4 yrs med school, 5 yrs peds neuro & a yr of epilepsy training. I've never seen a case of:
-measles
-mumps
-rubella
-diphtheria
-tetanus
-rabies
-rotavirus
-smallpox
-hep B
-polio
Why? Bc
#VaccinesWork
#DoctorsSpeakUp
I'm guessing the docs getting upset over being called "provider" don't work in pediatrics. In the past few weeks I've been greeted with:
-"Seizure guy" (teenager)
-"Hamburger man" (4 yo who thought I cooked the hospital's hamburgers)
-"Waahhhh" (18 mo old)
#NotHamburgerMan
I was unblinded! I received the mRNA vaccine on 8/31 & 9/23. 2nd dose I had chills & muscle aches for a few hours. I was tired the next day. Felt fine since.
I would absolutely get the vaccine again if needed to protect myself & others from COVID!
#ThisIsOurShot
#Kevinapproved
My day ended with an 11 year old patient with epilepsy telling me "good job with the medication dude" and I've never felt happier with my career choice.
Neurologist here. Bell's palsy is not GBS. And neither one can happen within hours of a vaccine. Immune mediated reactions cannot happen that quickly.
Please stick to computer mice or whatever it is you normally do.
Pediatricians are the lowest paid physicians in this country by far. They are often villainized & harassed bc they stand up for children's health & safety. I am disturbed to see COVID commentators attacking the AAP. Pediatricians deserve our respect. I support the
@AmerAcadPeds
Lot of non-pediatricians trying to weigh in on masks & language development. There is no evidence that masks delay speech so they rely on a strawman argument that babies/toddlers aren't seeing faces in a 100% masked world. It's a claim that can be dismissed just by looking around
Women physicians do not wear face shields to protect their make-up. What a ridiculous & sexist thing to joke about from the comfort of your podcast studio.
"More kids die from drowning each year than from COVID."
You're right. But every pediatric doctor that's ever cared for a drowning victim would endorse a drowning immunity shot in a heartbeat if such a thing existed. Vaccinations save lives.
Most of my experience with urology comes from being incorrectly paged but please do not tan your testicles. Thanks, your friendly neighborhood neurologist
Since the formula shortage is being politicized to try to guilt trip moms into breastfeeding, I want to remind everyone that the long term neurodevelopmental data supports fed is best. Parents need reliable access to safe formula for a variety of reasons. Shaming them is wrong.
@GregAbbott_TX
Governor, as a Texas citizen and physician, I think this is bad idea. We should be extra vigilant now that vaccines are being distributed.
Texans, please continue to wear a mask & maintain a safe distance. I'm vaccinated but I will continue to do these things.
Unlicensed doc that was fired from residency doubles down on his antivaccine rhetoric. Your med school oath doesn't matter if you cannot legally practice medicine.
Leave clinical trial analysis to actual docs please. 74k subjects in placebo controlled trials is robust evidence.
I cannot emphasize enough that the phase 3 trials for the mRNA vaccines having 30k (moderna) & 44k (pfizer) subjects are huge trials. Having zero severe adverse events so far in both trials is very reassuring.
@mcfunny
@CreateAccYour1
44,000 subjects is an impressive number for a phase 3 vaccine trial. The last vaccines to be approved used 15.9k (Ebola) & 32k (Shingrix) in their phase 3 trials. No major side effects and we have >6 mos data from the first subjects enrolled in the Pfizer studies
RFK Jr's antivaccine talking points are old, debunked a thousand times over but still being shared on podcasts & media interviews with zero push back from interviewers. It's sad to watch. Here are more of his favorite bogus claims:
Neurology cannot exist without psychologists, neuropsychologists, pharmacists, social workers, physical/occupational/speech therapists, advance practice providers, and nurses working together with neurologists. Medicine is a team sport. Everyone on the team is my colleague.
Refusing care to an emergency room patient bc they called you "provider" & not physician is unethical, unprofessional & disgusting. How do we get people like this out of medicine?
