“Memory” from FB: The time I could not breathe despite 6 puffs of albuterol.
Severe asthma attack.
#blackqueens - thank you for always being there. Of all the women in the world, if I had to choose one at my side, I pick a #blackqueen every time. You all are the real deal.
That year ended up a patient in ED twice cuz
-I was working a lot of 12-hour night shifts in the ED
-working as many hours as uncompensated/volunteer for ACA policy work including flying to D.C. often
-dancing non-stop in between
This is how I look w/peak flow ~200 (red) btw
The #DrSusanMoore story really makes me think. I had a #blackqueen nurse friend who worked at the hospital & who knew that I don’t look sick when I am about to collapse. She was not caring for me, rather able to come visit me after she completed her own 12-hour shift.
❤️💪🏿❤️💪🏿❤️
As a doctor, am the person held accountable for productivity on patient volume and with malpractice liability - easy to be distracted from keeping the patient at the center and human.
Bedside nurses ARE the patient advocate then.
They have held me accountable as a doctor.
Why the blaming statement about #DrSusanMoore suggesting she “intimidated” nurses by being “knowledgeable” when she herself could not herself breathe, really struck me.
When I was a patient, & could not breathe but “looked well”, I had a nurse as a visitor. I am also not Black.
It was a white male physician friend who told me, when I was just going to stay home despite seeing retractions on myself after 6 puffs of albuterol & get steroids called in, that it could be a PE.
Who was it that spoke for me when my peak flow was ~200 & I could not speak easily in complete sentences? Who was it that stepped up, allowed me to be the “good” or not “intimidating” patient as judged by other clinicians? (& why are we judging patients?) northshorern.com/bad-patients-t…
Read this thread from @TamorahLewisMD on how it plays out. A lot of us don’t want to acknowledge what we do through implicit bias or simply scarcity of resources.
It’s not always race alone that determines who we like or dislike but that plays a part in how we prioritize people.
So, the 1st picture is after I was treated. I was better able to breathe. Luckily, my oxygen level was not low. But anybody who works in emergency medicine/medicine knows that things like asthma can quickly change.
This is what it looked like outside then.
Also, ED was empty.
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I should just disable the news notifications. I have no need to know about homicides being up. And yes, I am, aware, domestic violence is a big killer. People home with their “loved ones” = danger, maybe death.
Again, I prefer pumas to humans many a day.
Conservatives try to fear monger & tell you it is some “other” (typically another race) who is the murderer & rapist.
Nope, danger is greatest from those you trust the most with access. Pediatricians know this. americanbar.org/groups/public_…
I have become extremely discerning regarding abuses of power particularly in faculty given this long history that is extensive across multiple elite boarding schools where reputation mattered more than protecting children including my own boarding school. I had no idea of it then
But I am not annoying to travel with... because I travel alone. 😉😂
I go off being Ms. Energizer Bunny all over the place without any slowpokes holding me back. For difficult terrain or activities, I book a tour or hire a guide.
Did someone say kayak?
*This* is vacation:
Also, it important to mix it up. Must salsa on glaciers and on mountains. Yes, true, on occasion it gets tricky, salsa-ing in hiking boots on loose rock. But it only makes it more interesting. A challenge.
(I am also okay with salsa-ing on beaches - better than sitting about.)
Ended up trying out two different audio editing programs, finding free (non copyrighted) transition then intro/outro music (went a bit down a rabbit hole). But for inviting Mark at 6p, recording at 7p, learning to edit and editing and uploading by 11p, I feel pretty accomplished.
People get #MedTwitter mixed up with the doctors’ lounge or M&M or narrative medicine. It is not. #SoMe patient details sharing has gotten folks disciplined. Plus, even narrative medicine can cross into appropriating someone else’s experience.
Folks don’t realize HIPAA is not limited to name, initials, age, DOB, etc. If a patient might recognize you and the story you are telling and/or a coworker can go to your schedule and see a list patient diagnosed and put 2+2 together, that has been used to discipline clinicians.
There is also a really bad trend on #MedTwitter driven by both seasoned and entry level faculty (latter likely replicating/perpetuating things taught by mentors) of lazy teaching using screenshots and real life examples, identifiable, without consent, of lay people or peers.
I repost this tweet by @DrOmolara often as it is so true. There are occasional private messages. Mostly there is silence in such situations. Personally, I have found Black women, who often have the least support, step up. Others stay silent.
Leadership is not getting a title, reaching x number of publications. Is your ability to create a vision for something that does not exist & to have the courage to go for it despite risks. It is often WOC, specifically Black women, who with that courage.