Alan Schroeder, M.D.

Pediatrician (PICU & PHM), educator, researcher, Dad. Therapeutic skeptic.

[Alan Schroeder, M.D. @safelydoingless]

@doc_KJones You guys bring home the gold?!

[Alan Schroeder, M.D. @safelydoingless]

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

[Alan Schroeder, M.D. @safelydoingless]

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

[Alan Schroeder, M.D. @safelydoingless]

@JessieAllanMD Aww thank you Jessie

[Alan Schroeder, M.D. @safelydoingless]

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

[Alan Schroeder, M.D. @safelydoingless]

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

[Alan Schroeder, M.D. @safelydoingless]

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

[Stanford Pediatrics @StanfordPeds]

Congratulations @joshi_ns! 2024 @the_asci Emerging-Generation Award!
https://t.co/oCEdPa93l1

[Alan Schroeder, M.D. @safelydoingless]

@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...

[Alan Schroeder, M.D. @safelydoingless]

@chris_bonafide @vlee_md @SchondelmeyerMD OxyPICU trial further cements need to lower O2 sat thresholds... https://t.co/HizNU6sDYo

[Chris Bonafide, MD, MSCE (he/him) @chris_bonafide]

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...

[Alan Schroeder, M.D. @safelydoingless]

@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).

[Alan Schroeder, M.D. @safelydoingless]

@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.

[Alan Schroeder, M.D. @safelydoingless]

@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)

[Alan Schroeder, M.D. @safelydoingless]

@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"...;)

[Alan Schroeder, M.D. @safelydoingless]

@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.

[Chris Moriates, MD @ChrisMoriates]

"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

https://t.co/XuGlZepTt2

[Alan Schroeder, M.D. @safelydoingless]

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

[Alan Schroeder, M.D. @safelydoingless]

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