Discover and read the best of Twitter Threads about #tweetiatrician

Most recents (24)

I've been thinking about compassion and pediatricians.

There's an idea that pediatricians are "softer" than internal medicine docs because we take care of kids. And kids are cute! Funny! Sticky! 1/
Once when I was a resident, a scrub tech told me I was going to treat runny noses all day while HE worked in the OR doing SURGERY.

I had already matched to a hem/onc fellowship.

But the perception was there. My job was soft. His was hard.
The irony is that pediatricians embody fierce compassion.

We show up when kids have been shot. When they have been abused. When they have been disfigured.

When they are dying.

There is nothing soft about that. 3/
Read 5 tweets

In this 🧵, we update #COVID19 incidence, hospitalizations, deaths, and disparities for 🇺🇸 children and adolescents.

Please share this 🧵 #epitwitter #PedsICU #tweetiatrician #SARSCoV2 #Omicron #LongCovidKids
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Read 25 tweets
#MedTwitter #tweetiatrician
I am currently at home in isolation with (mild) COVID. I’ve been thinking about why kids & teen COVID vaccines AND BOOSTERS are really important, right now. Here is my long 🧵:
Pediatricians deeply understand risk/benefit of vaccines. As a peds ID doc, I see kids who fall through the "prevention cracks" including immeasurable suffering from severe tetanus, measles pneumonitis & SSPE, chickenpox encephalitis, pertussis, meningitis, and now COVID.
Situations of telling a gasping teen to “lay prone” are vaccine-preventable. This pt was also alone, because her parents were at home, also sick w COVID pneumonia, and too ill to accompany her on hospital transfer. They were all previously healthy and unvaccinated.
Read 25 tweets
07-JAN-2022 UPDATE

Short but NOT sweet update on #COVID19 hospitalizations in 🇺🇸 children/teens.

National update in this 🧵 with data thru 06-Jan - H/T @JasonSalemi

Visit our interactive dashboard to see data for every state.

#epitwitter #PedsICU…
07-JAN-2022 UPDATE

There were 3,142 children 0-17 years old hospitalized with #COVID19 on 06-Jan-2022. This is MORE THAN TWICE as many as were hospitalized on 04-Sept-2021 at the peak of the #DeltaVariant surge.

#OmicronVariant #LongCovidKids…
07-JAN-2022 UPDATE

Pediatric bed-days for #COVID19 inpatient hospitalizations of kids 0-17 yrs have now surpassed 400,000.

That is counting only from summer 2020 - first wave hospitalizations of children in spring 2020 are not recorded anywhere.…
Read 13 tweets
28-DEC-2021 UPDATE

In this 🧵, latest #COVID19 hospitalization data for children 0-17 yrs and adolescents 18-19 yrs, through 27-DEC-2021.
#epitwitter #PedsICU #tweetiatrician #criticalcare #OmicronVariant #longcovidkids

H/T @JasonSalemi…
28-DEC-2021 UPDATE

During the 7 days ending 27-Dec, #COVID19 admissions (confirmed diagnosis) totaled 508 adolescents 18-19 years old and 2,305 children 0-17 years old.…
28-DEC-2021 UPDATE

Hospital inpatient census of children 0-17 years old with confirmed #COVID19 was 1,146 on Christmas Eve.…
Read 21 tweets
26-DEC-2021 UPDATE

New cases of #COVID19 in children and teens for the week ending December 24, 2021 - national and state trends in this 🧵

#epitwitter #PedsICU #tweetiatrician #medtwitter #OmicronVariant #DeltaVariant
26-DEC-2021 UPDATE

Average daily incidence of #COVID19 in children and teens ⬆️40% in one week to 51.4 new cases per 100,000 per day, approaching the #DeltaVariant surge summer high.

