Mom to the VERY HIP Fab5 Pediatric Hospital Medicine NP, Infectious Disease NP , Plastic Surgery/PediSurg Groupie. PhD student views are my own not my employers
Today marks the Graduation celebration of our @Nicklaus4Kids@nicklausmeded Class of 2026. 68 peds subspecialty fellows, Gen Peds, dental, & pharmacy residents, PA fellow, Psychology interns & fellows in a beautiful ceremony filled with gratitude, & pride with families & friends
Unpopular opinion:
The most powerful diagnostic tool in medicine doesn’t need electricity.
It’s a focused history.
Before the CT.
Before the MRI.
Before the blood tests.
A patient who feels heard often gives you the diagnosis.
The best clinicians don’t just order tests.
They ask better questions.
Association of Socioeconomic Status with Empowerment, Depression, and Anxiety in Pregnancies Complicated by Fetal Surgical Anomalies https://t.co/2R95ktBCBN #jpedsurg#SoMe4PedSurg
PSARP timing for anorectal malformation: no functional outcome difference between early vs. delayed repair.
Individualize based on patient condition, surgeon experience & family follow-up access.
Full ep: https://t.co/IjWfq4faoB
2026 UC: https://t.co/KDkTrKvpzL
#SoMe4PedSurg
Quite an opinion & order from US District Court Judge Fred Biery in Texas regarding asylum seeker Adrian Conejo Arias and his five-year-old son who “seek nothing more than some modicum of due process and the rule of law.”
@AaronParnas things are so crazy, thanks for spreading the contagion of being upright and compassionate. Giving those of us who appreciate what you are doing a community of sorts. We can be aware and still have HOPE.
Rep. Kelly Morrison nails it:
“The president and Secretary Noem are asking us to ignore what we can see with our own eyes. It’s incredibly irregular for the secretary to make public pronouncements before the victim was even identified. We didn’t even have her name, and she was already being labeled a ‘domestic terrorist.’”
That alone should alarm everyone.
AND WHILE WE’RE ON THE SUBJECT:
Denying a medical professional access to a victim when YOUR MEDICS are not on scene is illegal.
“We’ve got EMS on the way” is not a valid excuse to deny life-saving medical treatment.
🚨NEW: Pete Hegseth is cutting Senator Mark Kelly’s military pension and demoting his rank as punishment for telling service-members to not follow illegal orders in a recent video.
RETWEET if you stand with @CaptMarkKelly against Hegseth!
I’m sharing an actual recent peer-to-peer call that shows what physicians and patients face when trying to get a surgery approved. This call felt as absurd as it sounds.
The peer-to-peer call was to advocate for surgery to prevent and treat lymphedema for a patient with breast cancer. Her risk is high and we can perform a surgery to lower it.
The doctors from the insurance company on the call were an ophthalmologist with a subspecialty in oculoplastic surgery and a plastic surgeon who currently has a cosmetic practice. Neither doctor has ever performed lymph venous bypass…the surgery I was trying to get approved for my patient.
Neither doctor would provide their name or license number.
At the conclusion of the call, the doctors told me that they didn’t have the power to make a determination or decision to perform the surgery. They were just there to inform me of United’s decision to deny it.
The Medical Decision was not up to the doctors on the call. It had already been made by United.
So here I am, appealing again.
Medical decisions should be made by doctors who are well informed and patient-centered. Patients deserve access to the care that they paid for with their premiums.
AI just beat doctors on paper.
85% diagnostic accuracy.
The press called it revolutionary.
Cool.
I was cleaning blood and vomit off a gurney at 2:43 AM.
🧵 What Silicon Valley still doesn’t understand about medicine:
Delighted to have the honor to be one of the moderators for the 60th Pediatric Post Graduate Course😮
#60ppgc@Nicklaus4Kids@RGereigekidsdoc
Extra special treat to see colleagues many whom are thriving residents from back in the day
💗 Dr Pagan
On this @ghhsgold and @GoldFdtn National Thank A Resident/ Fellow Day, we express thanks and appreciation to our @Nicklaus4Kids@nicklausmeded trainees and celebrate all trainees nationally. Thank you for all you do!! We appreciate you. Some of our festivities and celebrations
The entire archive of all CDC datasets uploaded before January 28th, 2025 has been backed up on Internet Archive.
Incredible work everyone. Science will never be silenced!