Now seems like a good time to talk about how I chose
#adolescentmedicine
and becoming an
#eatingdisorder
specialist in particular. The reasons are multi-layered but this is the main gist๐งต
Are the people who started speaking out about pediatric mental health concerns in the past two years going to take a stand against kids being bullied for wearing masks in school now? Would love to have solidarity on this...
Asserting that someone canโt overdose on fentanyl by brief, passive contact is not a political statement.
Itโs basic pharmacology.
Also,
@RyanMarino
is the expert in this, despite everyone else wanting to be one.
My thoughts about the
#HPV
Vaccine:
I was eligible when it first came out, and my parents gave it to me. And I'm grateful.
That's it, that's the tweet.
We live in interesting times when a bunch of pediatricians say they're worried about kids getting sick, and much of the world reacts by saying "prove it". ๐
Not sure when people* are going to understand that denying people medical care usually leads to them needing more expensive medical care later.
*policymakers and insurance companies
I canโt believe I need to say this, but teaching anatomically correct terms to identify all body parts is not child abuse. It is not โgroomingโ. Learning appropriate terms for all body parts of all organ systems is important in teaching bodily autonomy.
#pedstwitter
My brothers and sisters in hemoglobin,
Please let students leave class to change their menstrual products when they need to. This should not require a doctor's note.
Does anyone else feel a sense of betrayal from family/friends who ask medical questions about everything, yet refuse to get vaccinated? Why would you trust me on everything else except this??
#MedTwitter
#ThisIsOurShot
Masking does not cause language delays in children.
Masking does not cause language delays in children.
Masking does not cause language delays in children!
#Pediatrics
Residency in a nutshell: a co-resident going to the ED mid-shift for what turns out to be a kidney stone, then the next week getting messaging from program leadership about residentsโ responsibility to remain hydrated.
Canโt make this stuff up!
#truestory
#MedEd
Iโm begging TV shows and movies to stop portraying people waking up neurologically intact after having brain death declared. This is so damaging.
And also stop with the terrible โCPRโ that isnโt actually CPR.
Regular reminder that the HPV vaccine is lifesaving. And if initiated before 15 yrs, 2 doses are sufficient, rather than 3.
So if you really want to stick it to the pharmaceutical industry AND prevent cervical cancer for those you love, vaccinate early. โฅ๏ธ๐
#VaccinesWork
I am incredibly frustrated by the new recs from the AHA and CDC, however, I really appreciate the (deserved)
#MedTwitter
roasting of these organizations. Humor helps with coping. ๐
No, it's "I'm vaccinated and am not in the hospital with COVID, so you should get vaccinated so you're less likely to be in the hospital too."
There, fixed it.
Many teens wonโt remove their masks - even outside of school - because they feel insecure about their appearance.
This is the result of years of masking. Normal pubescent changes become sources of shame.
Weโve created this body image anxiety. We need to normalize faces.
Adolescents can get IUDs. Being an adult is not a requirement. Prior pregnancy is not a requirement. Stop telling teens they cannot access one of the most effective forms of contraception (and a tool for several menstrual issues).
#MedEd
#MedTwitter
After vomiting, the best thing to do for teeth is to rinse with water, NOT brush them. I share this with patients who purge by vomiting in the spirit of
#harmreduction
.
And this is probs the only tooth related fact you'll ever hear from me! ๐ฆท
#eatingdisorders
#MedEd
I am begging schools to not require notes and forms from a physician for students to take over the counter medication. Or use the bathroom when menstruating.
For the love of tampons, let us focus on other things.
Hereโs the thing about
#UrgencyofNormal
โฆ removing mitigation measures does not make things normal. Removing measures means more illness, of kids, of their relatives and it means things getting cancelled due to increased spread.
Itโs not normal at all.
This is your regular reminder that amenorrhea should never be normalized. Ever. Not for athletes, not for anyone.
Sincerely,
Your friendly neighborhood adolescent doc
Over one million new COVID cases in children last week.
Nearly 2,000 new hospitalizations in the 50% of states that report.
15 pediatric deaths.
I hate this.