Keep in mind: some states only reported through 12/22 or 12/23.
26-DEC-2021 UPDATE

Highest ADIRs persist in New England and the Mideast, along with Illinois, Ohio, Florida --

Several states >100 new cases/100,000/day
Read 17 tweets
#MedTwitter Hi again from your neighborhood cardiologist - This article from the UK is getting quite a lot of interest because it has worked harder in determining the incidence of COVID vaccine myocarditis after boosters. Let's think through this one.…
#Vaccineswork #COVID19 #COVID19France #COVID19Vic #tweetiatrician The structure of their study is essentially that they looked at 42 million Brits >13 years of age and checked, based upon national medical records, whether or not they had COVID disease myocarditis, Vax myo, and...
Which dose and which vaccine it happened after (COVID disease, Moderna, Ox-Astra Zeneca, or Pfizer). They found some data that correlate with the prior Nature study at… .
Read 9 tweets
Should #children be vaccinated against #COVID19?

Our review outlines the points to consider in weighing up whether all healthy children under 12y should be vaccinated against COVID-19.

#medpeds #IDTwitter #PaedsID #tweetiatrician #paediatrics

🧵1/n Image
As specialists in paediatric #InfectiousDiseases and #Vaccinology, we recognise enormous benefits of and strongly support child vaccination programmes

@Dr_Petzi @PittetLaure @adamhfinn @ajpollard1 @nigeltwitt

@unifr @unige_en @BristolUni @OxfordVacGroup @MCRI_for_kids @UniMelb
Our review highlights that the balance of risks and benefits of COVID-19 vaccination in children is more complex than in adults as the relative harms from vaccination and disease are less well established in this age group.

@ASIDANZ @ESPIDsociety @WSPID @PIDSociety @DFTBubbles
Read 10 tweets
Excited to hear from @YadiraCaraveo (who was @DrBenHoffman’s resident, now a #tweetiatrician and CO state rep!) #AAP2021
- Kids’ issues not always taken seriously in govt since they don’t vote so it’s OUR job to advocate for policies that #PutKids1st
Thankful for #tweetiatricians in office @DrPanMD @RepKimSchrier plus ppl like @suwumd @NancyGraffMD @kcalvinaap @AmerAcadPeds #AAPLegCon staff (and many others not on Twitter) who organize legislative visits on multiple levels!
#Advocacy tips
- many important decisions made at state/local levels
- maybe better to contact legislators when NOT in session to establish relationships
- join AAP lists for alerts on various issues/bills
- consider running for office eg @docsinpolitics @runforsomething
Read 5 tweets

We reviewed 14 studies of persisting symptoms following #COVID19 in #children & #adolescents

Most had major limitations and should be interpreted with caution.

True risk is likely to be nearer 1 in 100 than often quoted 1 in 7.

#medpeds #IDTwitter

(Long) 🧵1/n
The 14 studies involved 19,426 children & adolescents.

Common persistent symptoms reported 4-12 weeks after acute #COVID19 were:

•sleep disturbance
•concentration difficulties
•abdominal pain.

Symptoms rarely lasted more than 12 weeks.
Read 13 tweets
A brief summary of science literacy in the US, with extensive citation credits to @ENirenberg , @ShawnOtto , and @neiltyson : Why its so important, why the US still has issues with this, and what you can do. #medtwitter #Immunology #VaccinesWork #tweetiatrician #pediatria
The explosion of misinformation, disinformation, and anti-medical establishment sentiment goes way back, even back to the invention of the concept of vaccination. One source reports this maybe goes back to at least the time of US President John Adams…
If you ever wanted to make a scientist upset, tell him/ her that science has political power. Why? Because if you were a child, poor, and could get a scholarship to school, your science experiment was on a level playing field with the rich expat child who conducted an experiment.
Read 25 tweets
Tal vez hayan visto la investigación del grupo Hoeg sobre la miocarditis. Tengo que hablar sobre esa búsqueda. ¿Por qué puedo hablar sobre miocarditis?Soy un cardiólogo pediátrico certificado por la junta (JAP) y tengo estos pacientes. Ellos se están recuperando bien. @DrDianaMW
@RaquelBlascoR ¿Qué dice ese artículo? Si leen el sistema estadounidense de notificación de eventos adversos de vacunas directamente (VAERS en inglés), tendrán un nivel mas álta de miocarditis, y la "conclusión" que la vacuna les da mas miocarditis que la infección.
Pero - los cardiólogos tienen criterios para diagnosticar la miocarditis. #corazon #Miocarditi La miocarditis no es la única enfermedad que pone troponina en el torrente sanguíneo. Les doy La Revista Española de Cardiología: @RevEspCardiol #VacunateYa #Vacunate #VacunaCOVID19
Read 21 tweets
I keep seeing hot takes on how covid affects kids + if it’s dangerous for them.

