Discover and read the best of Twitter Threads about #Pediatricians

Most recents (13)

1/
Hi #dermtwitter/#medtwitter! Our last (for now!) #tweetorial/#medthread on nails! This time it’s...

PEDIATRIC NAIL CONDITIONS!

Education from @naildisorders and the @jmervak team!

@societypedsderm @PeDRAResearch #medstudenttwitter #medtwitter #meded #FOAMed
2/
Beau’s lines (transverse ridge) and onychomadesis (nail shedding) common in kids! Often seen in a post-viral setting.

Common culprit = hand foot mouth disease!
3/
Congenital malalignment of the great toenails – lateral deviation of the first toenails. More common than you think. Start looking at more toes and you’ll see it! Can improve with time or persist. Risk for nail thickening or ingrown nails.

pc: sciencedirect.com/science/articl…
Read 12 tweets
"Sweden suspends #Moderna #vaccine for those under 30: Sweden announced Wednesday to suspend Moderna's anti-Covid vaccine "as a precaution" for those under 30 because of a risk of heart inflammation in young people," #myocarditis
Oct 6, 2021: "The European Medicines Agency has recommended approving #Moderna’s COVID-19 #vaccine for #children aged 12-17, the first time the shot has been authorized for people under 18."

👇

toronto.citynews.ca/2021/10/06/mod…
"Reports of #myocarditis & #pericarditis following vaccination w/ COVID-19 #mRNA #vaccines. Data in Canada now indicate a higher number of cases in younger people than would normally be expected in this age group in the gen. pop."

health-infobase.canada.ca/covid-19/vacci…

healthycanadians.gc.ca/recall-alert-r…
Read 5 tweets
We are officially back to getting crushed by #COVID, and for #pediatricians this wave feels *worse* in many ways. And as a pediatric hospitalist who has been a front-line COVID doctor for the entire pandemic, I’m going to share what I’ve seen the last 8 days on service. 1/
After many months of zero or few pediatric COVID cases, we are seeing infants, children, and teens with COVID pouring back into the hospital, more and more each day. These patients ranged in age from 2 weeks old to 17 years.
COVID admissions in our medical center are up 500% and currently 80% of cases in our hospital are due to the highly contagious Delta variant. I worry that the Delta variant, in addition to being more contagious, *may* also be more virulent in children.
Read 22 tweets
Will we EVER learn about #PublicHealth?
3rd wave “expert” committee is nearly-ALL #Pediatricians (to keep Devi Shetty’s non-#evidence-based assertion on #children will be entirely affected), #AllMale #Manel, nearly-all #clinicians headed by #PrivateSector #Cardiologist
I request this committee members:
- Please QUESTION Devi Shetty’s credentials to lead this
- Please hold to account #Manel #AllMale membership
- Please include #RuralHealth #CommunityHealth #PublicHealth
- Expertise is NOT only CLINICAL; also social; include grounded voices
Unfortunately no time & bandwidth; but putting this out there
We need:
- campaign for a DIVERSE expert committee including #Citizen #CommunityEngagement #Dalit #Adivasi voices
- Devi Shetty’s position as Chair is NOT tenable; appoint a #PublicHealth expert in his place
Read 6 tweets
NEW: #Indiana considering whether to legalize 14.4 ppb #lead in drinking water for #infants and #toddlers with House Bill 1045.

Bill here: iga.in.gov/legislative/20…

My perspective provided below. There's still time to fix a bad bill and protect Indiana's children.
1/
2/ The current bill requires #preschool and #childcare facilities to conduct drinking water testing for lead. If lead "equals or exceeds 15 parts per billion" (ppb), they must reduce the lead levels.

Testing = Good

15 ppb lead = Bad
3/ What do the experts say?
Well, the @AmerAcadPeds (doctors dedicated to the health, safety and well-being of infants, children, adolescents and young adults says lead no greater than 1 ppb. (These are doctors who know #children's health)

drinkingwateralliance.org/single-post/20…
Read 11 tweets
#Thread #COVIDSecondWave
Dire warning from Dr Darayus Gazder, a young doctor in #Karachi: Second wave is very strong, patients are highly critical and sick. We have a waiting list of over 10 per bed. People are dying/suffering alone w no one to say goodbye!
It's painful
1/n
Some deteriorate within minutes. Others who survive COVID have permanent severe #lung damage, can't eat a single meal w/o high flow oxygen, later die painfully as if #drowning once respiratory/cardiac muscles can't compensate as oxygen is depleted.
- Dr Darayus Gazher 2/n
Educated people should take this seriously. But they are Instead throwing parties, weddings, going to sports events, malls, shopping, eating out with no precautions, even mocking the disease. This selfish behaviour must end as it endangers ALL age groups
- Dr Darayus Gazder 3/n
Read 8 tweets
Hard to believe #PGY4 is here! Grateful for the opportunity to share more about #HAES and #IntuitiveEating with fellow trainees in #peds today for my senior talk. I learned so much along the way I thought I might create a brief #tweetorial of the summary of my literature review.
#HAES or health at every size is a method of nutrition counseling focused on promoting body acceptance, encouraging nutrition 🍎, and gentle movement 💪 without an aim of weight loss.

