Putting my foot down as a pediatrician, expert on teen health, gay man, and a dad.

I won’t mince words.

Florida lawmakers: Teens will die if you pass the so-called “Don’t Say Gay” bill and the latest proposed amendment. 🧵 1/ theweek.com/education/1010…
I repeat, teens will die.

I care for LGBTQ+ patients and cannot understate the mental health toll teens experience when adults create harmful school environments for them.

Depression, anxiety, suicide, eating disorders, substance use. I see it all. Routinely. 2/
The latest amendment to “Don’t Say Gay” would require educators to *out* LGBTQ+ kids within 6 weeks if their parents don’t know.

This is COMPLETELY CONTRARY to standards of care for LGBTQ+ youth. Ask any pediatrician.

Again, you’ll kill kids if you pass this. 3/
I’m not being bombastic. This is backed by research. Here are data from @TrevorProject.

Teens in LGBTQ+ affirming schools are 38% less likely to attempt suicide.

Logic dictates that making schools threatening places for LGBTQ+ kids will cause suicides. 4/thetrevorproject.org/research-brief…
Even just by making news as an LGBTQ-unfriendly state, Florida, you are probably causing harm.

@JuliaRaifman showed states that pass same-sex marriage saw declines in teen suicides. 5/ jamanetwork.com/journals/jamap…
Stands to reason, then, that “Don’t Say Gay” makes your state seem unwelcome to LGBTQ kids, and likely to precipitate more teen suicides. 6/
Maybe you think you’re helping kids by keeping sexual orientation and gender identity education out of schools?

You’re not. This is not how teen health education works.

Teens need evidence-based, accurate information, and schools can and should provide this. 7/
Maybe you think you’re helping kids by adding them to their parents when they share that they are LGBTQ+?

Again, you’re not. Educational and clinical standards center on sharing that information only when the teen is ready and wants to. 8/
You’re making a huge mistake, Florida, but fortunately, it’s not too late.

Your state has plenty of pediatricians who care for LGBTQ+ kids and can help you understand the real-world implications of your policies (just ask @AmerAcadPeds). 9/
Do the right thing, Florida. Don’t pass “Don’t Say Gay” or the latest harmful amendment, and provide safe schools and a welcoming state for LGBTQ+ kids.

If you do pass it, teens lives will hang in the balance—and that’s on you. 10/10

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More from @DrScottHadland

Feb 1
Vaccines for kids under 5 — lots of news coverage this AM. Might be available here in the US within a month.

Here’s a 🧵 diving a little deeper from my perspective as a pediatrician. 1/
We pediatricians are hearing from many, many families that they’re desperate for a vaccine for kids under 5.

This resonates for me & my family. We have two kids in this age group. /2
Data *do* suggest vaccines for kids under 5 could be very helpful.

At a minimum, vaccines are safe in this age group — there were very few adverse events in clinical trials.

Vaccine doses are also one-tenth that given to adults. /3
Read 11 tweets
Nov 20, 2021
Pediatrician here. The acquittal of #KyleRittenhouse exemplifies all the ways America is messing up teen boys & perpetuating gun culture, while meanwhile terrorizing youth of color. 🧵1/
I’m a doc for plenty of 17-year-olds and, like everyone else, can’t help but notice that Rittenhouse got a pass for murder while #TamirRice & #TrayvonMartin & countless other teen boys of color (often much younger) are killed (often by police) in the absence of a crime. 2/
Every last one of these kids is a son, brother, grandkid, who is violently robbed of a future and whose families will struggle with grief and trauma for the rest of their lives. 3/
Read 15 tweets
Nov 17, 2021
In light of new data showing that 100,000+ Americans died of drug overdose in a 1-year period, and quotes in the piece about teens being prescribed opioids for wisdom teeth, let me share some thoughts...
The vast majority of teens prescribed an opioid *will not* develop addiction. Our work has shown it's fewer than 1 in 300 who will have a problem. pubmed.ncbi.nlm.nih.gov/33739476/
Similar work by @kaopingchua showed the risk of an overdose while on a prescribed opioid is low (~1 in 11,000). pubmed.ncbi.nlm.nih.gov/31841589/
Read 7 tweets

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