Arrived! Bathroom set up. At least the temporary set up. Why do I have bathroom as big as my bedroom? This should have been space in my WIC.
So, I have my work cut out for me to reconstruct my home (boxes everywhere). 2 years ago had made a big move after 13 years in Boston, moving just 1 day before the start of a job as a CMO of 14 centers & $100 budget but that is when the apartment with a view & WIC was available.
One of my “top strengths” is “input”

“You are naturally inquisitive.
You are a collector.
You love to learn new words, memorize facts, collecting quotes, and read new books.
You are excited by the complexity and infinite nature of the world.”

=clutter

letstalkpersonality.com/thinking/input…
Discovering “bins” at the Container Store has been great AND dangerous. So easy to throw random stuff into a bin & “look” neat but many of the bins are pretty disorganized inside.

Mind you, I never fully unpacked in NYC. Had this beautiful view and often ignored my apartment.
These were my initial attempts in NYC - I started off SO well. My error was I did not hire an organizer. When you move 1 day before stating a 1st time CMO job with over 700 staff and 14 centers across 4 boroughs, then you need help. Men have wives who do this. Woman need to hire.
Problem is when you hire folks, that does not mean they are competent. And organizers charge $80-150/hour, as much or more than I make working nights, holidays, weekends as a pediatrician. I have been through 5 organizers. One bought wrong size bins without measuring shelf 1st.
Another organizer forgot her jacket at my place then needed me to drop it to her home. Another offered bizarre nutrition tips (unsolicited weight loss advice)

Just 🤬 do the overpriced organizing job you are hired to do & stop creating extra work for me

So, battle entropy solo
And the NYC guy hired to rebuild my IKEA wardrobe for this stuff have a place to go? His buddy was too drunk to work. So found myself between wall & 93” unit helping him. Then he said a lot of single women ask him for help & some ask him out. He would not mind if I asked him out
I got him out of my apartment but then had only a half built wardrobe. I had moved stuff onto the empty bed frame & delayed buying a mattress. My carefully laid out plans to immediately have a functional home disrupted by bad, unreliable hires I focused on work and this remained.
I miss NYC sunrises!!! This today vs this the last 2 years. I simply ignored my never fully unpacked apartment and either enjoyed the view or was reading or was out or was in my head. Apartment? I am good at hopscotch. When you manage a 14-center FQHC chaos is your norm.
This is actually why I have issues with many on #MedTwitter who fixate on petty details easily controlled, seem incapable of getting past “personal attack” when addressing systems issues. Could I have a perfect home? Sure. I wrestle with big messy frustrating problems at scale.
Petty people define their entire selves & scope of their consciousness by petty details. And I am not saying details don’t matter, they do. They are important for functionality. They are important to vet and validate when doing things that impact others

Don’t get me wrong. This is so 😍 when I manage it

But even that lovely table & chairs, I’d gotten off of Overstock, the chair tops were never secured cuz the holes were not predrilled. 7 years like that until I gave it away

Thanksgiving week is coming. Just get unpacking done
So... I want to go back to NYC! The food is as expensive here but less good. Out of caution (makes sense) food deliveries not allowed into building to door - must go get it.

I feel like I moved to Iceland. No sun. Depressing by 4:30 p.m. vs the city lights and view I had in NYC.
This is my new “view”

😫😩😭😟😞😒

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More from @usnehal

19 Nov
This does not surprise BIPOC. We live it daily. The rest of you often deny our lived reality or assume it is exaggerated. Then you are shocked and ask “what happened to my country”

what happened: is you insisting on keeping your head in the sand & shutting down truth tellers
Most liberal/progressive types who get super excited by data... data that are incomplete, flawed, or based on people lying in polls due to social acceptability bias. But many liberal intellectuals are
Very little has changed since this was written by MLK. Very little has changed since my grandfather was training in England in Colonial times (there he was considered “black” and black/brown more similar as BAME) as a highly skilled surgeon (ophthalmologist) but sub-human.
Read 22 tweets
18 Nov
This is one of many reasons I broke off from the mainstream doctor group mindset about full range of clinician types. Becoming a doctor requires a certain amount of privilege or lack of barriers. Barriers reinforce the anti-equity and “exclusive” or “status” mindset in medicine.
In low resource places, like FQHCs, I don’t see doctors rushing to work, apart from many who need loan forgiveness and/or visas.

That said, despite the “access” narrative for policy battles, I also see it used to shortcut/rush to bill independently for lucrative derm procedures.
Keeping in mind broader context. Regardless of your personal values, America is all about business and healthcare in America is merely another revenue/profit-generating industry. Healthcare as a social good is a Canadian, European, or Australian thing, not an American value.
Read 8 tweets
15 Nov
As a physician, can say this about doctor culture in the U.S.: we are a socially stunted puerile bunch easily manipulated by sales & marketing ppl or by metrics of competition, obsessed with status, prestige, ego..

...not my doctor friends...but we hang out at the margins.
The high school level drama that plays out in hospitals, then the replica, amplified, on #MedTwitter is 😱 No wonder our profession kills so many patients when we are so busy policing on pettiness & ignoring standards of quality, safety, population health ncbi.nlm.nih.gov/pmc/articles/P…
There are many reasons why I am hanging up the stethoscope, one of which is that I cannot in good faith go into any clinical setting and feel confident about “first do no harm” - The system is too misaligned, not driving quality, safe results

Then, the human dynamics are
😨😣😖
Read 30 tweets
15 Nov
Accountability is when someone takes money for a job and fails to use standards or violates standards. Referencing standards when seeking accountability, in a transparent way, is fair game and necessary. Teaching at esteemed institutions = an obligation to deliver quality.
Some info on #MedEd - the roles and responsibilities

medschool.ucla.edu/workfiles/site…
For medical professionals, especially doctors, payment of the critical part on liability.

Good Samaritan protection relies on no payment, often.

Doctors can be served papers up to 25 years later if it was an infant.

That is level of accountability of clinicians
Read 18 tweets
14 Nov
Are you 🤬 kidding me? My movers for the a.m. just canceled on me.

So found new movers within 3 calls. Rebooked. Now moving out on Sunday.

But dear God. Who cancels a move at 8:03 p.m. the night before?

This is why I detest moving.

I was still traumatized this from last move.
Last move: movers kept making disparaging remarks "I told you you had too much stuff. Everyone who moves from Boston to NYC does this." Okay. They mark up the ceiling. They get annoyed at my cat. Dishes they packed broken. And they kept one box "open" then charged for "packing"
Meaning they had charged "packing" time for an untaped box. Meanwhile the guy I had hired to re-assemble my IKEA wardrobe started hitting on me and I got him out ASAP but then I only had a half built wardrobe and CMO job started the next day. Every day, drained, exhausted.
Read 9 tweets
13 Nov
This. Black nurses like @mclemoremr who not only have authentic clinical and community experience, not only know the disparities data, but also are winning grants to do the studies themselves belong on the transition committee or COVID Task Force.
In contrast when I have taught medical students straight from @AmerAcadPeds policy statements on racism in a hospital with a disparities center, have been told by a division chief that nurses find me “too political” which exactly is this that @COCoQC lays out

Not safe spaces Image
Repeatedly I “break ranks” - I don’t spend my time on outrage over “scope creep” - who is serving in the communities where Black women die at a 12x higher rate from maternal mortality? Not the doctors or nurses battling on own job & pay.
Is these ppl: mededportal.org/doi/full/10.15…
Read 28 tweets

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