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Dr. MikeMD

@pediatricpulse.bsky.social

Pediatric ICU doc. Associate professor of pediatrics. Quality improvement and patient safety officer. ECMO-ologist. Warrior against health misinformation.

444 Followers  |  419 Following  |  569 Posts  |  Joined: 14.11.2024  |  2.3839

Latest posts by pediatricpulse.bsky.social on Bluesky

I love this graphic!

19.11.2025 00:46 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I’m playing piano and looking for jobs abroad.

12.11.2025 02:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I was disappointed Kaine joined in.

11.11.2025 00:45 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

As someone who takes care of critically ill children, I can assure you that all these morons selling the anti-vaccine/wellness grift would shit their pants in any real medical emergency, and that even the most anti science parents run to the hospital when things get bad.

06.11.2025 19:37 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

5/ As SNAP benefits and other assistance is eliminated, I expect to see more children admitted with these issues. Again, these are long term complications that can compromise a child’s life. The decisions we make today impact our society for decades.

29.10.2025 13:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

4/ on the other side of things, some families supplement their formula with things like powdered milk, but this practice is also harmful. Powdered milk products are very high in salt. Those patients experience similar symptoms, but are also at risk for clotting and stroke.

29.10.2025 13:38 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

3/ if you dilute your Na, those processes all fail. You can have seizures, arrhythmias, and swelling as water rushes into the brain (cerebral edema).

29.10.2025 13:36 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

2/ specifically, sodium (Na, from salt) gets diluted. Sodium is important for many functions. Na ions allow nerves to conduct and heart rhythm to cycle. It also serves an osmotic function, meaning the concentration of Na keeps water in certain places and away from others.

29.10.2025 13:33 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

1/ when families run low on money, they often try to make their baby formula last longer by diluting it with water. This practice can seriously and permanently harm infants. Formula is precisely made in terms of calories and electrolytes, and it’s essential to mix it properly.

29.10.2025 13:29 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
Texas AG Paxton files Tylenol lawsuit, taking cues from Trump, Kennedy Texas Attorney General Ken Paxton, a Republican seeking election to the U.S. Senate, filed suit against Tylenol’s maker and its former parent company barely a month after President Donald Trump warned...

This was always the plan. Grift after grift and they profit from the misinformation.

www.washingtonpost.com/health/2025/...

28.10.2025 13:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

11.10.2025 03:05 β€” πŸ‘ 13936    πŸ” 6179    πŸ’¬ 518    πŸ“Œ 395

It’s really sad how bad the post has become. I really liked their reporting for a long time.

02.10.2025 16:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Not that I can think of, and it's pretty rare for a family to object (though it has happened before). But things are only getting more and more crazy here.

25.09.2025 23:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Very old studies (40s). This is another one that sounds good but has practical issues. You can kill lots of things with radiation (or bleach), including your own cells. There's the prob of getting enough blood out of the body to sterilize plus the prob of getting to bacteria hiding in your organs.

23.09.2025 23:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 3    πŸ“Œ 0

Most common reason people die of sepsis is delayed antibiotic admin. Early sepsis can be subtle, difficult to detect and we are also trying not to overuse antibiotics. It's very tricky to navigate, but we could absolutely reduce deaths by recognizing sepsis consistently. But abx are essential.

23.09.2025 23:31 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Preview
Current role of high dose vitamin C in sepsis management: A concise review Sepsis and septic shock are common diagnoses for patients requiring intensive care unit admission and associated with high morbidity and mortality. In addition to aggressive fluid resuscitation and an...

Sorry this gets touchy because of everything going on and tone doesn't come across tweets. Vit C keeps coming back. We really want it to work and re evaluate frequently. Here's a good summary article.
pmc.ncbi.nlm.nih.gov/articles/PMC...

Surviving sepsis guidelines: www.sccm.org/clinical-res...

23.09.2025 23:29 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

You’re probably right. It’s like the joke about conspiracy theorists: β€˜I think the moon landing was faked…’ β€˜you believe in the moon??’

23.09.2025 21:36 β€” πŸ‘ 5    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

Vitamin c has repeatedly failed to show clinical benefit despite theoretical potential. The surviving sepsis guidelines are evidence based & often reviewed. Physicians DO keep up with these topics so your comment and speculation is completely wrong. Not going to argue this.

23.09.2025 21:12 β€” πŸ‘ 8    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Every patient who dies from sepsis is on antibiotics. Therefore we should stop using antibiotics in sepsis. /s

23.09.2025 16:54 β€” πŸ‘ 145    πŸ” 16    πŸ’¬ 11    πŸ“Œ 1

I assume Kennedy will be joining a class action lawsuit or otherwise try to profit from this.

22.09.2025 22:31 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Men are way too fragile and emotional to be in charge anymore

21.09.2025 16:19 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I see this all the time. Family has loaded guns literally lying around, and they are shocked with their kid finds it and accidentally discharges it.

21.09.2025 02:00 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Somehow one of the most jarring and upsetting things happening around me is other medical professionals insisting that what's happening isn't so bad, nothing unusual, nothing other administrations haven't done. It's all fine and I'm overreacting.

19.09.2025 22:52 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I watched the two hour interview with Shapiro. Ironically Shapiro worries about how the left is β€˜destroying’ institutions (marriage), and resents the idea systems of privilege exist. There’s a ton of reality denial and false equivalence.

18.09.2025 18:35 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Dr. Susan Monarez: β€œI could have stayed silent, agreed to the demands, and no one would have known. What the public would have seen were scientists dismissed without cause and vaccine protections quietly eroded…I would have lost the one thing that cannot be replaced: My integrity.”

17.09.2025 14:45 β€” πŸ‘ 14194    πŸ” 4479    πŸ’¬ 294    πŸ“Œ 220
Bluesky

Everything you wanted to know about vaccine technology, testing, advancement and limitations. From @those nerdygirls.bsky.socia.

open.substack.com/pub/theunbia... l

09.09.2025 11:49 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
β€œScience in Health, Wealth, & War” A Social Media Op-Ed by Neil deGrasse Tyson
YouTube video by StarTalk Plus β€œScience in Health, Wealth, & War” A Social Media Op-Ed by Neil deGrasse Tyson

Neil deGrasse Tyson explains the incredible impact scientific study and funding has had on us. The decisions being made right now wil reverberate for decades and our children will be worse off for it.

youtu.be/7GsfckziNCU?...

06.09.2025 13:26 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

My guess is Kennedy and Trump family have shorted Tylenol stock and stand to profit.

06.09.2025 00:46 β€” πŸ‘ 49    πŸ” 2    πŸ’¬ 2    πŸ“Œ 0

The sheer volume and depth of obvious bs conservative voters are willing to swallow really astounds me.

06.09.2025 00:45 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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This little guy hitched a ride with one of our trauma patients. We took him outside into the grass so he could escape (the grasshopper). Everyone is expected to survive.

01.09.2025 22:39 β€” πŸ‘ 6    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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