But amazingly there’s still a striking shortage of pediatrician voices given the opportunity to provide our nuanced and expert opinion.

What would we say if you asked us?

A thread 🧵
Pediatricians have a lot to say about the covid in kids, how to balance the risks and benefits of exposure, and how to make personal + public health decisions that prioritize the needs of children.

What would we say if asked how dangerous covid is for kids?
We’d ditch glib mortality statistics that dress up data as science + paint a more complicated picture.

We’d reassure you that children continue to mostly do well with acute covid. We’d then explain that deaths + hospitalization from acute covid are just part of the equation.
Read 15 tweets
Team it's time to address the Hoeg et al preprint on post-COVID vaccine myocarditis. How am I qualified to speak about myocarditis? I am board certified in paediatric cardiology and currently have patients recovering from this condition. TLDR: They are doing quite well. #MRI
What is the premise of that article? directly scanning VAERS data will result in capturing more cases of myocarditis, and therefore the "conclusion" that COVID vaccine generates a higher risk of myocarditis than COVID disease. But - cardiologists have diagnostic criteria. #heart
All that bleeds troponin is **not** myocarditis. I cite my professional society, the American College of Cardiology: #myocarditis #COVID19 #vaccination #VaccinesWork Image
Read 18 tweets
To reassure parents, a reminder of some key facts about #COVID in #children:
#SARSCoV2 infection remains asymptomatic or mild in the vast majority of children, even with the #DeltaVariant. Hospitalisation and deaths from COVID are still rare in this age group.

1/n 🧵
However, the greater transmissibility of the Delta variant means there is more COVID in *all* age groups, including children, so we will see more paediatric cases.
As a large number of older people are now vaccinated, the increase is blunted in the elderly so, compared with earlier in the pandemic, a higher *proportion* of current cases will be in children: this can give the mistaken impression that the Delta variant is targeting children.
Read 7 tweets
We are currently entering week 2 of isolation/quarantine with two kids under 3 with symptomatic covid. Here is how we got here. #tweetiatrician #mdphd #covid19 #deltavariant 1/n
Three weeks ago, my vaccinated dad left for a week long camping trip with 6 other vaccinated guys (including my uncle). They spent time outside, in the mountains, hiking, fishing, etc. They did not share tents. They did not share cars. 2/n
On 8/4 my parents, whom we have been in a bubble with since the start of the pandemic, came over for dinner to celebrate my birthday; on 8/6 they babysat my 2yo and 9mo so my husband and I could go out to dinner (we ate out doors, in a socially distanced setting). 3/n
Read 15 tweets
❗️❗️13-AUG-2021 UPDATE❗️❗️

#COVID19 hosp data for kids have been updated.

For children and 18-19 year olds, hosp admit rates are at highest point since Sept 2020 (no good data prior to that date.)

Confirmed cases only - suspected not included here.… Image
❗️❗️13-AUG-2021 UPDATE❗️❗️

Same for current pediatric hosp census - highest ever!
>1200 kids with #COVID19 in hosp TODAY.

@Cleavon_MD @WesElyMD @SapnaKmd @DrZoeHyde @dgurdasani1 @EricTopol @DrEricDing @Arrianna_Planey #epitwitter #PedsICU… Image
❗️❗️13-AUG-2021 UPDATE❗️❗️

In the past week, #Alabama kids had the highest rate of new hosp admits for severe #COVID19

Latest trends for every state:…

#tweetiatrician #PedsICU @hospitals4kids
@GYamey @DrTomori @yoncabulutmd @DrEricDing Image
Read 8 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
Can we talk about all the “kids don’t need masks” hot takes from “experts” that keep cropping up?

