Anisha Kshetrapal, MD, MSEd @AnishaKMD Twitter profile

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Anisha Kshetrapal, MD, MSEd

2 years

Y’all! This is my *first* qualitative #MedEd paper; it’s on how trainees experience trust and autonomy and it came out today in @JournalofGME !!! So grateful for @WalterEppich and @pim_teu ’s mentorship!

Overextending: A Qualitative Study of Trainees Learning at the Edge of Evolving Expertise

ABSTRACTBackground. The challenge of graduate medical education is to prepare physicians for unsupervised practice while ensuring patient safety. Current approaches may inadequately prepare physici...

meridian.allenpress.com

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

No amoxicillin. No amox-clav. No cefdinir. No high-flow circuits. No oseltamivir. Limited nurses. Limited ICU beds. Limited services. Limited life-saving care. Tell me again how everything is fine? #PedsInCrisis

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Let me paint a picture of #peds #emergency care for you. Let's say your 3 year old bonks his head on the coffee table right before dinner. Nothing horrible, but needs stitches. You take him to urgent care. They tell you that they can't fix it, and you need to go to the ER. 1/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Parents of #Chicago , I am begging you to be extra careful with your kids right now. There are few to no ICU beds and the emergency departments are unable to move patients where they need to go, which means there are delays in care. Stay safe.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

I’ve diagnosed more #COVID today (some in moderately to severely ill children) than I have in over a year. Grateful for my fit-tested Aura! #MasksWork #CovidIsntOver

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

I sent a grand total of *three* children home during my shift. The pediatric ED is not OK. #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

And hopefully, soon, your kid's laceration has a couple of stitches & he's eating a popsicle. We're trying to make this better, but the pandemic & the current respiratory virus surge of rhino/entero is causing many kids to breathe hard. 15/15

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 months

Finding childcare is WILD. How is it that multiple nannies we have interviewed refuse to get any more #COVID shots after the initial 2-3 they got? It says a LOT about the poor scicomm around COVID and vaccines and it makes me so sad.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

4 years

RBG paved the way for all of us and every woman we will ever know. Her legacy: for us to go into every room where decisions are being made. I hear @Lin_Manuel ’s words. “Legacy. What is a legacy? It’s planting seeds in a garden you never get to see.” It’s up to us, y’all. #vote

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

But please, please continue to be kind to the staff who truly are trying desperately to care for every kid who needs us. Your kindness helps us focus on what's important - keeping the kids safe - and not on folks' frustration and how it's directed. We're not superhuman. 13/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

So, while your kid's forehead laceration could be fixed reasonably quickly in theory, in practice it is dependent on many more factors -- time of day, ER staffing, ICU staffing, provider availability, number of transfers -- than one would expect. 10/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

I feel strongly that physicians should get to eat while on shift. Not sure why drs think they’re above biology. I push the trainees to hand me their phone & walk away for > 10 minutes. One today responded that he would “transcend glycolysis” & it made me laugh! #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

One of the differences between emergency medicine and being on a floor is the cognitive load. I didn't realize quite how different it was until I was a fellow. Each additional child we see requires fresh eyes, new thinking, & a new relationship. 11/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Meanwhile, here's what's going on in the back. There are no ICU beds. There are 2 kids in the ER who need the ICU. One is a bit sicker than the other, so the ICU is making room. In the meantime, 1 nurse is dedicated to this very sick child needing constant monitoring. 3/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

While other floors "cap" the beds they have based on staffing, we can't. It's not the job of the ER. Ours is to keep: - the kids waiting for the PICU safe - the kids who need procedures safe - the kids coming in as transfers safe, and - the kids in the waiting room safe. 9/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Maybe an unpopular take: I don’t like wearing a costume for Halloween @ work. I don’t think parents want me resuscitating their kid as Cruella. #Halloween #pediatrics

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Another nurse stayed 2 hours late to help. A kid who broke a bone needs sedation to get it back into place, and that nurse is completely dedicated to safely sedating this child. This means, of the nurses we have, 2 don't "have assignments." They are 1:1 with patients. 4/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

