Random reflections from this week. Brain dump 🧵

#electionday was a clinic day. I don’t typically discuss politics w/ patients. But on Tuesday, everyone wanted to discuss the election. Palpable anxiety. Leukemia patients should not also be burdened by the threat of fascism. 1/n
I had 6 unread text messages by 7:30am Tuesday morning. One was from a friend in Benin who said (loosely translated) “I hope your election goes well for the world.”

Fanning the flames of racism and legitimizing white supremacy has been bad for the world. 2/n
Other texts were from friends&family w/ some variation of “stay safe today.”

I’ve thought about anti-Black violence more than I’d like to in the past year (& in life). The advice got me thinking: where are the truly “safe” spaces for Black womxn in these United States? 3/n
Been losing people to Covid & Black people being murdered for living, I’ve realized I’m too emotionally exhausted to “play the game.”

In this state-perpetually hypervigilant mourner-the parts of “belonging” requiring inauthenticity, back bending & half truths are impossible. 4/n
Shoutout to Black women! Black women show up & do what’s necessary -often without acknowledgement, rest or even love & appreciation in return. My wish for us is reciprocity.

A Black woman and HBCU grad is the Vice President elect of the United States.

Black women did that! 5/n

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More from @Lachelle_Dawn

23 Dec
Can’t get over Dr. Susan Moore’s death.

It’s on my mind heavy.
Being sick is bad enough - fatigue, pain, shortness of breath. I imagine that to be a member of the majority caste in this country is to be able to just be sick. To be able to focus energy on getting well and maybe (because medical capitalism) how to pay.
There is so much more on the minds of Black patients - considering if the hospital you go to will treat you well (or at all). To have to, in the midst of the emotional and cytokine storm of infection, muster strength to fight for adequate care. To trade rest for diligence.
Read 13 tweets
21 Dec
Morning geriatrics/gerontology thoughts

On #failuretothrive

Last night while researching frailty scores, I vividly remembered being paged at 2am by the paging operator to call a patients family member while I was working in the ICU (back in the day when I did such things 😅)
Things were calm - and I figured a patient family member paging in the middle of the night was probably important - so I called:

“Is this Dr. Weeks?”

“Yes”

“you may not remember me, but I’m ___ you took care of my dad a few months ago and I wanted to talk about his paperwork.”
Now this was curious. This patient died but my mind is a Rolodex of patients I’ve pronounced so I remembered this family well.

“How can I help you?”

“Well I noticed in the admission note you wrote and the discharge summary you listed “failure to thrive” as the chief concern.”
Read 9 tweets
8 Dec
If you need grounding this AM - here’s Ancestor Toni Morrison’s lecture from Portland State, Black Studies Center, May 1975

It’s a classic I revisit often.

Incidentally, her voice is one of the calming voice I’ve ever heard speaking truth to power.

m.soundcloud.com/portland-state…
The whole thing is brilliant but these are a few most brilliant excerpts:

“Who are these people who know our sperm count and but they don’t know our names?”

Looking at researchers who study racial health inequities but don’t know anything about actual communities you study 👀
This part about the fallacy of racial distinctions is major 🔑

“Racism was and is a not only a mark, a public mark, of ignorance. It was and is a monumental fraud” Image
Read 6 tweets
3 Dec
I try to be thoughtful about what I write/say because words matter. I don’t always get it right, but this is a hill I am willing to die on.

*clears throat*

🗣 We don’t need to fix Black people’s mistrust. We need to fix medicine’s lack of trustworthiness.
#COVID19 #CovidVaccine
It isn’t enough to “remember Tuskegee.” The Tuskegee Syphilis Study ran from 1932- 1972. There’s segregation and disregard for humanity happening in the here and now.
40+ years after Tuskegee ended & 50+ years after “whites only” signs came down and hospitals are still segregated spaces! There are hospitals where it is rare to find a Black patient or provider.
Read 19 tweets
3 Dec
Up thinking about this because I had a similar conversation with my mom re: “Black folks aren’t prioritized for anything beneficial any other time”

Where I land is here - I hold no false belief that American Medicine all of a sudden is absolved of a racist past (or present).
Transparency involves being honest abt who/what you are.

So it’s probably less benevolence driving the consideration to prioritize minorities & more interest convergence. Minorities r disproportionately impacted by the virus & are a large portion of essential low wage workforce
It is in the interest of Black people to take a vaccine that could curb community spread of a virus that is killing us AND it is in the interest of a country that wants to get back to “normal” to not have a workforce that isn’t sick/vulnerable & overcrowding hospitals.
Read 5 tweets
1 Dec
An observation re: language, media information distribution & #COVIDー19 vaccinations.

I took a Lyft to work this morning because I was running late.

My Lyft driver was an older Black man who after asking if I was a doctor he asked me about the #COVIDー19 vaccine:
“I heard on the news that they *targeting* Black people to get the vaccine first. Why *target* us?”

He emphasized targeting/target.
We got into a convo about higher covid19 mortality for Black and Latinx populations and the myriad reasons for this.

When we started talking about the vaccine, I learned his concern was about being forced to be a “guinea pig”
Read 11 tweets

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