Let's Talk Micro

In this episode of Let's Talk Micro, we step beyond the microbiology bench to talk laboratory medicine, advocacy, and storytelling with fellow medical laboratory scientists and podcasters Stephanie Whitehead and Aaron Odegard. We explore how their work on the SuperStat Podcast is helping amplify the voice of the laboratory through conversations on leadership, access, and visibility. The discussion also highlights Little Lab Learners: ABCs of Laboratory Medicine, a children's book created to introduce laboratory medicine early and inspire future lab professionals. Together, we talk about lab career paths, the impact of automation and the pandemic on lab visibility, and why advocacy doesn't look the same for everyone—but matters now more than ever. This episode is a reminder that the lab's story doesn't end at the bench—it's one we all help tell. 📘 Learn More About Little Lab Learners Little Lab Learners: ABCs of Laboratory Medicine is a children's book created to introduce laboratory medicine early and help kids see lab professionals as scientists, problem-solvers, and essential members of healthcare. Learn more about the book and the Little Lab Learners series here: 👉 https://labcares.org/Little_Lab_Learners/ 🎙️ Check Out the SuperStat Podcast Listen to the SuperStat Podcast on Spotify: 👉 https://open.spotify.com/show/5wYrCFh375KclnCFY8YyN2?si=b681fc3748df48e4 Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this episode of Let's Talk Micro, Luis is joined by Dr. Joel Mortensen to discuss a study examining intestinal parasites in pediatric patients in Guinea, West Africa. They dive into the real-world challenges of diagnosing parasitic infections in resource-limited settings, including reliance on stool microscopy, the use of rapid antigen tests, and how seasonal changes influence infection rates. Dr. Mortensen walks us through the study design, key findings, and what the data revealed about protozoal infections, as well as the role of microscopy in identifying helminths in this setting. This conversation highlights the critical role of clinical microbiology in global health, the importance of diagnostic context, and how laboratory data can directly inform patient care and public health strategies in underserved regions. Check out Dr. Joel Mortensen's previous episodes If you enjoyed this conversation, be sure to check out previous episodes featuring Dr. Mortensen, where we dive deeper into his work in Guinea, laboratory capacity building, and global health challenges in resource-limited settings: 🎙️ Episode 107: A Pediatric Hospital in Guinea – Pt. 1 https://directory.libsyn.com/episode/index/id/35868465 🎙️ Episode 108: A Pediatric Hospital in Guinea – Pt. 2 https://directory.libsyn.com/episode/index/id/35868460 These episodes provide important background on the hospital, training efforts, and the broader impact of this work. 🔗 Other Links Learn more about Sacre Coeur Hospital and the pediatric care and laboratory work being done in Guinea: 👉 https://www.hopeignited.org/sacre-coeur 📩 Want to get involved or learn more? If you're interested in learning more about this work, collaborating, or supporting efforts in Guinea, you can reach out directly to Dr. Joel Mortensen: 📧 joelmortensen@gmail.com You can also contact me at letstalkmicro@gmail.com, and I'm happy to help connect you. Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

Genomic epidemiology is reshaping how we detect, investigate, and control infectious disease outbreaks—but what does that actually look like from the bench to public health? In this episode of Let's Talk Micro, Luis is joined by genomic epidemiologist Krisandra Allen for a practical, case-based conversation on how pathogen sequencing data is generated, analyzed, and paired with epidemiologic information to answer questions traditional methods can't. They discuss foodborne and hepatitis A outbreaks, geographically dispersed clusters, and how sequencing is being integrated into routine public health workflows, while highlighting the essential role of clinical microbiology labs in specimen submission and data quality. A timely episode for microbiologists, public health professionals, and trainees curious about how their lab work feeds into real-world surveillance and outbreak response. Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this episode of Let's Talk Micro, Luis is joined by faculty and collaborators from the University of Florida to discuss their new Clinical Laboratory Microbiologist (CLM) program — the first NAACLS-approved, microbiology-only certification pathway in the United States. They share how the program was created to address the growing shortage of clinical microbiologists and provide a direct pathway for microbiology graduates and working professionals to enter the clinical laboratory. The conversation covers: Gaps in the current workforce and training pipeline The hybrid model combining online coursework, hands-on bootcamp labs, and local clinical internships Real-world training with clinical lab technology such as MALDI-TOF, PCR, and blood culture systems Preparation for the ASCP categorical microbiology certification exam The strong nationwide interest in the program The episode closes with a fun discussion on everyone's favorite microbes. Whether you're a student, lab professional, or educator, this episode offers insight into the future of clinical microbiology training. Additional resources: ASCP Categorical Certification (Microbiology) https://www.ascp.org/boc/explore-credentials/view-all-credentials/M University of Florida Clinical Laboratory Microbiologist (CLM) Program https://microbiologyonline.ifas.ufl.edu/programs/clinical-laboratory-microbiologist/ GIDEON (Global Infectious Diseases and Epidemiology Network) https://www.gideononline.com/ Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

