WesElyMD Profile picture
19 Apr, 11 tweets, 10 min read
1/ #Mentorship 🧵

This woman is my #mentor (pic w perm). Joan W Bennett. She’s in @theNASciences as geneticist & mycologist. Today we are at the Parthenon in Nashville TN where after 35 YEARS, she still provides me council…

bit.ly/3mWqDWN

#MedTwitter #Sciencetwitter
2/ Dr. Bennett taught me that mentorship is not a job w an endpoint. She assumed this role IN my life FOR life. Today we talked as much about parenting as science. We are in each other’s front row. This is the depth of a true mentor-mentee relationship.
 
#MedEd @theNAMedicine
3/ Like any relationship, there must be chemistry & connection. If you don’t have that w a “mentor,” maybe you have the wrong person. Build a relationship not a business arrangement. It’s also NOT just a trajectory to promotion. #Mentorship is “whole” person care & development.
4/ A common pitfall occurs when the #mentee is passive & doesn’t exert energy TOWARDS the mentor. Remora (sucker) fish hitch a ride on sharks. In a sense, this is you two making an active decision to stay close & learn bidirectionally from each other.
 
#AcademicTwitter
5/ Joan (my 1st mentor) taught me genetics. I identified mutants in the secondary pathway of aflatoxin biosynthesis. Long nights of UV light & plating aspergillus @Tulane paid off. She nurtured my love of #Science toward #Medicine. Our talents were different yet complementary.
6/ She is never shy about red ink verbally or in writing. She tells me straight when I’m wrong. No sugar coating. My job is to listen & not take things personally. Being soft hinders. She doesn’t have time to smooth the edges & I appreciate every unfiltered morsel I get from her.
7/ Mentor-mentee relationships like mine w Dr. B are MUCH more important than the original idea, experiment, or grant. This “human chemistry in action” breeds the next scientific discovery & creates a pallet of “love of the game” that becomes unstoppable & lives on for decades.
8/fin Mentee-Mentorship 🧵

Seek the right person more diligently than the right project. Make sure your mentor is someone who cares more about YOU than the #career, the #science, the #grant. Then, 35 years later, you’ll have a picture like this to #treasure!
 
#love #truth
3000 years ago, in Homer’s ancient #poem The Odyssey, Mentor was a friend of Ulysses Odysseus. When Odysseus left for 20 yrs to fight the Trojan War, he entrusted Mentor to advise & look over his infant son Telemachus…
 
#AcademicTwitter #MedStudentTwitter #TipsForNewDocs
💥 So in #Greek #mythology, Mentor became the 1st mentor, to serve 7 roles: teacher, sponsor, advisor, agent, role model, coach & confidante.

📝 Dr. Martin Tobin (who testified #GeorgeFloyd trial) on roles of a mentor: bit.ly/2QETAKx

#Racism #medtwitter #equity #meded
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More from @WesElyMD

14 Mar
1/ Do data support pt trial off sedation for “SAT” when pt is comfortable on current dose? Yes
 
Shared w permission:
“Dr. Ely, yesterday our ICU #nurses went over #A2Fbundle in Epic for implementation. Do you recommend SAT at RASS Goal of RASS -1 to +1?
#medtwitter #criticalcare
2/ Excellent #Nurse added:

“We are currently not doing SAT (Spontaneous Awakening Trial) but keeping pt’s RASS -1 to +1.  Just want to make sure we are interpreting #A2Fbundle correctly.”
 
#TipsForNewDocs
#medstudenttwitter #COVID19 #pandemic
3/ my Answers:

Great questions. I don’t think +1 (anxiety) is ever a good goal but 0 to -1 is a 👍 default target RASS if we acknowledge there are times when sedation target should acceptably be set as deep as -3/-4 in bad #ARDS or -5 transiently when pt requires paralytics.
Read 8 tweets
11 Mar
1/ Home w my 84 y/o Mom for 1st time since 2019 because of #COVID19…She raised 3 of us alone on $17k/yr as a lit teacher after dad left. A few things she’s said that are hilarious... Image
2/ Today we saw an classmate from my grade school & Mom didn’t remember her.

