If parents want to co-sleep with their babies, I don't shame them for it. I have a conversation.
Life is full of risks, and we all make decisions every day that aren't the safest options.
So, just like any other situation, I talk about how to be as safe as possible. (1/)
With teens who are having sex, I talk about contraception, STI prevention, HPV vaccine, consent, legal implications of nude pictures of people under 18.
With kids who drink, I talk about avoiding situations (driving, swimming, sex, etc.) where this could increase risks. (2/)
And with parents who choose to cosleep with infants, I talk about how to do it in the safest way possible.
We talk about specific risk factors for the baby, avoiding intoxication, mattress firmness, blankets/comforters. We talk about the risks and how to mitigate them. (3/)
Because I've had patients who died in their sleep. I've talked to their parents. I've been working in the ED when one rolled in, cold and gray and lifeless.
And I don't want that for anyone. And if I can help to minimize risks while respecting a parent's choices, I'm in. (4/)
So when @nypost publishes a poorly researched article that contradicts medical science, basically telling parents not to worry because nothing bad can happen, without any nuance whatsoever...with a headline that is extremely offensive to parents who have lost babies...(5/)
I get a bit worked up.
It's an extremely irresponsible article that--if anybody takes health advice from @nypost--could result in more parents spending the rest of their lives mourning the loss of a child.
All for ad revenue.
Take it down. (6/6)
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i was born into the southern baptist church. my grandfather was my pastor for the first decade of my life. i was "born again" when i was 6 after a particularly terrifying sermon about hell. i spent 32 years in white evangelical churches, and it fucked me up in a lot of ways 🧵
i attended bob jones academy, a conservative fundamentalist christian school where interracial dating was banned until the year of their lord 2000. i was taught that the bible is 100% literally true/historically accurate and that the earth is 4-6k years old don't ask questions
the #purityculture movement of the 90s and 00s shaped the way i viewed sexuality, gender, marriage, and divorce--basically that sex is a sin anywhere outside the context of a cis/het monogamous marriage. and it motivated me to get married at 21, which is my single greatest regret
during my MS-3 surgery rotation, i got pulled into a cardiothoracic surgery case. the division, and this attending in particular had...a reputation, and most of us would do anything to get out of working with them. but this time, i couldn't get away.
it was a laparoscopic case involving one lung. my job was to hold the camera--not a particularly difficult job, but one that's really important, and one that's not easy if you've not done it before.
as things were getting set up, the attending was talking to me about how we were going to insert the endotracheal tube further than normal, to intentionally intubate one lung, allowing us to work on the other. brilliant. i'd never thought of that.
when i was in residency, i had an idea for a different practice model. one that would allow me to spend more time with patients, and would let me operate outside the bounds of the typical healthcare system, giving my patients the attention they deserved.
i spent two years working on a business model that i thought would work. i examined similar practices from across the country, took the best parts of them, and implemented them into a practice model that i thought would be great.
but things didn’t go as i had planned. the grand opening was less than grand. i think i saw 2 or 3 patients the first month, which was great for studying for boards, but not so great for paying bills or keeping a practice afloat.
“colic” isn’t a thing. “gripe water” is also not a thing.
except they kind of are. they're multiple things, really.
come with me on this journey. (THREAD)
in 1954, dr. morris wessel published a paper called “paroxysmal fussing in infancy, sometimes called 'colic’” it’s about (as you probably surmised) babies who cry a lot.
the researchers examined the records of 98 babies and separated them into 2 groups: “fussy” and “contented.” how? by using a definition that dr. wessel just made up: babies who cried more at least 3 hours a day, at least 3 days a week, for at least 3 weeks were defined as "fussy"
The story of teething begins, as all good medical stories begin, with Hippocrates, who wrote in the 4th Century BCE that “teething children suffer from itching of the gums, fever, convulsions, diarrhoea, especially when they cut their eye teeth.”
(a thread)
It wasn’t until the late-19th century that a precise mechanism was elucidated. J. W. White explained, “The nervous perturbation occasioned by the eruption of teeth increases the susceptibility and lessens the resistive power of the child.” (There, that sounds science-y enough.)
Just a few hundred years after Hippocrates wrote of the perils of teething, Soranus of Ephesus developed one of the earliest recorded treatments for teething:
1) Kill a bunny (or don’t, but it seems the humane thing to do) 2) Cut out its brain 3) Rub it on your kid’s gums
we shouldn't be here. the management of this pandemic has been a complete disaster from the start. efforts to get this pandemic under control have not been only ignored, but undermined by our president. we shut down for weeks, and we have very little to show for it.
we still lack adequate ppe. we don't have a coherent testing strategy, and the tests we are doing often take a week or more. we still lack hospital beds and icu beds and staffing required to handle what's here or coming. that's what the shutdown was for.
we flattened the curve so that we could address those things, and yet here we still are, months later. people are tired of it, and i get it. i'm really damn tired, too. i want this to be over. but we can't just *decide* it's over, which seems to be what's happening.