@MrsBigTunaa What’s helped my economist husband is watching as Forbes and Bloomberg become the only sources of coverage, and that the richest people in the world are still taking precautions:

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

It takes a second to recover from being yelled at. (We're lucky that in the peds ER that folks are less likely to be assaulted). What we want to be doing is focusing on caring for your kid, not on whether our staff is safe. 14/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

So, 1 more nurse's rooms are closed in order to sedate the second child and fix this injury. This nurse is now taken out of an assignment for 1-2 hours. Meanwhile, it's now 2 AM. Reinforcements aren't coming until 7. We just want to try and take care of kids. 6/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

You get to the ER. It's 8 pm, the waiting room is about half full, and you think - "Ok, this may not be so bad. Maybe we will be home by midnight." But a few hours later, all that's happened is that a nurse has taken his vitals. Your 3 yo is exhausted and so are you. 2/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Children are also coming in via ambulance as transfers from other hospitals for specialized care. They come in through the ambulance bay, so you don't see them in the waiting room. But it's now 3 AM, you & your toddler are half asleep, and wonder if it's worth it to stay. 7/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

So, 4 additional children stay in the waiting room while these nurses are 1:1 with kids (instead of the usual 1:3 assignment). There is another child with a severe injury who needs sedation. The first nurse doing the sedation really does have to go home. 5/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

On the floor, you often have half or more of the same patients as yesterday. Of course you're admitting/discharging as well, but new kids aren't being seen at a rate of a few per hr. Now it's 5 AM & of course you're frustrated - I would be too! We are trying to get to you. 12/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Because of all this, the waiting room doesn't move much unless something serious happens out there. Which it can at any time, and it does from time to time. Then we run to make sure a kid is ok. 8/

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Huh, didn’t expect this one to go viral and I’m not going to engage with folks who won’t engage in good faith. Stay safe = work on prevention. Masks. Watching your swimmer in the pool. Seatbelts. Helmets. The same ERs and ICUs care for all kids who need us.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@glvazquez What does "no business being there" mean? This is about access. Parents who work when the office/ urgent cares are open have no option. Sometimes urgent care can't do the lac. Acuity in the ER is high. I know my pediatrician/UC colleagues are stretched. We are the safety net.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@ENirenberg One of the sickest babies I ever cared for was when I was a resident. We were transferred a v acidotic baby (pH 6.91). He was getting an echo & I was asking the mom about whether she’d had an US…and there was the single ventricle 😱 And she was highly educated. I didn’t get it.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

I'm just a pediatrician, standing in front of Sanofi, Pfizer, Moderna, and Novavax, asking them to PLEASE MAKE THEIR VACCINES AVAILABLE FOR THE LITTLES. Hearing so many stories of how folks can't access 😡

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@lisa_iannattone It’s not high inpatient COVID numbers (at least in our facility) but the overall capacity is reduced by COVID. Many of our experienced nurses have left. And of course, staff are out with COVID. So, yes and no to “it’s not COVID.”

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@ChosenSportz Also, separately, had at least half a dozen cases of flu today! Try again 😂

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

One of the most powerful talks I heard was when @gradydoctor came to @NU_FAME Medical Education Day. She mentioned “bias landmines" such as being hungry, tired, rushed, or stretched too thin. @kmangold_NU and I looked at each other knowingly. That’s the ER - a lot of the time.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

@CorsIAQ Built 6 to have a safe bachelorette!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@DrMayssaID I don’t mean “prevent every cold” because I know that’s impossible. I mean - be safe around swimming pools and household chemicals, avoid ingestions, wear a seatbelt in the car and a helmet on your bike. Much trauma is preventable.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

I love that I can write things like "slurping on a popsicle" in my notes. #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@yerbooti65358 Lol. It shows you have no idea what you’re talking about. I’m on the front lines, and many of these kids are too young to have been vaccinated. Try again!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@ms_butterfly03 Yes - ABCs (airway, breathing, circulation) first always. It’s very hard explaining to families who have waited forever.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

