Wendy Hasson MD
@WendyHassonMD
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Board certified in pediatrics, pediatric critical care, and parenting humor. #PedsICU #tweetiatrician . Official AAP spokesperson. Mama of two.
Portland, OR
Joined January 2021
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Pinned Tweet
I’m going to post this every time I see an accidental childhood death:
If everyone is watching, no one is watching.
Assign a watcher. Make it one person’s responsibility. Make it their responsibility to hand off that responsibility. Always.
#pedsICU
#pediatrics
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For all those pillow hoarders out there, behold my “I don’t have to share my king bed with anyone” 5 pillow nest creation. I know there is a subset of people who will understand.
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A message from a hospital pastor:
May I humbly request not to call
#DamarHamlin
’s recovery a "miracle”?
It wasn't a miracle. He had a sudden cardiac arrest with a shockable rhythm, received enough oxygen to his brain to preserve it through CPR, and was shocked back into rhythm.
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The supervisor of a poorly behaving physician said to me today “we should be mindful that this is a stressful time for him b/c his wife is almost due with his first child”
I pointed out I worked clinically through 74 weeks of combined pregnancy without a professional complaint.
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1/Please share this thread on behalf of my physician colleague, Eunice Stallman, who is facing the nightmare of her 9mo daughter, Zoey, being diagnosed with brain cancer several weeks ago.
@BlueCrossIdaho
has added to their anguish by obstructing access to vital treatment.
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30 infants die and we recall 4.7 mil Rock ‘n Play Sleepers.
2 toddlers die and we recall 3.2 mil Calico Critters toys.
2 infants die and we recall so much formula that the US goes into shortage.
Last year, over 6,000 children were injured by gun violence.
Nothing. Nada.
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Feeling the surge in my
#PedsICU
. 60% of my census are kids admitted with COVID or MIS-C. All unvaccinated. Several intubated, some previously healthy. Parents crying. Spent 3 hrs intubating and placing lines last night. I’m so so tired. And we havnt even peaked yet in Oregon.
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Just visited my sons class to talk about being a doctor. Their favorite part? Laying in a circle with their eyes closed pretending to be asleep until the pager in the middle of the circle goes off.
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Because when we use miracle language to describe predictable outcomes as a result of tested and reliable interventions, we give the person in completely different medical circumstances hope that they'll get the same miracle, because medical miracles are “happening all the time”
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because their pastor describes every medical recovery as a miracle.
Lots of believers suffer prolonged excruciating disease and existential crisis waiting for that miracle because of this misuse of miracle language.
Also, it makes the medical staff's job a lot harder.
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When your newborn meets
@DGlaucomflecken
, you can only hope they are magically anointed with a dark sense of humor and an innate interest in relatively high paying, low call coverage specialties.
#MedTwitter
#pediatrics
#pedstwitter
#tweetatrician
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My sweet pea received 5
#vaccines
at her pediatrician today! People worry about the number of shots, but did you know we're exposed to thousands of antigens every day? Vaccines are a tiny drop in a big bucket with the added bonus of protecting our littles against serious illness.
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Daycare closed for COVID. My out of office message: I will be unable to attend meetings/answer emails as the US has systematically failed to protect young children and working parents. I will respond when my child is vaccine eligible, which may not be until 2023.
#WomenInMedicine
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With recovery time and ventilator support, he is where he is today.
A miracle would be if he had gone 20 minutes without intervention, long enough for his brain to die, and then spontaneously revive fully intact. Why is this language so important?
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Every time I go to the bakery, I daydream about being the woman behind the counter, wearing an oversized sweater & serving people warm cinnamon rolls and chai lattes instead of giving people terrible news about their children.
#MedTwitter
what’s your leaving medicine fantasy?
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10/ We must hold them accountable. Accountable to Zoey who deserves this medication for however long HER DOCTORS deem necessary. Accountable for every human in this country equally deserving as Zoey.
#StandUpForZoey
#StandUpForAll
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Grateful for the kind woman sitting in front of me on Alaska 1116 who, when I tried to stop my 18 mo from kicking her chair and opening and closing the tray table, said “I sincerely don’t mind. I consider it a free massage. I’ve been there. Happy thanksgiving”
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I foolishly thought the worst part of parenting was the newborn phase. But now I know it’s actually when your child drops their nap and becomes the intolerable spawn of satan everyday between 4 and 7pm.
