Dr. MikeMD
@pediatricpulse.bsky.social
Pediatric ICU doc. Associate professor of pediatrics. Quality improvement and patient safety officer. ECMO-ologist. Warrior against health misinformation.
I love this graphic!
November 19, 2025 at 12:46 AM
I love this graphic!
I’m playing piano and looking for jobs abroad.
November 12, 2025 at 2:26 AM
I’m playing piano and looking for jobs abroad.
I was disappointed Kaine joined in.
November 11, 2025 at 12:45 AM
I was disappointed Kaine joined in.
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.
November 6, 2025 at 7:37 PM
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.
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.
October 29, 2025 at 1:57 PM
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.
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.
October 29, 2025 at 1:38 PM
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.
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).
October 29, 2025 at 1:36 PM
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).
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.
October 29, 2025 at 1:33 PM
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.
It’s really sad how bad the post has become. I really liked their reporting for a long time.
October 2, 2025 at 4:57 PM
It’s really sad how bad the post has become. I really liked their reporting for a long time.
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.
September 25, 2025 at 11:29 PM
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.
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.
September 23, 2025 at 11:36 PM
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.
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.
September 23, 2025 at 11:31 PM
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.
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...
pmc.ncbi.nlm.nih.gov/articles/PMC...
Surviving sepsis guidelines: www.sccm.org/clinical-res...
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...
pmc.ncbi.nlm.nih.gov
September 23, 2025 at 11:29 PM
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...
pmc.ncbi.nlm.nih.gov/articles/PMC...
Surviving sepsis guidelines: www.sccm.org/clinical-res...
You’re probably right. It’s like the joke about conspiracy theorists: ‘I think the moon landing was faked…’ ‘you believe in the moon??’
September 23, 2025 at 9:36 PM
You’re probably right. It’s like the joke about conspiracy theorists: ‘I think the moon landing was faked…’ ‘you believe in the moon??’
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.
September 23, 2025 at 9:12 PM
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.
I assume Kennedy will be joining a class action lawsuit or otherwise try to profit from this.
September 22, 2025 at 10:31 PM
I assume Kennedy will be joining a class action lawsuit or otherwise try to profit from this.
Men are way too fragile and emotional to be in charge anymore
September 21, 2025 at 4:19 PM
Men are way too fragile and emotional to be in charge anymore
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.
September 21, 2025 at 2:00 AM
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.
I watched the two hour interview with Shapiro. Ironically Shapiro worries about how the left is ‘destroying’ institutions (marriage), and resents the idea systems of privilege exist. There’s a ton of reality denial and false equivalence.
September 18, 2025 at 6:35 PM
I watched the two hour interview with Shapiro. Ironically Shapiro worries about how the left is ‘destroying’ institutions (marriage), and resents the idea systems of privilege exist. There’s a ton of reality denial and false equivalence.