Kimberly D. Manning, MD, MACP Profile picture
Jul 22, 2020 16 tweets 5 min read Read on X
1/
#LevityintheTimeofCOVID

Grady Hospital, July 2018

Me: “You okay?”
Her: *frowning* "I feel like I'm laying on top of something. Like a pebble or something."
Me: *squinting my eyes*
Her: "I looked all under me but it ain't nothing there."
Me: "Hmmm. Let me look closer." Image
2/
I sat her up and inspected the bed sheets. A wayward EKG lead perhaps? Nope.

What I found:

1. A flattened piece of scrambled egg (which I did remove).
2. Nothing else.

Her: "You see something I ain't see?"
Me: *shrug* "No ma'am."
Her: *groan* "No?!"
3/
Her: "But. . .I feel it right by my shoulder blade right here."

She squirmed and contorted her arm to reach the area. I flashed a light on her back for a closer look.

Her: “I swear I ain’t crazy. I feel it soon as I lay back!”
Me: "I'm looking but I don't see anything."
4/
Me: “I just don't---ooooh. . . . hold up.”

*gasp*

Her: *swinging around to look at my face* "What?"
Me: “Oooooh snaaaap.”
Her: “What?! What is it?!”
Me: “Umm . . . it’s . . .uh. . it’s . . . ooooh weee.”
Her: *shuddering* “Is it a . . .bug?”
Me: “A BUG? No!”

*laughter*
5/
Me: *holding my side laughing*
Her: *eyes widening* "Then what is it, Dr Manning!?"

*silence*

Me: *leaning in* “It's a . . . umm. . big. . .uhh. . . a big A blackhead."
Her: 😳

*laughter*

Her: "Wait what? Did you say 'a big A blackhead?'"
Me: "Yep."

*laughter*
6/
Her: "Oh Lawd! Ugggh!"
Me: *raising eyebrows* "Want me to bust it?"
Her: *looks at me in horror* "Bust it?"
Me: "Yeah!"

*silence*

Her: "I have a big A blackhead-- big enough to feel like I'm lying on . . . a rock?”

*silence*

Her: "Lawd. I'm 'bout to pass out."
7/
Me: "Maybe you're a princess."
Her: "A who?”
Me: “Like in the fairy tale.”

*covering her face*

Her: “PLEASE tell me you’re lying about this big A blackhead, Dr. Manning.”
Me: *grabbing gloves* “Nope. And I am SO about to bust this sucker."
Her: "Dr. Manning!"

*laughter*
8/
Her: "Lord have mercy. You really gon' bust this big A blackhead on my back?"
Me: "OH yeah." *pretends to crack knuckles*
Her: "Seriously?"
Me: "Only if you want me to. Although I may need to call OB for some back up."
Her: 😩

We were nearly out of breath from laughing.
9/
Her: "Is it a rule that you can't say big ASS blackhead?"
Me: "I'm probably not even supposed to say 'big A'."
Her: "I want you to put that in my chart--just like that. 'Diagnosis: Big A blackhead.'"
Me: "Nooo!"

*more laughter*

Me: "Okay. Lean forward." *cleans off area*
10/
Me: “Oh snap! This thing is crowning!” *pressing gauze* "Whoooooaaaaaa."
Her: *gasping* "Dr. Maaaannniiiiing! Is it gross?"

*laughing*

Her: "Show me. Wait! No--don't! Wait! No--show me!" *flapping hands and cringing* "Wait! Don't!" *fake crying* "Look--I have goose bumps!"
11/
Me: "I need to send this thing to the nursery to be weighed."
Her: 😩

I folded gauze into my glove and disposed of it.

Her: *shaking head* "Wait ‘til I tell my husband ‘bout my doctor busting a big A blackhead on my back!"
Me: "He probably saw it before I did.”
Her: 😳
10/
Her: "Hey--I almost forgot. Remind me of the princess story."
Me: "‘The Princess and the Pea.’ Remember that one?"
Her: "Was it about a big A blackhead on her back?"

*laughter*

Nurse: *walking in* "Okay! Y'all are having way too much fun in here!"

