Regarding something as immense and magnificent as a volcano, one can hold these 2 thoughts at once

Admiring the petroglyphs of the First Hawaiians

What if #Eczema (nom de plume #atopicDermatitis, aka AD sought us out through seduction and cunning? Wait...maybe that’s already happening: see below, Eczema, A love story. #dermatology #graphicmedicine

Caldera shenanigans, Volcanoes national park.

Excellent Big Island signs we need more of

Tell me you are in Hawaii without saying so exactly

The state fish of #Hawaii is not hard to find, but is tricky to pronounce. He also is publicity shy apparently

Definitely one of the true and unexpected highlights of the Big Island is the trove of roadside food vendors. It is a feast of options from…everywhere. Fresh, delicious, fantastic.

When traveling
Be prepared

Quick vacay review
Kona coffee in Kona
#morningcoffee

Worth remembering-The use of an exclusive human milk diet in the #NICU leads to better outcomes in #preemies, incl better growth, less sepsis, fewer devastating cases of necrotizing enterocolitis (#NEC). Cost runs $14k/infant (or more) but effective...and cheaper than sick babies! #graphicmedicine

Every once in a while, we meet patients who rightly reground us in our Prime Directive in Medicine. That’s a good thing.
#medsky #graphicmedicine

Patient, age 6: I have questions for you. Did you play for the NBA? (people who know me makes this an esp funny q). Did you pierce your ears? Do you have any toys?
Me: Your questions are already WAY more interesting than my questions.
#pediatrics #bestjobever

I salute the everlasting faith in ‘the doctor’s letter’...even if the folks who keep asking us for them are not necessarily clear on the concept of what they can (and cannot) do.
#medsky #graphicmedicine

Celebrate the curiosity of kids...but remember your explanations may collide with their imaginations. (And that is usually where hilarity happens). #pedsky

Taking a long overdue moment to shout out with appreciation to the work of my #pharmacy colleagues. Their service is integral to ours as clinicians. Their insight is excellent and the importance of the role they play in being an extra level of vigilance/safety cannot be overstated. Tx!!! #medsky

The early bird meets the worm maxxer

Catfishes and dating
#doodles

When the dog watches too many heist movies.
#dogsky

For all of you traveling this upcoming school vacay week:
just wait for that tyke in 15B to burst into song *as he kicks your chair: The Infant in Arms Blues

On #tic disorders in #children: they may be subtle to fulminant, they are VERY common and they often resolve on their own. Tics that last more than a year are considered chronic. Often the family and child are in some distress.
#pedsky #graphicmedicine

Spring #allergyseason can bring its misery, especially if you think why it’s happening
#graphicmedicine

#Teen #parent milestone
Dueling impulses to do the right thing, to executively function, or to change tack and fart around hard.

Another #neurology mnemonic flashback: each segment of the spinal nerves take off from the spinal cord to control or sense various body functions. The #sacral #nerves had a particularly memorable (if not salty) ditty to remember the organs and areas affected. #graphicmedicine

If #babies could talk, I think they might take issue with how we subjectively describe some of their behavior. Too #judgy? #pediatrics #graphicmedicine

Presenting barriers to some types of therapies may have an intention to save money by wearing down potential referrers/prescribers. Unfortunately, the consequence can be a surrender to older, potentially less helpful approaches. #graphicmedicine

Presenting barriers to some types of therapies may have an intention to save money by wearing down potential referrers/prescribers. Unfortunately, the consequence can be a surrender to older, potentially less helpful approaches. #medsky #graphicmedicine

As far as any of us know, our household is just one big peaceable kingdom.
#dogsky vs #catsky

Never underestimate the versatility of onboarding checklists
#worklife