When people say they're "over"
#COVID19
, I think, yes! me too! I'm over of people dying, kids dying, and folks dealing w/ long-term effects of infection.
But by not taking mitigation measures b/c you're "over it", it's prolonging this whole disaster. Sorry, inconvenient I know.
Guy is here talking to his spouse on the phone about what cough suppressant to buy for their toddler and itโs taking everything in me to keep my mouth shut. ๐ฌ๐ค
#tweetiatrician
This week on Twitter:
Figure skater endorsing the murder of physicians.
Proposal for mRNA to be banned in an entire state.
Doctor thinks DTAP is a disease.
This place is wild.
This match season, I really want us to normalize not asking medical students if they matched at their
#1
choice.
It puts unnecessary pressure on students and it doesn't matter. You can have a great experience at
#10
and a terrible experience at
#1
.
#MedEd
#match2023
#match2024
The
@AmerMedicalAssn
could have chosen any hill to die on, and they chose this one. ๐คฆ๐ปโโ๏ธ
They are showing just how out of touch they are.
I love my APP colleagues; we are truly a team. I canโt do my job without them.
Very poor move, AMA.
What is up with some people saying OBGYNs arenโt surgeons? As an OBGYN adjacent physician who is definitely NOT a surgeon, this โdebateโ will always baffle me. ๐ง
I can't believe the assertion I'm seeing that newborns must get sick. Newborns!!
We take fevers in newborns very seriously, b/c risks are so significant. Here's a clinical pathway. We don't perform lumbar punctures for no reason on kids.
#MedTwitter
Did it ever occur to anyone that the reason why
#tweetiatricians
/kids docs are so passionate about advocating for vaccinations is that...
๐ we do not want children to get sick or die๐?
Enough with the narrative that we're getting paid. It's offensive.
#ThisIsOurShot
Telling trainees to go to therapy to cope with working in abusive environments is not the solution.
Not having abusive work environments is the solution.
Thank you for coming to my Ted Talk.
#MedTwitter
#MedEd
Discussion in the ED today: one of the most amazing things in medicine is when the attending sticks up for a resident or nurse when theyโre being mistreated by a patient or other staff. These are the tales of honor being told in resident group chats everywhere.
The worst part of every post-mass shooting narrative is the rhetoric about mental health and psychiatric drugs as the root causes of gun violence. It is so stigmatizing, inaccurate, and harmful.
It's the guns. It's the guns. It's the guns.
#ThisIsOurLane
#GunViolence
As someone who takes care of malnourished people for a living, and has seen people die from malnutrition, please keep your freakinโ New Yearโs diet to yourself.
Note: if
@TwitterSafety
states that a violent threat against a physician (or anyone, really) doesn't violate their rules, they need new rules.
@TwitterSupport
It's true, babies can't *say* they have myocarditis.
Kids can't *say* a lot - like their ear hurts or they have pneumonia. Thus, folks caring for kids go through yrs of training to learn.
Maybe ppl w/o that training should think ab it before sharing opinions about kids' health.
I'm catching the end of the ACIP meeting right now regarding boosters for 12-15.
#COVID19
is a top 10 cause of death for children now. So, yes,
#tweetiatricians
want to vaccinate children, even if the risk is lower than that for adults.
#ThisIsOurShot
I donโt understand why listing credentials has become so โcontroversialโ. I get hassled all the time for it on here. Iโm proud of my degrees earned, and think we all should be.
Actually, I think Iโll add my FAAP back in as an act of solidarity/protest. ๐๐ค
This one will always be one of my favorite things I've drawn! Anyone else have holiday-themed art they want to share?
#MerryChristmas
#DocsWhoDraw
๐๐จ
As
@PeterHotez
has said, I think I've reached the "flaming cauldron of righteous indignation" stage of this pandemic. The anti-vax aggression is just beyond. Stay safe out there, folks.
#MedTwitter
This week's
@AmerAcadPeds
report shows ~325k new cases, 1,012 hospitalizations, and 14 deaths in children this past week.
I don't know who had other medical conditions, nor do I care.
Please, get vaccinated.
