Dr John
@prpich_john
Followers
1,654
Following
189
Media
14
Statuses
251
Pediatric Pulmonologist Tampa, FL. Interests: Severe asthma, Aerodigestive medicine, and medically fragile children. My views are my own and not medical advice
tampa, florida
Joined February 2015
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
#ปิ่นภักดิ์EP13
• 779510 Tweets
TLP LETS GET BACK TOGETHER
• 758527 Tweets
ارسنال
• 719246 Tweets
ليفربول
• 716122 Tweets
Madison Square Garden
• 366733 Tweets
Arsenal
• 279070 Tweets
Liverpool
• 162845 Tweets
Palmer
• 152084 Tweets
Saka
• 107381 Tweets
Ten Hag
• 84984 Tweets
Manchester United
• 83441 Tweets
Diaz
• 82649 Tweets
比例復活
• 71649 Tweets
West Ham
• 69392 Tweets
Gabriel
• 69040 Tweets
#ARSLIV
• 55984 Tweets
Dalot
• 37432 Tweets
Merino
• 32949 Tweets
Bengals
• 27455 Tweets
Nunez
• 25922 Tweets
Arteta
• 25047 Tweets
#deprem
• 23834 Tweets
Trent
• 23686 Tweets
Michael Oliver
• 23011 Tweets
Partey
• 21494 Tweets
Robertson
• 20022 Tweets
Martinelli
• 17850 Tweets
Havertz
• 17605 Tweets
#InterJuve
• 15603 Tweets
Jalen
• 15005 Tweets
Danilo
• 12992 Tweets
Dzeko
• 11159 Tweets
Jameis
• 10745 Tweets
Gibbs
• 10082 Tweets
@bennyjohnson
@Nursekatejohn
Thank you Benny, I am so grateful to have been able to help. God is great and works in amazing ways.
82
57
1K
Help support me and the American Lung Association as I ride in our second annual Gulf Coast Bike Trek.
12
21
116
@bennyjohnson
And that is the “why” I get up in the morning. There is nothing better than a happy, healthy child just loving life!
6
3
76
So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day.
2 Cor4:16
Good morning, take a moment this morning for yourself, be thankful, take a deep breath, and get after it.
4
6
31
Feels so true at this season in my life
0
1
21
Shopping with my son, when did I become the age that kids are wearing “vintage” t-shirts from concerts I remember attending?
@thecure
#DepecheMode
1
0
19
@bennyjohnson
@Nursekatejohn
I agree, nurses are amazing and make wonderful wives (better than doctors make husbands )
1
0
18
Saw one of my favorite medical foster moms and her adopted son in clinic. She raised 5 biologic children. The oldest is 40, youngest is 29 & she adopted this young man after being his medical foster mom for years. A true angel and lifesaver
#fosterhero
#medicalfostercare
#bpd
1
1
16
@JamesAButters1
@bennyjohnson
@Nursekatejohn
Than you very much. God’s plan for each of us is amazing for sure!
1
0
17
The ride is coming up soon. If there’s anyone in the Tampa area who wants to join me, I would love it.
Any support would be greatly appreciated.
All $$ goes directly to the ALA to fight pediatric lung dz.
@PedPulmonol
0
1
13
“But the path of the just is like the shining sun, That shines ever brighter unto the perfect day.”
Proverbs 4:18
Be an example of brightness and kindness to those around you. We are called to be an example, for our children, our family, and the world.
0
1
10
@RachelAmethyst_
@bennyjohnson
@Nursekatejohn
Thank you, the children make everything worth it. I’m so blessed to have the opportunity to do what I do every day.
0
0
11
@RobynCohenMD
Not sure how loud we have to scream this message. Maybe it’s a peds thing (why the rest of the medical community ignores us, or at least the people who sign off on these pictures). Why take a medication if it won’t reach where the disease is located?
1
0
11
Good Morning. There are very few things in this world that we can truly count on every day. It should bring you some peace and strength that God’s love for you is always there.
You are never alone, keep pushing.
1
0
9
We are getting closer to the bike ride - Thank you to everyone who has helped out already. We still have a way to go.
I appreciate any support you can provide. Let's help children breathe easier!!!