I’m exhausted and frustrated and just need to lay some thoughts out there

A 🧵

#pandemic #parenting #tweetiatrician #medtwitter #covid #vaccines #masks
I’ve been bombarded with DMs, comments, articles arguing for a back to normal for kids that ditches all masks for kids + insists covid isn’t bad for them.

The main tactic is the same old using stats + missing the big picture to ultimately argue covid isn’t dangerous for kids
The reality of covid risk to kids is much messier. It involves understanding the complexities of mortality rates, how all children deserve to live a life free of vaccine-preventable disease, how the known + unknown long term effects scare pediatricians more than acute disease
Read 14 tweets
It’s the first week of residency for many incoming residents this week. I remember my first day @usask so vividly: I was so stressed out that I developed tinnitus and asked my senior to examine my ears because I thought I was suddenly becoming deaf. Everyone: take deep breaths.
I have one advice: you are NEVER alone. Don’t ever think that you need to suffer in silence. If you don’t know something, it’s normal! You’re not supposed to know anything: that’s why you’re where you are. No one expects PGY1s to be experts in their fields.
Your co-residents will become your family. You will look after each other. That is so precious and will last your entire career. But also remember that your staff is here for you: you need a shoulder to cry on? You need a hug? You need a warm supper? We’re all over this. Call us.
Read 4 tweets
Word “racism” silenced, actively, by #MedEd #MedTwitter #healthcare#professionalism” & “communication” labels

Saying “racism” offends or “hurts feelings” > actual #BLM deaths

If #professionalism itself is racist -makes sense that word suppressed
What @ayshakhoury experienced pushes out & silences many

If the editors of @JAMA_current resist hearing word “structural racism” then they certainly are not publishing papers using that word

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Journal gatekeeping: men
Behavior gatekeeping: women/HR

#accountability only for white men
-> we miss “Amy Cooper” in #academia, #HR, #professionalism #compliance…

@DrAlethaMaybank @RheaBoydMD @FutureDocs @TIME #BlackintheIvory #MedTwitter @bmj_latest
Read 18 tweets
#MedTwitter influencers show hypocrisy (advice vs actions on masks). Agree:

“unpleasant comments are ‘the nature of social media’ and holding public figures accountable is critical when they are setting an example for their ‘millions of followers.’”…
#tweetiatrician have even gotten death threats for pro-#vaccine #SciComm - most #MedTwitter influencers did nothing to protect vs these personal safety threats to #clinician & #doctor colleagues

@ZDoggMD & @DrToddWo did step up to help @NicoleB_MD…
Compare above to Dr. Mike:
when medical influencers are “caught”

adds to public perception:
“doctors cannot be trusted”

“Another fan posted on Reddit: ‘I know it's your life and you can do what you want, but you have chosen to be a public figure.’”…
Read 11 tweets
We live in an attention #economy & what #Tweetiatricians have known for decades (#Twitter started in 2006): importance of drawing attention to factual science-based information as compared to #misinformation & #disinformation, especially on #vaccines…
You have to be fast & prolific to play catch up to this. I have 77K tweets, a moderate sized band of 6K followers interested enough to tolerate my volume but use of hashtags allows reach across Twittersphere. Trending hashtags = better for riding a way for that attention economy
If is unclear if we are now so siloed that tweets are ineffective with anti-vaxx. But not all anti-vaxx are QAnon
Read 39 tweets
“QAnon is ...a self-sustaining environment of #disinformation & #misinformation...

.. QAnon hijacks the architecture of social media..

..By controlling acceptable forms of information, QAnon traps its members in a downward spiral of radicalization.”…
“As P.W. Singer and Emerson Brooking describe in.. book Likewar: The Weaponization of #SocialMedia, this phenomenon of “junk” or “fake news” is not new. In 2016, a similar, but related, conspiracy known as “Pizzagate” resulted in a shooting at a DC area pizza parlor.” #SoMe
Above is not limited to academic articles

There has been an increase in #antiAsianhate crimes
targeting of #GOTV by minorities
including this attempt to intimidate me for my GOTV, by armed right wing

There was the #Nashvillebombing (with QAnon beliefs)
Read 19 tweets

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