Leslie Knope Pediatrician
@toddlerpolitics
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Pediatrician, reluctant practice owner, mom to a couple of kids who laugh at AAP recs. Liberal snowflake and Nevadan mountain girl. Apgars 8 & 9. she/her.
Reno, NV
Joined May 2017
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Had a really hard talk with a family today. I get it if you don’t want to vaccinate. I think you’re misguided and misinformed, and I will try to help you see why.
But when you blame “immigrants coming over the border” for the rise in vaccine-preventable illness, we’re done.
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@maddiemier2
@nursekelsey
Little means you get to wear the crazy stuff. Her leggings are amazing and she’s amazing. Mine is also a sparkly unicorn.
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Things to put your pediatrician in a bad mood: starting your visit with “I told that lady [our MA] there’s no way you’re giving my kid a COVID vaccine.”
*blink blink*
ok we’ll we don’t give them by force
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@TyphonCastle
@morninggloria
“Pro-choice”means you want every woman to able ti make that choice for herself. See how I used the word “choice” there? I know, it’s complicated.
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Me this morning: oh god oh god oh god why is Rita Moreno trending? Oh thank god. It's a parade.
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If, when I tell you that immigrant populations are among the most highly vaccinated in this country, and that your kid is more likely to get pertussis from grandma, your next question is “but what about the middle easterners?” that conversation is over.
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I don’t do a single thing without the consent and agreement of my patients and their parents. That’s being a pediatrician. I’m not mad he said no. I’m mad that that was his answer to “hey, guys, how are you doing?”
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@TyphonCastle
@morninggloria
I am a pro-choice person with children that I chose to have. Because it was right for me. If you don’t believe in abortion, don’t have one. See how that’s a choice, too? Wow, autonomy is wild.
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In the course of that talk, I was accused of falsifying safety data, giving combo vaccines so “no one can tell which one made them autistic,” and told that if a child develops autism, that I would just *lie* about what caused it.
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Hey
@VPrasadMDMPH
, what’s the game plan here? Take a group of the most dedicated and under-appreciated physicians in the country and shit on them a little more?
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For the record, I did not *say* we don’t give them by force. I said “ok!” and moved on to the rest of the checkup. Because I am an adult.
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Half of my phone calls today are parents mad at me for not prescribing antibiotics sight unseen for the thing they’re certain is strep or sinusitis.
This is not how Peds works, people!
#tweetiatrician
#tired
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Then I got this gem in response to a very basic “there’s lots of illness out there, not too late to get a flu shot” post. So 👏 much 👏 winning 👏
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@MaddieMierMD
@farahrahman23
I had to very carefully remove and set aside a pair of fairy wings for an exam today. It was precious.
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@AmethystX1979
I can’t speak to what happened to your child, but sometimes we learn of vaccine injuries that were actually not. If we can clarify those events, maybe a family won’t miss out on future important vaccines. My JOB is not to coerce. My JOB is to help parents keep their kids healthy.
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@shivthesurgeon
Also leads to a shortage of desperately-needed primary care docs as med students choose specialties that might give them a better chance of paying off their loans sooner.
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@DrGRuralMD
This pediatrician mom would lay into this hospital so hard. Breastfeeding is great, yeah, but making moms feel awful when it doesn’t go *perfectly* and *immediately* is so damaging.
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Saying it here because my people will understand the reference: Happy birthday to this child, who is a goddamn cheetah.
@GlennonDoyle
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@morninggloria
This is by far the thing I struggle with most. I always knew I was mostly an introvert, but…wow.
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@thepedipals
I’m expecting future studies to show a signifiant jump in asthma as a complication of COVID infection…it’s bonkers how kids are just wheezing out of the blue now
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Seriously,
@UCSF
, every day this guy remains affiliated with you is a slap in the face of American pediatricians. I can only imagine how disrespected this makes UCSF pediatricians feel.
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@Dianekirse
@jamee_walters
@DrPuls
Yep. I’m the least fun person at the beach. I will watch my kids. And your kids. And the ones waaaaaay over there. All the kids.
#trustnoone
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@AmyGDalaMD
I had a patient (5 yo) this week whose parents had no concerns at her checkup but when I asked her she said “well, I’m worried about tarantulas.”
#pedsisthebest
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@quality_nguyen
But also is she mad at the person who prescribed that stuff? 18 mos in and she didn’t know what anosmia meant? They were dumb for sure but seems like she should have also had an inkling???!
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@CaseySeidemanMD
And suddenly she has a new favorite patient. Bring him all the graham crackers!! 😍
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@DanWuori
I’m a pediatrician, and your posts are routinely the thing on twitter that bring me the most joy. Thanks for what you do ❤️
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@emlinne
@RottenInDenmark
Peds here-it does have relevance here, as many kids with ADHD take stimulants with a common side effect of weight loss. You 100% should be able to ask your doc to not discuss it with your kids, but these meds can have big impacts on growth so it’s important for us to watch for it
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@DocAroundThClok
Yeah... definitely charting the names of my patients' pets here in Peds. One of them got a new puppy today, a great pyrenees named Bear. This is obviously critically important.
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What if I told you that 90% of the time you don’t need to follow up with your PCP after an ER visit for a mild viral infection?
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@acweyand
Ugh. I spend tens of thousands of dollars a month on vaccines, and insurance reimburses at cost *if I’m lucky.* As the owner of my practice, that means I literally lose income to vaccinate my patients. Because it’s the right effing thing to do to keep them safe.
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@Rn_Psi
It’s hard and getting harder—the misinfo comes from many more places now, and the goalposts keep moving (oh, we can prove mmr doesn’t cause ASD? Guess what, now it’s DTaP 🤪!)
