Travis Kelce’s resurfaced tweets as medical subspecialties:

A thread 🧵.

Neurosurgery:

https://x.com/tkelce/status/165261923766632449?s=20

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. 💊

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?

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

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?”

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.) 👩‍🍼

1/19
When is breastfeeding contraindicated? A thread 🧵 and list of contraindications

#MedTwitter #PedsTwitter 🍼 2/19
As pediatricians, we often default to recommending BFing for infants given the numerous health benefits that have been demonstrated for both the mother and child. 👩‍🦰👶

However, there are certain situations we should be mindful of.

1/17
When should I send an ammonia? A thread 🧵 and list of indications

#MedTwitter #TipsForNewDocs 2/17
As I mentioned previously, ammonia is commonly sent for workup of AMS, and rarely is it helpful in that setting.

https://twitter.com/ClementLeeMD/status/1539011401037107207?s=20&t=rqDrd4qsekOvLxntIpOSZA

1/14
Rapid Response Series, #4: Altered Mental Status

Congrats to all the new interns who started this past week! 🥳 I saved a fun topic for this milestone—something all doctors will see regardless of specialty: encephalopathy

#MedTwitter #TipsForNewDocs 2/14
This one is hard to tackle because it runs the whole gamut of diagnoses, from benign things like sleep inertia 😴 to life threatening conditions like osmotic demyelination syndrome.

However, I’ll try to supply some frameworks I find to be helpful.

1/14
Rapid Response Series, #3: Hypoxia

How many times on rounds have you been asked, “What are the 5 causes of hypoxemia”? 🤔 #MedTwitter #TipsForNewDocs 2/14
To me, this is an impractical question bc unless you are practicing on Denali 🗻, your patient is not suddenly hypoxic from high altitude. It’s almost always V/Q mismatch.

(Also, a shunt is just severe V/Q mismatch, so those are really the same answer.)

1/11
Rapid Response Series, #2: Hypotension

So in medical school we were all shown a table like this to learn shock, which made my eyes roll back. 🙄 When I’m called about hypotension, I don’t have time to recall a table.⏱️ #MedTwitter #TipsForNewDocs 2/11
But I do like math formulas 🤓, and using this familiar formula ensures I never miss a potential cause of shock.

Which of these formulas best estimates blood pressure (BP)?

1/10
What is a “clinical pearl” exactly? Diagnostic criteria and framework, a thread 🧵: 2/10
Recent #MedTwitter posts have highlighted the problems with “clinical pearls,” and my major gripe with the term is that it is imprecise