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On a FB group for physicians, a woman asked about strategy for taking the most considerate maternity leave. A male physician responded with the comment below. I had to check my calendar to make sure I was still in the year 2023. There’s no excuse for this mentality.
#MedTwitter
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This is the moral injury every HCW is experiencing: spent 3 hours successfully resuscitating a child. The first question I’m asked by the family is “did you inject him with that covid shot while you were in there”. How do you unpoison a poisoned well?
#PedsICU
#MedTwitter
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9/ Insurance companies are counting on it. They know that you will not have the time, knowledge, strength, or health to overcome their barriers.
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Examine your patient.
Examine your patient.
Examine your patient.
This infant died while hospitalized at a top children’s hospitals because HCWs spent the better part of an hour trying to troubleshoot monitors that were “misreading” low oxygen saturations.
#PedsICU
#MedTwitter
Boston Children’s Hospital pays $15 million after child dies during sleep study
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8/Zoey’s parents are fortunate to have connections and flexibility to take time away from work to fight these road blocks. Imagine being too sick to advocate for yourself, or non english speaking, or unable to afford taking hours off work to wait on the phone.
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Me: If you want I can sew that button back on your suit. Can’t remember the last time I sewed a button but I’d venture I’m more facile with a needle/thread…
Relative: oh really? Because you’re a woman?
Me: No. because I SUTURE PEOPLE AT WORK A-HOLE
#WomenInMedicine
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“We’re seeing more kids coming in with brain infections, infections of their gut, patients coming in with newly diagnosed diabetes. We’re seeing COVID is turning out to be unpredictable in children and is affecting them in ways that we maybe hadn’t seen previously,” Hasson said.
Randall Children’s Hospital is seeing an increase in COVID-19 patients and its sickest patients are between 12 and 17 years old.
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@drjenletourneau
One of my colleagues knows their tendency to act like a jerk when stressed. We have a code word we say when we need them to readjust quickly. No big conversation in the moment. Just say “bacon” and the magic word is enough to make them self aware enough to right the wagon.
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Making friends as an adult is hard. I’m too tired for any pretense. A mom at my kids daycare asked me to hang out so I asked her if she wants to get Korean BBQ and complain about our loved ones.
Are you my people!? Declare yourself now!
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Worked out today for the 1st time in 2 years! While 30 min of 🚲 is not impressive, to me it was EVERYTHING. With a pregnancy that ended in emergency surgery, having a newborn + toddler, back to work in
#PedsICU
at 10 wks…its always about someone else.
I did something for ME!
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Let’s not set up the next generation of
#WomenInMedicine
to feel like failures while they struggle to have it all. Let’s be honest. You can juggle all the balls, but every day the one you drop will be different. And that’s ok. You’re still amazing. But you won’t have it all.
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My sister is visiting me and we both had meetings this morning. Mine was about sepsis. My sister’s was about opening a Hocus Pocus themed bar in Southern California.
I’m seriously questioning my life choices.
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Some of the most powerful advice I received from a
#PedsICU
mentor:
“The grief is for you to witness but not to bear.”
I think about this often. Some of the wisest advice is easier said than done.
What are the sound bites that echo in your mind?
#ICU
#MedTwitter
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5/ 5.Zoey’s doctor was able to schedule a “peer to peer” and arrived on the call to discover the “peer” was a PharmD with no oncology expertise. This was the same PharmD who had denied the prior authorization the last two times. The PharmD again, denied the appeal.
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6/
@EStallmanMD
then contacts an investigative journalist who notified BC of her involvement and requested appeal documents. Within hours of being contacted, BC approved Lorlatinib with a $5k/month copay and a letter that Zoey will have to undergo review again in 90 days.
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2/Zoey requires surgery but her tumor is too large to safely be removed. Biopsy shows she needs a targeted drug, Lorlatinib, to shrink her tumor first. Tumor boards at two separate nationally recognized children’s hospitals agreed. Now watch how many times it was denied by BC:
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This is my hospital system on lockdown with an active shooter. My friends & coworkers are there, texting w/ me afraid and devastated about the fatalities that are rumored but not yet confirmed. Our calling is to help people. We shouldn’t be afraid to come to work. ENOUGH.
