Nicole Cifra, MD, MPH, MHPEd

Non vaccine preventable diseases keep us busy enough! 😖

In case you’re wondering, it’s barely fall & our children’s hospital is already almost always full with kids boarding in the ER.

And the pediatric workforce is stretched thin.

Our system does not have the capacity to care for the influx of vaccine preventable diseases that is coming.

Come to our webinar with the Society of Adolescent Health and Medicine on severe and enduring eating disorders.
#eatingdisorders
adolescenthealth.org/sahm-annual-...

It is absolutely infuriating and depressing to see lifesaving medical interventions thrown in the garbage.

Law enforcement! If you ever are involved in rescuing a severely malnourished child from an abusive environment, please do not give them a lot of food. They are likely at risk of refeeding syndrome and should be given nutrition in the hospital setting.

Don’t blame you one bit!

Medical training does not need to be traumatic. Learning can happen without intimidation, abuse, and fear of others. #MedEd

There are two types of MOCA people. Those that wait until 11PM the night before a cycle ends to start questions and those that do them within 24 hours of getting the email. 😂

a man is standing in front of a white board with math equations on it . ALT: a man is standing in front of a white board with math equations on it .

Calculating goal weights! #ICED2025

At #ICED2025! Reminder that the nadir of all cause mortality is around a BMI of 30. 😊

That 20mm ovarian “cyst” is likely a dominant follicle. Please don’t assume this is the source of abdominal pain or tell patients/families it must be removed. Everything isn’t the fault of the ovaries/uterus.

A common misconception about #eatingdisorders is that a desire for thinness is the inciting factor.

In reality, weight loss of any kind, regardless of reason, is often how it starts. It could be do to an illness, surgery, etc. In a genetically vulnerable person, this can start an eating disorder.

Excited to share this publication! www.jpeds.com/article/S002...

Dislike!!👎

You know what my favorite part of my job is? Discharging patients from my practice. I love it when they don’t need me anymore. I have a whole “see you at Wegmans and feel free to send life updates if you want” speech and it’s the best. #eatingdisorders

Of course

Mad on your behalf!!!! 😡

Amenorrhea in athletes should never be normalized. Ever.

😂🦅

Why does Tom Brady have to be here?

For those who need it.

Does anyone remember that “tiny baby coffins” monologue on House?

I have these PDFs saved as I’ve made them into dot phrases. If anyone can use them let me know and I’ll post them here.

I am furious.

Trash. 🗑️

It’s 2025. Vaccines save lives. I can’t believe this is where we are.

Beyond a shadow of a doubt!

Stop.

Somehow, even more scared today than when I posted this. 😐