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Rob in East Nashville

@verygoodnotbad

Pediatrician, Trivia Nerd 2026 Goals: highlight the helpers, keep people safe. Warning: Gonna be posting bummers, but will also post dog pics.

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21.11.2025
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Latest posts by Rob in East Nashville @verygoodnotbad

a local broadcast news on-air newscaster/weather person explaining the difference between NWS watch and NWS warning using crabcakes.

a local broadcast news on-air newscaster/weather person explaining the difference between NWS watch and NWS warning using crabcakes.

lol, speaking of, from WBAL in baltimore

12.03.2026 13:40 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I guess color graded severity is pretty reliable, red is worse, green is better. But a code red in the hospital (fire) is honestly maybe only the third worst code they call over the PA

11.03.2026 17:12 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Letters are no better, an A license in skydiving is the beginner's license, but for a CDL the A is for heavier vehicles than a class B license. A levels in UK schooling or figure skating are the highest grade. Stage 2A NEC is better than Stage 2B, but Class A felony is worse than a Class B.

11.03.2026 17:09 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Numerical systems seem to alternate over whether Level 1 is good. Trauma activation codes, Level 1 is severe. Going to a level 1 trauma center? Well then you're injury must not be too bad. DEFCON 1? Really bad. Stage 1 cancer? Better than Stage 4.

11.03.2026 17:00 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

March in Nashville is traditionally time for "remind me which is worse, Tornado Watch or Tornado Warning?"

Which got me thinking about how many severity grading systems are intuitively clear. I think it's fewer than I would've guessed.

11.03.2026 16:25 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Speaking of Vanderbilt, may god favor the good Dr. Creech for his service going on the local news in the year-of-our-lord 2025 to fight the Deniers' Measles Epidemic

www.youtube.com/watch?v=ozgC...

10.03.2026 17:24 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Screen shot of the first page of the manuscript for the paper "Cellular Inclusions in Cerebral Lesions of Lethargic Encephalitis." by James R Dawson in Am J Pathol. 1933 Jan;9(1):7-16.3. PMID: 19970059.

Screen shot of the first page of the manuscript for the paper "Cellular Inclusions in Cerebral Lesions of Lethargic Encephalitis." by James R Dawson in Am J Pathol. 1933 Jan;9(1):7-16.3. PMID: 19970059.

Fun fact: Subacute Sclerosing Panencephalitis after measles was first described at the Vandy pathology lab.

Bummer Fact: It currently relevant to review SSPE symptoms after a long period of this debilitating measles complication being almost non-existent in the US.

10.03.2026 16:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
High-flow nasal cannula versus CPAP for the prevention of bronchopulmonary dysplasia in preterm infants: a systematic review with meta-analysis and trial sequential analysis Bronchopulmonary dysplasia (BPD) is common in preterm infants and is associated with invasive ventilation and prolonged oxygen therapy. Continuous pos…

While this sort of meta-analysis was not designed to answer the specific questions that often come up, still useful to have.

Overall, I'm glad a lot more centers have published on HFNC vs CPAP in neonates since the first time I looked, gosh, back in 2018?

09.03.2026 20:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Pediatricians using voices, medical training to support communities during Minnesota ICE raids In recent weeks, pediatricians have spoken out about the harms to children, vowed to care for all patients regardless of their citizenship status and tried to save the life of a man shot by federal ag...

Catching up on my inbox from the last month, I'm replying to this post for everything about AAP responding to the risk current events pose to children. Please mute this thread if you don't want this on your timeline.

03.03.2026 22:33 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
Talking with Children About Immigration Enforcement

(1) Thanks to the AAP for putting this together.
(2) Actually... I'm just going to keep the second half of this post inside for now.

03.03.2026 19:22 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

But, uh, on the off chance that you live in West Nashville and got two boxes of citrus addressed to me, could you maybe reply?

03.03.2026 05:29 πŸ‘ 7 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
Title graphic from a promo for Comedy Central's Colbert Report, a satire of right wing cable programs

Title graphic from a promo for Comedy Central's Colbert Report, a satire of right wing cable programs

That famous Norman Rockwell painting for freedom of speech with that guy standing up to make a speech.

That famous Norman Rockwell painting for freedom of speech with that guy standing up to make a speech.

A book about talking to your cat about gun safety.

A book about talking to your cat about gun safety.

A scene from Parks and Rec where a townsperson stands up to address a town meeting with a bizarre complaint about the parks.

A scene from Parks and Rec where a townsperson stands up to address a town meeting with a bizarre complaint about the parks.

Sitting in a State General Assembly committee with new advocacy idea. Basically combine 4 ingredients...