But if I have any hope, it’s that we both are coming from a good place—wanting the best for their kid.
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This was the face I apparently made when I learned my husband paid for twitter blue so as not to get rate limited.
I will be using this as my reaction shot to everything forever.
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@drjessigold
@DrLindaMD
I also am angry and frustrated and want to go to a restaurant. Only I’m also a healthcare worker and I know better. We don’t have the luxury of covid fatigue.
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Pediatricians like to use aquaphor for everything. I, for example, just used the corner of a tube to stab to death a large mermaid balloon from my daughter’s birthday 3 months ago.
#tweetiatrician
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@babbymd
Kids are going through something 😞 my 7 yo has started worrying that a bad guy is going to come in our house and kill him. Came out of nowhere. My softy pediatrician heart hurts for these kids.
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@DGlaucomflecken
The 6mos thing reminded me that I can have claims denied if I don’t file within a very tight window, but if insurance companies decide they didn’t need to pay a claim 3 years ago, they can come back and demand a refund. Anytime.
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@MrsPA_C
I remember when my baby was 4 mos old and I watched him breathing like “if I saw you in the ED, I’d put you on high flow” and being parylyzed. We took him in, he got admitted (he is fine). It’s so hard when it’s your kid, objectivity goes out the window. Sending hugs.
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@NuelleSportsMD
@AnthemBCBS
On the plus side, we pediatricians are super nice so I imagine that person greenlights everything they come across 🤪
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My governor just lifted indoor mask mandates, including at schools. I’m…tired. I’m mad about the vitriol my staff is about to get for asking people to wear masks *in a doctors office*. I’m worried for my family and my patients too young to be vaccinated.
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@DrGRuralMD
Pediatrician here: your baby needs a car seat, a safe place to sleep, diapers, and you. And a few onesies. Save the nesting for when you have energy. They don’t need nearly as much at first as people want you to think.
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@c_diazepine
The 4 mo well check is also THE BEST. When they get that excited baby wiggle, I die.
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One of my neurodivergent patients, who is about to age out of pediatrics, told me she would miss our visits. This kid didn’t look at me for the first 3 years I knew her. What an honor to earn her trust, so that she shared her incredible personality with me. I’ll miss her too!
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@chisholmfinance
I didn’t call them racist, they were being racist. I actually come from a place of compassion when it comes to the vaccine-hesitant parents, because I know they are doing what they think is best, and they’ve gotten bad info. But racism has no home in my practice.
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@fluoroquinolo13
Patient is running around room and getting into shenanigans while demanding goldfish.
Love my job.
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@ChelseaClinton
As a pediatrician, I often tell new parents who ask about vaccines this: I am a pacifist, but I ran into him on the street, I would punch him in the face.
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@JFacog
Ugh! Another MS3 and I agreed at the end of a long day we would opt out of the optional last case. When the resident asked me, I said "I'm going to head home." When she asked the other MS3, she said (perkily) "Sure, I'll stay!" STILL RESENT THIS PERSON. IT'S BEEN 13 YEARS.
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@PattiMurin
I cry at every one. As a mom and pediatrician, “Baby Race” hit me HARD. But also the one where Bingo is dreaming about planets and her mom is the sun and *sob*
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@AmethystX1979
I promise you I’m not saying it isn’t valid. I’m saying that *sometimes* things are unrelated, and it’s part of my job to suss that out (ex: I was once told about a devastating neuro decline after vaccines, but also in the aftermath of a major tbi). I’m sorry for your experience.
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@AmyGDalaMD
I always love ER reports (that are clearly autopopulated based on weight) that say things like “patient was given 153 mg of ibuprofen.” Were they? Or were they given 7ish mL?
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People who do not routinely treat children: please do not tell my parents that their toddler could not possibly have a fever of 104 because she would have been unconscious. Not true, not helpful.
#tweetiatrician
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@hannastasia
@ira
@surlybassey
Right?? I remember saying at one point that she wasn’t photogenic. Did they not see her smile? Girl glowed.
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@DGlaucomflecken
I am embarrassed to say I was eagerly awaiting a peds drop when
@LGlaucomflecken
dropped that picture earlier. Did not disappoint.
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@AlexAndersonMD
See, now when I did it, my husband laughed out loud and my then-3-yo asked me what happened to my face.
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I removed two massive cerumen plugs yesterday—so big they came out with sound effects. And then the kid was like “why is everyone so LOUD?” So freaking satisfying.
#whypeds
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I am fully convinced that no one in medicine has as much fun day-to-day as I do in gen peds.
#tweetiatrician
#arentkidsthebest
@DGlaucomflecken
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Things you find in a pediatric WCC note: “super into picking his nose but mom’s happy because his best friend is more into his privates so she feels like this is a win.”
#tweetiatrician
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@quality_nguyen
@KelseyObGyn
But I mean that’s not crazy, right? They do generally have different appearances so it seems like there’s a chance they could differentiate a little?
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@TheAtlantic
@VPrasadMDMPH
You need to stop giving this guy oxygen,
@TheAtlantic
. He is wrong. Maybe talk with literally any pediatrician or pediatric specialist? There are a few of us.
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@Gabby_Brauner27
This is such bullshit. You should be hooded by someone who supported you on your way there, family or not, doctorate or not.
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@emilykmay
@DuchessSexpert
But it’s a scientific fact that it would only appear to you when you didn’t need it.
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@gretchemaben
Our dogs got booted out of doggy daycare for forming, and I quote, “a doodle gang”
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