If you thought, I was a threat
You haven’t seen … nothing yet!
A threat is a disturbance
A change in your lifestyle
You are not willing and/or ready to accept

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What could it be more?
An environmental wakeup call
An infusion and/or a intrusion
A tsunami, caused by displacement ocean’s
A tornado, taking all in, the forces

Lightning, with intense force
A fire as you, asleep
An attack on your integrity
A discriminatory view of you not true
A crack in the wall placed on you …

What to do? Run fast
While you still can …
Leave behind gate of hate
Keep safe love, where it can never be replaced
Run, run and run fast from that place of hate

Serve love, well. Take a plane
… Where love grows
Can take you to a nice place that is safe
Don’t you ever go, where you find a bug
That hates, instead sit next to a normal flora

That is nice … think twice, who sits next to you
Not a pathogen but, a nice person
Who is friendly
Not a pathogen
Who is not friendly

Who’s a contaminant
… full of hate?
Race to love
… run away from hate
A pathogen

Where can you find a bug?
A pathogen
A multi-drug-resistant organism, MDRO, one
A living fungus
A yeast, a pathogen that is …

Must ask: “Where can you find a bug …?”
Living for long time on surfaces?
Where can a living, unable to be seen
A Living thing onto your skin?
A potential life-threatening innocent

The silence on machines, angels
Those on ventilators, central lines
Feeding tubes, catheters
Indwelling devices, with a yeast host
On alert of acute … long term areas

How fragile is that?
Too much, a rush
To crush this bug
Now, it is hard to brush your hair
You start feeling scared as you dare to wake up

I, you thought
A threat. Oh, not never, I!
You haven’t seen
Nothing yet
… as it states!

I am a multi-drug-resistant
organism (MDRO)
… better yet C.auris
Where can you find it?
Immune compromised suppressed

Debilitating, soft-gentle
Weakened immune systems
All weak victims
… stay strong
… never weak

It is embedded and ready to bed
onto wounds, skin surfaces
Your groin, axilla, ears
As it moves onto your internals
Urine, respiratory thus, blood stream, and so on

Dreams you can’t have
Blame this bug, a yeast you don’t want
Perhaps as you scream
Now, you dream not
… of this nice thing

Am a weapon of mass destruction coming in
Thus, thing creep’s patients in medical devices
Am, a yeast-fungal not a bacterium nor a virus
A multi-drug-resistant, fear me not?
Fear me always … you do not want colonization

How to stop it?
Washing hands
Frequent bathing
Yes, alcohol-based hand sanitizer
(ABHS)

Wake up …now, before too late
You don’t fall asleep and not eat
Because you fear me!
I am a global health threat
Be nice, don’t stay-to go to nursing homes

Don’t be vulnerable-save yourselves
Save yourselves … again and again
Avoid weakness-stay strong
Visit Kryptonite, dream hard
… you came from this place

Wake up next to me
Take care of yourself and your body
Aim to be somebody, but strong
Don’t go wrong, ever! Stay strong
Be nice to it … Eat right
Visit your MD and hang out with love & love

Love and love
More love
… and more of it
I say, love
Yes, love

Protect your nervous system
Don’t be nervous 2go to your MD
Seek help early on
If you need a ventilator
Tell all your friends

Take care
Early on …
Protect your larger one
Your skin … it’s your heavy blanket
Wrap yourself with love

Am, here to stay
Wake up and don’t visit me
Run away from me, super-fast
Where? Can you find me?
Am Candida auris, never your friend

If your immune system
A super good one
I shall avoid you
I will skip you
You, now last online
If you weaken
Immune system
You now opened to me
You belong to me
You first online … I, to cause a crime

Don’t be blind
Wake up!
Avoid me!
Yes, at all cause
Defrost me, claim love never hate

As you allow me in… I shall walk in …
I, now you unfriend onto your skin
As I crept in …
I know, your new friend
Which, that you don’t want

