Trigger warning: medical student suicide.

A THREAD
We know we enter medical school w/ equal depression to age matched peers&leave more depressed.

So what happens emotionally to us in Med school &y do we keep it an open secret?

We need to talk abt it & how the culture&the experience of the student has been compounded by covid.
In medicine, we sit in silence with our feelings & think we r alone & asking 4 help is weak...We push it down & down...until..a crisis.

That needs to change.

We need to be allowed to feel proactively.

&even get help proactively: journals.lww.com/academicmedici… (see:opt-out options)
We need to talk more about supporting schools after a suicide because this changes them, including the admin& students&teachers. This ripples through a system. We can’t sweep it under the rug, or make investments in #mentalhealth to make up for it.

Those r nice, so is healing.
We need more than a lecture on burn out or repeated studies or statistics.

We need to change the core of medicine & it’s values. To understand trauma is valid & vulnerability is a strength.

We need long term investment. Not a band-aid

But, our students futures are worth it.
If you need help call the physician support line at 888-409-0141 @ShrinkRapping

Or text “home” to 741 741 @CrisisTextLine

Or call 800-273-8255

Good resources also at: @afspnational @TrevorProject @NAMICommunicate
For pro-Bono therapy 4 frontlines: @TherapyAidInc @EmotionalPPE
@NYCTRN @CFCCovid

Family support: @LifeFlipside

Cheaper options: @therapy4theppl

I go to therapy weekly.
It grounds me, helps me cope, & teaches me to prioritize me...
Something medicine never did.
Ps. This was linked to a tweet that has now been deleted but that was discussing another death at another school which brought the number up to a large number of Med students in the past few months across the country.

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More from @drjessigold

11 Feb
This piece echoes a lot of what I wrote in mine(w/a cool graphic)

"As a therapist, I wish I could help everyone, but that thought becomes overwhelming and, of course, it's not realistic."

usatoday.com/in-depth/life/…

THREAD on this piece AND how #mentalhealth providers=people,too!
Interesting parts:
🔵Not all of them are in therapy (HOW?!)
🔵Teleheath=harder to connect(we need to do more studies of telehealth & burnout in therapy)cough @ColinWestMDPhD
🔵LOTS of GUILT for not being able to give patients answers & having to turn folks away (I GET this)
"I became numb,&then I became overwhelmed, & then I kind of went back to numb." OOF. THIS QUOTE.

For me:I have struggled w/naming my own feelings as burnout(or valid!),feeling like I wish I had something to say to help(it is death/a pandemic-I don't),& relating too much to all
Read 9 tweets
27 Jan
Trigger warning. Content warning.

Suicide.
Another officer from the capitol has been reported to have died by suicide.

This is significant&we need to be talking abt.Silence is stigmatizing.

We need to talk abt trauma.We need to talk abt moral injury. We need to talk abt going into your job& not being supported to do it.
We need to talk abt what it means to be someone who “protects&serves” &isn’t given protection yourself or the support to serve.

We need to talk about being a “hero” and then seen as failing. Or being a hero and then being the “enemy.”

We need to talk abt politics being toxic.
Read 9 tweets
15 Nov 20
Let’s talk #mentalhealth in kids:
🔹in March 2020 &early April (bc of lockdown) kid ER visits for mental health ⬇️ 42%
🔹 Later April to Oct 2020,ED visits kids aged 5–11 & 12–17 years ⬆️ approximately 24% & 31%, respectively.

AKA We need investment NOW.

cdc.gov/mmwr/volumes/6…
Kids are the future&if we don’t think abt their mental health& what we are doing to intervene,esp in a VERY resource strapped area(not a lot of specialists),we are really hurting them&our system for the long haul.

This is y mental health folks should b on #COVID19 task forces
BUT...while this is also concerning bc we turn to crisis services(ERs) bc the system is strapped&broken,I could make this argument for nearly every population in the US(&do when I show these slides of headlines in my talks)

The universal equalizer:All our mental health is shit.
Read 6 tweets
13 Nov 20
👋 people

Trolling healthcare workers is absolutely NOT.OK.

Exhaustion is an understatement of their experience.They minimize as it’s the ONLY word they can muster.

I’ve never seen a healthcare worker complain-that’s y we have burnout&high rates of suicide. Silence.

Enough.
Read 5 tweets
19 Apr 20
Here is something I have been thinking about: Even though this is very much a national tragedy, the narrative & experience of it varies profoundly from state to state.

I wonder what that will do when a college kid from NY sits with their friend from FL & they “don’t get it”?
I remember being a freshman in h. school during 9/11 & in a small school in N FL where few people had even been to NYC, let alone had people there. At the time, my sister @KimberlyBlumen1 was in college there & I had been to windows on the world August 2001. I felt out of place.
That feeling prompted me going to boarding school in some way&on the first anniversary of it,surrounded by people who had lost parents & friends &got it..it felt much more right.

That disconnect can cause ruptures in friend groups &mental health effects. This is that magnified
Read 9 tweets
6 Jan 20
THREAD: @NYMag's latest on the #WeinsteinTrial says the defense is attempting to discredit the survivors with 50+ pages of rape myths and logical fallacies - the same used to deny & justify male sexual aggression against women for decades.

Some facts:
thecut.com/2020/01/the-po…
As described by @Irin, the defense in the #HarveyWeinstein powerpoint boils down to two things:

1. "*Her behavior* afterward shows she was fine."

2. "My *otherwise* good behavior shows I couldn't have done it."
There is not one response to rape, assault, or trauma, or one classic victim. To suggest that there is or should be perpetuates rape myths that blame women & minimizing the real harm caused by rape.

journals.sagepub.com/doi/full/10.11…
Read 8 tweets

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