Good call @PeterHotez - agreeing to a “debate” would be akin to playing chess with a pigeon. They knock over the pieces, poop on the board, and fly away saying they won.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@JC99WHIT Lots of bronchiolitis, RSV and otherwise. Some COVID. Some rhino/entero. Some agitation. Some abdominal pain. Some kids who have complex histories and are likelier to get sicker. All a lot! Especially when there are many more kids in the waiting room.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@skykristin @glvazquez Oh don't feel bad at all for that - sometimes those can be really serious!! It all depends on where in the palate is hit, so I'm glad you brought her! (I always remind parents that it's not their job to know for sure whether it's an emergency or not - that's literally my job!)

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

I hope parents know that sometimes I lie awake thinking about them and their family and their kid. #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@thepedipals As a second-year attending this makes me feel less crazy. Thanks for the validation - it’s what I’m seeing too!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 years

@kjdelay1 I was asked during a residency interview: Them: Let’s say you have a *really* bad day at work. You go home and get your gun. What prevents you from shooting up the hospital you work at? Me: 😳😳 my prefrontal cortex? Them: No - I mean what kind of support system do you have??

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 years

I had a sweaty/proud of myself moment in the ER. Social worker asks me to talk to the police. “We need to handcuff him.” Me: “No, we don’t do that.” Them: “Why can’t we?” Me: “Because I’m in charge. And you can’t do that here. This is a hospital, not a jail.” #PEMTwitter

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@Woketardshtshow Many too little for the vaccine if that is indeed what you’re referring to. But, in fact, COVID is associated with blood clots, not any of the vaccines on the market. Try again!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@CorsIAQ Built 6 to have a safe bachelorette!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Vaccines for the under 5 set are hopefully coming by the end of the month. Many pharmacies won’t vaccinate little ones and many mass vaccination sites have shut down. Will you be vaccinating them in your clinic/urgent care setting? Please add yourself below 👇🏽 #ThisIsOurShot

Yannotyam

@yannotyam

2 years

@ImmunizeUnder5s Here is a form to make it easier to submit information on <5 vaccines in the United States. This form will collect your email address so that you can go back and edit your response(s) as more information becomes available:

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@CaseySeidemanMD

American Academy of Pediatrics

@AmerAcadPeds

2 years

We will be expediting the publication of updated policy statements this spring: both reconfirm AAP’s longstanding support for access to confidential, comprehensive reproductive health care for adolescents, including abortion. Full thread:

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

Dear self, Do not buy the nerds clusters. You will eat the entire bag within 24 hours and feel really icky about it. Sincerely, Me

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

11 months

@julianakilrose Yep! Just takes practice like anything else.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@MommyFourBoys I know the feeling - the worst ones are the ones where you don’t pee all shift! Thank YOU!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@BarnettforAZ Yes, because it’s cute when someone running for office LOLs at children getting sick. /s in case it wasn’t clear.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

11 months

I’ve had multiple smart doctors tell me recently that “COVID doesn’t affect kids as badly as adults.” …when the data show that the under 4 age group is the second most likely to get hospitalized. Sigh. Swear I’m not tryna be a troublemaker but I find it concerning.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@DefectiveBecca @CC_runner_17 Definitely in part rhino/entero. But - if we were staffed the way we were, pre-pandemic, this would be much more doable. So it's both - resurgence of a virus causing a LOT of wheezing, AND the resources are more scarce.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@ChristinaPushaw It’s all about reducing risk of severe disease. Take a look at this graph: Folks who are vaccinated (and especially vaccinated and boosted) have a much lower risk of dying from the disease. Link:

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 months

@LB13052008 a couple have agreed to mask for a period of time, but "they don't stop transmission" isn't entirely true. Data from household studies show they do reduce transmission, just not for very long. it's not unreasonable, esp when a less reactogenic option (novavax) is available.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

(& yes, this happened while I was giving them my metabolic disease chalk talk, so I actually LOLed!)

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

This is true for us right now too. Residents, attendings, nurses. Lots of COVID = bad for the system in more than 1 way.