Which was true.
11/
After that I caught her up on a few more of our plans. Then I told her the story of the Princess and the Pea which she said she'd never heard but very much liked.

And that was it.

The entire exchange took <3 minutes--max. Comedone extraction included.

Yup.
12/
Some of the best advice I ever got as an intern was this:

"Let nothing be beneath you."

Which I always remembered. I'll also add this:

Don't let anyone tell you that there's not enough time to be human. Because there always is.

Always.

Got that, interns?
13/
That day I popped a giant blackhead on a shoulder blade, tightened some cornrows on a patient's hair, bought a very nice non-diabetic patient an ice cold Coke in a red can, and even had a heated debate on who was the #dopest: Judge Judy or Judge Ginsberg.

*sigh*

Yup.
14/
And you know? None of those things had anything to do with ANY of the reasons those patients were hospitalized.

But.

ALL of them had to do with helping a patient feel better.
Which is always the goal, right?

Right.😊

#findthefun #busyisaliar #iwasteamRBG

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Mar 24
1/
On rounds at Grady

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My team looked puzzled.
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2/
Him: "Shit, you coulda warned a brother."
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Him: "Yeah, if it wasn't for that bedside commode it woulda been a clean up on aisle 1!"

He laughed.
I was glad he was making light of it.

Me: "I apologize, sir. Colchicine can do that."
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Him: "It's cool. My knee is feeling a little bit better so that's good."
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I turned to my team.

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Read 15 tweets
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Her: "Why haven't you left for L.A. yet?"
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2/
I was on the hospital service last April when I got the news. Dad had this sudden onset of disabling vertigo. We'd learn it was a cerebellar stroke. My sister was there in LA. At the bedside and wringing her hands as next-of-kin.

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3/
On that first day, I walked right in and told my team.

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Read 16 tweets
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Me: “I’m glad to see you.”
You: “You know what? I’m glad to see you, too.”

*silence*

Me: “You know how you’re loved, don’t you?”
You: *smiling gently* “I do. I think that’s what makes this so hard, you know? Can’t feel a loss like that without feeling a love like that.” Image
2/
We both let out big exhalations. After a few beats, you swung your head in my direction.

You: “How are you?”
Me: “Me?”
You: “Yeah. You.”
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You reached out for my forearm. And then sighed again.
3/
You: “Yeah. But I’ll be okay. We were soul-connected. That will comfort me.”

I nodded. Then we sat in silence.

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I just finished this beautiful, courageous, and searing memoir “I Can’t Save You” by @CQ__MD. It was . . . in a word. . . sublime.

Whew.

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But.

I also love books and honesty.

And he knows that. Image
2/
@CQ__MD will be the first to tell you that I won’t endorse anything—even a book my my beloved little bro CQ—unless I’d read it myself and believed others should, too.

And now I have.
And wholeheartedly I do.

But before you jump in—and you should—let me say this. . .
3/
There are some parts that explore depression, thoughts of suicide, and self-harm. No, not recklessly. But yes, with raw honesty. So you need to know that up front.

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So hold on tight. Image
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1/
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Especially on this day.

The ancestors are surely rejoicing. I know I am.

I think the words of Jill Scott will say it best. . .
2/
“I'm taking my freedom
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Wear it around my neck

I'm taking my freedom
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3/

“I'm livin' my life like it's golden

Livin' my life like it's golden

Livin' my life like it's golden

Livin' my life like it's golden

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Read 11 tweets
Mar 14, 2023
1/
I had imagined what this day would be like. Played it out in my head and saw various iterations of me exploding in celebration.

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"Wooo hooo!" Image
2/
I also saw these visions of me quietly weeping, one hand extended to the heavens in gratitude. My lips quietly murmuring prayers of thanksgiving.

See, I was my ancestors' wildest dreams. And not even just my enslaved ancestors but the Jim Crow survivors who raised me, too.
3/
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I was even on the #MatchDay party committee. And since we were broke, that meant soliciting donations from faculty & parents & anybody who felt proud enough of us to shell out a few coins.

Which, fortunately for us, was a lot of folks. Image
Read 20 tweets

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