There is no journey more full of joyful surprises than interviewing a 4 year old in clinic. Me: So sorry that you had flu! Are you feeling better? She: Yeah, I was so sick. I threw up a lot and I had to go so bad it was like I was going Number 5! Glad to report, folks, she is feeling better. #pedsky

Doc? Provider? Clnician? It is good that we innovate in healthcare, and improve what we do. Improving our practice has value, but being too clever for our own good (with artful renaming of our roles) may just be confusing. #medsky #graphicmedicine

More cases of #measles, now here in Massachusetts. A growing background drumbeat of rising risk and prevalence rightly creates tension for all. The work ahead involves spending effort to keep up with information and being as proactive as possible. #VaccinesWork and create adults.

More the #EMR user experience we’d like to see.... #medsky

Dear attending colleagues: Feeling crispy, a little fried or fatigued with some of the hassles of healthcare? I get it. Wanna recapture that joy of the work? Work with a resident or medical student. Their interest is invigorating. Their energy is inspiring. Just saying. Just sharing. #meded.

Funny things happen when kids use adult style small talk on each other. #Kidsky

As per my 1st of month habit Mark the occasion, 3/1, Rabbit Rabbit Comes in like a lion, goes out like a lamb Fair-winter's no longer our jam Enough o' the sleet, snow & the ice bring on the blooms, birds,& leaves-Nice! Soon we'll run clocks for daylight savings Fair, as it's Spring we been craving

A sign the dog is colder when outside than you thought.

When last gen #AI meets next gen AI. Would #Gemini do better? #graphicmedicine

In that never ending attempt to get more #data from patients during #primarycare visits, patients and families may notice the use of more #surveys and questionnaires. theoretically these free up time w the clinician to dig in on stuff. Not everyone is thrilled #graphicmedicine #pedsky

“The world is always going to be dangerous, and people get badly banged up, but how can there be more meaning than helping one another stand up in a wind and stay warm?” - Anne Lamott #BeKind

What a toddler word cloud looks like. #pediatrics.

#Teen #parent milestone That epiphanous moment when the adolescent shift the blame game goes full circle.

The next Big Thing in 2026? Disruptive interruptive innovation

In that game of life, everyone is working to get ahead in some way. When we work with others, it may be more productive to pitch in than to overshare our personal agenda. #worklife

Most #toddlers are #picky eaters. Some children are especially hard, and even have problems chewing/swallowing, or have an aversion to food. Regardless, NEVER force feed a child: Some kids will actually STOP eating altogether rather than face the stress. Concerned? Check w/ your child’s PCP. #pedsky

The pen tastes mightier than the sword. #dogsky

Safe to say, DaWife’s Book Club was a hit last night

Some of your best friends may be mentors- but not necessarily vice versa. What about dogs?

Tip: if you get an invite, skip the bad mentor luncheon. Choose the kind folk and pay goodness forward. #workllife #meded #academics

“The longer you can look back, the farther you can look forward.” -Winston Churchill

Spot the future filmmaker at her own health appointment; breaking the fourth wall in primary care. #pedsky #graphicmedicine

Top 5 #Newborn Question: WHY is it that they seem to doze all day, but seem ready to party, gab, feed voraciously, and carry on at 2 a.m.? Tired parents want to know. #pedsky #graphicmedicine

#Screentime begets screenbrain: the observed tendency of a young child to be rendered irascible and ornery when made to surrender their tablet or screened evict. Moments of disorientation and rebellion follow until they are restored to the tot you loved in the first place. #GoOutside. #Pedsky

That time in a pediatric visit when you sense a child might be a tad overscheduled.... #pedsky #graphicmedicine

Sometimes in the runaway dash of a busy clinic, we are brought up short by the pep, charm, & sweetness of our patients. It can make you smile, laugh, & even get a little misty...and it reminds you exactly why you do what you do. ❤️ #Pedsky #JoyofMedicine #graphicmedicine

"No man has a good enough memory to be a successful liar." -Abraham Lincoln

Feeding #Toddlers: dilemma of the ages. How to get a recalcitrant and picky 18-36 month old to broaden their diet? And...how to make the conventional wisdom work in YOUR house? #pedsky #graphicmedicine

Whither the differences between cats and dogs? Is it the FOOD? #catsky v #dogsky

If pharmacies ran a restaurant -- #graphicmedicine conjecture

Frustrated by the historically high drifts, the little dog properly brainstormed. #Wintertime

#Asthma patients never fail to impress us healthcare types with their innovative and inspired ways to improve management of their chronic illness. Sometimes they have some great ideas. Other times? Well.... #pedsky

If newborns could talk: commentary from the breastfeeding infant. #pedsky #graphicmedicine

If #newborns could talk: describing what comes BACK OUT of a babies mouth after a meal. #pedsky #graphicmedicine

Another #teen / #parent milestone That moment when confronted with a dilemma and an adolescent’s problem solving skills do nothing more than make a bad situation even stinkier.

Siri may have one of the following: A) a history of a failed hearing screen, B) frank ADHD, C) a daydrinking issue Please text safely when dictating. #techlife

Out there, in the wilds of the back yard, the Shih Tzu of the North blazes new trail in the depths of winter. To the bird feeder and back. #wintertime

Makin’ little tracks on the old Bay Colony rail trail #morningwalk

#Cellulitis. I used to think this was an “-itis”, or inflammation of one’s cells. Sorta, not really. Rather, it is a potentially serious skin or soft tissue infection typified by the triad of unhappy symptoms below. Got a red, painful, hot rash that is spreading? Get it checked out ASAP. #medsky

Simulation: If the systems of #Healthcare ran a restaurant. #graphicmedicine

#MedSchool Memory. Ah, the dilemmas of 3d year & trying to internalize the rule of writing the H&P (the history and physical). These are to be linear narratives of often nonlinear stories of illness. Still working on it all these years later-it’s harder than it sounds! #medsky #graphicmedicine

#teen #parent milestone That moment when the failure to wash any dishes or glasses results in the use of breakfast mugs at dinner time.

Simulation: If #healthcare ran a hotel. #medsky

‘Nother #Nor’Easter for #NewEngland? We were born ready

Snowy trails are happy trails #morningski

Musing aloud: Maybe there is a scenario where one DOES want a #screen between a patient and their clinician? #graphicmedicine #medsky

Skin tags are annoying. Nobody likes them. Is there a chance they serve a larger, evolutionary purpose? (Just asking). #medsky #graphicmedicine

When you don't have an undercoat and when you need an overcoat.

#Diagnosis Corner> Do not wish disorders of #taste on even your worst enemy. Removing the joy of eating, and curdling the flavors of what makes mealtime joyful...that is most difficult. For those that experience this, there is a BIG motivation to address the cause and get back to normal. #medsky