1/
Tonight

Me: “Sis! I got your text. Damn.”
Her: *coughs* “Yeah. I feel like I got run over by a truck.”
Me: “How's your breathing?”
Her: “Bad cough. But OK, I guess.”

*coughing paroxysm*

Me: “Do you feel short-winded?”
Her: “No. Just worn down.”
Me: "Okay."

*silence*
2/
Her: “Dang. I would be the one to test positive for #COVID on the same damn day they start giving the vaccine.” *chuckles then coughs*

I wasn’t sure what to say to that. So, I let out a weak laugh, too.

Her: "Damn. This is kinda scary."
Me: *thinking* "Yeah."

It is.
3/
Her: “What should I do?”
Me: “Well, you’re already isolated. So that’s good.”

After that, I told her about supportive care, red flags and reasons to go to the hospital. As I was talking, she started coughing again. Super hard.

Me: “You okay, sis?”
Her: *coughing* “Yeah.”
4/
Right now, as of that moment when we spoke, she was okay. But the thing is . . . . I have no idea whether or not it will stay that way. So, when she asked me should she worry, I was honest.

Me: “I think it's good to appreciate how sick people can get with this.”

*silence*
5/
Her: “Girl, I should go review my will and make sure everybody has my passwords.”

She laughed. I did, too. Because it was a joke.

But then we stopped.

Her: “Damn. Should I do that for real?”
Me: “Most people do okay. But it’s always good to. . .”

I trailed off.

Shit.
6/
What do you say to that?

"Yeah, sis, get all your stuff in order just in case you have to get rushed by ambulance to a hospital for emergency intubation for 4 weeks."

or

"Yeah, sis, do that. Because you know folks are fine then they like hella aren't."

Some even die.
7/
I don’t have an ending to this. It is happening in real time. And it's ramping back up. Near peers calling me. Me feeling panicked but trying not to sound like I am.

~ 1 in 3. That’s the number of Black Americans who personally know someone in #the300K who’ve died.

~ 1 in 3.
8/
I wonder what the data would say about Black American physicians and text messages from those affected. 3 in 3 maybe?

Sigh.

I am worrying about my friend right now. I am also worrying about a bunch of other people, too.
9/
Add to this questions and concerns about vaccines. The stuff I have to do. And my kids in virtual learning environments at critical ages. And me not feeling too sure itfit's all okay.

Oh-and the inpatient service that awaits me Wednesday.

It's a lot man.
10/
Then I look at my watch and realize I haven’t seen a headline about somebody’s unarmed child being shot in a MIN-ute. So now I’m bracing myself and worrying about that, too.

Yeah.

What a dichotomous emotional ping pong today. A vaccine and a friend with COVID.

Damn.
11/
Her: “Kimberly, you BETTER be checking on me.”
Me: *not joking* “Adding you to my virtual rounds list.”
Her: *laughs* “Whaat? How many people you got on it?”
Me: “I got you on it and that’s all that matters.”
Her: *coughs* "But I'm your VIP."
Me: "Gotcha."

*laughter*
12/
Know this:

For us, words like "disproportionate impact" directly translate to . . .sorority sisters and roommates. Godfathers and play cousins. Siblings and barbers. And family.

Sigh.

Please check on your Black colleagues, okay? Because 1 in 3 is a lot.

That’s all. 🙏🏾🏥

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More from @gradydoctor

11 Dec
1/
PM rounds at Grady

Him: "You alright, doc?"
Me: "Me?"
Him: "Yeah you. You seem outta sorts."

*silence*

Me: *smiles* "I'm in sorts I promise. Now tell me--you alright?"
Him: "Me? Feeling a little better."
Me: "How's your wind?"
Him: "Waaay better."
Me: "Yay."
2/
I sit him up and carefully untie the back of his gown. On cue, he takes breaths in and out as I listen intently.

Me: "Lungs sound good." *moves around to front of chest* "I'm listening to your heart now. You can just breathe regular now."
Him: "Okay."
3/
After pressing my palm to his chest to feel his heart, I search his chest with stethoscope. Although it's not normal, it hasn't changed. Still he keeps making big gasps, forcing breaths in and out the whole time exaggeratedly.

