Pippa Elayne Coulter MD PhD 💛🤍💜🖤
@pippaelayne.bsky.social
She/they. Pediatrician.
Every so often there's a specialist who starts diagnosing a condition in numbers out of proportion to reported incidence, and without doing the standard evaluation for it. Out in Pcp Land we start wondering after a few consults
December 30, 2025 at 11:41 PM
Every so often there's a specialist who starts diagnosing a condition in numbers out of proportion to reported incidence, and without doing the standard evaluation for it. Out in Pcp Land we start wondering after a few consults
I know what dry January is but bc I typically forget alcohol exists, just never appealed to me, my brain immediately goes "oh no are they dehydrated?"
December 29, 2025 at 6:54 PM
I know what dry January is but bc I typically forget alcohol exists, just never appealed to me, my brain immediately goes "oh no are they dehydrated?"
My son doesn't want any cards referring to a religious holiday including Solstice but he does want a "season's greetings" card. Which I couldn't find 😂. So I made one. No snow here though. Our season is: rain rain rain!
December 25, 2025 at 4:39 PM
My son doesn't want any cards referring to a religious holiday including Solstice but he does want a "season's greetings" card. Which I couldn't find 😂. So I made one. No snow here though. Our season is: rain rain rain!
My work is getting noticeably harder and more stressful, with parents quoting RFK Jr and turning down vaccines. I feel bad for them being misled. And put in this weird position where they get care from a system they distrust. It must be terrifying. Also makes me want to retire.
December 20, 2025 at 1:51 AM
My work is getting noticeably harder and more stressful, with parents quoting RFK Jr and turning down vaccines. I feel bad for them being misled. And put in this weird position where they get care from a system they distrust. It must be terrifying. Also makes me want to retire.
Send in comments to federal register on this proposed anti-trans kid rule. I know there will be lawsuits. Entirely hinges on a bizarre assertion that gender affirming care is "not healthcare" bc otherwise CMS is not allowed to pull this.https://public-inspection.federalregister.gov/2025-23465.pdf
December 19, 2025 at 12:44 AM
Send in comments to federal register on this proposed anti-trans kid rule. I know there will be lawsuits. Entirely hinges on a bizarre assertion that gender affirming care is "not healthcare" bc otherwise CMS is not allowed to pull this.https://public-inspection.federalregister.gov/2025-23465.pdf
Dreamed I opened my front door and an orange cat ran in, which I had to usher out bc allergic, and suddenly this anxious saleswoman was standing there talking a mile a minute and showing me carpet samples. I smiled but as she kept talking she started crying bc she knew I wasn't buying and ran off
December 17, 2025 at 2:26 PM
Dreamed I opened my front door and an orange cat ran in, which I had to usher out bc allergic, and suddenly this anxious saleswoman was standing there talking a mile a minute and showing me carpet samples. I smiled but as she kept talking she started crying bc she knew I wasn't buying and ran off
Going tonight to Eureka city council mtng to speak in favor of trans sanctuary city resolution. A few weeks ago we proposed it and now it's up for vote! If your city doesn't have one, pls think about asking.
December 16, 2025 at 9:20 PM
Going tonight to Eureka city council mtng to speak in favor of trans sanctuary city resolution. A few weeks ago we proposed it and now it's up for vote! If your city doesn't have one, pls think about asking.
Every so often a parent tells me the school said their kid can't attend without adhd med. This is against the law for public schools including headstart. The right med can be life changing but education is a right regardless.
December 16, 2025 at 9:15 PM
Every so often a parent tells me the school said their kid can't attend without adhd med. This is against the law for public schools including headstart. The right med can be life changing but education is a right regardless.
Our chorale concert is tonight! www.youtube.com/live/N8ZnInh...
December 13, 2025 at 2:56 AM
Our chorale concert is tonight! www.youtube.com/live/N8ZnInh...
SCOTUS undermining state vaccine requirements reminds me of how the religious exemption was handled in Alabama when I lived there. The health department was gloriously picky-- couldn't be a personal religious view, had to be part of an established religion. Catholics would ask for exemption
December 9, 2025 at 2:46 PM
SCOTUS undermining state vaccine requirements reminds me of how the religious exemption was handled in Alabama when I lived there. The health department was gloriously picky-- couldn't be a personal religious view, had to be part of an established religion. Catholics would ask for exemption
Getting a minor daily thrill from this jelly advent calendar-- flavor combos I never thought of-- and wondering what if they made a perpetual jelly calendar and never repeated a recipe!!? Jelly and circuses 😂
December 6, 2025 at 4:35 PM
Getting a minor daily thrill from this jelly advent calendar-- flavor combos I never thought of-- and wondering what if they made a perpetual jelly calendar and never repeated a recipe!!? Jelly and circuses 😂
Anyone know of a good parent resource that would go into more detail about how to evaluate medical evidence that is NOT from a source hesitant parents would automatically dismiss? Not saying this replaces formal education but to give a more detailed overview of the complex processes.
December 5, 2025 at 6:05 PM
Anyone know of a good parent resource that would go into more detail about how to evaluate medical evidence that is NOT from a source hesitant parents would automatically dismiss? Not saying this replaces formal education but to give a more detailed overview of the complex processes.
Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤
I used my new trick to remake it with alt text! Bc too funny not to share 😂
December 1, 2025 at 12:34 AM
I used my new trick to remake it with alt text! Bc too funny not to share 😂
TIL there's a way to use an OCR (optical character recognition) on a text screenshot to create alt text! I have avoided posting these at all because retyping the whole thing is daunting. I'm going to try and show you here.
First add your screenshot, then click alt text
First add your screenshot, then click alt text
December 1, 2025 at 12:16 AM
TIL there's a way to use an OCR (optical character recognition) on a text screenshot to create alt text! I have avoided posting these at all because retyping the whole thing is daunting. I'm going to try and show you here.
First add your screenshot, then click alt text
First add your screenshot, then click alt text
United at DIA has changed my gate 7 times this morning including just now with less than 20 minutes to boarding. 😂 Getting those steps in I guess. Wonder if there will be a sprint in last 5 minutes
November 29, 2025 at 5:34 PM
United at DIA has changed my gate 7 times this morning including just now with less than 20 minutes to boarding. 😂 Getting those steps in I guess. Wonder if there will be a sprint in last 5 minutes
I want to dig holes for some plants in my yard. There's an 811 system to get the utilities marked-- they notify the companies. Everyone responded but internet. So I texted them and the rep said "I would like to advise you this is Optimum" and ended the chat. I just got sir this is a Wendy's by AI.
November 25, 2025 at 6:50 PM
I want to dig holes for some plants in my yard. There's an 811 system to get the utilities marked-- they notify the companies. Everyone responded but internet. So I texted them and the rep said "I would like to advise you this is Optimum" and ended the chat. I just got sir this is a Wendy's by AI.
Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤
DSA is officially over 90,000 members strong (and counting)!
Be part of the movement. Join us.
dsausa.org/join
Be part of the movement. Join us.
dsausa.org/join
November 25, 2025 at 6:14 PM
DSA is officially over 90,000 members strong (and counting)!
Be part of the movement. Join us.
dsausa.org/join
Be part of the movement. Join us.
dsausa.org/join
Some good news!
NEW: Trump's DOJ sent a subpoena to a gender-affirming care clinic seeking information on patients, including minors, and its insurance billing practices. The clinic—which doesn't even take insurance—fought the demand in court and won.
Read @garnethenderson.com in @autonomynews.co
Read @garnethenderson.com in @autonomynews.co
The DOJ Subpoenaed Patient Info From a Gender-Affirming Care Clinic. It Fought Back.
A Washington judge quashed the Trump administration's attempt to subpoena patient information from the telehealth practice QueerDoc—but the fight may not be over.
www.autonomynews.co
November 20, 2025 at 12:35 AM
Some good news!
Wtaf. Bsky complying with inappropriate subpoenas. I might be done here.
The federal government is in overdrive trying to arrest people for speech online.
Anarchists snd other left varieties are getting hit all over the site the last couple days with these it appears. This is like the fourth account I have seen posting something like this since last week.
Anarchists snd other left varieties are getting hit all over the site the last couple days with these it appears. This is like the fourth account I have seen posting something like this since last week.
Getting subpoenaed by the US government over bluesky posts
November 17, 2025 at 6:40 PM
Wtaf. Bsky complying with inappropriate subpoenas. I might be done here.
Employee insurance open enrollment. My share of premium nearly doubles for 2026. Higher costsharing overall. New 3rd party claims management, Pinnacle... bad reviews online. Know I am lucky to have a policy at all.
November 12, 2025 at 4:30 AM
Employee insurance open enrollment. My share of premium nearly doubles for 2026. Higher costsharing overall. New 3rd party claims management, Pinnacle... bad reviews online. Know I am lucky to have a policy at all.
Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤
Many people were driven into military service because impoverished communities had so few choices for escaping a cycle of poverty, it was the only path by design. This Veteran's Day I think of them, and others who laid down their lives for a country betraying its own principles of "freedom."
November 11, 2025 at 2:56 PM
Many people were driven into military service because impoverished communities had so few choices for escaping a cycle of poverty, it was the only path by design. This Veteran's Day I think of them, and others who laid down their lives for a country betraying its own principles of "freedom."
Reposted by Pippa Elayne Coulter MD PhD 💛🤍💜🖤
Never play the long game with fascism bc then you get long fascism instead of short fascism.
November 10, 2025 at 2:10 PM
Never play the long game with fascism bc then you get long fascism instead of short fascism.
I'm in the second year of watching Met operas livestreamed in a small local theater with friends, starting as a know-nothing. Yesterday was La Bohéme. My fav and baffling line, sung as if profound: "They call me Mimi; I don't know why." She doesn't seem annoyed, only 🤷🏻♀️
November 9, 2025 at 9:42 PM
I'm in the second year of watching Met operas livestreamed in a small local theater with friends, starting as a know-nothing. Yesterday was La Bohéme. My fav and baffling line, sung as if profound: "They call me Mimi; I don't know why." She doesn't seem annoyed, only 🤷🏻♀️
Long elaborate dream last night where I was part of a physicist group planning a big experiment and the main investigator turned out to be unsure if hitting the start button would destroy the known universe. The rest of the dream was me chasing him down to confront him
November 8, 2025 at 3:29 PM
Long elaborate dream last night where I was part of a physicist group planning a big experiment and the main investigator turned out to be unsure if hitting the start button would destroy the known universe. The rest of the dream was me chasing him down to confront him