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Lauren Wilson MD Profile picture
Lauren Wilson MD
@DrLaurenWilson
Pediatric hospitalist. Child advocate. President of @mt_aap. #tweetiatrician. Enthusiastic but terrible hockey player. She/her.
Oct 2, 2022 • 12 tweets • 3 min read
Listening to last night's #MT01 debate, and this "abortion up to the moment of birth" nonsense from @RyanZinke (and others) is just that -- nonsense. Why? 🧵

(TW miscarriage / pregnancy complications) Facts: abortions after 21 weeks, which is about halfway through pregnancy, make up 0.7% of all abortions in Montana.

These are almost exclusively tragic medical situations that result in parents ending wanted pregnancies.

cdc.gov/mmwr/volumes/7…
Sep 17, 2022 • 4 tweets • 3 min read
Today is National Physician Suicide Awareness day. #NPSADay

A couple of issues drive problems with physician mental well-being:
- Job-associated burnout
- Stigma and harm associated with seeking help (having to report this condition on your license, and to your hospital) What I find interesting are the responses you get from physicians when you ask about what actions can be taken to reduce burnout. Not shorter hours / more pay.

- Reducing low-value work & EHR clicks
- Eliminating insurance barriers like #PriorAuth
Sep 14, 2022 • 5 tweets • 3 min read
Denial of care saga, part 3.

Concierge for @AnthemBCBS reached out, very friendly. Talked to MD reviewer (adult internist) who said, yeah, makes total sense, but I am a Level 1 reviewer and can't approve your request. 🤦‍♀️

Level 2 reviewer (peds GI) cannot be called directly. 1/x Patient's peds GI stayed in the office until 11:00 pm last night finishing a multi-page letter of evidence & justification and attaching additional clinical documentation. Sent it off.

And ... now we wait?

Meanwhile this child is on high dose steroids with no endpoint. 2/x
Aug 3, 2022 • 9 tweets • 3 min read
Montanans waking up to the news about Kansas:

State government control of your reproductive health care is *also* on the ballot here in November.

In at least three separate ways, actually. 🧵

#mtpol #mtnews First: if Rs pick up two seats in the legislature, they'd have a supermajority.

A supermajority can place initiatives on the ballot to directly amend our Constitution and exclude abortion care from the right to privacy. They could even call a new constitutional convention.
Sep 13, 2021 • 16 tweets • 6 min read
Starting a list of Montana schools that have had to close or go virtual in the setting of increasing COVID infections in students and staff. Feel free to add. #mtnews 👇 Montforton, masks optional, Sept 2.
bozemandailychronicle.com/news/education…
Sep 2, 2021 • 25 tweets • 9 min read
On Tuesday @DPHHSMT wrote emergency orders citing "science" that masks don't work: a smattering of sources such as popular press, letters to the editor, articles they misread and - yes - tweets.

Might be time for a giant thread on the evidence behind masking? LET'S GOOOOO. And by GIANT, I mean GIANT, because, well, there's a lot of evidence.

This is necessary context for when people throw out one-off colorful graphs of questionable provenance and saying, SEE?!? SEE?!?

I can't respond to all of that, if I had a zillion hours in the day.
Jan 13, 2021 • 5 tweets • 1 min read
Testimony today on HB 137, an effort to cancel ALL Montana communities' local ordinances on tobacco & vaping products. Setting the stage for our trend in youth vaping to continue. 30% of MT high schoolers currently vape. I'm concerned about this. It seems to me like we should value our kids' health (and the long term health effects of tobacco use) over the health of this industry, and we're really not doing so in Montana.
Jan 10, 2021 • 7 tweets • 3 min read
It's Sunday, you're on Twitter. I'm pretty sure you have 5 minutes. Can you use those 5 min to speak up for our #transgender Montanans, who are targeted by 2 harmful and discriminatory bills, being heard Wednesday? HB 113 would fine health care providers up to $50k for providing gender affirming care (seriously, following our national guidelines on this would be ILLEGAL). Medical care for transgender youth is evidence-based & has been shown to reduce their very high risk of suicide by 70%.