As requested of my previous tweet about this birth plan, here’s a line-by-line commentary.

I’m all for parents participating actively in the care of their newborns, but it’s dangerous to make a blanket statement to refuse everything.

#MedTwitter #PedsTwitter

“No antibiotics for baby.”

I agree with this for most babies. Healthy babies do not need antibiotics. But if they have a bacterial infection or sepsis, this can be lifesaving. 💊

“No IV fluids/antibiotics” (I’m assuming for mom)

If the mother has a bacteria called GBS 🦠, I'd absolutely recommend antibiotics to prevent transmission to the baby and neonatal infection/death. Otherwise, for fluids and other reasons for antibiotics, I’ll defer to OB.

Read 18 tweets

Clement Lee, MD, MSc

@ClementLeeMD

Jun 28, 2023

1/14

A common question I get asked is “How can I stay up to date with the medical literature?” 📗📚

Here are 5 tips that have helped me over the years.

#TipsforNewDocs #MedTwitter

2/14

First, how do you currently keep up?

3/14

Next, a disclaimer: Residents are NOT expected to do this. Your schedules are crazy and your sleep scarce. You should also be getting education through your residency (e.g. conferences). 🎓

But for those with the inclination/bandwidth for medical literature, read on…

Read 13 tweets

Clement Lee, MD, MSc

@ClementLeeMD

Feb 11, 2023

I just finished another week rounding in the nursery and had a great time. I love my job! 👶🏼👩🏾‍🍼

Here are 7 common baby rashes that we didn’t cover last time.

#PedsTwitter #MedTwitter

1. Pink patches on the face

This is a nevus simplex (aka salmon patch/stork bite/angel kiss). 👼🏻💋

They can worsen with crying and go away with time. They're usually on the forehead/eyelids and have feathery borders (vs. a port-wine stain). They're actually not nevi (moles) but capillary dilations.

Read 17 tweets

Clement Lee, MD, MSc

@ClementLeeMD

Jan 26, 2023

I just finished rounding in the newborn nursery and got many questions from new parents.

Here are 7 common questions that I got that I think would be educational for parents (and peds trainees):

#PedsTwitter #MedTwitter

1. “Why are my baby’s feet blue?”

This is known as acrocyanosis and is completely normal.

Babies have a hard time regulating temperatures, so their hands/feet are often colder than their bodies (as you would be in a cold café) ☕️

It may even affect the lips sometimes, but never the inside of the mouth.

Read 16 tweets

Clement Lee, MD, MSc

@ClementLeeMD

Oct 24, 2022

With RSV season now formally upon us, let’s learn a little bit about the virus! Here are 10 facts you may not know about RSV…

#PedsTwitter #MedTwitter

1. RSV is the #1 cause of hospitalizations in children under age 1 in the US (PMID 27490190).

(Technically, by billing codes, this is inaccurate—since being born is the #1 cause of hospitalization, but you get the idea.) 👩‍🍼

2. Worldwide, the #1 killer of infants after the neonatal period is malaria. 🦟🩸

#2 is RSV (PMID 23245604).

RSV accounts for 7% of infant deaths (and malaria 12%).

Read 16 tweets

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