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
#AAP2021
Ppl remember stories - resonates w prior advice #AAP2021
- don’t be intimidated by contacting legislators, frame it as offering them help/expertise on the issue
- can also think of it as shared decision making just like what we do w patients every day!
Will have to go back and listen to the first part of the #AAP2021 session w @mundumuragu @StrohCunningham @safekidspres later, but #InjuryPrevention is an important topic for any practice setting or stage of life!

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More from @DrJenChen4kids

9 Oct
Needed a screentime break, now listening to @karensheehanmd #AAP2021 on community-based interventions for injury prevention, aka @InjuryFreeKids program
- one of the orig papers: ncbi.nlm.nih.gov/pmc/articles/P…
Studies like this can help inform policy, eg targeting the most dangerous playgrounds for repairs scholars.northwestern.edu/en/publication…

#AAP2021 #InjuryPrevention
How to decide what to research/advocate for?
- most severe injury?
- most prevalent condition?
- issue w greatest inequity?
- influenced by a patient story?

Thinking of role models like @MonaHannaA @AnnieAndrewsMD
#AAP2021
Read 4 tweets
9 Oct
So amazing to hear from #GOAT @Simone_Biles #AAP2021 as amazing role model for setting boundaries and simply being human 💕

time.com/collection-pos…
Paraphrased: As humans we don’t want to be a burden, we want to figure things out on our own, but at the end of the day people want to help you! #AAP2021 #MentalHealthMatters #SuicidePrevention
If you see something, speak up because you might be helping others too. It might be daunting, but we just need someone to believe what we say, someone to protect us 😢 #AAP2021
Read 4 tweets
9 Oct
Next up #AAP2021 #COCM @JuanEspinozaMD on overcoming barriers of misinformation
- disclosure that he’s one of my former attendings 😋

Distinction of MISinformation vs DISinformation (we #tweetiatricians #AntiPlagueLeague see plenty of both!)
Why misinformation is a problem
- false beliefs ➡️ increase fear, mistrust
- expose ppl to harm
- worsen existing biases/disparities
- ppl make ineffective or harmful policies based on bad info 🙃

Kids specifically more vulnerable to misinformation 😔

#AAP2021 #COCM
#AAP2021 #COCM Useful way to think of misinformation spectrum via @cward1e @firstdraftnews (also TED talk here npr.org/2020/03/20/818…) Graphic of 7 types of bad info
Read 4 tweets
9 Oct
Starting #AAP2021 #COCM #CNACH session w @LanreFalusi on overcoming communication barriers
1) Look within: admit/ID biases, raise awareness
- don’t just ask BIPOC friends “to teach you”
- reflect on your own experiences
- intentionally diversify network
- question everything!
2) Use inclusive language
- It’s not them, it’s us: focus on collective orientation rather than labeling (shoutout @DrOmolara!)
- Strength-based language: focus on assets (vs deficits) and recognize disparities eg underserved ➡️ under-resourced

#AAP2021 #COCM #CNACH
Humanizing stories: provide emotional appeal, counter-narrative for neg stereotypes (shoutout @juliemlinton)
- ppl remember narratives, not stats/facts
- portray ppl in hopeful terms eg victim ➡️ survivor
- AVOID centering our perspective, blind spots, etc
#AAP2021 #COCM #CNACH
Read 8 tweets
8 Oct
Starting off #AAP2021 w #PEM #SOMHEI joint session to hear @DrTiffJohnson’s talk on racism and child health - can’t screenshot anything but will try to live tweet!
Some background info: Dr. Johnson’s prior talk @ChildrensNatl Grand Rounds childrensnational.org/news-and-event… #AAP2021
More resources about disparities especially in #PEM
onlinelibrary.wiley.com/doi/full/10.11…

Shoutout to @ElysePortillo and @monikagoyal123 among others in this special issue
Read 11 tweets
29 Feb 20
It’s the last day of #VaxFactsFebruary and #RareDiseaseDay, so I feel it’s finally the right time to share this story*
#VaxxDocs #VaccinesAreSafe

*Non-pertinent details changed for HIPAA

1/
“X” was a healthy girl until ~1 yo when she became a picky eater and got extra fussy after eating. When I met her, mom had been told it was reflux, constipation, multiple viral illnesses, etc. She’d even been hospitalized elsewhere for “dehydration” then discharged 2/
Reviewing the records, I was struck by very elevated AST/ALT, which can be seen in many conditions, but these were pretty high. On exam, X was really fussy, maybe mild gross motor delay, but no focal findings like a hard belly, rash, or dysmorphic facial features 3/
Read 11 tweets

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