If a patient is having trouble getting along with staff in the hospital I sometimes take the time to teach them how to get the best care possible in the hospital. 1/
First you get to know the names of all the people taking care of you. 2/
Understand while they are here doing their job and treat you with courtesy and respect they are also human beings who appreciate being treated with courtesy and respect. 3/
Simple manners go a long way. Please and thank you.

“Good morning” and “good afternoon.”

Ask basic questions that suggest know know there is a human being in that uniform. “How are you today?” 4/
You can get to know this person a little bit.

Do they have a pet?
A family?
Plans for holidays?

Normal stuff you use to connect with a stranger.
Safe topics for polite company. 5/
When you make more work for someone, even through no fault of your own, it’s kindly to apologize.

“Sorry for making a mess.” 6/
Try to notice when your caregivers are having a bad day. We all have them. Try to keep in mind it’s not about you. Some people are working through a harder day than you are having. 7/
Some people say I should try to teach patients good manners.

I disagree. Learning how to get good care can make the experience of being sick much more pleasant for a patient. 8/
If you’ve read this far, I commend you.

Now for the lesson.

These are the same rules I teach residents to interact with nurses, therapists, and the rest of the staff at the hospital.

Read through them again. This is how you become a doctor that works well in a hospital. 9/

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More from @medicalaxioms

19 Dec
Somewhere in the last few months I unfollowed or blocked the lynchpin of social media crazy and now they’ve all gone away.

The antivaxxers, flat earth, fluoride is poison, 5G, COVID’s a hoax. All of them. Gone. All I see day after day is normal, logical, scientific opinions.
I wish I knew how I closed the wormhole to Tinfoil Hatland. It’s become so pleasant here where reliable people depend on other reliable people to render reliable opinions.
Alternatively, maybe I silence the people who are full on 🍌🍌🍌 so fast and so effortlessly that I just keep screening them right out of my sphere of attention. 🤔🤔🤔
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4 Dec
How mRNA vaccines work: A short tutorial.

1. The mRNA is injected into your arm.
2. Your cells pick it up and are all like “Wut dis?” 1/
3. Inside your cells, the mRNA builds a tiny typewriter and types “All work and no play makes Bill Gates a dull boy” 85,000 times. 2/
4. Then the spike protein breaks through the door with an axe and says, “Here’s Johnny!” 3/
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7 Nov
I recently had a house staff teaching team and as an experiment we added a “problem” onto the end of each patient’s problem list called:


[A thread]
With humility, I admit I Didn’t think this project would bear as much fruit as it did.
After all the problems of ACUTE HYPOXEMIC RESPIRATORY INSUFFICIENCY and SIRS, I would ask the team to consider how the patient’s race, gender, orientation, nationality, ethnicity, language, socioeconomic status, addiction, etc. was affecting their care past or present.
Read 12 tweets
1 Oct
I thought Texans were supposed be tough, independent and rebellious?

Instead they are letting their governor shut down their ballot drop stations? What a bunch of weaklings and pushovers.
“Don’t mess with Texas.”
What a flimsy bunch of fake cowboys. Y’all need to sprout some ovaries.
Read 4 tweets
1 Oct
There’s this weird magical thinking that if you hang around with people who think different than you it will run off on you.

Or you’ll catch it. Get infected with some opinions you disagree with. 1/
Don’t be so afraid of people with different opinions than you. There’s no virus you might catch.

Guys back in the oldem days like Jesus and Buddha said this is actually good for you. 2/
Even criminals and your enemies. You won’t even catch the cooties from them.

Expand your little provincial life. Stop imagining how people think. 3/
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30 Sep
Are you more or less open, friendly, and welcoming to people who look, talk, pray, eat and live differently than you were 10 years ago?
Are you more or less open, friendly, and welcoming to people who think, vote, and source their news differently than you were 10 years ago?
We all engage in selective intolerance and acceptance.

Some welcome those who superficially look different, as long as they believe the same.

Others don’t care about ideas and opinions as long as the other person looks familiar.

And many other combinations.
Read 4 tweets

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