1/
You: “They crazy as hell if they think I’m doing that shit.”

We stared at the wall-mounted TV showing the news. Health care workers gleefully rolled up sleeves and smiled for cameras as they received the first batches of the #COVIDVaccine.

You shook your head hard.
2/
I’d swung by to check on you after missing you on rounds earlier that morning. Even though the television was muted, what was happening was clear.

Me: “What makes you say that?”

You cocked your head and raised your eyebrows at me.

Then threw back your head and laughed.
3/
Me: “I’m serious!”
You: “Shiiit, I am, too!”

*laughter*

Me: “But real talk, though. What makes you say that?”
You: “Say what? Say I ain’t taking that half-cooked shot they peddling?”

Your reply was telling.

I sat on the bedside chair and waited to see what you’d say next.
4/
You: “So you mean to tell me they got a shot for this already but still can’t figure out no shot for AIDS?”
Me: *squinting* “Tell me what you mean. Like, is it that you think it should take longer? Like an HIV vaccine? Or something else?”

You looked a little angry now.
5/
Not at me. Just in that way my people look when they feel mad at it all.

The history.
The system.
The all of it.

You: “Fuck them.”

*silence*

Me: *leaning back in chair* “I mean. . . I’m ‘them’ too so that’s why I’m asking.”
You: “Yeah? Then fuck you, too.”

*laughter*
6/
You: “I don’t like that the shit that hurt Black folks, poor folks and folks with strongholds they can’t figure out. Oh but for THIS they ‘GOT GOOD TECHNOLOGY’ to do it in 2 damn weeks.”

Stronghold.

I always thought that slang term fit addiction well. And sounded empathic.
7/
Me: “You mean HIV, right?”
You: “Yeah, man. That’s some bullshit.”

*silence*

I thought about launching into a soliloquy about the differences between HIV and SARS-CoV2. I considered telling you that peoples’ entire careers focused on an HIV vaccine and . . . .

I didn’t.
8/
Me: “I took the COVID vaccine.”

Your head whipped away from the TV and back to me.

Me: *hand up* “Well, wait. I was in a study where MAYBE I took it.”
You: *eyes trained on me*
Me: “Yeah. But yeah, I did. And if I didn’t get it, I will.”

*silence*

You: “When?”
9/
Me: “When what?”
You: “When did you take that shot?”
Me: *thinking* “Uhhh. . . it’s 2 shots and it was like September and October.”
You: “Are you serious?”
Me: “Yeah.”

*silence*

You: *laughing* “Shiiiid. You better hope they ain’t shot you up with syphilis.”
10/
Me: “Nah. I’m good. Plus you know that syphilis thing wasn’t that they gave it to them but that they had a treatment but didn’t give it. And just watched them suffer.”
You: “So they SAY.”

I changed the subject.

Me: “So . . . what’s the main reason YOU say no?”
11/
You: “What’s the main reason YOU said yes?”

*laughter*

Me: “Some of it is selfish. Like, people who get the shots may avoid getting COVID—and if they get it, it may be less bad. So there’s that. But mostly, this is ‘bout us for me. That’s why I joined.”

*silence*
12/
Me: “This will sound crazy, but I looked at the speed dial/favorites list in my phone. And all but one person was Black.”
You: *listening*
Me: “I thought about how connected we are as a people. And feel scared that other folks will protect their communities and we won’t.”
13/
You: “And then they’ll forget about us.”
Me: “ I don’t know about that. But I do know that we losing already with COVID. And that’ll just get worse if none of us get vaccinated. Since we like to be together.”

*silence*

Me: “So that’s why for me. What about you?”
14/
You: “If you don’t care about me no where else, why is THIS different? Like, if it only affect us & not them, they can’t figure it out. But if THEY sick, ooohhh they got TECHNOLOGY.”

*silence*

Me: “Hmm. That’s real. But is that the reason you’d not take it?”

You shrugged.
15/
It’s all so complicated. And this story would be so great if it ended with my patient’s tearful epiphany and subsequent vow to be vaccinated.

It did not.

But what did happen is just as important as what did not.

We DID keep the dialogue open. Which, to me, is everything.
16/
We talked a little more with each encounter. Some about things like Satchel Paige and the Negro Baseball League finally getting due MLB recognition.

And.

Some about a #COVID19 vaccine.

You: “You see what I mean? All this stuff connected to each other. All this wrong.”
16/
Me: “Yeah. I hear you.”

I do.

Turns out you aren’t scared of needles. And you don’t think someone would inject you with something harmful. Or withhold treatment. Right now, you are mostly mad. Rightfully so.

And still unsure.

But you kept the dialogue open.
17/
You: “Yeah, Doc. I’m gon’ let you go first. ‘Cause as of now? I’m still a hell naw.”

*laughter*

And this? This was a tiny win. Because me going first means, just maybe, you might go second.

I’ll take it. 👊🏽

#HumanismAlways #notthrowingawayOURshot
#CovidVaccine

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More from @gradydoctor

15 Dec
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.”
Read 12 tweets
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

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