2
1
9
1
0
9
0
0
9
@ovitrif
@bennyjohnson
@Nursekatejohn
Thank you for the kind words. I am grateful for the opportunity to help amazing families like Theodore, Kate and Benny.
1
0
7
@MSUPedsPulm
This makes me sad….I feel like residents are not being exposed to what a great field pediatric Pulmonary is. I know I’m biased but it shouldn’t be that low. We need to figure out where the breakdown is in their experience.
2
0
6
At times, this life can be hard, cruel, and seemingly unfair. Other times, it is joyful and amazing. I need my faith to remain calm during the hard times. I need my faith to give me strength to serve others during their hard times. Faith brings strength.
0
2
4
@RobynCohenMD
@terrilaguna
@ATSPeds
Terri is amazing and a huge inpiration to me. An amazing leader, educator, clinician and person. I still remember her (as a third yr fellow) covering some of my picu shifts when my mom passed during my first year of fellowship.
0
0
5
@TheRealPikayla
@bennyjohnson
@Nursekatejohn
Thank you very much. Yes, the last 24 hrs have been very unexpected and humbling. I am very grateful for all of the kind and encouraging words.
1
0
5
0
0
4
@ScottGBickel
@NortonChildrens
@NovakCenter
@UofLEnvirome
@UofLPeds
It’s why I love peds pulm. I still can’t understand why we have work force challenges. I’m committed to building great experiences for peds residents and medical students to highlight what we do and why!
@ATSPeds
@FuturePedsRes
@atsearlycareer
#medicalstudents
#residents
1
0
5
@RobynCohenMD
@LauraLewMad11
@coyle_deecoyle
@PedLungDoc
One of our smaller Medicaid HMO’s (Florida, i.e. Rick Scott,broke Medicaid up into several HMO’s in an attempt to over complicate an already complicated system) has been covering generic Fluticasone but the largest one is still “working on it”.
0
0
2
1
0
4
@RobynCohenMD
With many insurance providers in Florida only wanting to cover dry powder inhaled ICS products or nebulized budesonide….NO HFA ICS products at all 😬. Its so frustrating
1
0
4
@terrilaguna
@ShivanthanS
@ATSPeds
@EFornoMD
@RobynCohenMD
@SPCpulm
If in hospital, they all have abnormal chest x-ray‘s. Most with elevated inflammatory markers, on Lovenox and remdesivir, A lot of reported dyspnea but typically no obvious bronchospasm. Some with bronchodilator responsiveness clinically though.
0
0
4
@RobynCohenMD
Still waiting to hear from a family who is successful. But I agree, this should be some sort of nationally recognized holiday (I’ve been talking about it for so long, it feels like some special event).
0
0
2
@declairemoore
@WendyHassonMD
As a pediatric specialist who does “sick work-ins” and on call every other night, I can’t tell you how many times I am taking care of routine primary peds issues because we answer the page or can “get them in” faster. Glad to help but it’s not right.
1
0
3
0
0
3
@RobynCohenMD
Yes, saw another medical foster mom that same day. When I walked in, that mom was on the phone offering to do respite care for one of the other medical foster moms and says that she does respite for most of the medical foster moms in our area. Amazing!!!
0
0
3
@PTMcGann
And ask about their sleep - the quality, the amount, is it restless? We need more communication between heme and pulm/sleep
1
0
3
@RobynCohenMD
I agree 100%. Until the FDA gets behind the recommendations, the insurance companies will continue to deny coverage and limit access.
1
0
3
@atulbutte
@ImmPortDB
@KellyZalocusky
@Sanchitab
Watched the plenary at AAAAI this weekend and I was a little blown away. In my 40’s and somewhere between the digital and analog generation, I still get a little star struck by what computers can do.
0
1
3
@voterdye
@bennyjohnson
I can’t tell you how true this statement is. We take the smallest things for granted until they’re gone. We cant live in fear but trust in God and be grateful for the blessings in front of us today!
0
0
2
@RobynCohenMD
@ShivanthanS
@ATSPeds
@EFornoMD
@terrilaguna
@SPCpulm
@MSUPedsPulm
@devikaradhika
@RCHMelbourne
Just trying to keep the mood positive in clinic. It’s easy to get negative/frustrated and criticize everyone (parents, patients etc). Our cases are so high, it’s been stressful. My ARNP’s are all young mom’s and worry a lot (for good reason).
