It's a LANDSLIDE! Residents and fellows at Northwestern Medicine overwhelmingly voted to unionize, with 794-148 voting YES to join CIR/SEIU. We are stronger together. 💪💜
#UnionStrong #NMBetter

Out today: New analysis on teen overdoses in NEJM

Overdoses hit an all-time high in 2022, killing the equivalent of a high school classroom of teens each week across the US

Overdoses now the 3rd leading cause of death in kids

I care for these teens. Here's what's needed 🧵 1/

The 1,300 resident and fellow physicians at Northwestern Medicine are unionizing, because we know that, together, we can help build something better for us and our community. 💜

We're failing teens & families in addiction treatment. 🚨 In our new study (out moments ago) in JAMA, we phoned opioid addiction treatment progs for teens across the US.

Fewer than 1 in 4 actually offered standard-of-care treatment. Brief 🧵 1/ jamanetwork.com/journals/jama/…

It's National Fentanyl Awareness Day. I want to share critical info as a pediatrician & dad.

Drug overdoses now kill the equivalent to a high school classroom of teens every week across the US. About 9 in 10 are caused by fentanyl. 🧵 1/

Had a great day in Springfield advocating for children with Illinois Chapter, American Academy of Pediatrics. Even got to meet Governor JB Pritzker. #VoteKids

Jennifer Hoffmann MD Megan Attridge, MD, FAAP Jamie Lim Elena Chen Jennie Pinkwater

Great piece on xylazine by the ONDCP. The numbers are striking, but, to quote Jason Beinert,“the most important number is 100% of people who use drugs are human.” Hoping the emerging threat designation brings help to people and not more stigma to drug use nejm.org/doi/full/10.10…

I am so excited to announce AAP Hospital Pediatrics new article type: Health Equity Rounds. Please see the author instructions for details and reach out to me with any questions. We look forward to future submissions.

Proud to work with thoughtful leaders like Jamie Lim Tyler Rainer, MD Yuan He, MD MPH Joanna Perdomo, MD Katie Nash Caroline J Kistin MD MSc Elizabeth McIntyre Heather Hsu, MD MPH as we reflect not just on inequities, but how to address them. And grateful to AAP Hospital Pediatrics for this new avenue for sharing next steps!

Thing I learned today: remember to assess for the '5 E's' of cardiac POCUS!
- Effusion
- Ejection fraction / function
- Equality (of RV/LV size)
- Exit (aortic root)
- Entrance (IVC)

#tilt #ultrasound

Thing I learned today: the 'pseudokidney sign' is an ultrasonographic finding in intestinal intussusception where the intussuscepted segment of bowel can mimic the appearance of the kidney. #tilt #ultrasound

Credit: radiopaedia.org/articles/pseud…

Thing I learned today: psilocybin (shrooms) and other tryptamine hallucinogens are structurally related to serotonin so serotonin syndrome is a toxicity concern, especially when used in combination with other serotonergic agents, though overall risk appears low. #tilt #tox

Thing I learned today: ferumoxytol (IV iron) can be used off-label as an alternative to gadolinium-based MRI contrast media. Benefits include ability to use in patients with impaired kidney function, a prolonged blood pool phase, and slower intracellular uptake. #tilt

Breaking: U.S. FDA has approved Narcan for over-the-counter use! ✊🏻

I spoke in strong support of this change to their advisory panel in February. Amid ever-rising overdose deaths (including kids & teens I care for), this policy will save many, many lives.

There is no universally accepted diagnostic criteria for PFAPA but important features:
- recurrent fever (~q2-8wks, lasting 2-7d)
- flares a/w apthous ulcers, pharyngitis, or adenopthy
- normal growth/development and labs
- quick (within hours!) response to steroids

#tilt

Thing I learned today: there is no gold standard imaging technique to diagnose orthopedic implant infections. After clinical and lab evaluation, MR (with metal artifact reduction), CT, US, PET, WBC scans may all be considered. #tilt

Source: acsearch.acr.org/docs/3094201/N…

Residents and fellow physicians at UI Health have ratified our first contract, with a 18.5% salary increase, education $2,500 minimum education stipend, meal stipends and MORE! We bargained, we marched and we organized for almost a year, and together WE WON.

Proud to be part of the team presenting #HealthEquityRounds at Lurie Children's.

Tune in tomorrow, Tuesday, 3/14 from 8-9a CDT for a discussion on behavioral contracts and structural racism.

Lurie affiliates - please DM me for the link! NULuriePedsResidents NULuriePedsFellows

As a new fellow, I appreciate even more now how residents are the backbone of our academic hospitals. Thank you residents (especially NULuriePedsResidents) for all you do! #ThankAResidentDay