Me: “Mom, she’s really smart, wise, kind, & gentle of heart.”

Mom: “So I guess that’s why you didn’t hang out with her much.”

😳 Zing!
3/ Mom thinking 🤔 ...“Wes, remember when I got us a tent to take you kids camping? I had you set it up in the backyard to make sure we knew how. Then I thought, ‘Hmm, this is good...why don’t you 3 just live out here from now on!’”
Read 6 tweets
24 Feb
1/ Scientific Discovery: time & patience
 
Be patient in science. 25 yrs ago, I & others felt we were harming ICU patients by deep sedation & immobility. Our goal: PROVE IT & change culture in #criticalcare.
 
How did we start?

#medtwitter #A2Fbundle #nursetwitter
2/ Scientific Discovery: takes time

There weren’t tools 😤Reluctantly, I had to go “backwards” to validate CAM-ICU & RASS (@JAMA_current X3). A DECADE later we produced studies lightening sedation (MENDS/ABC trials JAMA/@TheLancet). Be patient!

#academictwitter #ScienceTwitter
3/ Scientific Discovery: patience
 
Give yourself space to be creative! Science takes time & Data must lead you. All our 1st grants & papers were rejected for 5 YEARS. NIH said: #Delirium in ICU is not a viable topic or a “thing.” Go away. Persistence paid off for patient safety.
Read 5 tweets
16 Feb
1/ Tinkling of Ice: #Alcohol & Me
 
Personal Share: As a 1st year #MedStudent 35 years ago (#MardiGras 1986), I was a cyclic, binge-drinker. It threatened my future as a physician & my personal safety. I draw on these experiences with pts.
 
#medtwitter #tipsfornewdocs #nurses
2/ For me, #recovery meant detaching from harmful zones of behavior. Years of ups & downs. I often share my story w patients when it comes up. I find this builds a powerful connection between us and helps us both. #healing
 
#medstudenttwitter #academictwitter #nursetwitter
3/ I needed to give up, fess up, make amends, and keep up. I stumbled along the way & am thankful to those who supported me & did not judge me.
 
#HOPE = Hang On, Peace Exists
 
#healing #workinprogress #addiction @ASAMorg @AlAnon_WSO @RyanForRecovery
Read 7 tweets
28 Dec 20
Green Urine: #NEJM
 
....will be seen in #COVID – Why? Massive use of Propofol. While Green Urine is Benign, effects of prolonged over-sedation & immobilization ++ #DELIRIUM are not 😤 Wake them up & get out of bed. Start w/SAT…#A2Fbundle & #PICS

#medtwitter #nursetwitter
1/ re: SATs to avoid over-sedation in #COVID19 pts, Thx @phanton_icu for Protocol Blindness caution & @Nitkjain reminder “Easier said than done.” I’ve been pondering your comments all day & think them ripe for further conversation on #A2Fbundle

#medtwitter #pulmcc #nursetwitter
2/ Remember, protocols like #A2Fbundle are guides & not “1-shoe-fits-all pts.” Correct, we must deviate when needed. However, these 6 principles (ABCDEF) are derived from 35 NEJM, JAMA, Lancet papers +400 others & now >25,000 pts of data. Not chump change.
bit.ly/2JwVA4E
Read 10 tweets
20 Nov 20
Trigger alert 🚨: Hard to stomach but this hits so hard I want to face it. Segregation of Blood🩸by color of skin went on until 1972 & the “1-drop rule” persisted until 1983 in my home state of LA. 😩 👀 labels.
I pledge to fight #racism & lift each person.

#medtwitter #MedEd
1/ Dr. Charles Drew, an African-American surgeon & father of blood banking, perfected techniques that saved countless lives. Yet he was prohibited from donating blood himself over “fear” of his black blood. Read #2 w/ ✍🏻
bit.ly/2IRvJDW
#MedTwitter #MedStudentTwitter
2/ Dr. Drew ✍🏻 this letter of protest because he wasn’t being allowed to🩸: “I think the Army made a grievous mistake, a stupid error in first issuing an order to the effect that blood for the Army should not be received from Negroes. My 3 reasons are...”
Read 7 tweets

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