Yes, this is E.MK's best case ever mini podcast series, and I'm your host, Dr. Anton Helman.

In this month's Carr's Case's Best Case Ever series, we have with us the one and only Dr. David Carr,

who's going to give us his best case ever when it comes to interpreting blood cultures. So Dr. David Carr, who's going to give us his best case ever when it comes to interpreting

blood cultures. So Dr. Carr, let it rip. Let's hear your best case ever when it comes to

interpreting blood cultures from Janice General. There was a woman who was seen in our

emergency department. She had come to the emerge complaining of fever, cough,

feeling generally unwell for the past week. She had an x-ray, which the radiology staff commented

on as a left lower lobe pneumonia. She had a gas, lactate, cultures, blood work, and everything

looked pretty good. The Merge doc gave her some collivalent and and sent her home and I think the care was great.

And then imagine you're the culture person. You're the person in your hospital who's responsible

for looking at abnormal blood cultures, urine tests, throat cultures, wounds, that fun job that

everyone loves to do. You get the results in the blood culture on the first set

grows strep viradans. You call the person. You ask how she's feeling. She says she feels fantastic.

So you hang up the phone. Perfect. Job done. Click. The next day, another person's on for cultures. And that second set of

cultures comes back in the second bottle in a gross strep viradans again. That second doctor

calls the patient, how are you feeling? She feels great. Job done. Click. But I'm the third doc.

And I'm working in emerge.

So she comes in and she says,

Doc, two of your colleagues have called me.

I'm taking this clavulin for this abnormal bacteria in my blood.

I feel fine, but my clavine expires in the day.

You know, it's only been a week.

...