Alt Middle Pediatrician

3.3K posts

Alt Middle Pediatrician

Alt Middle Pediatrician

@AltMiddlePeds

Board certified inpatient pediatrician, former fellow of the AAP.

USA Katılım Mart 2022
379 Takip Edilen453 Takipçiler
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
If all “misinformation” were eliminated, I think COVID Twitter would be mostly reduced to: 🔹people asking ?s, with others responding “I don’t know” 🔹long threads consisting mostly of caveats before attempting a meaningful stat/statement (e.g.👇) 🔹summaries of complex preprints
Alt Middle Pediatrician@AltMiddlePeds

My children’s hospital has seen 3 sequential resp viral waves in late ‘22 that each caused a large # of ED visits and hospital admissions: 🔹Rhino/Entero (likely driven by EV-D68) — peaked late Sept 🔹RSV — peaked mid Nov 🔹Flu A — still going up Brief 🧵, including a 📈 1/6

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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Even by the absurdly low standards that one has to judge Pres Trump by in order not to be offended/embarrassed by him on a daily basis, his comments about Rob Reiner are truly unacceptable It’s remarkable that among our very large population, he’s the one we picked (twice!)
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@ebennett74 I suspect we’re mostly aligned on COVID and childhood vaccines, but I don’t think we’re aligned w Dr Marine, who would likely be unwilling to say something like “Despite all the errors by public health officials, babies really should get Hib, Prevnar and DTaP vaccines on time.”
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elizabeth bennett
elizabeth bennett@ebennett74·
I agree that overall, lower vaccination rates are bad for most vaccines, but I think it’s an open question whether Covid vaccines or boosters benefit any children at all (and they are almost certainly a net harm for multiple subgroups.) Furthermore, I am not convinced that the rest of the schedule is fully optimized or efficient. I think some scrutiny is probably good.
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elizabeth bennett
elizabeth bennett@ebennett74·
In case anyone was wondering, this is exactly my take as well.
Joseph Marine@DrJMarine

Congratulations, US public health establishment! You have brought this upon yourselves by plopping annual covid shots into the CDC childhood schedule on the basis of no clinical data. Millions of Americans are now skeptical of the entire process, so each shot is now going to be reexamined. Instead of reciting propaganda (ie, #VaccinesWork), blaming scapegoats, and yelling about anti-Science, you should be preparing to defend the entire schedule not only in terms of public health effect but risks and benefits to individual vaccinees. This should be educational for the public (and physicians) and will hopefully get us to a better place at the end.

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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Voting no (or abstaining) this time and no last time were Pollack, Stein, Blackburn, Hibbeln and Meissner. Kulldorff voted no last time but is no longer on the committee. The crazy ones (yes both times): Milhan, Malone, Griffin, Pebbworth, Levi and Pagano.
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Between today’s absurd ACIP vote on checking titers between doses of Hep B vax (which passed 6-4 with 1 abstaining) and last meeting’s equally absurd vote to need a prescription to get a COVID vax (failed in a 6-6 tie), we can now clearly see who the crazy folks are on ACIP…
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
As I get farther into today’s meeting, I can say that Dr. Malone is also a terrible pick to run this meeting, although that’s more about how he conducts himself rather than his understanding of science—his snide asides while pretending to care about decorum are quite disruptive
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
I’m no Dr. Malone fan, but I’m glad he’s running this ACIP meeting (vice chair) rather than this quack Dr. Milhoan (new chair, but joining remotely) I’m sure he’s not unique, but it is scary that we’ve got a board-certified pediatrician w such a poor understanding of vax science
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Dr Levi is even more confused (as per usual), but he’s obviously unqualified to be on ACIP given his lack of knowledge re: medical science, medical practice, biology, or really anything useful to the work of the committee, which is very different from the situation w Dr. Milhoan
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Among the ACIP members, Dr. Meissner is obviously very competent—and quite possibly the only qualified member of the committee—but the person who impressed me the most today is Dr. Hibbeln
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
Today, ACIP tried to make decisions re newborn hep B vax in babies w HBsAg neg moms This is a legitimate—although obviously low priority—topic, but this clown show of a committee is certainly not a group that can sort it out (or even figure out what it is that they’re voting on)
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@harvardcrimeson “Ethicist, Should I Let Go of My Zionist Friends?” is—other than definitively asserting genocide in Gaza—well-written & broadly applicable to moral/political disagreements But we all know they’d never publish “Should I Let Go of My Friends Who Protest Israel?”
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@TheFP As someone who had no idea if Teen Vogue still existed, had never heard of Lauren Duca, has never personally used the term “gaslighting,” and had never imagined that Tucker Carlson would interview a Teen Vogue writer, I found this retrospective article to be quite interesting
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The Free Press
The Free Press@TheFP·
Reading the magazine, which folded this week, is like stepping back into time—into an era when white women were Karens and the phrase ‘non-prostate owner’ was normal, writes Kat Rosenfield. thefp.com/p/the-death-of…
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@HHSGov @US_FDA @DrMakaryFDA It’s too bad you’re working for an HHS Sec & a Pres who often make too-good-to-be-true unscientific claims while you have to nod & pretend it’s not nonsense People—like you & Dr Prasad—who care about data/evidence could do a lot of good at the FDA under different circumstances
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HHS
HHS@HHSGov·
If a drug sounds too good to be true, it probably is. The story of @US_FDA drug approvals is more complex than how the Wall Street Journal's editorial page makes it seem. Listen as @DrMakaryFDA explains how pharmaceutical companies sell their sob stories through their lobbyists and advertising partners.
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@vinu_arumu21560 @JonHaidt Even if specific vaccines contribute directly to the development of peanut allergy—which seems fairly unlikely—the finding here is that peanut allergy rates in kids < 3 yrs old was down 43% in ‘17-‘20 vs ‘12-‘15 Something other than vaccines clearly play a very important role
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@quick_q_l There’s nothing to assist with. That’s just how long it took to get a car (for which we had already prepaid).
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Alt Middle Pediatrician
Alt Middle Pediatrician@AltMiddlePeds·
@KelleyKga From 1995-2010, the correct answer would have been Lenny Wilkens, who was coaching your hometown Atlanta Hawks at the time that he broke the previous record — I assume you’ve never heard of him either (he’s now #3)
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Kelley K
Kelley K@KelleyKga·
Went to trivia tonight and one of the questions was who is the most winning NBA coach, and we realized no one at our table could name a single NBA coach ever. 😂
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