Source:
#ThisIsOurShot
#Vaccineswork
A lot of times when I tell people I meet socially that I specialize in
#eatingdisorders
, I get comments like โoh, I eat too much ice cream lolโ and the like.
I get the attempt at humor, but I also feel these comments minimize what my patients and their families go through.
A cluster randomized controlled trial of a novel mindfulness curriculum found no impact on pediatric intern burnout, mindfulness, or empathy. Ongoing research is needed to identify interventions that decrease burnout among trainees.
@FraimanYarden
I have to say, in my list of ways Iโve felt belittled or disrespected as a physician, being referred to as a โproviderโ is not one of them. ๐คทโโ๏ธ
#MedTwitter
I often think about all the times pre-COVID when I was sick, oftentimes definitely infectious, and worked w/o a mask. It was an expectation for me to work (probably wouldn't be now), but it never crossed my mind to wear a mask. Never again, folks. Do no harm. Yikes.
#MedEd
Yesterday, protestors outside my hospital yelled at HCWs through megaphones, delayed commutes to and from the hospital, and threw items at my colleagues' cars. This is not a peaceful protest.
This pandemic is like watching an endless episode of Grey's Anatomy. Many of the doctors on screen seem to be experts in everything from surgery to critical care to pediatrics and they're super confident about it. ๐
I take no joy whatsoever in unvaccinated people getting sick or dying from
#Covid_19
. Seeing others rejoice when people who are vaccinated get hospitalized or die of COVID is inconceivable and vile. Humanity is struggling hard right now.
I don't know who needs to hear this, but no human being "invented mRNA". mRNA has been created in your nucleus for years and years before anyone ever knew about it.
Also mRNA vaccines don't alter your DNA, pass it on.
Onset of
#eatingdisorders
, a ๐งต:
I think there's a misconception out there that intense desire to lose weight due to body image is always the inciting factor that creates an eating disorder. While that is certainly true for some, it is not true for many.
I got my first predatory magazine inquiry. $800+ to be featured as a โtop doctorโ to further my career and โstand out from others in my fieldโ.
My sister in Christ, when I meet someone else that does what I do I give them a high five because there are not enough of us.
Finally getting around to looking at the AAP data from this week.
Cliff notes:
- Infections are stable at around 30k/week
- 28 children died of COVID in the last week
So consider this your weekly reminder that COVID affects kids, and we need a game plan for those <5.
Here's what I need schools and health classes to NOT do:
๐ซAssignments involving calorie counting
๐ซLabeling of foods as "good" and "bad"
๐ซWeight/BMI measurements for students
Please and thank you,
#Eatingdisorders
clinicians everywhere
Given the harassment we have seen on
@Twitter
, a lot of ppl ask "is it worth it?"
I stay engaged to...
๐ฃ๏ธ share important info w/in my expertise
๐ง learn from others
๐ค meet wonderful & inspirational people
Also, I'm a stubborn Italian. ๐ฎ๐น
#MedTwitter
#MedEd
I donโt mean to brag, but I never had chickenpox, b/c my parents got me vaccinated ASAP when it came out. Iโm the only person among friends my age who was vaccinated instead of infected.
I feel super cool & thankful my parents did the best thing for me. ๐๐
#VaccinesWork
Im pretty sure they get it. Also, pretty sure they get that more children will fall ill or die while waiting for your new n.
But I guess you know more about clinical trials, statistics, and the care of children than the pediatricians and researchers at the โฆ
@AmerAcadPeds
โฉ.
Hot take on "kids die more from MVCs/drownings" as an argument against protecting kids from
#COVID
:
a. Death isn't the only impact
b. Protective measures exist for other CODs that we've accepted (seat belts, pool fences)
c. If a vax was avail for drowning/MVCs, I'd def recommend
Imagine losing a loved one and having to worry about people you donโt know finding out and using their death to fit a narrative (that you and/or your loved one think is nuts) in a very public way.
This is what people have to consider when writing obituaries now.
Insane.
If someone on TV is giving hot takes about kidsโ health, may I introduce you to this tool the ABP has where you can determine if someone is a board certified pediatrician: