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Stephen Sandelich

@sandelichmd.bsky.social

Pediatric emergency medicine physician + researcher | Focus on adolescent substance use, ED-based interventions, and health equity | Bridging clinical care & policy | Passionate about implementation science + youth mental health

18 Followers  |  45 Following  |  55 Posts  |  Joined: 22.03.2025  |  1.4928

Latest posts by sandelichmd.bsky.social on Bluesky

Itโ€™s easy to dismiss small amounts of alcohol as harmless. But for teens, itโ€™s often a sign of something more.
#YouthSUD #Parenting

16.05.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Bedtime battles often mean overtiredness. Try winding down earlierโ€”and know that itโ€™s normal.
#Parenting

15.05.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Vaping once doesnโ€™t mean youโ€™ll be addictedโ€”but it makes the next time easier.
Think before you pick it up.
#YouthHealth

14.05.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Snacking isnโ€™t the problem. Restrictive rules are. Make balanced snacks the norm, not the battle.
#Parenting #ChildHealth

13.05.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

4 y/o: โ€œDoes your stethoscope work on adults, too?โ€

Apparently, I need the grown-up model.
#PedsED #KidsSayTheBestStuff

12.05.2025 19:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

When teens present with substance use in the ED, itโ€™s often their first touchpoint with care.
We canโ€™t let it be the last.
#SUD #AdolescentCare

12.05.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

4 y/o: โ€œOnly glitter Band-Aids, please. The plain ones donโ€™t work.โ€
Honestly? Same.
#PedsED #FunnyKids

09.05.2025 21:18 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Mistakes are part of learning.
Encourage effort over perfection.
#ParentingSupport

09.05.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Fitting in feels goodโ€”until it doesnโ€™t.
You donโ€™t owe anyone a reason for saying no.
#YouthSupport

08.05.2025 21:19 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Sports are back, and so are injuries.
Take time to warm up and cool downโ€”your ankles will thank you.
#PedsSafety

08.05.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

We may be the firstโ€”and onlyโ€”point of contact for a teen struggling with substances. Every shift is an opportunity.
#PedsED

02.05.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Late childhood comes with big feelings, bigger questions, and lots of hoodies. Hang in thereโ€”youโ€™re not alone.
#Parenting

01.05.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Quitting takes strength. Saying no takes practice. You donโ€™t need a reason to protect your peace.
#TeenSupport

30.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Bedtime drama lately? It might still be that spring time change. Routines will recalibrate. You're doing great.
#ParentingSupport

29.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

โ€œAlcohol intoxicationโ€ is a clinical labelโ€”but behind it may be trauma, depression, or anxiety. Donโ€™t stop at the surface.
#PedsED #MentalHealth

28.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

One big talk wonโ€™t prevent substance use. But ongoing, honest conversations can.
#ParentingSupport

25.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Spring = scooters, scrapes, and splints. Helmets, shoes, and a little supervision go a long way.
#ChildHealth

24.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Vaping may feel like a stress relieverโ€”but itโ€™s actually rewiring your brain against calm.
#YouthHealth

23.04.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

You canโ€™t logic a tantrumโ€”but teaching the words for big feelings matters long after the meltdown ends.
#Parenting

22.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Teens rarely volunteer info about substance useโ€”but many will answer if you ask. Normalize the conversation.
#PedsEM #SUD

21.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Peds night shift is just a rave for sick toddlers.

Lights down, heart rates up, someoneโ€™s crying, and nobody knows what day it is.
#PedsED #NightShiftChronicles

20.04.2025 08:33 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Youth substance use is a health issueโ€”not a moral failing.

Compassion, not punishment, is the path to recovery.
#SUDCare #AdolescentHealth

18.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Spring is hereโ€”and so are scraped knees and sunburns.

Quick tip: Reapply sunscreen every 2 hours, even on cloudy days.
#ChildHealth #Parenting

17.04.2025 13:40 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Vaping isnโ€™t harmless. Itโ€™s linked to increased risk for cannabis and prescription drug misuse in adolescents.

Letโ€™s stop minimizing it.
#SUD #TeenHealth

16.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

To every parent with a coughy, snotty kid this season: Youโ€™re not failing. Youโ€™re showing up.

Thatโ€™s enough.
#Pediatrics #WinterViruses

15.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Today a 4-year-old called my otoscope โ€œthe ear flashlight.โ€

Medical device rebranding courtesy of preschoolers.
#PedsED #KidsSayTheBestStuff

14.04.2025 14:54 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Regular cannabis use in teens isnโ€™t rebellionโ€”itโ€™s often emotional self-medication.

We need to treat it that way.
#YouthMentalHealth #SubstanceUse

14.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Substance use. Depression. Suicidal ideation.

Too often screened in isolationโ€”when they co-occur in the real world.
#YouthHealth

11.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

A calm voice, a hand on the shoulder, a reminder:
โ€œYouโ€™re not a bad parent. You did the right thing.โ€
#Peds #EmergencyCare

10.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

We canโ€™t separate youth mental health from substance use.

Most teens vape or use not just for funโ€”but to cope.
#PedsEM #MentalHealth

09.04.2025 13:40 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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