Tiffany Pedigo, MD

Pediatric intensivist at Harbor-UCLA Medical Center. Pediatric critical care transport physician at CHLA. Mom. Wife. Cyclist. Lover of good food and travel.

[Wendy Hasson MD @WendyHassonMD]

1/Please share this thread on behalf of my physician colleague, Eunice Stallman, who is facing the nightmare of her 9mo daughter, Zoey, being diagnosed with brain cancer several weeks ago. @BlueCrossIdaho has added to their anguish by obstructing access to vital treatment.

[Dr. Christian Casteel @DrCasteelEM]

My hospital has a boba tea vending machine.

[Tiffany Pedigo, MD @drtiffp]

Nice example of this pathologic ICP waveform

[Aarti Sarwal, FNCS, FAAN, FCCM, RPNI, Professor @aartisarwal]

#NeuroICU #MedEd enthusiasts

❓What’s peculiar about #ICP waveform in this monitor tracing? ❓

How does this finding change your 🧠management?

@neurocritical @SNACCNeuro @SCCM @AANMember

[Pediatric Critical Care Medicine @PedCritCareMed]

Children with #cardiacarrest treated with therapeutic hypothermia had higher #qualityoflife scores despite a greater severity of illness: https://t.co/QKYX6pC4e9

See accompanying editorial by Pinto & @AlexisTopjian: https://t.co/OZHNEyWKA7

#PedsICU @SCCM @WFPICCS

[Tiffany Pedigo, MD @drtiffp]

@DeannaMarie208 Yes, we had one intubated for croup last week.

[Tiffany Pedigo, MD @drtiffp]

@sftydc @MichaelCosimini We had a toddler intubated for croup last week.

[Tiffany Pedigo, MD @drtiffp]

@ramirnovin Rambod, I am appalled and saddened on your behalf. Parenting is a team sport. I don't even know what to say except that I agree wholeheartedly.

[Tiffany Pedigo, MD @drtiffp]

@DrRissman When mine was about 15 months old, she stumbled and fell a few times in one day and I had the same thought 🤦🏻‍♀️ (she is fine!) I definitely find myself catastrophizing sometimes.

[10 News Melbourne @10NewsMelb]

The Wiggles have helped saved the life of a COVID-19 patient with Down syndrome through encouraging her to accept life-saving oxygen | @NatYoannidis

[Tiffany Pedigo, MD @drtiffp]

@DrRissman Is that per serving or per fruit? I can't eat a whole watermelon in one sitting ☺️

[Wendy Hasson MD @WendyHassonMD]

#PedsICU colleagues: talk to me about managing hypoxia with COVID pneumonia.

Does it make sense to push our limits past where we would normally intubate for hypoxia/WOB?

The trend is to follow the adult world with delayed intubation and tolerate hypoxia on HFNC/BIPAP.

[Roy Wood Jr- Ex Jedi @roywoodjr]

How does this company still control the market on baby blankets? All this money we pay for healthcare & they ain’t dropped a new model?

Then the doctors turn around and tell you, “eczema is common in newborns.” I guess so, you got my boy wrapped in this rough ass Motel 6 towel.

[Tiffany Pedigo, MD @drtiffp]

@GoodishIntent Loved it too. Can't wait to listen again. It kept me company going to and from work this month and I often found myself smiling and laughing out loud and generally making gleeful noises at the wheel

[Chris Carroll MD @ChrisCarrollMD]

Finally! An evidenced based treatment strategy for #MIS_C from the @OvercomingCOVID group published tonight in @NEJM. IVIG & Steroids better than IVIG alone at reducing cardiovascular dysfunction. #pedsICU https://t.co/NcdhANUarl

[Tiffany Pedigo, MD @drtiffp]

@Medic_Russell Shaking my head as I recall the episode where the surgical residents couldn't diagnose a boy who clearly had Kawasaki disease. I can't blame them for not knowing a core pediatric illness, but perhaps they shouldn't be trying to take the place of an EM provider or pediatrician 🤦🏻‍♀️

[Tiffany Pedigo, MD @drtiffp]

Fascinating case -- I guess the reactions we learned back in chemistry class ARE relevant!

[Josh Trebach, MD @jtrebach]

A 45 year old man is found dead in the orthopedic room of an emergency department. He has no signs of trauma and no past medical history.

What do you think happened?

(BUCKLE UP--IT'S A TOX MURDER MYSTERY THREAD)
💀🩸🔪💀🩸🔪💀

[Tiffany Pedigo, MD @drtiffp]

Fantastic overview of lung #POCUS! I found this really helpful and am going to challenge myself to do this more next time I'm on service #PedsICU

[Jonny Wilkinson @Wilkinsonjonny]

Today it’s Lung #POCUS for you!

It is:

Easy to perform
Accurate
Sensitive
Repeatable
Negates irradiation or transport elsewhere!

#FOAMed #POCUS #FOAMcc #foamus @icmteaching @ICUltrasonica

Where do we scan then?? Linear/curvilinear or phased probe positions shown👍👇

[Tiffany Pedigo, MD @drtiffp]

It's interesting how different centers vary in management. Intrigued by the practice variations for #bronchiolitis and associated difference in length of MV. Correlation =/= causation, but pondering a nasal ETT the next time I see bronchiolitis (it's been a year!!)

[Igor Areinamo, MD @areinamo21]

Nice restrospective multicenter study from 🇬🇧 demonstrating practice variations and outcomes for mechanical ventilation in infants with bronchiolitis. Great #Infographic too. One of the free articles from @PedCritCareMed March edition.

https://t.co/BykPGilOJh

[Tiffany Pedigo, MD @drtiffp]

@MedgibbonsCathy @brownam130 @SCCM @BasuND22 I'll admit my ignorance and say that all 3 PICUs I've worked in (training and as an attending) use full maintenance. One PICU would cut it to 2/3 if intubated due to decreased insensible losses. Maybe this is regional? I'm definitely questioning this practice now.

[Tiffany Pedigo, MD @drtiffp]

Great perspective with statistics that clearly lays out the reasoning for getting the COVID vaccine. It sucks that we're in a reality where there's no risk-free choice, but we can be informed and make the safest decisions possible.

[Wendy Hasson MD @WendyHassonMD]

Choosing to take the #CovidVaccine isn't a risk-free choice, but it’s choosing an infinitely smaller risk than the virus' risk itself. To put it bluntly, in the world of #COVID19 there are no zero-risk choices. @Salem_Statesman @TheOpEdProject
My Op-Ed:
https://t.co/ebZdPDNy0l