iiinova — where your digital self keeps evolving

David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 20h

Los Angeles is under an Extreme Heat Warning, and this is a good time for parents and caregivers to pay extra attention to kids in the heat. Children can become dehydrated or overheated quickly! #HeatSafety #LosAngeles #Pediatrics #ChildSafety #HeatWave

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 05/10/2026

Before asking, “How was this missed?” ask, “What did this look like at the time?” The second question does not remove accountability. It makes learning more accurate and more useful.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 05/10/2026

An e-bike may look like a bicycle, but its speed, weight and handling make it a very different ride. #safety #ebike #pediatrics

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 04/10/2026

Urgency is visible. Uncertainty often is not. The ICU manages rapidly changing physiology. General pediatricians repeatedly look for uncommon danger within common symptoms. Difficulty in medicine takes different forms.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 03/10/2026

Once a diagnosis is known, earlier clues acquire meaning. That does not mean they carried the same meaning at the first visit. Hindsight does not merely explain the story. It reorganizes it.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 03/10/2026

Serious childhood illness often begins with the same cough, headache, fatigue, or stomachache as something ordinary. The challenge is recognizing when a familiar symptom is telling a different story.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 27/09/2026

A successful resuscitation can make it easy to close the door and move on. In our debrief, nobody did. The child had returned to baseline, yet the room kept asking how we could do better. Read more: davidepsteinmd.substack.com/p/the-m…

davidepsteinmd.substack.com

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 26/09/2026

Before the code, the child's hands and feet were cool. Thready pulses. Heart rate slowed, blood pressure fell. Fluid, epinephrine, CPR. After the child returned to baseline, the room grew quiet. Read more: davidepsteinmd.substack.com/p/the-m…

davidepsteinmd.substack.com

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 12/08/2026

Politicians shouldn’t be dictating medical care. Ask your pediatrician for advice! Science matters! #pediatrics #vaccineswork #evidencebasedmedicine #parenting

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 27/07/2026

Iron supports brain development, concentration, energy and healthy blood production. Infants with limited dietary iron, children with restrictive diets, and adolescents with heavy menstrual bleeding may be at greater risk. Ask your pediatrician. #iron #anemia #irondeficiency #pediatrics #kids

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 23/07/2026

Many children born with congenital heart disease grow into healthy, active adults thanks to remarkable advances in pediatric heart care. But even after successful surgery, lifelong follow-up is often important because hearts change as children grow. #CongenitalHeartDisease

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 21/07/2026

Vape devices can deliver substantial amounts of nicotine, and adolescent brains are particularly vulnerable to addiction. Watch for unfamiliar devices, sweet odors, increased thirst, irritability or unexplained spending…but begin with conversation, not accusation. #vaping

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 18/07/2026

Every year, children’s products are recalled because they can cause choking, burns, poisoning, or other serious injuries. Take a few minutes each month to check for recalls on toys, feeding products, & household items your child uses. A quick review today could prevent a trip to the ER tomorrow.

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Reposted by David Epstein, MD, MS, FAAP

StandWithUs @standwithus.bsky.social · 18/07/2026

We'll spell it out as many times as it takes. Am Yisrael Chai. 🇮🇱

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 12/07/2026

Medicine isn’t defined by certainty. It’s defined by the humility to keep learning. The goal isn’t perfection…it’s better care for every patient, every day. davidepsteinmd.blogspot.com/2026/07/what... #Medicine #Healthcare #EvidenceBasedMedicine

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 05/07/2026

Drowning prevention is getting renewed attention this summer, & the parent takeaway is practical: water safety needs layers. Supervision, barriers, life jackets where appropriate, swim skills, & fast emergency response all matter. At gatherings, assign one adult to watch the water w/o distractions.

static.klipy.com

Green Sprite Float in a Swimming Pool

ALT: Green Sprite Float in a Swimming Pool

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 04/07/2026

For parents, the July 4 health story is heat illness, fireworks injuries, drowning, dehydration, & foodborne illness become more likely during long outdoor gatherings. So, assign a water watcher, avoid backyard fireworks, plan shade/cooling breaks, & take concerning symptoms seriously. Be safe!

static.klipy.com

Happy 4th of July Fireworks Display

ALT: Happy 4th of July Fireworks Display

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 11/10/2025

Recent claims by RFK Jr. propose a link between acetaminophen to autism—but the best evidence says otherwise. Large studies & meta-analyses show no causal link once genetics are controlled. Facts > fear. Even AI (OpenEvidence) confirms it. #EvidenceBasedMedicine #ScienceMatters

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Reposted by David Epstein, MD, MS, FAAP

