I’ve tweeted about this before but the impact of social media, especially Instagram, on teenagers makes sense from a psychological development point of view.
It’s an app that targets exactly the developmental stage of teens.
One of the major developmental goals for teens is identity formation. Teens strive to figure out who they are. Especially as if it relates to their peers. Younger kids are shaped more by their immediate family. Teens start to expand their circle.
That’s normal developmentally.
So imagine an app that allows you test out aspects of your identity. It gives you instant, immediate feedback. From your peers but also strangers. In fact, make it quantifiable. There’s no guesswork. Here’s the exact number of likes. And who specifically liked it.
You can see how for someone who’s primary goal is identity formation… that’s precisely what you’d want at that time.
Is this good? How about this? And this?
Instant, immediate, feedback. Again and again.
This is wildly different than any other time being a teen.
Like when I was a teen, how would I know if someone liked something I said or the clothes I wore? Maybe they say something. Or I have to interpret their reaction to me, skewed by my own perceptual blinders.
What are all my friends doing right now? Or wearing? Or saying? Or thinking? Or watching?
🤷🏽♂️
I’d have to phone them to find out. One by one. On a landline. During the day.
That’s a much different method of shaping my identity in relation to my peers.
This doesn’t mean social media is inherently all bad for teens.
It IS different though. A wildly different way of shaping our identity in a way we never have before.
And there may be some good from that for some kids.
But there is certainly some negative.
Back to the original tweet. Internal Facebooks data suggests the impact of Instagram on some things for teens (like body image) is greater than other social media apps.
Which makes sense.
Let’s take all of the above and apply it to a format entirely about physical appearance.
This hole of nonstop comparison, sharing yourself, getting feedback and comparing it literally the best everyone else in the world has to offer.
That’s tough for adults.
Now imagine you’re a teen with an developing sense of identity, trying to figure yourself out.
This too.
When you were a teen, did you wake up and the first thing you saw was a wall of posts on your phone of people telling you to go kill yourself?
Because let me tell you, I’ve heard that story from the teens I treat regularly enough that it doesn’t even phase me.
Look, the point of this thread isn’t that social media is irredeemably bad. Or Instagram.
It’s just a whole new way of shaping your identity and teens are going to be uniquely vulnerable to it because they are literally trying to form their identity and that’s hard normally!
And we don’t do a good job of teaching kids how to wade through that.
Learning to log off is a skillset, same as taking a breath and walking away when you’re too mad to say something helpful. Comes easy to some, but not for others.
Learning that what someone posts isn’t the same as what their life is like is a skillset, same as learning what someone says isn’t always what they mean. Or what the say they feel isn’t actually what they feel.
And of course, this stuff is hard to teach if you suck at it yourself.
Hockey Twitter has taught me there’s a LOT of grown-ass men who have basically no emotion regulation skills or ability to manage themselves on social media.
So how are you going to teach your kids?
You also can’t just say ‘no social media ever’. This is how kids communicate now. They’re basically going to hear it as “don’t have friends”.
Plus, that still doesn’t prepare them for adulthood when they WILL have social media & still need these basic skills.
I don’t have a nice easy answer to this to sum it all up. I wish I did.
I do think we need more research. Apparently Facebook has the data.
But we need to help teens navigate this social media world.
And we need to teach them when to log off.
Right after we teach ourselves.
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Not controlling for age (which would make this number worse) and subtracting the estimated number of children <12 in hospital, there are 591 excess hospitalizations due to under vaccination.
That’s almost enough to completely fill the U of A Hospital (which has 650 total beds).
That includes 191 excess ICU beds due to under vaccination. A good size ICU is about 20 beds or so.
So there’s about 9-10 full ICUs in excess of what one might expect if everyone 12+ was vaccinated. (Not accounting for age or decrease in spread due to vaccination.)
Who wants some GRAPHS?
This is your chance of being in hospital with COVID 'right now' in Alberta. Current admission ages estimated based on admission data over the last 120 days.
Some breakthrough in the older age groups, but it's mostly unvaxxed people.
So @hinz_tamara & I are giving a Grand Rounds this Friday on Physician Advocacy Through Social Media. I’m going to live tweet some questions from the Rounds and share responses with the group.
But in anticipation of the rounds, I have some questions to my followers:
Feel free to respond to these in replies. This isn’t meant to be anything official, obviously this is not a research methodology. Just curious about what the responses might be.
1) What information do you most value from physicians through social media?
Wait, is there going to be a protest against vaccine mandates in Calgary? A city in a province without a vaccine mandate? In front of hospitals that are so overloaded with unvaccinated people (b/c of this lack of mandate) that many vaccinated people had their healthcare canceled?
“What do we want?”
COVID!
“How do we want it?”
In such overwhelming quantities so as to overwhelm the healthcare system and cancel other people’s cancer surgeries!
Like, my dudes, you’ve already won, take the W and leave us be.
“We want to be able to eat at a restaurant without proof of vaccination!”
Sir, you are literally at the Wendy’s in front of U of A hospital. Without proof of vaccination. Now if you’ll excuse me, we’re trying to serve the families of all the unvaccinated people in the ICU.
From my DMs. This is a classic medical ethics question.
I understand the anger and frustration driving this. The philosophical question of fairness & who gets treatment and who doesn’t.
However if we believe in universal healthcare, we can’t ration healthcare based on morality.
If you speed going 200 km/hr, if you give yourself alcohol poisoning because someone dared you to a Centurion, if you lost a game of South Park Roshambo, if you broke your hand in a pointless hockey fight b/c of some dumb “Code”, you shouldn’t get rationed healthcare differently.
We can triage based on severity, based on prognosis, on how likely you are to benefit, on what it is the most appropriate level of care.
But I don’t think we can triage based on whether you made a single bad decision. No matter how poor that decision was.
So, if we look at the rate of hospitalizations for double vaxxed folk (4.8 per 100,000) and apply it to number of people who are under-vaccinated, we can see how many ‘excess’ hospitalizations there are due to under-vaccination.