iiinova — where your digital self keeps evolving

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 19/09/2026

Journal Watch is coming! If you want to expand your knowledge about eating disorders, this is a great way to learn the latest. Subscribe here! www.aedweb.org/journal-watch

010

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 10/09/2026

Back by popular demand! Register here: adolescenthealth.org/resources/vi...

011

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 06/09/2026

Really excited to be a part of this. Coming soon!! 📖

021

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 27/08/2026

Yes!! Asking people to check titers- def never did that before!

020

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 27/08/2026

To everyone who told me I would think about vaccines differently when I had my own kids…. Nope. Just got early measles dose two. ✌️

2344

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 16/05/2026

Hot take: I strongly dislike the term “starting a family” for having children. A family does not have to include children.

170

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

Nexplanon extended us- it’s official! Zero pregnancies out of 498 patients with a variety of BMIs in years 4 and 5. 🥳

030

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

The meningioma risk with depo! The facts: - RR 5.6 in French study, RR 2.4 in US study among those >4 years use and starting age 31+

110

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

Depo in patients with #sicklecell moves from 1/2 ➡️ 3/4 with 2024 update.

110

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

Contraceptive updates with Dr. Ebersole! Let’s go. #SAHM2026

130

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

But really crummy in any situation. They expect a full night fee if you no show them- what about the reverse?

010

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

My anticipated arrival time was late, so this was expected by all parties. Find it particularly egregious as the organization has a contract with the hotel for this conference.

110

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/03/2026

Arrived at #SAHM2026, to find out the Marriott gave away my room! Solution was for me to walk to a nearby hotel by myself, at night, in a city I do not know. I’ve been to a lot of conferences, but this is new.

240

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 26/02/2026

I love the #Olympics but the adol med doc in me is now worried about the athletes’ post-Olympic mental health. 😕

080

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 11/02/2026

Ok, we need three more episodes of that ice dancing documentary. #Olympics

041

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 10/02/2026

Jonny Weir translating all the sideline Russian maybe one of my favorite #Olympic pastimes.

011

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 26/12/2025

Toddlers when trying to give eye drops. 😂

161

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 18/12/2025

I just came across this podcast and would highly recommend for anyone treating patients with severe and enduring eating disorders. Dr. Tan’s work does not have the place it deserves in today’s conversation about these ethical questions. podcasts.apple.com/us/podcast/t...

podcasts.apple.com

Jacinta Tan on anorexia nervosa and the mind

Podcast Episode · The Life Scientific · 06/07/2022 · 29m

040

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 03/12/2025

Less than 50% fill rate for adolescent medicine this year. Makes me sad and worried for our field and our patients. 😢

061

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 25/11/2025

I would really appreciate it if people didn’t talk about childrens’ body sizes this holiday season! Also spoiler alert children, teens and young adults should be gaining weight!

2337

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 19/09/2025

Non vaccine preventable diseases keep us busy enough! 😖

1360

Reposted by Nicole Cifra, MD, MPH, MHPEd

Shematologist, MD @shematologist.medsky.social · 19/09/2025

In case you’re wondering, it’s barely fall & our children’s hospital is already almost always full with kids boarding in the ER. And the pediatric workforce is stretched thin. Our system does not have the capacity to care for the influx of vaccine preventable diseases that is coming.

451616545

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 15/09/2025

Come to our webinar with the Society of Adolescent Health and Medicine on severe and enduring eating disorders. #eatingdisorders adolescenthealth.org/sahm-annual-...

adolescenthealth.org

SAHM Annual Meeting: Virtual Workshops – SAHM

031

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 04/09/2025

It is absolutely infuriating and depressing to see lifesaving medical interventions thrown in the garbage.

1132

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 30/08/2025

Law enforcement! If you ever are involved in rescuing a severely malnourished child from an abusive environment, please do not give them a lot of food. They are likely at risk of refeeding syndrome and should be given nutrition in the hospital setting.

030

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 28/08/2025

Medical training does not need to be traumatic. Learning can happen without intimidation, abuse, and fear of others. #MedEd

5447

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 03/07/2025

There are two types of MOCA people. Those that wait until 11PM the night before a cycle ends to start questions and those that do them within 24 hours of getting the email. 😂

030

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 28/05/2025

At #ICED2025! Reminder that the nadir of all cause mortality is around a BMI of 30. 😊

000

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 07/05/2025

That 20mm ovarian “cyst” is likely a dominant follicle. Please don’t assume this is the source of abdominal pain or tell patients/families it must be removed. Everything isn’t the fault of the ovaries/uterus.

070

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 06/04/2025

A common misconception about #eatingdisorders is that a desire for thinness is the inciting factor. In reality, weight loss of any kind, regardless of reason, is often how it starts. It could be do to an illness, surgery, etc. In a genetically vulnerable person, this can start an eating disorder.

040

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 15/03/2025

You know what my favorite part of my job is? Discharging patients from my practice. I love it when they don’t need me anymore. I have a whole “see you at Wegmans and feel free to send life updates if you want” speech and it’s the best. #eatingdisorders

0373

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 12/03/2025

Amenorrhea in athletes should never be normalized. Ever.

3645

Nicole Cifra, MD, MPH, MHPEd @drnicolec.bsky.social · 01/02/2025

Does anyone remember that “tiny baby coffins” monologue on House?

010