What do you do when your patient no shows?

Show up at @DrRayMD's grand rounds?

Oh, me too!

Come for the bowtie, Stay for ALL THE knowledge.

"It is hard to pull yourself up by your bootstraps when you weren't allowed in the boot store"

@WUSTLPeds @SheilaRazdan ImageImage
Here are some GEMS @DrRayMD talked about:

We NEED to understand the CONTEXT of race.

"When we measure the impact of race, we are likely measuring the impact of RACISM" Image
"To claim medical mistrust is solely the result of Tuskegee is offensively reductive...There are way more contemporary examples, with photos that are not in Black and White..."

@serenawilliams #GOAT Image
"We Remember."

Taking a moment to appreciate this quote by 🌈🌞@gradydoctor #VerifyBlackWomenPhysicians Image
"We should be willing to say the wrong thing from time to time&be humble enough to be corrected"

In ALL talks:"Include one slide on health equity" Connect your esoteric mice research to equitable care

"When the NFL has a statement about #BlackLivesMatter,u are behind the curve" Image
Did I mention that...this is what @DrRayMD looks like when he talks about how much he loves @RheaBoydMD (and, in truth, the rest of us). Image
He ends by noting that this photo was from a year ago.
He wonders what this patient thought,seeing the support of his doctors.

He adds,"They should feel that support every day."

Sometimes good food leads to serendipitously finding @DrRayMD&hearing him talk. That's a good day. Image

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More from @drjessigold

20 Feb
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)
Read 12 tweets
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

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