0
0
2
1
0
2
@terrilaguna
@ATSPeds
I am super proud and excited for Jorge Valencia. He was an amazing medical student in our clinic and has such a bright future. This was a great experience for him. Exciting to hear the young enthusiasm.
#ATS2022
@ATSPeds
#Pedspulm
0
1
2
@saltinesnack
@bennyjohnson
Thank you, who knew such a small little piece of yellow wax would be so hard to get out. It was so gratifying to have been able help little Theo.
0
0
2
@RobynCohenMD
@PTMcGann
@The_BMC
@caraguenther
@TheBCRP
It seems to help, clinically. Metaneb seems to help with atelectasis on CXR and improve oxygenation so when they start to need o2 and have CXR changes, the SCD kids do better. Problem with home version is cost (like $20,000).
1
0
2
@madams711
Thank you, the story of CF is amazing (new treatments). I just had a former patient (now in her mid 20’s) come back to say hi and brought her new baby!! God bless you as a parent of a CF child…that is a long and hard road.
0
0
1
@ShivanthanS
@ATSPeds
@EFornoMD
@RobynCohenMD
@terrilaguna
@SPCpulm
@MSUPedsPulm
@devikaradhika
@RCHMelbourne
That’s great news!! We have a “sticker chart” running in the office for the providers/nurse practitioners. For every patient or parent the provider convinces to get vaccinated, they get a star. After five stars, I buy them a bottle of wine😀. One of my ARNP’s is very persuasive
1
0
2
@RobynCohenMD
@PTMcGann
@The_BMC
@caraguenther
@TheBCRP
I married a peds Heme/Onc nurse so I spent “extra” time on the heme/Onc floor as a resident, I think it stuck with me.
0
0
2
@cpeltier007
I wish the device was better on most of them. The sensimist spray is so much more uniform, why can’t they all be like that? It’s a topical medication so delivery matters.
0
0
2
2022 Lip Sync for lungs Tampa. This Friday at ZooTampa, help raise $ for the ALA. I am a judge this year. My performance from last year link to Facebook fundraiser
#pedspulm
@ATSPeds
#TampaBay
@atscommunity
@drjrutland
#asthma
0
1
2
@tyromper
Many of my medical foster parents have similar experiences with the most fragile, medically complex children. The wonderful homes they provide and the love they share is such an amazing gift.
0
0
2
@terrilaguna
@ShivanthanS
@ATSPeds
@EFornoMD
@RobynCohenMD
@SPCpulm
Still looking for objective clinical characteristics that may help guide management from a respiratory standpoint. Not having any asthmatics really. Usually if there is a significant asthma component, there’s usually another virus as well.
0
0
2
@RobynCohenMD
@LauraLewMad11
@coyle_deecoyle
@PedLungDoc
It’s just kind of mind boggling that we may have no hfa inhaled steroid for asthma. I have recieved some replies from some of our Medicaid HMO’s that they are looking into it.
1
0
2
@ScottGBickel
@RobynCohenMD
@Philips
@FDADeviceInfo
@US_FDA
@DrCaliff_FDA
So frustrating but not entirely surprising. After all the bungled and confusing recalls one of my main peds DME’s has tried to drop them. But I still have a bunch of kids on trilogy’s and Evos
0
0
1
@RobynCohenMD
That is great…I’ve been out 15 years now so starting to get some of these experiences as well. One of my severe asthmatics on xolair just got a full ride for football to Boston College.
1
0
2
@ScottGBickel
Being in Florida, these were typically not on my radar (although every parent wants to blame every symptom on mold). Everything is moving to Florida.
0
0
1
@terrilaguna
@ShivanthanS
@ATSPeds
@EFornoMD
@RobynCohenMD
@SPCpulm
Most of the kids are healthy overall. And TONS of associated stories of adult family members of these patients (parents, young, healthy etc) or friends: dying, in ICU, pulm emboli, on home O2 etc. It’s horrible down here!
