Also because medicine is a disaster as an adult… particularly in Maryland with both the GBR and insurance company for profit administrative bloat. It’s also tough on my neonatal patients and their families. I have no idea how to fix this mess but I hope smarter people can. Patients deserve better.
Oh yeah also in other news… 2025 ended with me becoming a cancer patient. I’ve decided to talk about this more over the last week or so to get it off my chest and to also make small talk when I run into people I haven’t seen in awhile less awkward.
Things I never thought I’d do as an adult. Ask my oncologist if I could get a baseline echo at the children’s hospital because it’s easier for me to get in faster there and won’t delay treatment. I’ve been promised stickers for being cooperative.
Seeing Savannah Bananas at Camden Yards and I’d buy season tickets to this. MLB should bring some of this magic to their games.
Just a PSA to say if you know the other neonatologist Dr. Nogee wish him a happy retirement today - it’s his last day of work!
It's anyone's guess as to how many IT things can break the morning after an overnight Epic "Upgrade."
Welcome to America where preventing vaccine preventable diseases in children is not a priority nor is funding training of pediatricians to take care of sick kids harmed by our poor decision making.
www.childrenshospitals.org/news/newsroo...
Me being the young one teaching Larry how to place a pigtail! True highlight of my career!
www.nejm.org/doi/full/10....
This is cool. Excited for the future of neonatology and helping babies with rare diseases!
The doctor who is the patient in this story was a residency colleague of mine. Still here almost 10 years after a metastatic cancer diagnosis because of science - the very kind of science that is threatened by politicians right now. www.mskcc.org/news/leptome...
Supposedly June but he was witnessed contemplating reducing time more and staying on a bit longer while we were in Disney World. He refuses to let anyone organize a retirement party. I have a speech I just need a date / time.
BREAKING: We're suing the National Institutes of Health over their politically-motivated purge of research grants.
This is an unlawful attack on scientific progress that puts lives at risk.
Just saying if anyone gets an email from my Dad today that seems off base remember what day it is because this is literally his favorite day to joke around.
Took my 6 year old to The Walters this morning. “Mom this place knocked my socks off, it’s amazing!” ❤️ Baltimore
As a neonatologist I’ve seen many patients present with rare diseases so I would argue a zebra should always be in the differential and if the story doesn’t add up then think broad and don’t forget about what the rare diagnoses are that might fit.
It’s #rarediseaseday. I remember being a med student and told that zebras are uncommon and shouldn’t be at the top of the differential diagnosis. Collectively though they aren’t uncommon.
I just keep waiting every week to have a scene on the Pitt where a baby is born in the ER and the neonatologist is Dr. Robby’s sister or father because that sums up my family in a nutshell. And also there are just so many elements of medicine the show gets right.
I don’t know where I went right in life that when I’m on service I come home to dinner made for me, kid lunch made for tomorrow, kid bathed and in PJs, and trash taken out for tomorrow. Definitely married a great partner in life!
On service next week and looking at weather forecasts. Looking to be a keep calm and drive the Subaru kind of week.
Meningitis is a diagnosis that’s rare for peds residents to see these days. So different from the residency my parents went through. Vaccines have done so much good.
As a med student I met a child with pneumococcal meningitis. The kid had contracted a strain that was not covered by PCV7 which had been given but was
covered in the very newly released PCV13. It was awful to know that kid had just missed out on vaccine that could have prevented a terrible illness.
Oh can we cut work one day and go to the BMA?
What would medicine look like if we could pass something where some children/adults can be labeled as medically complex for insurance reasons and it prohibits insurance companies from denying any type of subspecialty care or medication deemed necessary by docs on their complex care team?
Neosky doesn’t seem prime time for meetings yet - I got crickets posting the same thing. I enjoyed your session on follow up though!
Super fun to catch up with some of my co residents from UCSF at the Hot Topics meeting! Excited that next year’s meeting is actually in DC!
I’ll be at Hot Topics! Looking forward to it.
Any #neosky friends going to be at Hot Topics next week?
Family thanksgiving tomorrow so grating an obscene amount of cheese today.
Happy Thanksgiving - my family is celebrating on Saturday this year because my brother is working in the ER today and tomorrow. Grateful that we still found a day that worked with our crazy schedules!