Tick-borne diseases continue to expand across North America, but diagnosing them in the clinical laboratory remains complex—especially when timing between symptom onset and testing isn't considered. In this episode of Let's Talk Micro, Luis is joined by Kyle Rodino, Assistant Professor of Pathology and Laboratory Medicine at the University of Pennsylvania and Assistant Director of Microbiology, for a lab-focused discussion on tick-borne disease diagnostics. They cover major bacterial, parasitic, and viral causes of tick-borne disease, and walk through how molecular testing, serology, and microscopy are used at different stages of illness. The conversation highlights why test selection and timing matter, common diagnostic challenges—particularly with Babesia and Lyme disease testing—and how laboratories can support better diagnostic decision-making. A practical episode for microbiologists, laboratorians, and clinicians navigating real-world testing challenges in the lab. Additional resources: Update on North American tick-borne diseases and how to diagnose them https://doi.org/10.1128/jcm.00807-23 Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this episode of Let's Talk Micro, we break down metagenomic next-generation sequencing (mNGS) and how it's changing the way we diagnose complex infectious diseases. I'm joined by Steve Miller, MD, PhD—Chief Medical Officer at Delve Bio—to discuss how unbiased metagenomics moved from research labs into real-world clinical practice. We cover what metagenomics is, how it differs from targeted PCR and sequencing, and where it adds the most value—especially in meningitis and encephalitis, immunocompromised patients, and cases where routine testing comes back negative. Dr. Miller shares insights from years of clinical experience, including how mNGS can improve diagnostic yield, shorten time to diagnosis, guide targeted therapy, and reduce unnecessary testing and hospital stays. We also touch on challenges like cost, result interpretation, diagnostic stewardship, and where metagenomics is headed next—including its role in public health and emerging infections. Links & Resources Clinical metagenomics for meningitis and encephalitis (Nature Medicine) https://www.nature.com/articles/s41591-024-03275-1 Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

PEA agar is often treated as "the gram-positive plate," but that shortcut can lead to real bench-level mistakes. In this MicroMinutes episode, we break down what phenylethyl alcohol agar actually does, why growth on PEA does not automatically mean an organism is gram-positive, and how selective media can change colony appearance and behavior. You'll hear about: What PEA inhibits — and what it doesn't Why Pseudomonas aeruginosa can grow quite well on PEA How colony morphology and hemolysis may differ from blood agar Why Lancefield grouping should never be performed directly from PEA PEA is a powerful recovery tool — but only when you understand its limitations. Short, focused, and straight from the bench, this is your Micro minutes. Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this special episode, I'm joined by three leaders who helped shape the conversation at the 2025 Antimicrobial Resistance (AMR) Summit in Detroit: Dr. Lauren Hunt, Dr. Linoj Samuel, and Dr. Robert Tibbetts. Together, we explore how this intimate, multidisciplinary summit brought together clinical microbiology, infectious diseases, stewardship, public health, policy, and veterinary medicine to tackle the growing challenges of antimicrobial resistance. We break down the key themes that emerged throughout the meeting—shared accountability, One Health collaboration, diagnostic innovation, payer perspectives, and the urgent need for equitable access to testing. You'll hear about surprising insights, personal stories that brought AMR's impact into sharp focus, and the collaborative projects already taking root as a result of this year's summit. Whether you're on the bench, managing stewardship programs, shaping policy, or simply passionate about the future of diagnostics, this episode offers a behind-the-scenes look at the conversations and partnerships driving AMR action forward. Thank you to Lauren, Linoj, and Robert for joining me—and to everyone committed to advancing the fight against AMR. One Health, one fight. Additional Resources from the 2024 AMR Summit If you'd like to explore more background from last year's summit, here are two excellent resources: 2024 AMR Summit Article Antimicrobial Stewardship & Healthcare Epidemiology (ASHE) DOI:10.1017/ash.2025.10039 ASHE Podcast Episode Recapping the 2024 Summit 🎧 https://open.spotify.com/episode/0YBcDwgfYIy75pTVjCZZ5Y?si=jb8N_3AIQdOmcC2YaOvOag Want to Contribute or Get Involved? If you're interested in contributing ideas, collaborating on AMR initiatives, or learning more about future AMR Summits, you can reach out directly to: Dr. Lauren Hunt 📧 lauren.hunt@biomerieux.com Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi Support the podcast: Venmo Buy me a Ko-fi