Timothy Caulfield @caulfieldtim.bsky.social · 28/09/2025

🚨We must standup to the bunk! We can't let lies win. - Vaccines ≠ autism - Ivermectin ≠ cure for cancer, autism, or COVID - COVID vaccines ≠ "turbo cancer" or "sudden death"! Our statement, signed by over 20 leading health orgs, healthydebate.ca/2025/09/topi...

healthydebate.ca

#ScienceMatters. Canadian medical, research, clinical and health-care organizations stand up for science - Healthy Debate

We all have a role to play in standing up for science. Speak up and share your stories about how false health information is impacting you, Canada and the world.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 28/09/2025

We’ve all asked it... What if I had taken that other job? Moved abroad? Made a different choice when it really mattered? If you've ever looked over the fence and wondered whether the grass really is greener, this one's for you. davidepsteinmd.blogspot.com/2025/09/what... #whatif #reflection

davidepsteinmd.blogspot.com

"What If?": Is The Grass Really Greener?

This is a healthcare blog for those interested in acute care pediatrics with perspectives and information on acute illness and injury in children.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 06/09/2025

Many scientists & healthcare professionals are expressing frustration & anger at RFK Jr.’s attempts to twist scientific truths into conspiracy theories & misinformation. Public health is not a playground for ideology. We need true scientific expertise at HHS. #ScienceMatters

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Reposted by David Epstein, MD, MS, FAAP

Timothy Caulfield @caulfieldtim.bsky.social · 06/09/2025

More twisted "science" from RFK Jr forthcoming... Let's focus on the evidence. For example...👇 "Acetaminophen use during pregnancy was NOT associated with children’s risk of autism, ADHD, or intellectual disability in sibling control analyses." jamanetwork.com/journals/jam...

jamanetwork.com

Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability

This nationwide cohort study with sibling control analysis examines the association of acetaminophen use during pregnancy with children’s risk of autism, ADHD, and intellectual disability.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 05/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 05/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 04/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 03/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 02/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 01/09/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 31/08/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 30/08/2025

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 01/06/2025

Learn to how to save a child’s life! Cedars-Sinai Guerin Children’s in partnership with the Beverly Hills Fire Department and Beverly Hills CPR are teaming up to provide a free infant and child CPR course for parents and caregivers of children. Use the QR code to sign up! Space is limited. #cpr

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 24/04/2025

Just your average doctor… but in space. AI beamed me aboard the Enterprise… Exploring strange new worlds, seeking out new life—and making sure it’s medically stable. #DrEpsteinMD #StarTrekVibes #AIAdventures #FutureOfMedicine #TricorderReady #BoldlyGo #SpaceDoc #Engage

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 24/04/2025

Stepped into the Wild West with a little help from AI—turns out I was making house calls before it was cool (and before cars, phones, or modern anesthesia). Who knew AI could uncover my first medical practice? #TimeTravelByAI #DrEpsteinMD #WildWestDoc #PhysicianAndSurgeon #vintagemedicine

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 19/04/2025

Think teamwork is just a “nice to have”? In critical care, it can be the difference between life and death. Discover how Curiosity, Humility, Inclusion, and Psychological Safety form the foundation of the most effective healthcare teams. #collaboration davidepsteinmd.blogspot.com/2025/04/how-...

davidepsteinmd.blogspot.com

How “CHIPS” Can Save a Life: Rethinking Healthcare Collaboration

This is a healthcare blog for those interested in acute care pediatrics with perspectives and information on acute illness and injury in children.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 18/04/2025

1/3 - Heard the rumor that the MMR vaccine causes autism? One of the biggest studies in the world looked at over half a million kids to find out the truth. What they found might surprise you—and help you breathe easier as a parent. Swipe through to see… #ScienceForParents #MMRVaccine #MedicalFacts

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 12/04/2025

Having a little fun with AI. However, the equipment accessories are somewhat dubious. Don’t try to understand them…😬 #pediatrics #pediatricicu #pediatricintensivist #ai Do you recognize the accessory equipment?

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Reposted by David Epstein, MD, MS, FAAP

Chris Carroll, MD @chriscarrollmd.com · 20/03/2025

Saving in my infographics folder to share with others!

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 14/03/2025

“Approaching problems from a single perspective increases blind spots and stunts a team's growth. It begs the question: if everyone is thinking the same, who is thinking at all?” #diversity #team #innovation #collaboration davidepsteinmd.blogspot.com/2025/03/grea...

davidepsteinmd.blogspot.com

Great Minds Don’t Think Alike—And That’s the Point

This is a healthcare blog for those interested in acute care pediatrics with perspectives and information on acute illness and injury in children.

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David Epstein, MD, MS, FAAP @davidepsteinmd.bsky.social · 12/03/2025

Medical advancements can be a double-edged sword… doctorsonsocialmedia.com/the-evolutio... #medicine #healthcare #advancements #evolution

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