In brief: pursuing health-promoting habits at any weight/body size. Image
A 2013 study in @JAMAPediatrics showed children whose parents used “weight-centered” language were more likely to diet frequently, binge eat, or have eating disorders as teens.

Parents that focused on healthy eating ONLY had a protective effect on all the above for their teens. Image
Read 15 tweets
In this thread, I'm live-tweeting @sgdambrauskas awesome talk for @AKUGlobal series on #COVID19 in #PedsICU

Critically important topic #Zentensivist #ICURehab #BacktoBasics #DoNoHarm
Defining iatrogenic via @sgdambrauskas #PedsICU
Critical Illness is an iatrogenic disorder- @sgdambrauskas highlights an important perspective by John Marshall in @CritCareMed #PedsICU
Read 16 tweets
From @AmerAcadPeds - staying safe while Black or minority

To go a step further, we have police in #schools and even #school is unsafe for black #children and children of color

linkedin.com/posts/usnehal_…
What is the image and coloring of “an angel” or “a cherub”?

Not a Black child. These are powerful images that inform how people view and then treat children

Who is “innocent”?

Ask any advertiser. Images are powerful and change behavior ImageImageImageImage
There is suspension and punishment of Black girls and boys as early as age 3 called “preschool to prison pipeline”

What happens when the place you are supposed to go to grow, develop, expand, play, take risks

...is a place you are seen (and told you are) bad? Criminalized? ImageImageImageImage
Read 12 tweets
Hi #pediatricians, our work on #disparities in #disability id. was just cited by the @AmerAcadPeds in their #policy statement on the impact of #racism on children's health. Our most recent study was cited. If helpful, here is a thread of our work to date. #RacismAndHealth (1)
@AmerAcadPeds Here is the abstract and link the the study cited in the @AmerAcadPeds policy statement. journals.sagepub.com/doi/pdf/10.310…. We find that children of color are less likely to be identified as having disabilities than similarly situated students who are White in U.S. schools (2)
@AmerAcadPeds Here is an example finding. Of U.S. 4th grade students displaying clinically significant reading difficulties, 74% of White students are receiving special education. The contrasting percentages for Black, Hispanic, and American Indian students? 44%, 43%, and 48%, respectively (3)
Read 15 tweets
Let’s talk #VaccineLiability. There’s a vaccine court that has a lower evidentiary bar than any civil court in the US. If a plaintiff fails there, he can STILL sue in civil court afterward. Our system does protect families. #VaccinesSaveLives
Let’s talk #VAERS. It’s an important database in which anyone can voluntarily report any effect of a vaccine: injection site soreness,fever,fussiness,redness. I’ve reported. So when #ProPlague #Antivaxxers quote numbers, just ask for the breakdown of VAERs reports.#VaccinesWork
The #VAERS system helps monitor concerning symptoms that could start to appear (eg, ⬆️’d soreness or fever with a specific batch of vaccines). It helped identify concerns w/rotavirus so it could undergo rigorous safety testing. It’s a great 1st step in safety.#VaccineMonitoring
Read 9 tweets
Low vaccination rates are a #publichealth crisis, leading to outbreaks of deadly diseases like #measles. My new research in Vaccine/@ElsevierNews provides insight into the characteristics of people who post #antivax content on #Facebook: dx.doi.org/10.1016/j.vacc…
First, I want to credit my fantastic co-authors: @MTH_Pitt @emfelter @DrToddWo @ChadTRM @PittPubHealth. This research stemmed from thousands of #antivax comments on a video on the @kidspluspgh Facebook page: facebook.com/watch/?v=10159…
We used social network, quantitative, and qualitative analyses to examine 25% of people who left these comments. Our goal was to answer questions about who these people are, the information they post, and how they are connected.
Read 11 tweets
On a mom chat board recently an #antivax mom asked for #pediatrician recommendations near where I grew up. She wanted a doctor who would let her skip #vaccines. Someone recommended my old pediatrician. I had so many thoughts...
For starters, I wish #antivaxxers wouldn't look for #pediatricians who won't challenge their #vaccine stance. Your pediatrician should be a resource to talk through your fears & correct misinformation.
My #pediatrician got me through my childhood, so at a bare minimum, he did his job. I still can't help feeling like he was a bad doctor though. I mean, an #antivax #doctor must have misunderstood significant parts of medical school.
Read 6 tweets

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