@BostonChildrens 👶🏼🫀 Fellow via @TheBCRP ‘24, @VUMedicine ‘21, @WLUAlum ‘15 | Building a more equitable healthcare system | 🪴☕️🏃🏼♂️ | He/Him
Boston, MA
Joined May 2020
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Thomas Day retweeted
"Within hospitals in bloodied countries, superbugs are jumping from soldiers injured in the field to civilians...mean[ing] places already least equipped to respond...are facing still-more-brooding threats"
On superbugs, war, and--maybe--the next pandemic:
rollingstone.com/politics/po…
Thomas Day retweeted
🚨 Our @aap_peds commentary explores the long overdue implementation of hospital at home in pediatrics.
publications.aap.org/pediatr…
Thomas Day retweeted
🗣️Can't beat a @rohankhaz thread! Our @aap_peds study of machine translation for discharge instructions raises safety, quality concerns for Haitian Creole (+ likely other languages of limited diffusion). Cautious implementation is advised.
shorturl.at/mvzhx
🚨💡📰 NEW study in @aap_peds
Our @BostonChildrens @The_BMC team found that #ChatGPT and #GoogleTranslate performed similarly to professional translations for Spanish & Portuguese -- but NOT Haitian Creole -- in translating discharge instructions.
publications.aap.org/pediatr…
ALT TITLE: Performance of ChatGPT and Google Translate for Pediatric Discharge Instruction Translation AUTHORS: Ryan C.L. Brewster, MD; Priscilla Gonzalez, MD; Rohan Khazanchi, MD, MPH; Alex Butler, MD, MS; Raquel Selcer, MD; Derrick Chu, MD, PhD; Barbara Pontes Aires, MD; Marcella Luercio, MD; Jonathan D. Hron, MD
ALT What’s Known on This Subject: Patients who speak languages other than English experience inequitable healthcare delivery. Machine translation, including large language models, may expand access to translation services and culturally-responsive care. The merits and limitations of these systems in clinical practice remain poorly defined. What This Study Adds: In this study of standardized discharge instructions, ChatGPT and Google Translate were comparable to professional translations for Spanish and Portuguese. Poorer performance for Haitian Creole reflects the need for multilingual training data and regulations for safe and equitable machine translation.
So proud of the work @rohankhaz, @HEHsuMD, and others at @The_BMC are doing to improve the care of substance-exposed children and their mothers!
1/ 🚨💡🧵 *NEW from #PAS2024 & now out in @JAMAPediatrics*
Our quasi-experimental analysis shows @The_BMC reduced #ChildProtectiveServices reporting for prenatal substance exposure by 45pp w/o adverse consequences during the birth hospitalization.
jamanetwork.com/journals/jam…
Thomas Day retweeted
So proud to be a colleague of @TJamesMD whose work is highlighted in @BostonGlobe. Dr James epitomizes leadership, compassion and her true north is always patient focused as she fights health disparities. bostonglobe.com/2024/04/12/m… @The_BMC @ElenaMendezEs @HEHsuMD @drmaypole
School shootings are killing our children. Since Columbine, they have become more frequent and deadlier
I am honored to have written a blog post about @aap_peds new article detailing the past 25 years of school shootings: tinyurl.com/yar8kfmb
#ThisIsOurLane #EndGunViolence
Thomas Day retweeted
1/ 🚨📰💡 NEW in @AmJPrevMed w/@Eugenia_South, @KevenCabreraMD, @tylerwinkelman, @AditiVasan
We highlight how children exposed to #neighborhoodviolence have worse mental health, ⬆️ acute care utilization, and ⬆️ unmet physical & mental health care needs.
sciencedirect.com/science/ar…
Thomas Day retweeted
Don’t do it.
Don't lower your standards because of other’s behavior.
Some days you may not live up to your own standards. That's okay. Forgive yourself and do better tomorrow.
But a career in medicine can be brutal, and one brutal truth is this:
Thomas Day retweeted
Lost a patient in the CICU tonight; she had a massive pulmonary embolism. Code Blue & resuscitation attempts lasted over 2 hours.
She had a history of DVT and was supposed to be on anti-coagulation but hadn’t received her meds “for months” because of insurance authorization.
This. Is. Bonkers!🤯
New @Health_Affairs analysis suggests that the much-maligned negative profit margins for major nonprofit hospitals primarily comes from INVESTMENT LOSSES 📉 Not just increasing labor costs👩⚕️
Patients SHOULD NOT pay for hospitals' stock market losses!
Here is the link to our @Health_Affairs Forefront study, coauthored with @CM_Whaley & Sebahattin Demirkan: healthaffairs.org/content/fo…
Thomas Day retweeted
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
Exceptional article from @emcahan highlighting families' heartbreaking experiences when pediatric hospitals consolidate care
I fear this trend is only going to accelerate unless we have serious reforms in pediatric reimbursements
newrepublic.com/article/1700…
Thomas Day retweeted
THINK LIKE AN EPIDEMIOLOGIST: what the heck is going on with respiratory viruses right now and is it because of covid, because of our attempts to stop covid, or something else?
It’s so much more complicated than some catchy buzzword you’ve seen. Let’s dig in deep together!
Almost every shift in the @The_BMC and @BostonChildrens emergency departments includes caring for unhoused families with young children and nowhere to go. 💔
Grateful to learn from the advocacy, creativity, and leadership of @DocMcStewson and @megansandel!
Appreciating the advocacy & views of colleague Dr Amanda Stewart @BostonChildrens
& @The_BMC's @megansandel's research informed POV on #homeless families using ERs for shelter-- a symptom of larger #housing system dysfunction.
Noted: innovation needed! wbur.fm/3BRCPRq