17.02.2026 16:37 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Oh gosh, I signed up to testify in opposition to HB 1711 late as well, got an e-mail telling me I was late... so I didn't prepare... yikes 😬😬😬

17.02.2026 15:53 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Except from an article from AAP news reviewing a recent panel discussion on helping parents navigate CDC induced vaccine confusion,

Except from an article from AAP news reviewing a recent panel discussion on helping parents navigate CDC induced vaccine confusion,

Respectfully, I think it's helpful for parents to know that the CDC change came from a political appointee with a history of disregarding the carefully considered medical consensus backed by massive, open and transparent scientific study.

13.02.2026 23:11 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Public Health Workers Are Quitting Over Assignments to GuantΓ‘namo Doctors, nurses, and other officers are increasingly being deployed to ICE detention centers. Some have resigned in protest, while others offer a rare look into bleak conditions.

Account from healthcare workers who face the unenviable position of feeling forced to quit as the only way to maintain adherence to the professional code of ethics.

13.02.2026 22:03 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

For... reasons... here is a good review of the 1989-1990 Measles Outbreaks, where sporadic clusters of poor vaccination rates led to over two years with nearly 50,000 cases and 130 children deaths from an easily preventible cause.

09.02.2026 20:49 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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CDC: 145 more measles cases confirmed, 8 more children die of flu Measles cases in 2026 have reached 733, almost one-third of the total for all of last year.

This is a big deal.

09.02.2026 20:44 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

There's a big link between preterm birth and a more vulnerable socio-economic status. This is going to have a very predictable and harmful effect on perinatal mortality. Wish this was being reported more widely.

31.01.2026 01:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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β€˜I’m Witnessing a Lot of Emptiness’: How ICE Uprooted Normal Life in Minneapolis WIRED talks to a postal worker, a teacher, two US citizens detained by federal agents, and six more Minnesota residents about life in an occupied American city.

Tremendous to think about the terror being inflicted on thousands of people in my country, these accounts give a little perspective on the personal effects of what's going on:

31.01.2026 00:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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US vaccine changes lead some parents to question other newborn care U.S. Health Secretary Robert F. Kennedy Jr.'s remaking of childhood vaccination policies is fueling resistance in labor and delivery wards, where doctors say parents are increasingly hesitant to allow...

I've already had several parents express confusion. This is a relatively small gripe compared to the chaos many communities are experiencing right now, but it's taking a lot of work attempting to figure out how to explain to patient families that CDC vaccine recommendations are mis-information.

30.01.2026 17:29 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Navigating Conflicting Vaccination Recommendations This Perspective discusses how clinicians can navigate conflicting vaccination recommendations following revisions from the Advisory Committee on Immunization Practices and US Centers for Disease Cont...

Disappointed we need this article. Mostly written from a legal POV, reassuring to know peds docs won't likely face increased legal risk for providing care that best protects their patients. But also somewhat disappointing we aren't seeing advice on combatting the confusion more broadly.

16.01.2026 20:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Oh wow, my mom volunteers with OU-Tulsa's medical school, finally I can send her a clipping to make up for all the press clippings she sends me!

Stay strong Saramarie! Looks like a cool program.

12.12.2025 23:13 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Hey, thanks for organizing this! I was curious about contact information for the group that presented at the beginning of the meeting, I can't find it anywhere here/substack/website.

11.12.2025 17:09 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Starting in college organizing wilderness trips, I experienced over and over again the phenomenon where features of high perceived risk do not align with features of high actual risk.

Often, when 'safety' enters city/federal/office politics, it's important to ask "who benefits?"

11.12.2025 14:16 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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What 483 Nashville Visitors Really Said About Broadway Safety A couple days ago, I asked Nashville visitors what they thought about Broadway safety after a drink spiking incident went viral. The response was overwhelming β€” 483 people shared their experiences, ad...

Safety is like freedom, important and hard to define.

Great post that came to my attention via @kellykitty.bsky.social

11.12.2025 14:13 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Hydrangeas are tricky, some bloom on old wood, some bloom on new wood. Our local nursery has a podcast / call in show and they get a Q on this every week in Nov/Dec and again in Mar/April. Bright Side: looks like very mature healthy guy.

10.12.2025 22:51 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Big mutt with straw colored fur looking up at the photographer while laying on couch.

Big mutt with straw colored fur looking up at the photographer while laying on couch.

Okay, time to log off for a bit. Here's a dog photo. You can tell from her eyes that she expected more treats for tolerating her nail clipping.

10.12.2025 21:54 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

thx!

10.12.2025 21:52 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Where you live matters: Maternity care access in Tennessee The 2022 report provides updates to maternity care deserts and new topics around access to maternity care in the U.S.

Apparently they reported seeing ten births a month, a somewhat surprising number to me. Also very sobering, the linked report by the March of Dimes:

10.12.2025 21:51 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

lol, great idea and great title. I told a doc I share an office with about the 30-20-10 rule and her eyes about bugged out of her head.

10.12.2025 21:28 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0