2/ I am indebted to so many for this piece--but most especially, my patients. They are so much more than my muses. They are the ones that force me to confront myself & strive for something better; my greatest teachers; & are my true north when the why gets hard to see or remember
3/ This piece started as a tweet--a reflection from our first @CPSolvers AntiRacism in medicine podcast. So very grateful to @RheaBoydMD & @RRHDr for their wisdom & generosity of spirit which served as the prompt for my reflection & the words that followed
4/ Then there are the draft readers! I'm an artist & I'm sensitive about my sh**. Thankful for the ones who know me, the ones I can trust when they say let it go. Perfect>progress; Done>in my head.@offtheclockdoc & @TheLakshmiK are real ones.🙏for their sisterhood/ council
5/ Thankful for all @CPSolvers team, but especially @DxRxEdu & @rabihmgeha who had the courage to lift up this AntiRacism in medicine work-- and who showed through action that they believed it was so much more than just a passing fad.
6/No, I didn't forget our fearless leaders @UREssien & @dereckwpaul but for this piece, they deserve special recognition (receipts👇). I hope everyone has people in your corners like this. People who believe in you, when you can't always see it for yourself. To my BROTHERS❤️y'all
7/ On a lighter note, it's not every day that you're able to reference chopped & screwed hip-hop in one of the most respected journals in the world.After the last few weeks Texas has had, it feels good to flex my Texas pride a bit #BackThenTheyDidntWantMe#NowImHotTheyAllOnMe
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1/ A thread on our recently published perspective @PSRHjournal "Community‐Based Doulas & COVID‐19: Addressing Structural & Institutional Barriers to Maternal Health Equity" onlinelibrary.wiley.com/doi/full/10.13…
2/ Community-based doulas are birth workers closely tied to the communities they serve. They offer support of birthing people throughout pregnancy, labor, & postpartum AND provide additional services/ resources aimed at addressing social and structural health inequities.
3/ I work w/ co-author & community-based doula @uhkti_ayomida & other birth workers on policy reform to advance maternal health equity. This past year we have focused on policy reform for the doula workforce (e.g reimbursement reform, anti-racism focused training requirement)
Finally reflecting on incredible @NIMHD Health Disparities Research Institute. I learned, I felt safe, I was inspired, & I left with hope. One pearl of wisdom provided by @DrDeidraCrews on "reconsidering your relationship with failure" really resonated w/ me. THREAD.1/
Actually, every single ( incredibly accomplished) speaker discussed rejection. It seems to be one of the more reliable aspects of academic medicine. @DrDeidraCrews said that this past year she went on a journey to try and "get" as many rejections as she could. 2/
This really means she forced herself to grow, and go for things she would not necessarily go after. This is how she reconsidered her relationship w/ rejection-- and she recommended that we ( next generation of HD researchers) do the same. 3/
My first thread-wish me luck! More on why Medicaid expansion is important for maternal #healthequty
Medicaid covers 25-50% of births in the US and is the largest single-payer of maternity care; Medicaid disproportionately covers low-income women & racial/ethnic minorities. Regarding Medicaid and maternal health, there are two separate/equally important issues.
#1 Expansion of eligibility criteria,"Medicaid expansion". Medicaid coverage lasts up to 60 days postpartum, in non-expansion states, after this time is up, women must requalify for Medicaid as low-income parents; this is harder to do & results in coverage "churn"/ coverage gaps