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The public is starting to feel the consequences of undervaluing
#pediatrics
for decades. Want to see GI for your kids constipation/neuro for new seizures/ENT for ear tubes? You’re lucky if you can get an appointment within a year. Some have closed their waitlists all together.
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I bet every
#tweetiatrician
and
#PedsICU
doc can immediately spot the item that gave me severe anxiety at this 4 year old birthday party.
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7/ Doctors expect Zoey will need this drug for 6m-1y to shrink the tumor enough for surgery, costing the family an astronomical amount IF
@bluecrossidaho
even approves it past 90 days at all.
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On Monday morning after rounds, I felt like I got stabbed in the pelvis with a samurai sword. I was quickly diagnosed with a ruptured ectopic pregnancy and rushed to surgery. They drained 750cc of blood from my pelvis and stopped the hemorrhage. Here are my reflections:
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3/ 1. After 2 weeks of waiting,
#PriorAuthorization
denied due to vague “not meeting approval policy”
2. Eunice filed expedited 72 hr appeal. BC denied, stating request “not urgent” and sent to regular 14d appeal. After days calling to escalate, BC agreed to expedited appeal
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4/ 3.
@bluecrossidaho
then sent appeal to third party company for evaluation, MCMC. They recommend denial, stating this drug is “investigational, not standard of care, and is not medically necessary” and kicked it back to BC
4. BC took the recommendation and denied the appeal
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I can think of no other field besides medicine where you are expected to provide a service despite being verbally abused for 12 hrs by the family receiving that service…. And then be expected to come back again in another 12.
#MedTwitter
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What are the current recommendations for managing hypertensive crisis in adults? Unfortunately, Ive just been told my blood pressure is “one billion million”.
#WhyPeds
#MedTwitter
#ICU
#PedsICU
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@ThePICULife
This was my reply. Plus a few angry others before he was smart enough to take it down.
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I consulted ophthalmology TWICE today on two separate inpatients.
On a SUNDAY.
Hell hath frozen over.
I’m sorry
@DGlaucomflecken
#MedTwitter
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The hardest part of being a
#womeninmedicine
is childcare. Hands down. I just received 2 hr notice to pick up my baby because her teacher is sick & they can’t find a sub. Closing her classroom all week. She’s had 8 days of daycare in the last 3 weeks. Unsustainable.
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A consulting doc asked if we could talk privately in my office. When she got there, she said she just needed a safe place to cry for a minute because she was just. so. tired.
Girl, we’ve ALL been there. Here’s a key. This is the drawer with the high caf tea…
#WomenInMedicine
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I called a nephrology consult and she came to the
#PedsICU
with a Tupperware filled with her own manual BP cuffs of all sizes and it’s literally the highlight of my day.
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The end of a known pregnancy is a surprise to no one. A responsible practice should have contingency plans starting at 36w. If someone has to go out earlier, be a respectable human and cover for them. Irked about missing time with family? Reflect on how that family came to be.
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When I was a little girl, I dreamed that one day…if I worked hard enough… I could become a doctor… so I could spend 2 hrs in the middle of the night arguing with parents who would like to treat their child’s blood pH of 6.9 exclusively with naturopathic remedies.
#PedsICU
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I must acknowledge the inherit privilege in my good outcome. As a white attending, no one dismissed my pain. The death rate of ruptured ectopic pregnancies is 7x higher in Black women. Black pain is often dismissed. We must do better. ALL women deserve to have a good outcome.
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Finally met my new PCP, she told me she’s leaving too in the coming months.
Told me her RVU minimum set by her employer is so high that, paradoxically, if she takes her PTO then she wont meet her astronomical RVU goal and has to pay back her employer at the end of the year.
I’m searching for a PCP for the 4th time in 3 years. All have left primary care. I asked my doc where she is going and she said “I don’t know yet, but I know I can’t do this anymore”.
Soon primary care will only be accessible to those who can afford DPC/concierge.
