OP note (and of course may still reach out to chat directly 😊)!

👩🏻‍⚕️How about you— Do you read OP notes? by @multilingualmd

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10 days ago

GAH. Please don’t prescribe PO Vanc for systemic infections (nor local infections such as MRSA cellulitis or pneumonia, etc). Vancomycin is a large molecule that can’t move through the GI tissues well enough to get good concentrations in the blood (and it’s also very hydrophilic, which also reduces its tissue absorption). PO Vanc for C.diff? Sure, go for it. Otherwise, IV Vanc (or another antibiotic that has good oral bioavailability) it is. #medpeds #infectiousdiseases #infectologia #pharmacy #antibiotics by @multilingualmd

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11 days ago