Abraar Karan

@AbraarKaran

2 years

One of the hospitals where I work is short staffed on a very busy infectious disease service because there are too many residents out sick w/ #covid19 Not sure how many times or ways we can make clear that repeat surges are a problem. They are disruptive & cause harm.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@suetheob @ENirenberg The subtext of that (especially in the scenario above) is: “autism is worse than death.” Just a wee bit ableist.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@vlindy33 In addition to the usual pandemic precautions (wear a mask, test before gatherings) also the usual trauma things: wear a seatbelt. Wear a helmet. It’s the same EDs and ICUs taking care of kids in car crashes as with the respiratory viruses. Some of this is preventable!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@AnnYoungMD Thank you - and I share your experience. It’s really hard right now. I wrote it because of all the lovely folks calling me a liar on my last tweet 🙃 I see you!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

I apologized to a trainee today and it was hard and it was absolutely the right thing to do. #meded

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@RyanMarino It’s the difference between “overall, not that many kids die of COVID compared to grownups” AND, also true, “COVID is a leading cause of death in children currently.” And people don’t understand the difference between those two phrases. The latter is extremely important.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@HorsleyCarl Had a pt w/maple syrup urine disease, kept getting readmitted due to elevated leucine (can become fatal) & couldn’t figure out why. Thoughtful MS3 brought a bottle of the patient’s med to me - supposed to be ISOleucine, but no, the pharmacy had given her leucine. Horrifying.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

@MerriamWebster “Catafalque” was the word I missed in the 1999 National Spelling Bee and while I now know it cold, it still haunts me 😂

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@AntifaPeds @ENirenberg Yep, exactly! I can absolutely understand wanting to keep a pregnancy where you know your child will have a medical problem - I couldn’t then (and can’t now) understand putting your head in the sand instead. This baby didn’t need to get this sick - we could have been prepared!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

#COVIDisAirborne

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@JPWeiland Not busier overall, but higher #COVID numbers

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Because it apparently needs to be said: Ventilators do not cause deaths. If you need to be vented, it’s because you’re having a hard time breathing on your own.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

@amandamen Congratulations! I did the same in 2014. It was truly difficult (and I questioned myself a lot) but now I look back & think it was the bravest thing I’ve done. Reach out if I can be helpful.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

If you love a baby, don’t get sucked into misinformation about the vitamin K shot. In infants, the plasma concentrations of all vitK-dependent factors are ~20% of the adult values for the first month. Vitamin K deficiency bleeding can be life-altering & life-threatening.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@grahamwalker True, many can be glued! In a toddler who needs stitches I get sending them to the ED though - IN versed and child life make a huge difference!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

@VirginiaBuysse We are testing symptomatic children; it’s up to the provider. I don’t think these data are being collected at all.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

@anzypanzywanzy Idk about that - I try to address this straight on. "I am a better doctor when I take a moment and address my bodily needs, like eating or running to the bathroom."

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Just found out that I got a job! Well, a new part of my current job that starts this fall! I’ll be involved in undergraduate medical education - on education! 4th-year-med-student-me wouldn’t have believed it! Feeling super lucky!!!! #MedEd

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

As #COVID numbers tick up (by wastewater, % positivity, ED visits), don’t forget your mask!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Had an interaction with a family recently that is going to stay with me for quite a while. Typical story for the current ED volumes: no availability in the #PedsICU , so being boarded and managed by the #PedsED team.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

11 months

My husband’s older uncle has COVID & told me that his primary care PA prescribed *azithromycin* & told him that he “didn’t need paxlovid” in the year of our lord 2023. Thankfully, he let us know and we helped set the record straight, but what the heck?!?!? #CovidIsNotOver

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

Just a reminder that the influenza vaccine does a great job at preventing bad flu *complications* like influenza pneumonia which can be deadly to little kids and old folk alike. Get your flu shot if you haven’t yet! Flu pneumonia is no joke! #VaccinesWork