#MedTwitter
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One year ago, my baby was anointed by
@DGlaucomflecken
.
Today, she said her first sentence: “Fuck prior authorizations”
Coincidence? I think not.
When your newborn meets
@DGlaucomflecken
, you can only hope they are magically anointed with a dark sense of humor and an innate interest in relatively high paying, low call coverage specialties.
#MedTwitter
#pediatrics
#pedstwitter
#tweetatrician
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And I can’t say enough about how grateful I am for
#science
that delivered a second
#CovidVaccine
to my mother’s arm so we could be safely reunited for the first time in a year. Trust me, when you rupture something, you want your mama!
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To be clear, in this fantasy no one starts baking anything until 9.
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@twloehfelm
This. 100%. A little baby arrested onto ECMO in our ER this week. Will now live. That was just a Tuesday in healthcare. Because we are always ready for the scenarios no one else wants to imagine.
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“Well, look at this… you finally got an ophthalmologist to come in on the weekend”
@DGlaucomflecken
@LGlaucomflecken
#SCCM2023
#PedsICU
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I think
#medtwitter
needs to know that I accidentally just text paged a subspecialist asking if I could “lick their brain” instead of pick their brain. So…. That’s where I’m at today.
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The pediatric hospital has way better snacks than the adult hospital. The recovery nurse seemed confused when I asked for goldfish or graham crackers. She stared at me blankly and said “we have saltines.....”
#picu
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@pursuitofhappy3
Oh, I didn’t realize we stop caring about children when they aren’t adorable anymore. I’m a
#pediatrician
and care about all children, big and small.
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“Doctors are weird”. This is the observation of my bedside nurse prior to discharge when I asked her to see the photos of my decimated Fallopian tube.
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Anesthesia drugs are AMAZING. I was given 2mg of versed and don’t remember a damn thing. The gift of amnesia cannot be undervalued
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It’s time to reevaluate how we systemically under reimburse pediatric and pediatric specialty services compared to adults or you can bet access to pediatric services will continue to dwindle until they are only available to the connected/wealthy.
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If you have to rupture something or hemorrhage internally, doing it at a hospital is a great idea
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Also, I realize a public facing job has its own hardships. People are mean, grumpy, and rude, but that’s why it’s a daydream 💭
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@DGlaucomflecken
I assumed as an ophthalmologist you would want a transorbital intubation. Yes.. it’s a thing. A horrifying horrifying thing.
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I don’t know why so many people need to hear this: DO NOT TOUCH MY BABY WITHOUT MY PERMISSION.
Especially her hands or face.
This is the follow up lecture to my talk entitled “Pregnant Bellies Are Not Public Property. Hands off”
Thank you for coming to my
#TedTalk
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There are many places where modern medicine fails people, but this situation is EXACTLY where medicine shines. 100 years ago I would have died. But nowadays they just make three tiny incisions in my belly and use a fancy camera and robot arms to stop the bleeding at the source.
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During intern year, a pts mother yelled & told my attending I should be fired. My confidence was shook. I knew people would finally see I wasn’t deserving. Now I’m med director of my
#PedsICU
. Interns, you’ve got this! It’s the beginning of your story and YOU choose the ending.
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In one of my
#Pediatrics
groups, someone inquired how people are dosing amoxicillin now that childhood obesity is on the rise.
Someone responded that they don’t worry too much about it because amox is only 7cal/5ml.
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Pediatrician who lives in HCOL area shared they’re applying to midlevel position at private derm b/c it pays more than her job in general
#Pediatrics
. Doesn’t require nights/weekends/holidays. No call. There is simply no incentive to stay in primary care anymore.
#MedTwitter
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Someone asked about my skincare regimen, complimenting the lack of sun damage. Here’s my secret to simple skincare:
Spend your whole adult life in a library/hospital during medical training and you too can have amazing sun damage free skin! All for the low low cost of ~250k! 🤫
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I know this post was meant to empower
#WomenInMedicine
, but I think it does the opposite. We should be honest and say “you can have anything you want, but not everything you want”. If “all” is balancing work and play, you can have it all. Add a family, you have to make choices.
