1/
A conversation with my lovely older AA patient in clinic today

Pt: Doc, I have cancer, I'm >65, how can I get my #COVID19Vaccine

Me: I can help you! We will be send a MyChart msg next week. OR if you want one sooner, @IMPACT4HC created a resource..

impact4hc.com/vaccine-genera…
2/
Pt: Doc , I don't use computers

Me: Ok, I can get you set up for MyChart now and...

Pt: Doc doc doc, you don't understand. I don't have a computer, I don't USE computers. I'm here now, sign me up! I don't TRUST computers, never have! You have a computer there, sign me up!
3/
Me: Ok, let's troubleshoot. Let's see if we can sign you up on one of the links from our resource.

Spend the next 10 minutes surfing through the sites, not being able to find a spot

Pt: Doc, it's ok, I'll come back next week and you can sign me up then!
4/
Me: Well, part of the problem is many of these places open slots at a certain time and so you have to sign up right away so you can get one of those spots.

Pt: Listen doc, I'm a cancer patients. I'm over 65, just get me one of those appointments. I'm high risk!
5/
Pt: I haven't seen anyone for 10 months other than all of you here when I come to get chemo. I wear my mask. I stay 6 feet apart. Why can't I just call someone and set up an appointment. Can you give me a phone number?

Me: Well...
6/
Me: Ok, here is what we will do, when we open up vaccinations here next week I will call you and find out what times work for you and we can hopefully get you set up that way. Does that work?
7/
Pt: Doc, I will come sit with you while you do your clickity clack on the computer until you can get me an appointment. I have lived too long to get the COVID now. I'm just going to come back every week and talk with you until I get scheduled.
8/
Ladies, gentleman, everyone...we must do better. My cancer patients, primarily from Black and LatinX communities are begging me to help them get scheduled for the vaccine. This rollout needs to go smoother, we shouldn't be trying to sign up for vaccines like concert tickets.
9/
I am so appreciative that I was able to get my vaccine in the first group so that I can continue to take care of my patients. But we need some better strategies moving forward.
10/
My patients are in high risk communities, and many of their friends are vaccine hesitant. They are convincing their FRIENDS and FAMILY to get the vaccine but they are all having trouble scheduling. We MUST do better.

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More from @ShikhaJainMD

30 Nov 20
Let’s talk about one cost of this pandemic we aren’t fully able to quantify. As an oncologist, care for my patients, and my potential patients is suffering because of #covid19. Even those who will never contract the disease themselves. Let’s unpack this.

cancer.org/about-us/what-…
Unfortunately, a less visible direct impact of the pandemic on patients with cancer & other chronic illness is the damage to their care we can’t quantify. Delays in
🏥diagnosis bc of necessary lockdowns
🏥surgeries bc of resources
🏥treatment ➡️ progression of disease.
As @FutureDocs described so well in this thread 🧵 👇🏽, care for both #covid19 and non-COVID19 patients is being sacrificed due to a lack of supplies, staff and space. As cases surge, other emergency and non-emergency care is delayed, or unable to be given.
Read 26 tweets
19 Aug 20
1/ The #blackcloud. A thread. When I was a resident @uiccom @UICDom I was often known as a “black cloud.” For those not in medicine, this can mean a variety of things. For example someone who has very busy inpatient months, admits very complex patients, and is overall very busy.
2/ in my case being a #blackcloud meant when I was on service, we always had a full service, often w very complicated patients, & when we discharged 1 patient, 3 more would be admitted. The attendings and residents knew when I was service, it was more than likely we would be busy
3/ Keep in mind, this is all anecdotal and more superstition than evidence based, but when I came back to @UIHealth @UICancerCenter I wondered if my black cloud would follow me. I jokingly warned my team the first day I was taking over the inpatient service about my history.
Read 11 tweets
10 Aug 20
Did you miss early bird registration for
@WIMSummit ? It's ok!
You can still get discounted pricing if you are
🌟An @AMWADoctors member
🌟Have a group of 5 or more
🌟Attended a #WIMSWebinar (a few more are coming up!) #WIMStrongerTogether
womeninmedicinesummit.org
Wondering why you should attend?
🌟Renowned speakers
🌟Networking Opportunities
🌟Mentorship, Sponsorship, Leadership, Media, Speaker training
🌟Writing in medicine workshop
🌟Personal and Professional development
🌟So much more!
If you aren't convinced yet...have you seen the incredible, nationally renowned speakers at this years #WIMSummit? Peruse the list below. I guarantee you will not be disappointed.

womeninmedicinesummit.org/2020-faculty Speakers for 2020 Main Sessions and HeForShe trackWIMS Main session speakersWIMS HeForShe track Speakers
Read 7 tweets
2 Aug 20
Did you miss early bird registration for @WIMSummit?
It's ok!
You can still get discounted pricing if you are
🌟 An @AMWADoctors member
🌟 Have a group of 5 or more
🌟 Attended a #WIMSWebinar (a few more are coming up!) #WIMStrongerTogether

womeninmedicinesummit.org
Wondering why you should attend?
🌟Renowned speakers
🌟Networking Opportunities
🌟Mentorship, Sponsorship, Leadership, Media, Speaker training
🌟 Writing in medicine workshop
🌟Personal and Professional development
🌟So much more!
If you aren't convinced yet...have you seen the incredible, nationally renowned speakers at this years #WIMSummit? Peruse the list below. I guarantee you will not be disappointed.

womeninmedicinesummit.org/2020-faculty
Read 7 tweets
25 May 20
Socialization while #socialdistancing. A thread. I know this is hard. I’m going to share here how we celebrated my daughters 6th birthday to give some examples on how you can still celebrate the important moments that continue to happen as life goes on during this #pandemic.
First we asked my daughter to pick a few friends and we asked each to sign up for a 20 min slot. We asked that anyone who came wear a mask, and asked if anyone was having symptoms to pls decline the invite. We decorated our garage and put tape on the ground #6FtApartAndMasked
When ppl arrived they would first hand sanitize then write in a birthday book (we had mult pens). We had a backdrop for ppl to take pictures. Next stop the piñata where prior to touching the stick u would hand sanitize, then take 3 whacks. Next was socially distanced #hopscotch.
Read 10 tweets
3 May 20
I haven’t commented on this yet bc I have had a hard time finding the words to express what I am feeling. The amount of hate speech, racism, and intolerance I have observed in there recent protests to reopen the country break my heart and make my soul hurt.
#covid19 doesn’t care about political affiliation or personal views. It doesn’t care if you believe in open carry laws or what god you follow, or if you believe in god. These protests are not only dangerous bc they are large social gatherings that spread this deadly virus...
They r also dangerous bc these open displays of racism and hate serve no purpose other than to further polarize an already divided country. Those on the front line put their lives at risk to save the lives of the friends and families of everyone, including those protesting.
Read 6 tweets

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