#MedTwitter 🧵

As a doctor, there are a few things more therapeutic than to sit quietly with a patient while they grieve.
While they sorrow.
While they hurt.

Just be present.
As an empathetic witness.
And quietly affirm their humanity.
And yours.

1/
We do not always have to have the answer.
We do not always have to “fix” it.

That’s ok.

But we can always connect.
And be in relationship.
And be in community.
With our patients.
And each other.
And our own selves.

2/
I had to remind myself of this yesterday as I bore witness to the grief of a patient
Who lost all her property in a house fire.
None of her family was stepping up to help.
She was in physical, emotional, and spiritual pain.
And she was angry.
Rightfully so.

3/
She cried aloud, and swore, and yelled.

I didn’t have an answer.
I couldn’t “fix it”.
So, I quietly bore witness to her humanity.
I bent down to get on eye-level, bowed down my head, placed my hand on her shoulder and gently massaged it,
while she raged.

4/
After she quieted down, I affirmed her experiences, feelings, & fears.
I confessed my limitations.
And I offered up myself as a partner to “figure this out” somehow.
I reminded her of her own strengths & resilience & encouraged her to journal about her feelings & thoughts

5/
We got her paper and a pen.
I asked her to also journal about times when she overcame struggles and challenges - including waking up this morning.

I shared the serenity prayer with her.
It is a tool that I’ve found incredibly helpful for myself and for many patients.

6/
Getting clear on what I can control & what I can’t is everything.

As I said it out loud to her, I could feel my own heart slow down, my muscles relax, my lips relax into a smile.

Mirroring hers.

7/
As a doctor, there are a few things more therapeutic than to sit quietly with a patient while they grieve.
The therapeutic effect is not just for the patient.

It’s for us, as well.

~End~ Image
PS: We are working with hospital social work to support her housing needs, but happy to take suggestions for resources that would support her as a survivor of a house fire.

🙏🏾

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More from @innodim

5 Apr
Reflective 🧵
1/ Oftentimes when asked to give a talk or when writing a paper, there is a significant expectation, pressure even, to also incorporate solutions.
"What can we do to change this problem".
It's like, "Don't leave us with this dreadful feeling. Uplift us.
2/ Help us "feel better".

TELL US WHAT CAN BE DONE!

And I've always felt uncomfortable with this.

Why this rush to ram through a problem so as to jump to solutions. How do you solve what you don't understand. Especially if it is a problem you yourself participate in.
3/ In his work, "Rage and Hope", Paolo Freire argues that without reflection, there can be no commitment to transformation, action is empty. Critical reflection is "critical" to transformative praxis. Reflection/Introspection must form the core of action for sustainable change.
Read 13 tweets
9 Mar
You know when you wake up and your day starts with violence?
1⃣So, received an email asking me to speak on implicit bias for a major organization. "No worries", I say. "Let me check my iCal for availability. But, in the meantime, what is your budget for speaker fee/honorarium?"
2⃣"Oh, I don't know...none of our previous speakers have asked and it's only for an hour and virtual."
***Cue music change to violence

"Only 1 hr" and "virtual"?????

Chiiiiiiiiiiiiiiile! But for the grace of GAWD!
3⃣So, I had to lovingly & kindly remind friend that
🔅1 hr is not "only"
🔅In 1hr, I can see patients, do an interview,
teach/coach/mentor, and put out 3 fires - all of which
are compensated labor
🔅Speaking is labor
🔅Compensation isn't just for the time per se...
Read 8 tweets
8 Mar
I need it to be clear that this pathological intentional fear of brown skin is not a commentary about anything being wrong with us - our bodies, our minds, our ways, our joy.

It is rooted in this pathological invention of the identity/idea/ideology of whiteness.

1/
Intrinsic to this idea/ideology/identity of whiteness is the need to turn everything that is not white into an “enemy” to be feared and therefore destroyed/conquered/controlled.

2/
Intrinsic to justifying this way of being is to establish non-white “others” as inherently (biologically & culturally) inferior, in fact, sub-human. Thus, deserving of genocide, terrorism, destruction, rape, desecration, murder, poverty, hunger, pain, suffering. Bombs.

3/
Read 13 tweets
16 Feb
1️⃣Black History moment: Dr. Charles Drew, A Black doc, invented the blood banking system we use today which has saved millions of lives & directed the nation’s first blood bank, mobile blood bank units, Red Cross’s pilot blood program excluded Black donors until 1942, 79yrs ago.
2️⃣So their are living Black folks today who remember a time they were not allowed to donate blood because their blood was considered inferior. When Black folks were allowed to donate in 1942, our blood was segregated from white blood. Till 1950.
3️⃣And it is told that Dr. Drew himself was not able to benefit from own innovation, dying from injuries sustained in a car accident and refused care for white hospitals due to segregation.
Read 9 tweets
16 Feb
🧵🧶🧵
1/ I respectfully push back VERY strongly against the “play the game” & “change from the inside” crowd. Emmm...since when? When has that happened? What is the historical evidence to show that that is how the vast majority of change occurred? The inside, keh? In medicine?
2/ Most people I know that played the game to get in, rationalizing that they’ll change the system once they got in, got stuck playing the game forever & never developed the tools for changing the system which they thought they would naturally be able to do once “in”.
3/ The code switching never ended.
And they severely underestimated the resultant wear and tear on their bodies, minds & souls for the constant codeswitching, perpetual guarding, fighting, advocating, etc that we endure in this predominantly white spaces.
Read 13 tweets
13 Feb
🧵
1/ With the epidemic of Medical Establishment-induced hemorrhaging of Black physicians, particularly, Black Women, from academic & clinical medicine, what better time than Black History Month for the entire establishment to turn the mirror on itself & ask the question:
2/ “Why are we like this?”
3/ I’m talking the same degree of root cause analyses conducted on a case of Catheter Associated UTI or Hospital Acquired decubitus ulcer. A thorough internal and external investigation to why the system is chewing and spitting out Black women physicians needs to be conducted .
Read 17 tweets

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