Deadly diseases like measles & Hib meningitis have become rare bc of vaccines. But the spread of antivaccine myths will tragically result in vaccine hesitancy, the return of these diseases & ultimately the deaths of kids with zero accountability to the spreaders of these myths.
Simple debunk of the "mRNA vaccines cause infertility" nonsense making the rounds on social media: 12 subjects became pregnant in the vaccine arm of the Pfizer trial despite signing a pledge to use 2 forms of birth control (barrier + hormonal/IUD) or abstinence.
If you learned what PCR stood for yesterday, I really don't care that you disagree with using it to diagnose infections. You've missed the last 20 years of modern medicine.
Sad to see docs repeat the "controlled by fear" narrative regarding COVID. Educating people on risks is an important part of being a physician. When I counsel on rare but life threatening medication side effects, I'm not controlled by fear. I'm doing my job.
When the biggest antivaxxer is supporting your unhinged attack on Fauci & pronouns, it might be a good time to reflect on why all your staff are quitting and your company is hemorrhaging advertisers.
Those comparing COVID in children to flu in children really seem to forget that pediatricians were encouraging flu vaccines in kids for years before this pandemic.
Protect eligible kids from both vaccine preventable diseases. Not complicated.
Wait till antivaxxers find out the mRNA vaccines are just made of lipid encapsulated mRNA. No "toxins," no adjuvants, no cells. Just the blueprint for making the spike protein.
The central dogma of molecular biology (DNA->RNA->protein) is taught in high school. mRNA does not edit our DNA. It can't. mRNA is more like sending a recipe via snapchat. It's a transcription of the master copy of the recipe (the DNA) that lasts for hours before self-deleting
Wild thought: maybe people list their credentials bc that's what they were trained to do or they're proud of them and it has nothing to do with directly competing against you.
To add, tetanus has an 11% mortality. The muscles spasm so hard you can break bones.
Diphtheria mortality approaches 20% in young children who can choke to death from their airway swelling. Only a quack would call these "treatable, low risk" infections.
Anyone who read a single page about the scourge of
#pertussis
in the 1930s would never advocate a return to the pre-vaccine era. Prenatal
#vaccination
protects both the pregnant person and the fetus from many infections that can maim or kill.
I'm not sure I understand the argument that 1 in 1000 risk of kids getting MISC from COVID is nothing to worry about but <1 in 30k risk of myocarditis from the vaccine is to be more feared. This is at best a poor understanding of relative risk. At worst, it is antivaccine.
I'm happy to report that I saw an adorable baby today who smiled & babbled at me despite the mask covering my mouth & nose.
When you want an opinion on children's health, listen to people that actually care for children.
Over 1000 American children have died from COVID in 2 years despite many precautions. Even tho we have a safe vaccine for many kids, some non-pediatric doctors favor relaxing precautions & letting kids get infected "naturally." What is natural about 1000 kids dying?
An Idaho pathologist is claiming the COVID vaccines cause cancer. Cancer is not 1 disease. It's many diseases that share a common endpoint of abnormal cell replication. There are lots of causes: genetics, environment, viruses. But 1 thing that doesn't cause cancer--vaccines. 1/
When a physician claims other doctors are lying about COVID diagnoses to get more money, it's a good idea to remind him of his past. I suppose if you defrauded Medicare of $12 million, you might assume other docs are as unethical as you.
Reminder: nonepileptic seizures are real & can cause significant disability. They are not fake & patients are not doing it for clout or money. Please do not mock people with nonepileptic seizures.
< 1 year of being an attending, I've managed to:
-lose my list & ask the senior to lead me around like a lost child
-steal pens
-only answer the question I wanted the resident to ask me rather than what they actually asked
Sorry team, I have failed you.
Saw a 2 yo boy in the ED with 3 febrile seizures in the past 24 hours. Flu B+. Unimmunized.