Me: "Just breath regular, okay?"
Read 9 tweets
8 Dec
1/
Like many of you, I’m an unapologetic book nerd. I love a good recommendation and love sharing after I enjoy a book.

So check it:

Just finished this book by our very own #medtwitter @AaronLBerkowitz. Here’s my unsolicited review.

(Spoiler alert: I loved it.)
2/
In full transparency, @AaronLBerkowitz told me (via Twitter) about his recently published book. And because:

1. I like books.
2. I believe #supportisaverb
3. It was on Audible.

I immediately used my November @audible_com credit and gave it a try.

Yup.
3/
I’ll admit—I’m a fan of @AaronLBerkowitz’ Neuro textbook. But I had no idea what to expect out of THIS particular book.

I mean, even with reviews from everyone from Dr. Paul Farmer himself to @drsanjaygupta, the book nerd in me was skeptical.

IJS
Read 10 tweets
6 Dec
1/
PICU rotation, 1998

I leaned over the sink with its rust-stained drain and ran cool water over my hands. Patting my fingertips over my face, I stared in the mirror. I’d been awake for >24 hours. It showed.

I tried to give myself a post-call pep talk.

Me: “C'mon, sis.”
2/
I was tired. But not just tired from the lack of sleep. It had been a cognitively hard night with sick-sick patients. While it had gone mostly fine, my brain was still steaming. Not to mention the sustained tachycardia I had every time I took call in the PICU.

It was rough.
3/
This was before duty hours reform. And it’s relevant here is because it explains why I had clinic that afternoon--even though I was post call.

I had just one wish:

To get through rounds in time to finish all my work and avoid having to return to the PICU after clinic.
Read 20 tweets
4 Dec
1/
“Now that it’s raining more than ever, know that we still have each other. You can stand under my umbrella.”

– Rihanna

I entered the elevator alone one evening after a long day. Leaning my head back on the wall, I prepared for a peaceful ride to the ground floor.

Yep.
2/
After passing 6 floors, the lift stopped on the 5th floor. When the door separated, I opened my eyes and saw one of the Grady environmental services employees standing there with two giant rolling trash bins and a bunch of other stuff for cleaning.

He stepped back.
3/
Him: *waving his hand* “I’m cool, doc. I got a lot of stuff. I'll just get the next one.”
Me: *stepping aside* “Nah. It’s cool. Come on.”

And so he did.

Me: *glancing at him* “You good today?”
Him: “Yes ma’am. ‘Bout to drop this stuff off & go to the hizzouse!”

*laughter*
Read 8 tweets
2 Dec
1/
Today is #WorldAIDSDay and I'm reflecting on the time that I got my first voluntary HIV test.

Wait.

I take that back. I am reflecting on the time that I decided to submit a narrative about my experience getting my first voluntary HIV test for publication.

Meta, I know.
2/
So I'd written this narrative back in 2008. And the fast story is that it was about me being a hypocrite about pressing a patient to be tested for HIV when I had never been voluntarily tested myself. Why?

Because I was scared.

Yup.
3/
I put that all on paper. Spoke this truth about being afraid and how my fear was rooted in the growing numbers of Black women impacted by HIV.

I mean. That's what I told myself.

But then I asked my colleague/wondertwin @DMalebranche to read it & give me some peer feedback.
Read 10 tweets
22 Nov
1/
Stepped onto the Grady elevator last week. A Grady elder tipped his cap to me and nodded.

Me: “Good morning.”
Him: “Good morning, doc.”

*silence*

Him: “I like your hairdo.”
Me: *patting head* “Thanks, sir.”
Him: “I see you let them greys come on in, huh?”

*laughter*
2/
Me: “Yeah. Went on and let ‘em do what they wanted even at the risk of looking older.”
Him: *scowls* “Older than who?”
Me: “Older than my age. . . or just older than I want to look.”

He turned his mouth downward and nodded.

Him: “Mind me asking your age?”
3/
Me: *nervous laugh* “I would say guess but I’m scared of what you’ll say.”
Him: *squints* “Hmm. You somewhere ‘tween ‘bout . . .mmm 45, 50 or so.”
Me: “50.”
Him: *nods and shrugs* “Yeah that seem ‘bout right.”
Me: “Wow. That’s cold.”

I laughed. He did not.
Read 8 tweets

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