iiinova — where your digital self keeps evolving

Dr. MikeMD @pediatricpulse.bsky.social · 12/11/2025

I’m playing piano and looking for jobs abroad.

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Dr. MikeMD @pediatricpulse.bsky.social · 11/11/2025

I was disappointed Kaine joined in.

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Dr. MikeMD @pediatricpulse.bsky.social · 06/11/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 29/10/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 29/10/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 29/10/2025

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).

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Dr. MikeMD @pediatricpulse.bsky.social · 29/10/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 29/10/2025

1/ when families run low on money, they often try to make their baby formula last longer by diluting it with water. This practice can seriously and permanently harm infants. Formula is precisely made in terms of calories and electrolytes, and it’s essential to mix it properly.

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Angie Rasmussen @angierasmussen.bsky.social · 11/10/2025

I don’t know who needs to hear this but the CDC is being eviscerated right now. America is not going to have any kind of outbreak response capacity after tonight. Americans’ health data is no longer secure. Say goodbye to federal public health in any capacity. It’s a disaster. We won’t recover.

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Dr. MikeMD @pediatricpulse.bsky.social · 02/10/2025

It’s really sad how bad the post has become. I really liked their reporting for a long time.

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Dr. MikeMD @pediatricpulse.bsky.social · 26/09/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 24/09/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 24/09/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 24/09/2025

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

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...

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Dr. MikeMD @pediatricpulse.bsky.social · 23/09/2025

You’re probably right. It’s like the joke about conspiracy theorists: ‘I think the moon landing was faked…’ ‘you believe in the moon??’

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Dr. MikeMD @pediatricpulse.bsky.social · 23/09/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 23/09/2025

Every patient who dies from sepsis is on antibiotics. Therefore we should stop using antibiotics in sepsis. /s

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Dr. MikeMD @pediatricpulse.bsky.social · 22/09/2025

I assume Kennedy will be joining a class action lawsuit or otherwise try to profit from this.

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Dr. MikeMD @pediatricpulse.bsky.social · 21/09/2025

Men are way too fragile and emotional to be in charge anymore

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Dr. MikeMD @pediatricpulse.bsky.social · 21/09/2025

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.

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Dr. MikeMD @pediatricpulse.bsky.social · 19/09/2025

Somehow one of the most jarring and upsetting things happening around me is other medical professionals insisting that what's happening isn't so bad, nothing unusual, nothing other administrations haven't done. It's all fine and I'm overreacting.

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Dr. MikeMD @pediatricpulse.bsky.social · 18/09/2025

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.

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The Bulwark @thebulwark.com · 17/09/2025

Dr. Susan Monarez: “I could have stayed silent, agreed to the demands, and no one would have known. What the public would have seen were scientists dismissed without cause and vaccine protections quietly eroded…I would have lost the one thing that cannot be replaced: My integrity.”

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Dr. MikeMD @pediatricpulse.bsky.social · 09/09/2025

Everything you wanted to know about vaccine technology, testing, advancement and limitations. From @those nerdygirls.bsky.socia. open.substack.com/pub/theunbia... l

nerdygirls.bsky.social

Bluesky

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Dr. MikeMD @pediatricpulse.bsky.social · 06/09/2025

Neil deGrasse Tyson explains the incredible impact scientific study and funding has had on us. The decisions being made right now wil reverberate for decades and our children will be worse off for it. youtu.be/7GsfckziNCU?...

youtu.be

“Science in Health, Wealth, & War” A Social Media Op-Ed by Neil deGrasse Tyson

YouTube video by StarTalk Plus

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Dr. MikeMD @pediatricpulse.bsky.social · 06/09/2025

My guess is Kennedy and Trump family have shorted Tylenol stock and stand to profit.

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Dr. MikeMD @pediatricpulse.bsky.social · 06/09/2025

The sheer volume and depth of obvious bs conservative voters are willing to swallow really astounds me.

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Dr. MikeMD @pediatricpulse.bsky.social · 01/09/2025

This little guy hitched a ride with one of our trauma patients. We took him outside into the grass so he could escape (the grasshopper). Everyone is expected to survive.

