Infected bug bite

Gram stain of pus from an infected bug bite, showing beaded branching gram positive rods suspicious for Nocardia. Culture is being held for 7 days to account for slow growth.

u/Mindless_Weekend6464 — 1 month ago
▲ 441 r/infectiousdisease+2 crossposts

M. abscessus in a hand wound

Hand wound culture on an older patient that injured themself on a trash can lid.

Culture was held 14 days per request of infectious disease doc. Day 12 thioglycolate broth was cloudy and subbed to a BAP. On Day 14 the plate showed pinpoint colonies which I put on the MALDI and it ID’d as Mycobacteroides abscessus (formerly Mycobacterium abscessus). Upon further review they had a sample sent to the state lab for AFB smear and culture which came back the previous day as positive for the same organism. Below are pictures of the colonies, the gram stain, and the acid fast stain I did after getting the ID.

Unfortunately I could not report the ID because we do not have the proper reagents for mycobacterium identification using the MALDI. I had to send out for bacterial sequencing.

An interesting example of organisms not always following the “rules”!

u/Mindless_Weekend6464 — 2 months ago

I am bored at my job

I have worked as a clinical micro tech for 2 years at a smaller regional hospital in Massachusetts. About 6 months ago I was promoted to a senior tech and I make $32.32 per hour. I have my ASCP(M) certification (specific to micro only), a bachelors in health science and a masters in clinical microbiology. I am ready to move towards a more advanced career but I want to avoid supervisory/management positions. I tried to apply to QC microbiology/environmental monitoring positions at pharma companies but they don’t like that I have no experience in that field. Any tips or advice? I am itching to keep learning new things and expanding my skills.

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u/Mindless_Weekend6464 — 2 months ago
▲ 295 r/cats

Why is my cat doing this? I replace their water every morning and make sure the bowl is clean

u/Mindless_Weekend6464 — 2 months ago
▲ 4 r/medlabprofessionals+1 crossposts

Can’t decide whether to take a job offer

I’ll try to keep this short but I currently work as a senior med tech in a microbiology lab at a small regional hospital. I am hired full time at 32 hours but I’m unable to get the extra 8 hours to make it 40. I have been working 40 since we’ve been understaffed but we recently hired a new part timer and I’m predicting that my hours go back down to 32. My hourly rate is $32.32 with an upcoming COL raise in October making it $33.20.

I am about to receive a job offer this week for another senior micro tech position at a reference lab offering between $39-43 per hour, and I plan on asking for the higher end of that range for reasons I won’t go into detail here. But even if they offer on the low end that is a significant increase in my pay. They also mentioned that I would not have to work weekends (I work every third weekend). It seems like a no brainer to take this offer but here are my hesitations:

-longer commute into the city (going from 20 min at my current job to 30-45 depending on traffic)
-very outdated LIS system with no mouse functionality (one of those old school looking black screens with the white text)
-no MALDI for bacterial ID, reliance on biochemical methods and VITEK
-supervisor who just started working there 1 month ago
-2 employees out on FMLA and one employee coming back from disability
-higher responsibilities expected of me to help supervisor
-all culture workups are done on paper and not in the computer

I genuinely love my job right now and I love my coworkers. I work in such a positive and caring environment that never stresses me out. I never dread going into work.

The only reason I would take this new job is because of the pay increase. My base salary is around $57,000 and this new job would be $81,000 at the minimum. Thats a huge difference.

Any advice?

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u/Mindless_Weekend6464 — 3 months ago