Why not! Am a bug
That causes illnesses
Am yeast …
You, definitely
Do not want

May, I say
Am your worst
Of nightmare …
I might have said it before
I fight to get in and leave you in despair

Race and face your nightmares
I can now give you nightmares
Pray and run from me
From that place onto your skin
Seek out your best Infectious Disease, MD

She may still be learning
Get your book
Seek out your best MD
Not here on this Earth
Pray for Him to get rid of this MDRO

An opportunist … you?
Yes, you are …
Vulnerable to the elements
A hospitalized patient
As you become victimized-colonized

C.auris now your friend
Is not airborne
However, it can
During sneezing
As aerosols-generating high turbulence

As activities
Bed setting
Unpractical touching
Can set in contamination
As potential threats of spread kicks in …

There’s another MDRO
Surely, raising up
It’s coccidiomycosis
(coc·cid·i·oi·do·my·co·sis)
A polymorphic fungus, in its parasitic phase

It is caused by Coccidioides immitis
Endemic SW of USA and northern Mexico
Thus, fungus comes to life as mycelial strands
With infective form …
No other than, arthroconidia

What kills Coccidioidomycosis?
Yea, what kills Coccidioides?
Of course, antifungal meds
That of: Fluconazole (Diflucan)
Itraconazole (sporadic, tours)

Is the killing effect of coccidioidomycosis
How to disinfect surfaces … Infected
Contaminated cleaned?
10% bleach and
70% ethanol

Let’s think again …
Let’s put on a thinking cap again & again
Perhaps not of a hat
Let’s prefer a helmet
That will not allow a bug to crawl in

Let’s not be dumb
Let’s never pretend
You thought you had a friend
A normal flora, can
Never a pathogen whom-whom never can!

You thought, I a dumb head …
That grew mold, as you been told
As the story quickly gets old and bold
Without neurons but, pseudo-hyphae
Am a Candida auris, MDRO yeast
… that I, am

How can you kill me?
… echinocandins, an antifungal drug
Rezafungin: An Intravenous drug perhaps
Sources infect: Wounds, urine and blood
How, it looks onto soft skin?
Yea, how it looks
-into soft skin?
Color red, small, raised rash …
Cure me?
Some say turmeric home remedy
Can fix a fungal infection

You tell that to a pharmacist!
How about apple cider vinegar (ACV), maybe!
Amphotericin B deoxycholate
I mg/kg daily
Infants of 2 months

We know today
Echinocandins

Should you treat
Colonized patients
With C.auris?
Ask the pharmacist
-not the Microbiologist

He/she will refer
-to the Micro Tech
Refer back-and-forth
Anidulafungin 200 mg IV
Thus, 100 mg IV daily

Just like that

Micafungin 100 mg IV daily
… This end
How to end a MDRO?
Reach out to your senator
Big pharma to work
On a killing of a pathogen

Never, a normal flora, which is safe to have
Send out a soldier, you can fight enemies
A soldier …
Whom sees, us all equal
Willing to defend, us all

Perhaps loose his life
Because he knew
He must give us freedom
He only wished
He had …

Instead, he prefers
To die and defend
This way …
He is satisfied at the end
His friends are the love he gave

A price he paid …with his life and all
Because he knew his love was that strong
To die for his countrymen, tall and all
Buried under the sun alone, God sees
Only his goodness … He, his only witness

He was sent home
His only home …
He now, only knows
That was because he was once homeless
He was given a temporary home

His new permanent home
Will always last … he, in no rush
That was because there he’ll be left alone
With music melodies never end
He has been pinned with endless love

Here, comes everyone
Reach out to love
There’s a defender in heaven
Whom have died for everyone
Pray and sing, love been sprayed on 2everyone

Come all …
Come all, come all
Sing praises to a soldier who had endless love
Come, come hear his cries
Where, he now resides in the skies

Minerva A. Garcia, your Poet

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