What does antimicrobial resistance look like when your patients range from dogs and cats to cattle, wildlife, and everything in between? And how do we make sense of AST, breakpoints, contamination, and genotypic tools across such a diverse microbiological world? In this episode, Luis is joined by Dr. Kelli Maddock, DrPH (North Dakota State University Veterinary Diagnostic Laboratory) and Dr. Stephen Cole (University of Pennsylvania), two leaders shaping the future of veterinary microbiology, antimicrobial stewardship, and CLSI veterinary standards. Together, they explore AMR and AST through a true One Health lens, showing how animal, human, and environmental health are interconnected in everyday diagnostic work. Drawing from their recent American Journal of Veterinary Research article on AMR challenges in veterinary medicine, the discussion highlights: The biggest challenges in veterinary AST, from species diversity to contamination Phenotypic vs genotypic testing and concerns around WGS-based "treatment predictions" How selective reporting ("nudging") strengthens antimicrobial stewardship Why every animal result matters in a One Health framework Whether you come from human or veterinary microbiology, this episode reveals the shared challenges across sectors — and the diagnostic, collaborative, and educational steps needed to strengthen AMR response in a One Health world. Link to article: https://doi.org/10.2460/javma.23.12.0687 Missed the past episodes on veterinary microbiology? Here they are: TBT: Veterinary Microbiology https://directory.libsyn.com/episode/index/id/35868175 Episode 166: Pasteurella multocida — capsular groups and more https://directory.libsyn.com/episode/index/id/35868155 Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this final episode of our special four-part series in partnership with bioMérieux, we bring all the pieces together. Throughout the series, we explored the diagnostic pathway from multiple angles: Episode 1: The evolution of antimicrobial susceptibility testing (AST) Episode 2: Molecular diagnostics for bloodstream infections Episode 3: FAST AST and the impact of getting susceptibility data hours sooner Today, in Episode 4, we shift to diagnostic stewardship and lab optimization — the strategies that ensure the right tests are used at the right time, and that workflows support efficient, meaningful, and actionable results. Luis is joined by Alyssa Walker, Infectious Diseases Pharmacist and Medical Advisor, and Jenny Harder, Lab Optimization Consultant with experience in managing a microbiology laboratory. Together, they explore how smarter workflows and better diagnostic decisions amplify the value of every ID and AST result. In This Episode: What diagnostic stewardship really means — right test, right patient, right time How lab optimization streamlines workflow, reduces waste, and improves turnaround times Key challenges labs face today (staffing, training, legacy processes) and how to address them How tools like BioFire Fireworks and Syndromic Trends enhance decision-making and support stewardship By connecting stewardship principles with optimized workflows, labs can turn rapid diagnostics into real clinical impact — faster decisions, smarter therapy, and better patient outcomes. This episode is sponsored by bioMérieux, a global innovator in infectious disease diagnostics. Missed the earlier episodes in this bioMérieux series? Here they are: Episode 198 – Let's Talk: The Evolution of AST Episode 204 – In the Bloodstream: Diagnosing Infections Faster Episode 211 – At the Speed of AST: Diagnosing Resistance Faster This episode is sponsored by bioMérieux, a global innovator in infectious disease diagnostics. Resources from this episode: bioMérieux Sepsis Webinar https://info.biomerieux.com/clin_us_2024_ams_handbook?utm_source=podcast&utm_medium=show-notes&utm_campaign=LetsTalkMicro Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In this Micro Minutes episode, Luis breaks down classic microbiology traits that usually hold true, but not always. From indole-negative E. coli to non-swarming Proteus and oxidase-negative Pseudomonas, this quick episode highlights real-world exceptions that can catch techs and students off guard. Learn how to spot: Indole-negative E. coli (98% rule + inactive biotypes) Lactose-fermenting look-alikes like Citrobacter freundii Proteus species that don't swarm Pseudomonas species that test oxidase negative A fast, practical reminder that no single biochemical test should stand alone. Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

