I'm now in "How to Identify Distressed Physician Colleagues and Stop Them From Dying by Suicide"

...will tweet any highlights. #CHEST2020
this is incredibly powerful. opening with a physician with a substance use disorder... this is intense

first highlight: he noticed the gross inequity evident to him in his work and it affected him

then, personal tragedy

then, opiates for pain #CHEST2020
now detailing how he lost his professional life, became actively suicidal... unbelievable

lost a colleague to suicide...

no one talks about this (except we do at #CHEST2020)
"The reason I'm talking so openly is that you are going to see distressed colleagues... the wrong thing to do is to shut them out." #chest2020
"I told you my story today because ... I want you to recognize my despair and hopefully see it in others. you may be able to stop a colleague from reaching their bottom or worse even ending their life. Maybe you can make a difference." #CHEST2020
Now hearing @DrKMSimon about wellbeing in physicians of color #CHEST2020
Physician suicide more likely when underlying issues like anxiety, depression, injury, life stress left untreated -- a note to program directors; 23% of interns had suicidal thoughts in one study. #CHEST2020

@DrKMSimon
Racial microaggressions - one form of everyday racism- @DrKMSimon

the impact is not so "micro" though.

#chest2020
great examples of microaggressions #chest2020
a nice slide on the similarities and differences between burnout and depression

Bottom line: burnout is situational, job-related. Depression is context-free. @DrKMSimon #chest2020
Now Dr. Myers, psychiatrist. "I lost my roommate in my 1st year of medicine to suicide in 1962." #chest2020
a call to action: "whatever you do, do something!" #CHEST2020
Found him! @downstatedoctor

these are great tips. Do something, but think about how you'll approach it. #CHEST2020
In addition: dont' just give resources. ask permission to make the calls on his behalf. YOU set it up! @downstatedoctor #CHEST2020
What if they tell you to get lost?
"don't take it personally- i've been told to get lost since i was a medical student!" @downstatedoctor #chest2020
Haven't seen this yet but @downstatedoctor
says it is an absolute must watch. #CHEST2020 4 min long:
Some self-care tips. " do not let any job in medicine severely compromise your right to a personal and family life" @downstatedoctor #CHEST2020
Now highlighting discrepancies in how physicians of color are treated by the system (boards etc)

One solution --> fix the pipeline, diversify the boards #CHEST2020
Boards/licensure: any questions asked should be about impairment and about current health, not a history of a problem.

"Currently suffering from any illness that is impacting your ability to practice medicine safely?" @downstatedoctor #chest2020
Don't wait until something bad happens. Talk to a therapist now. @DrKMSimon #chest2020
Here are some takeaways from an @EuroRespSoc talk on a similar topic w insight from @smart_practice if you are interested in more tips on identifying a suffering colleague #CHEST2020

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More from @laxswamy

21 Oct
i mean, this is gonna be great. #CHEST2020 Image
These cases are great, and the vent sim is really top notch. here is a takeaway slide re: elevated peak pressures #CHEST2020 Image
Love this framework! #CHEST2020 Image
Read 7 tweets
21 Oct
And you thought we were done talking about burnout!

WINTER IS COMING #CHEST2020 @niven_alex @md_ritwick @susan_corbridge and Curtis Sessler! Image
#COVID19 'reminded me a lot of my prior deployments as a military physician' - @niven_alex

This feels more accurate than the usual military analogies - deployed _as a clinician_ #CHEST2020
Dr. Sessler highlighting this important framework: An Official Critical Care Societies Collaborative Statement-Burnout Syndrome in Critical Care Health-care Professionals: A Call for Action #CHEST2020

(I've cited it 😉, you should read it!)

pubmed.ncbi.nlm.nih.gov/27396776/
Read 20 tweets
21 Oct
Well, a crying child slowed me down, but better late than never. Excited to see @RanaAwdish @WesElyMD @hopealuko @BrendaPun

Rana: "Wanting the patients to be comforted and having almost nothing to do that except for the medications..." #COVID19 #chest2020 Image
'are coma and deep sedation just markers of severe ARDS?'
@WesElyMD - absolutely NOT- they are independent!
#chest2020 #COVID19
Oooh. @hopealuko - we should be careful about what is 'severe' or 'mild' #COVID19 -- listen to patients! #CHEST2020
Read 19 tweets
21 Oct
Now hearing from @sameepsehgal9 on VTE in #COVID19

Wide variation in incidence of VTE in COVID-ICU patients. Meta-analysis in middle -- about 30% #CHEST2020 Image
'at least in sick ICU patients, the incidence of thrombosis in #COVID19 is probably higher than other diseases like influenza' @sameepsehgal9 #chest2020 Image
Who clots and who doesn't with #COVID19? @sameepsehgal9 synthesizes the literature. Not too surprising overall. #chest2020 Image
Read 14 tweets
18 Aug
THREAD PART 2: DIAGNOSES/ COMPLICATIONS! Patient interpretations of ICU jargon @Saramerwin1 & I are writing for @CritCareGame- feedback welcome!
🔑Must be concise to fit on the cards
🔑Pt-centered clarity more important than accuracy
🔑ICU focused
Please share & comment!
Acute Myelogenous Leukemia/AML
“Blood Cancer”
Rapid growth of blood cells that don’t work properly in the bone marrow, crowding out healthy cells.

Is that clear for patients,@vsanchorawala @Jmarksloan @VincentRK @MikkaelSekeres
Meningitis
“Brain Infection”
Inflammation of the meninges (lining around the brain), often caused by an infection.
@doctorORbust @AllisonRBond
Read 30 tweets
17 Aug
THREAD: Patient interpretations of ICU jargon that @Saramerwin1 & I are writing for @CritCareGame - would love your feedback!
🔑these have to be REALLY short to fit on the cards
🔑 pt-centered clarity is more important 💯 accuracy
🔑Setting: general ICU
Please share & comment!
Do Not Resuscitate
An order that prohibits CPR & restarting the heart when it stops beating. Often paired with Do Not Intubate (DNI), prohibiting the use of a breathing tube. Ordered after discussion with patient/family.
Sedation Vacation
For patients on the ventilator, we routinely stop sedatives (medications which keep the patient asleep) to allow patients to wake up and try to breathe on their own, getting them off of life support faster.
Read 47 tweets

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