0
0
1
0
0
1
@Hollyluja6615
@bennyjohnson
Doesn’t matter how much you know (actually, sometimes it worse). When it’s your kid, it all flies out the window and you only want one thing, for them to get better. I’ve been at the bedside of my own children and know…and prayed.
0
0
1
I saw two new patients yesterday (2/02/2022) in clinic (siblings so a “2-fer”) in room 2 and their last name was Tew. I wanted to just call it a day after that…but it was only 2:00.
0
0
1
Do you do any multidisciplinary stuff/Aerodigestive stuff? Mom seemed to indicate it was a far drive and hard to get into Boston childrens.
1
0
0
@pulmonology101
@atscommunity
@ACAAI
@AAAAI_org
@wheezemd
@EFornoMD
@simcouillard
@emschaub
Now we need to look at how this definition functions in children and adolescents as a predictor off success coming off biologics. I feel like (in general) we paused weaning off therapy over the pandemic.
0
1
1
@RobynCohenMD
@PTMcGann
@The_BMC
@caraguenther
@TheBCRP
No, our children’s hospital has a lot of the hospital version (metaneb) and I have had a lot of clinical success turning kids around and preventing PICU admission if I get involved early enough. The home version just came out and is primarily getting used in neuromuscular patient
1
0
1
@RobynCohenMD
This happened last year around this time. I did 4 news interviews and a Washington post interview about an RSV surge in the south in May and June. It’s like RSV got jealous of COVID. Blamed it on my states “lax” masking practices. Not sure this time.
0
0
1
@RobynCohenMD
@ShivanthanS
@ATSPeds
Fingers crossed, All of the kids who have not responded to xolair or fasenra have done better on Dupixent (so far)
0
0
1
@RobynCohenMD
@ShivanthanS
@ATSPeds
I have had some amazing success as well, kids with eczema and asthma - life changing. EoE indication is up next, hopefully this year. Some of the younger kids only need it once a month!
2
0
1
@RobynCohenMD
No, they don’t although I’ve been enrolling patients in a study through UF who developed an asthma management app, The pilot study showed improvement in The ACT by several points. It was developed by a behavioral psychologist. I think they’re at 140 with a goal 160 patients.
1
0
1
@MSUPedsPulm
Absolutely. Not sure what to tell parents. Also not sure what the natural history of that population will be. Some very interesting areas for research going forward.
0
0
1
@MSUPedsPulm
Absolutely…if I had a nickel for every time I’ve heard the words “it just seems like ever since he/she had Covid, their asthma seems like it has been worse”. It’s just hard because timing coincided with our horrible viral season. I’ve been calling it “ASTHMAGEDDON”
1
0
1
@terrilaguna
@ShivanthanS
@ATSPeds
@EFornoMD
@RobynCohenMD
@SPCpulm
Sorry I’m doing this wrong and they’re in reverse order. Start at bottom. Right now struggling with developing some hospital policies to help guide bronchodilator use, nebulizer/airway clearance or other tools that we have that increase risk to staff but may help clinically.
0
0
1
@RobynCohenMD
Such a great lecture Robyn. Was it recorded? My ARNP’s would learn soooo much (I know I did).
1
0
1
@terrilaguna
@ETSshow
@onepeloton
@PelotonMed
@gretchemaben
@FrancisShanahan
@pccm_doc
@marklewismd
@nsalvadore
@saltylungs
Every 🌹 has its thorn
1
0
1
Mom broke my heart after 3 min of talking….sounds like dysmotility, J-tube dependent and I bet money he has significant tracheobronchomalacia. She is having a hard time getting people to “listen to her” he is admitted frequently.
1
0
0
As coronavirus recedes, colds and common viruses are back — especially among children - The Washington Post
1
0
0
@MSUPedsPulm
@tfischer78
@KevinJDownes
Even though I’m on the east coast, I try to join the western states peds pulm case conf whenever I can but the time difference kills me. How can I participate in the Eastern peds pulm version?
1
0
1
@PedLungDoc
@RobynCohenMD
@MassHealth
@ATSPeds
To make it even more complicated, in Florida we have several different Medicaid HMOs ( no straight Medicaid) and they all have their own independent formularies 🙄.
1
0
1