Slay Bones
@clayjones.bsky.social
2.1K followers 470 following 2.3K posts
Pediatric/newborn hospitalist. Skeptic, but fun at parties. Part-time satirist. Nobel Prize nominated, I assume. Born on the bayou, just not yesterday. https://sciencebasedmedicine.org/author/clayjones/ https://www.knudsensnews.com
Posts Media Videos Starter Packs
clayjones.bsky.social
The only thing dumber than infant chiropractic: www.facebook.com/share/v/1Bnx...

Notice how whatever the cat does is worked into his shtick. This is absolute nonsense on every level.

@skeptvet.bsky.social
Redirecting...
www.facebook.com
clayjones.bsky.social
The phrase “bless her heart” is a powerful tool for good in the South that must be wielded with care and caution. Abusing it like this is an absolute sign of ignorance or guile.
atrupar.com
FOX: Grijalva says you're afraid of her being the 218th signer to the Epstein petition, that if she was a Republican you would've sworn her in. What do you say?

MIKE JOHNSON: I say bless her heart. She's a representative-elect, she doesn't know how it works around here.
clayjones.bsky.social
This will still somehow lead to underuse and overuse of opioids depending on the population. I also look forward to all the new acupuncture studies that will be “positive”.
clayjones.bsky.social
We could probably come with 20-30 exceptions. These efforts should focus more on taking the systemic symptoms seriously.

I saw one earlier today that said babies with colic might become rigid and irritable but to try chiropractic first!
Reposted by Slay Bones
cphickie.bsky.social
Some of the deeper skin lesions of hand foot and mouth also will not blanch. Like you, I think it's incredibly rare that a parent won't bring a child in when they see a funky rash.
clayjones.bsky.social
One blanching rash that is very serious, and which we will sadly see more of in the future, is seen in the early stage of measles.
clayjones.bsky.social
A more common non-blanching rash from bleeding in the skin (or inside the mouth) that is associated with a well-appearing child is ITP: immune mediated thrombocytopenia. This is an auto-immune condition that causes loss of platelets. Kids should be seen right away even if acting fine.
clayjones.bsky.social
The rash they are warning about in this is purpura fulminans. This occurs when sepsis leads to a coagulopathy where platelets and clotting factors are used up rapidly allowing bleeding to occur in the skin (or anywhere else in the body it wants to). Again, these kids are extremely ill.
clayjones.bsky.social
I see stuff like this on FB and around the internet periodically and it isn’t very helpful. Yes, a rash sometimes seen with sepsis doesn’t blanch, but before that the child will be sick as shit. There is zero chance a parent wouldn’t already be concerned enough to seek help.
clayjones.bsky.social
Out: “Kirk was a saint and model citizen historically on par with MLK Jr.”

In: Git gud.
atrupar.com
Trump at the Charlie Kirk memorial event: "They fired sniper rifles at ICE agents, and me. But I made a turn at a good time. I made a turn at a good time. Charlie couldn't believe it, actually."
clayjones.bsky.social
But he once guessed right that one time!
clayjones.bsky.social
He wouldn’t be safe from radical Antifa terrorists at the beach though.
clayjones.bsky.social
Nate was hoping to more efficiently be wrong about everything.
edzitron.com
AI has lost the dunce vote. It’s over
Nate Silver
@NateSilver538 • 5h
•.°
I'm just one person, and my programming needs are somewhat unusual (building various kinds of statistical forecasting models). But I'm just not seeing the consistent productivity gains from LLMs that I would have expected if you'd asked me 6 months ago.
clayjones.bsky.social
Absolutely agree. Corporal punishment of children, either from a caregiver or a school, is wrong. It is ineffective. But most importantly, it is fucking wrong.

sciencebasedmedicine.org/hitting-chil...
Reposted by Slay Bones
zoonotic1.bsky.social
Like Trevor Noah said, republicans treat babies like collectors treat comic books. Once they are out of their package, they lose all their value.
clayjones.bsky.social
Simple explanation is that these children are already born and Republicans don’t give a shit at that point.
clayjones.bsky.social
There is a lot of terrible parenting advice online. Just saw this over at FB. Both describe potentially septic infants and neither mention seeking appropriate medical care. Just dangerous stuff here.
clayjones.bsky.social
What about dark clouds?
clayjones.bsky.social
In honour of spooky month, share a 4 word horror story that only someone in your profession would understand:

The ED looks quiet.
seema.bsky.social
Congratulations, you're department chair.
unenthusiast.com
In honour of spooky month, share a 4 word horror story that only someone in your profession would understand.

rm -rf ~/
Reposted by Slay Bones
clayjones.bsky.social
Fully endorse. I learned a lot and it has helped me immensely when caring for trans patients in the hospital.
turban.bsky.social
Misinformation about #trans kids is spreading like wildfire

I’m a Harvard-trained psychiatrist & researcher who has spent a decade working in this space

My new book Free to Be: Understanding [The Science Medicine & Politics of] Kids & Gender Identity is available now:

allstora.com/products/fre...
clayjones.bsky.social
They just need a good man, or a lobotomy.