The vaccine is better than the flu and it's not too late in the season. Please get vaccinated.
#VaccinesWork
Moonlighting an extra shift so you can buy a fancy exercise bike is the opposite of oppression. Doctors are privileged. Let's stop pretending that we're persecuted.
Hi my name is Kevin. I am deaf and have 3 legs. I'm the cutest dog in the world because I follow my humans around everywhere, love to cuddle, and say hi by touching my nose to people's legs.
#NationalDogDay
Please stop fearmongering about monkeypox. If you only just learned about this virus yesterday, keep your speculation about routes of transmission to yourself and listen to experts.
“I have a breathing problem!” unhinged but physically fit Karen screams at top of her lungs as she’s escorted out of a Trader Joe’s in Los Angeles for refusing to wear a mask
Reminder: when fetal cells are used to develop a vaccine, it doesn't mean there are ongoing abortions. The cell lines are immortalized (can be grown for long periods of time). The Pfizer vaccine used HEK293 cells from an abortion (or miscarriage) in 1973. Almost 50 years ago.
Fun vax fact: Haemophilus influenzae type B (Hib) was the most common cause of meningitis in children <5 prior to the vaccine. 20,000 cases a year, 4% died. A third left w/ neurologic deficits. Since the improved vaccine in '87, cases have decline by 99%
@__eshani
@JenniferMarguli
She's a "science journalist" that's been antivaccine for at least a decade and has her own antivaccine book.
She might as well just own the "pro-disease" label at this point.
To the ppl that say politics has no place in medicine. I call bullshit. I want politicians that care about my pts. That means Black kids. Children with disabilities. Families that cannot afford live saving meds. I don't care what party. I just want someone that cares about kids.
If you write an article called "the downsides of masking kids are real," I expect the article to mention some actual downsides.
And now that evidence free article is being shared on antivaccine websites.
I diagnosed a patient with hair combing syncope.
You pass out from your hair being groomed. Rare cause of syncope in kids aged 6-15 that's often mistaken for seizure since kids this age will sometimes jerk (aka convulsive syncope).
The brain & heart are pretty weird sometimes.
No, the CDC did not quietly revise language development guidelines to hide mask induced delays. This is misinformation. The change is based on a 15 year update on the 2004 recs & a lit review performed in *2019* with the explicit goal of identifying higher risk kids. 1/
@SarahJaneguru
Patients in the ICU are often awake & are provided with message boards to communicate.
Please share your credentials bc I don't believe that you are a nurse.
I cannot imagine the gall it takes to speculate on a patient's diagnosis that you've never seen, when you have zero medical training, and clearly do not under the diseases you claim that patient to have.
I debate a lot of antivaxxers. But I'll be honest I was stumped by this airtight ironclad retort. Just did not see the old "I married a man whose dad happens to be a doctor" routine coming. Can't compete with qualifications like those
@CherylHines
@IrishGypsy20
@AuschwitzMuseum
@oneunderscore__
I hear you & do not expect you to answer for him. But this is more than differing opinions. An offensive comparison claiming Anne Frank had it better than modern Americans is beyond the pale. I hope you encourage him to learn about the Holocaust, weep for Anne Frank, & apologize
People are sharing a video of reporter Jessica Robb experiencing neurological symptoms & trying to claim it is from the vaccine. It isn't. How do I know? Well I'm a neurologist. And more importantly, she said as much. Now leave this poor reporter alone.
Someone dying from a vaccine preventable disease makes me sad. Always. Then I get angry that the AV movement misled her. That anger rises when I see she used her credentials to mislead others. I return to sadness when I see the replies mocking her death. Please don't do that.
Few things make me as sad & frustrated as antivaccine physicians. If you slept through immunology, infectious diseases & public health in school, maybe you should have a seat while grown folks are talking.
My last clinic patient as a fellow I've taken care of for several yrs. She always brings me dad jokes. Best way to end my clinic.
"What is the difference between bird flu & swine flu?"