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The world of medicine is small and you never know when your past will run into your future. Grateful to have already known my anesthesiologist and most everyone she trained with through
@HopkinsACCM
@HopkinsPICU
. At a scary time, I knew I was in good hands.
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I’m watching this kiddo play a board game with their parents and my heart is so full.
#PedsICU
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My little turned one today and I’m THRILLED this year is over. Going back to work at 10 weeks, directing a
#PedsICU
through a respiratory surge, and NEVER sleeping… my heart is full, but the rest of me is empty. The lack of parental leave is inexcusable,particularly in medicine.
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@Zeldacat47
Yup, that’s my real life working pager. The plastic beeping log that haunts my dreams.
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Dropping off my kids at Jewish preschool was terrifying. I know today will not be safer than next week or the week after. We have to continue to live our lives through the fear… but it hurts.
Check in with your Jewish friends.
They are not ok.
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I’m searching for a PCP for the 4th time in 3 years. All have left primary care. I asked my doc where she is going and she said “I don’t know yet, but I know I can’t do this anymore”.
Soon primary care will only be accessible to those who can afford DPC/concierge.
#MedTwitter
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My 4 y/o found a Guess Who board and is pretending to be in a zoom meeting.
This is the moment the combined laugh/cry emoji was designed for.
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@SBMPediatrics
Ridiculous. I’m a spokesperson for AAP and have made myself available literally within minutes of a media request on this issue and I know others are doing the same. Do better
@MSNBC
. Contact the
@AmerAcadPeds
and they will get you an ACTUAL REAL LIFE PEDIATRICIAN.
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Every day you choose what you have but it’s never “all”. You can’t be at soccer because you’re on call. If you go to the birthday party, you’re missing bedtime when you’ve already missed 3 this wk. You choose how to spend your 1 hr of free time: exercise, cook, or with family.
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20’s = actually want to do something on NYE
Early 30’s= pretend you want to do something on NYE
Late 30’s= admitting you have no interest whatsoever in doing something on NYE
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Does anyone else feel like they spent every night of fellowship hoping crazy shit happens and now spend every night as an attending hoping absolutely no crazy shit happens?
#PedsICU
#MedTwitter
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Tonight a friend texted me to ask what I “normally prescribe for otitis externa in my daily practice in the
#PedsICU
”. I was like “uhhh… 1)what exactly do you think I do all day? And 2) vancomycin, cefipime, and ambisome, +/- doxy”
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After a certain number of years in
#Pediatrics
, it should be guaranteed that you’ll be taken care of at a Children’s hospital, akin to tenure as a professor. Even at 85, I’ll still want chicken fingers, Bingo, and heart shaped stickers holding on my nasal cannula. Who’s in?
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Two of the children killed in the
#CovenantChristianSchool
shooting were children of physicians. It doesn’t make it any more sad, but it does make it feel that much closer to home. Suffocatingly close.
Your fellow physicians are mourning with you.
#MedTwitter
#ThisIsOurLane
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What I want for
#MothersDay
:
•to send my children to school without the haunting fear of violence
• for my daughter to grow up with bodily autonomy
• a parental leave system that reflects the vital role of parenthood
• a sustainable, functional healthcare system
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@MarkAugustGuy
@SolNataMD
I’m going to wager that the underlying condition these patients have in common that contributed to their morbidity is being unvaccinated.
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Imagine you worked hard and had excellent results.
Imagine your employer then said “great job! You are so good, you should be able to do more with less!”
Imagine they said it again. And again. And again.
That is the current state of
#healthcare
.
#MedTwitter
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If I see another parent comment that their kid had COVID and was fine and therefore no kids get sick from COVID….
This is like saying “I survived my cancer, so no one dies of cancer” or “I’m not allergic to nuts, so no one ever gets hurt from nuts”.
#PedsICU
#MedTwitter
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Sitting with the paralyzing fear that thousands of parents have experienced when those you love most in this world are a mile from you but cannot be reached.
Received a call that school is on lockdown due to credible threat.
Hold your breath for 4 and 2.
#THISISOURLANE
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From my colleague this morning.
I challenge you to come to my
#PedsICU
and then tell me how COVID doesn’t effect kids. All unvaccinated.
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