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Andrea Love, PhD | Biomedical Scientist @drandrealove.bsky.social · 31/08/2025

RFK Jr cut half a billion dollars in research funding for mRNA vaccines. He & Marty Makary claim mRNA vaccines are “risky” so they’ll shift to “traditional, older” vaccine tech that’s “safer.” Guess what? We used to immunize people by blowing powdered smallpox scabs up their noses. 1/

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Your Local Epidemiologist @ylepidemiologist.bsky.social · 29/08/2025

1/ The FDA just changed the Covid vaccine access to 65+ and immunocompromised. I'm getting a lot of questions, so I’m going to do my best to answer them with the information that is currently available. Here are a few of your top questions answered 👇

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Dr. MikeMD @pediatricpulse.bsky.social · 29/08/2025

Doesn’t sound like he’s taking any responsibility for the situation nor does he seem to have a plan to intervene.

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Dr. MikeMD @pediatricpulse.bsky.social · 29/08/2025

I have not read her! Should I start with EarthSea?

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Hank Green @hankgreen.bsky.social · 26/08/2025

Turns out some of the “we want small government” people kiiiinda wanted the government to be just one guy.

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Dr. MikeMD @pediatricpulse.bsky.social · 24/08/2025

Yes exactly! Pediatricians have been fighting Kennedy and MAHA rhetoric for decades. And people kept telling us we were over reacting.

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Dr. MikeMD @pediatricpulse.bsky.social · 24/08/2025

I need reading recommendations. What are you reading? I’m up to date on the Cosmere, and just finished several fromJoe Abercrombie. Priory of the Orange Tree remains my absolute favorite thing I’ve read in a long while. #fantasy #scifi #reading

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Dr. MikeMD @pediatricpulse.bsky.social · 20/08/2025

I have always appreciated your advocacy and communication. I think we have specific responsibilities as scientists and professionals to speak up, especially now.

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Your Local Epidemiologist @ylepidemiologist.bsky.social · 19/08/2025

1/ Quick update on #fallvaccines: Flu and RSV vaccines remain business as usual this fall: if you’re eligible, you should be able to get them without issue. Vaccinations should start in September. Covid-19 vaccines are another story. There will be three key developments this week 👇

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Dr. MikeMD @pediatricpulse.bsky.social · 19/08/2025

I haven't looked at hard demographic data on this, but I have noticed a shift in antivax presentation since COVID (hospital setting at least). It used to be a mix of left and right, with a lot of moms driving it. Now it's mostly religious right and I'm seeing way more men arguing aggressively.

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Dr. MikeMD @pediatricpulse.bsky.social · 15/08/2025

Yeah. Healthcare providers keep polemics. You should definitely buy those unregulated supplements from people on social media. youtube.com/shorts/DaDRi...

youtube.com

Doctors Aren't The Problem

YouTube video by Dr. Glaucomflecken

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Dr. MikeMD @pediatricpulse.bsky.social · 12/08/2025

"Trump's historical vision," is really a soft way to put it in the headline.

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Allison Gill @muellershewrote.com · 07/08/2025

Stephen Colbert is going SCORCHED EARTH right now. To RFK Jr: “Fuck you, you roid-addled nepo carnie! Fuck you, you roadkill-munching Luddite human slim jim!”

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Dr. MikeMD @pediatricpulse.bsky.social · 06/08/2025

I actually think he wants people to die. Part is eugenics and part is just creating a market for wellness ‘cures.’

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Dr. MikeMD @pediatricpulse.bsky.social · 18/07/2025

The media has predicted the breaking of MAGA for years and has as much credibility as end of the world predictions by evangelicals. It won’t change votes. It was never about protecting children, saving babies nor was it ever about all lives. It’s about cruelty to and power over others.

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Dr. MikeMD @pediatricpulse.bsky.social · 16/07/2025

Whelp. I called my residency program because I needed some info for ongoing credentialing. The coordinator is still there and still wonderful, but told me I had been gone so long my file was 'in storage.' So. Old.

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PolitiFact @politifact.bsky.social · 12/07/2025

Republicans paint a picture of an able-bodied nonworking Medicaid recipient as someone who chooses not to work in favor of leisure time. But few recipients in research studies cite a lack of desire to work.

buff.ly

What data says about able-bodied Medicaid recipients

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