Alan Schroeder, M.D.

@doc_KJones You guys bring home the gold?!

Trivia night win was definitely a highlight. Somewhere I know that @safelydoingless is proud right now lol.

Pasta intussusception. A well-known and potentially serious complication of penne-rigatoni interactions.

@PediDrHouse Thank you Sam and @CorrieErin for leading the nomination. Very touched.

So fun to see this guy recognized for tremendous contributions to the field and mentorship. Thanks to @safelydoingless for all you do!

@JessieAllanMD Aww thank you Jessie

Congrats to the best in the game! Making the world a better place one study at a time! #PHM24 @safelydoingless

@cjrussellMD @StanfordPeds @StanfordChild @StanfordPHM @StanfordPCCM Thank you Chris!

@JulieLKimMD @StanfordPHM @StanfordChild Thank you. Very honored.

Congrats @safelydoingless !!!!! @StanfordPHM @StanfordChild

@VSLanziotti @StanfordPCCM @swatiwaves @StanfordPeds @StanfordMed @Stanford You are doing great work! Thanks for the visit!

Yesterday it was great and an honor to talk to @StanfordPCCM fellows about pediatric #sepsis in Brazil and in #LMIC ! It was also great to see @safelydoingless 19 years later! @swatiwaves you were missed! ❤️ #PedsICU #GlobalHealth @StanfordPeds @StanfordMed @Stanford

Congratulations @joshi_ns! 2024 @the_asci Emerging-Generation Award! the-asci.org/controllers/as…

@BradSpellberg @boulware_dr While I obv share your world view on this and many things...to be fair, if you removed guns (+/- opiates) from the picture, the US healthcare value equation (life expectancy/$$ spent) wouldn't be *so* abysmal...

@boulware_dr Here’s another one. If i told you $4 trillion per year paid for healthcare for Americans, resulting in life spans that are shorter than every other wealthy nation in the world, at a cost per person that is double those other countries, would you say that’s a good value?

@chris_bonafide @vlee_md @SchondelmeyerMD OxyPICU trial further cements need to lower O2 sat thresholds... thelancet.com/article/S0140-…

Loved seeing this new editorial making the point that it is time to redefine our relationship with pulse oximetry by @vlee_md, Halley Ruppel, and @SchondelmeyerMD...

@AltMiddlePeds @EmpiricGame (2/2) Relatively poor PPV for flu ICD codes previously described (see refs). Unclear why outcomes worse for misclassified. But can imagine that conflation with h flu has something to do with it (h flu most often diagnosed when found from ET tube, i.e. in really sick kids).

@AltMiddlePeds @EmpiricGame (1/2) See table. Good chunk of kids get tamiflu prior to admission. And, a lot of it comes from paraflu and h flu which of course have some linguistic similarities. So, presumably hospital coder sees "parainfluenza" and mistakenly enters influenza into admin database.

So admin database used for studies of oseltamivir for inpatient peds flu are often misclassifying illness. Lots of kids without influenza have icd 10 codes for influenza. jamanetwork.com/journals/jamap…

@EmpiricGame you got it right! (And, misclassified kids have worse outcomes, which likely explains the apparent benefit seen in at least 4 prior studies using administrative data)

Just tweeting it to make sure I am understanding

@sgdambrauskas Wow, thank you! For those interested but who do not speak Spanish - you can use the youtube translate function. With permission I might have to quote you on "don't play Nostradamus"...;)

I tried to ellaborate a little bit about this great research article (@safelydoingless) in this video (spanish): youtu.be/93oOjfEcF3A

@adamsonjon @mommimaya Another interpretation of Figure 1 is that most (over half) kids *aren’t* admitted on day 3-4. More importantly, day of admission is not the same as day of peak illness.

@mommimaya @safelydoingless If the most likely day for you to be admitted is day 3-4 then at least by one measure there is some support for the lore

Bronchiolitis season has started! If you haven't read @safelydoingless article on day of illness and continue to teach and tell families day of illness matters please read. publications.aap.org/pediatrics/art…

"Improving Out-Of-Pocket Cost Transparency In The Emergency Department" is a tricky topic, but is critical for patients. Our @CostsofCare team (@hannahkbmd & @ReshmaGuptaMD, with @ReneeYHsia) lay out the key steps forward in @Health_Affairs healthaffairs.org/content/forefr…

@KathyAugerpeds Mis-c continues to be one of the bigger clinical puzzles of my career…

@JessieAllanMD @PHMConf @aap_hpeds That was fun. Lisa can sing!

Need more inspiration for Trainee Autonomy? Check out this 💎 from #PHM19 @PHMConf featuring #PHMTwitter own: 🎤 #LisaSchmitt 🎤 #KenRoberts 🎹 @safelydoingless 🎻 #BrianAlverson Join us for #PHMChat 9/26 at 7p CT You’re welcome 😂 youtu.be/WnmG9agW5eg?si… @aap_hpeds