Welcome to the very first Micro Minutes, a new quick-hit series from Let's Talk Micro designed for students, techs, and anyone who wants fast, practical microbiology insights in under 10 minutes. In this episode, we tackle a common misconception that microbiologists can make at the bench when interpreting a single plate: MacConkey agar. Many assume: "If it doesn't grow on MacConkey, it's not a gram-negative rod." "If it does grow on MacConkey, it must be a gram-negative rod." Both are wrong — and today we break down why. Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

In the third installment of our special series in partnership with bioMérieux, Luis welcomes back Dr. Sonali Kalathiya, infectious diseases pharmacist and medical advisor at bioMérieux, to explore how innovation is accelerating antimicrobial susceptibility testing (AST). Together they dive into FAST AST—a phenotypic susceptibility test that delivers actionable results directly from positive blood cultures in hours instead of days. They discuss how this technology works, how it complements molecular testing, and how it's transforming patient care, antimicrobial stewardship, and laboratory workflows. From implementation and training to real-world clinical impact, this episode uncovers what it truly means to diagnose resistance at the speed of AST. 🎧 Tune in to learn how faster results are helping clinicians act sooner, optimize therapy, and improve patient outcomes. This episode is sponsored by bioMérieux, a global innovator in infectious disease diagnostics. Resources from this episode: bioMérieux Sepsis Webinar https://info.biomerieux.com/clin_us_2024_ams_handbook?utm_source=podcast&utm_medium=show-notes&utm_campaign=LetsTalkMicro Stay connected with Let's Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Interested in being a guest on Let's Talk Micro? Fill out the form here: https://forms.gle/V2fT3asjfyusmqyi8 Support the podcast: Venmo Buy me a Ko-fi

Just back from IDWeek 2025 in Atlanta, Luis shares the sessions and posters that defined this year’s meeting — from next-generation sequencing and diagnostic stewardship to AI in the microbiology lab and new antimicrobials on the horizon. Tune in for insights on: NGS test utilization and stewardship New β-lactamase inhibitors like nacubactam AI’s growing role in clinical microbiology Tedizolid and the importance of optimizing existing agents 🎧 Whether you were in Atlanta or following from afar, this episode captures the energy and innovation of IDWeek — and what it means for the future of diagnostics, stewardship, and patient care. Resources Learn more about ID Week : https://idweek.org/ Infectious Diseases Society of America: https://www.idsociety.org/ Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi

En este episodio en español de Let 's Talk Micro, el Dr. Germán Esparza Sánchez , microbiólogo clínico, miembro del CLSI y consultor de la OPS/OMS, comparte las actualizaciones más recientes del documento M100 y cómo impactan la práctica microbiológica. Desde la eliminación de puntos de corte para Burkholderia cepacia hasta los nuevos antibióticos como aztreonam-avibactam, durlobactam-sulbactam y cefiderocol, analizamos los retos de aplicar las guías del CLSI en los laboratorios latinoamericanos, las diferencias epidemiológicas regionales y la importancia de la educación continua para combatir la resistencia antimicrobiana (RAM). Además, el Dr. Esparza comenta sobre el trabajo regional que realizan organizaciones como la Asociación Panamericana de Infectología (API) y COLABIOCLI, que promueven la colaboración científica y la mejora de los laboratorios en América Latina. Enlaces mencionados Asociación Panamericana de Infectología (API) COLABIOCLI Organización Panamericana de la Salud (OPS) Organización Mundial de la Salud (OMS) Conéctate con Let’s Talk Micro: Página web: letstalkmicro.com ¿Preguntas o comentarios? 📩 Escríbeme a letstalkmicro@outlook.com Apoya el pódcast: Venmo Buy me a Ko-fi