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

5 years

I am the 28th (!!!) physician in my family in three generations. We are spread across four continents. Seven of us are in the #USA (including physician #29 ). This photo of my dad in #PPE (he’s no spring chicken) was a kick in the gut on our fam text chain. #COVIDImmigrantHeroes

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

10 months

That feeling when you snuggled an *extremely* cute, cooing baby in the ER… And a few days later realized their #COVID PCR was positive 🙃 Grateful for N95s. #CovidIsntOver

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 years

@AjvictoryMD This was *the* big reason I left surgery. One year was enough. One of the more notable instances was a 2nd year resident calling me “completely unteachable” in a room full of people.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

It’s deeply exhausting to be “the careful one” all the time in a group of people. #WearAMask

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 years

Graduated from the *ahem* 28th grade today! 1) Loved seeing our wonderful division chief @ERAlpernMD win the professionalism award we nominated her for 🥰 she’s the epitome of grace under pressure.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

3 years

Y’all in my first attending shift I got to do so much. Reassure scared parents. Teach trainees. Look at once-in-a-career labs for a classic newborn condition. Chat about how nervous I was. Let my nurse friends get excited for my being the attending 🥰 I love my job. #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@RedWoodyRN 😭😭 thank you

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

11 months

@SeeFisch Maybe don’t post transcripts of applicants to your program?

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

Feeling extra grateful for @MamaWeasleyy and @yannotyam today. Friends are asking where to get the shot for their kids and I have no idea but can direct them 1) to the spreadsheet and 2) to the fact they aren’t alone. System being made to work as it’s supposed to 😑😑😑😑😑

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Might have forgotten to tweet from this account bc I’ve been on @LuriePEM duty for #PAS2022 but it was 1) so cool to see all the work my @ChildrensNatl and Lurie friends are doing and 2) so good to see (almost) everyone in person!

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@drjfordo @thepedipals Yep - lots of reassurance for the flu kiddos. But some of them are little and would do well with some oseltamivir and some are sick and then it’s hard.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Finished my last shift of 29th grade & had dinner w/ @kidSTARdoc ! Went over a +/🔺 and this fellowship was an overall +++! Feeling esp grateful for Mark’s mentorship, @ERAlpernMD and @LuriePEM ’s support, the time and space to learn how to be an academic! (Now to finish notes!)

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

My husband just admitted that he doesn’t think qualitative data is data. Please pray for him in this difficult time. #Qualitative #MedEd

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

When the ICU doctor says you did a good job & the kid is ok but the whole thing was hard and deeply imperfect and you’re really in your feels 😓 #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

1 year

When you’re lying awake because you keep wondering about the kids you signed out with weird workups and the attendier attending texts you some updates and this…🥹 1) hope these kids do ok! 2) maybe my brain will now let me sleep! #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

You can’t fix an injury to a child’s body that causes a radius of several inches of tissue destruction. #DoctorsForGunSafety #ThisIsOurLane

David Hogg 🟧

@davidhogg111

2 years

If you are a doctor or healthcare worker who supports action on gun safety tweet #DoctorsForGunSafety

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

11 months

I’ve taken care of a few very ill neonates recently and (despite combing through their charts) don’t know why they were so sick and just - this job is really hard sometimes. #PedsEM

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

If you’ve ever wondered why the heck peds folks want to get rid of assault-style weapons, this is why: a baby leg won’t recover from the photo on the right, and guns are the leading cause of death in children. #GunSafetyNow

Romie Gibly MD PhD

@GiblyMd

2 years

The difference between a low energy bullet (handgun) and a high energy projectile. Remind me again why we can buy assault style weapons at the mall without insurance or licensing??

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

Baby #MedEd milestone for me: did my first teaching session for the entire M1 class at @NUFeinbergMed with @angeliquee_93 ! Hoping some of what we said sticks 🙃

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@BrooketheOstomy Mass casualty, not a drill. This is the one that keeps me awake.

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Anisha Kshetrapal, MD, MSEd

@AnishaKMD

2 years

@nerdmomrambles I’m sorry, hope he feels better soon! And yes - all the viruses are out to play now that folks aren’t consistently masking!

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