One needs tweetment and the other needs oinkment.
😂
#Pedsisthebest
It has been 1 year since I received my COVID vaccine in the Pfizer trial. My only long term side effect: no COVID despite many patient exposures & quite a few negative tests
#VaccinesWork
#funvaxfact
placebo thread: I wanted to only focus on childhood vaccine trials with "inert"/saline placebos in kids since AVers love the "no true Scotsman" fallacy (h/t
@handmadekathy
). In the process, I found some great historical vaccine trials. Enjoy.
#vaccinehistory
Patient: The other doctor told me my symptoms were "all in my head"
Me: that's a pointless phrase bc anything in the brain like seizures or migraine would be "all in your head" too
This interaction occurs frequently in my clinic. Let's stop using this stupid phrase.
@KrugAlli
"Kids have more vaccines today"
Yes and those vaccines prevent against things like bacterial meningitis & cancer with decades of safety data supporting them. Not a complex question.
If someone, especially a pundit, tells you not to get vaccinated, the very first question you should ask is "are they vaccinated?"
If they refuse to answer, then it's safe to assume that they are vaccinated. They don't care about your health. I do. Please get vaccinated.
There are 1273 nucleotides in the mRNA vaccine that translate to a single protein--the infamous corona spike protein. If you fear the mRNA vaccine, then you really won't like the 29,811 nucleotides of RNA in the SARS-CoV2 genome that infect cells & produce millions more proteins.
The
#Suffolk
County DA arrested two people including the owner of an Amityville pediatric office for selling fake Covid-19 vaccine cards. $220 for adults, $85 for children. Ledgers show they may have made $1.5 million dollars from this illegal scheme
#NBC4NY
Shockingly some med students & docs are amplifying RFK Jr as he runs for president, so let's review his embarrassing track record.
-claimed autism was a form of mercury poisoning. Wrong.
-claimed thimerosal in vaccines caused autism. Wrong.
1/n
If you weren't advocating for the pediatric flu vaccine prior to or during this pandemic, then I don't want to hear your view on how COVID is like flu in kids.
Kids can die from flu. 80% of pediatric flu deaths occur in the unvaccinated. We encourage vaccination to prevent that.
I would love for omicron to be nothing more than a cold. But keep in mind that the docs making these claims have falsely predicted the end of the pandemic countless times. Hopium is their brand & it sells better than public health recs. Please mask up, get boosted, stay vigilant.
Myth: Hep B is only spread by sex. The virus can spread to children from household contacts in 30% of cases. A single mL of infected blood can contain a billion of viruses, which is why sharing toothbrushes, chewing gum or bites on the playground are thought to transmit Hep B.
Oh great. The trolls have found this tweet. Here's my challenge: find a case of GBS onsetting within hours of a vaccine, explain the pathophysiology & then provide proof that this is what's happening to Governor Newsom.
Early in residency, I was worried that antivax harassment would hurt my career so I kept quiet. Then I saw too many kids harmed by preventable diseases. We can't keep quiet in the face of dangerous & harmful antivax misinformation
#VaccinesWork
#VaccinesSaveLives
#DoctorsSpeakUp
TOMORROW physicians, scientists, & medical personnel all over the world will stand together against science deniers and we will dispel their lies & disinformation regarding vaccines. We will speak the truth & drown out the conspiracy theorists.
#DoctorsSpeakUp
#VaccinesSaveLives
@TaraLaRosa
If this vaccine (that doesn't yet exist) is proven to be safe & effective, then yes you would be an antivaxxer. As well as a conspiracy theorist.
I know many doctors that took paycuts as a result of this pandemic. I don't know a single doctor making more money as a result of this pandemic (expect maybe those promoting snake oil like HCQ)
Like most surgeons, I made less during the pandemic because we had to cancel and postpone many elective surgeries. I don't know a single physician who made more money during this pandemic. Many of my colleagues have worked longer hours, w/ inadequate PPE, risking their own safety