Puerto Rico is entering a new era in microbiome research. In this episode, Luis speaks with Dr. Filipa Godoy-Vitorino about the newly established Microbiome Center of Puerto Rico — a hub designed to strengthen research, collaboration, and training across the Caribbean. Dr. Godoy-Vitorino shares how the center is helping scientists access expertise in bioinformatics and data analysis, offering bilingual workshops, and expanding representation of Caribbean populations in global microbiome studies. She also discusses the center’s vision to connect with international partners, support local innovation, and create opportunities for the next generation of researchers. 🎧 Tune in to learn how this center is putting Puerto Rico on the global microbiome map. Resources and articles mentioned: The Microbiota Vault: microbiotavault.org ISME (International Society for Microbial Ecology): isme-microbes.org ISALA Project (University of Antwerp): isala.be “Solutions to expand microbiome sciences in the Caribbean Region: an insider’s perspective” by Filipa Godoy-Vitorino — Trends in Microbiology, 2025. View PDF / Article: ScienceDirect link ScienceDirect Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi

In this second half of our discussion with Dr. Erin McCreary and Dr. Hannah Creager, we dive deeper into how microbiology and antimicrobial stewardship teams collaborate to improve patient outcomes. They unpack how to prioritize breakpoint updates, the pros and cons of cascade reporting, and what nudges can do to guide better prescribing. Then we explore a powerful example of collaboration—the transition from MRSA agar to PCR across hospitals—and what it taught both teams about communication, resource sharing, and patient safety. Finally, Erin and Hannah reflect on lessons learned, first steps for building collaboration, and even share their favorite microbes (spoiler: both picked viruses!). 🎧 Tune in to learn how intentional teamwork between the lab and stewardship can transform patient care and lab efficiency. Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi

Good communication isn’t optional—it’s essential for patient care. In Part 1 of this two-part series, Dr. Erin McCreary and Dr. Hannah Creager join Luis to talk about how microbiology labs and antimicrobial stewardship teams can collaborate more effectively. They share real-world examples from their system-wide work—aligning AST panels and breakpoints across multiple platforms, navigating reporting challenges like the clindamycin D-test and rifampin comments, and building consistent communication through monthly micro–stewardship meetings. It’s a behind-the-scenes look at how strong collaboration turns into better patient outcomes. Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi

The Infectious Diseases Society of America (IDSA) has released new guidelines for the treatment of complicated urinary tract infections. In this episode, we break down the key updates: Changes to the definition of complicated UTIs The role of newer antibiotic agents How and when to use antibiograms A four-step framework for guiding therapy When carbapenems are necessary—and when other options may be just as effective Join Dr. Barbara Trautner, Dr. Nicolas Cortés-Penfield, and Dr. Kalpana Gupta as they discuss what these guidelines mean for clinicians, microbiologists, and patients. 👉 Stay tuned until the end for a special announcement. Resources from this episode: 2025 cUTI IDSA guidelines Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi

Bloodstream infections can progress rapidly to sepsis—bringing high costs, high mortality, and lasting effects. In the second episode of this series in collaboration with bioMérieux, Luis speaks with Dr. Jeff Cies, Senior Medical Advisor at bioMérieux, about how molecular diagnostics are reshaping bloodstream infection diagnosis. They discuss: Limitations of traditional blood cultures How rapid molecular tests deliver results faster than ever The impact on outcomes, costs, and antimicrobial resistance The role of stewardship programs in maximizing results What the future holds: direct-from-blood testing, nanotechnology, and AI A powerful look at how innovation in microbiology is changing the fight against sepsis and saving lives. This episode is sponsored by bioMérieux, a global innovator in infectious disease diagnostics. Resources from this episode: bioMérieux Sepsis Webinar Stay connected with Let’s Talk Micro: Website: letstalkmicro.com Questions or feedback? Email me at letstalkmicro@outlook.com Support the podcast: Venmo Buy me a Ko-fi