1/
#InternReflections, Day 1 of 7*

Him: "Where was medical school?"
Me: "Meharry."
Him: "Oh--wait. Where is Ma-Hahry again?"
Me: "Um. Oh. Meharry? It's in Nashville."
Him: "That's right. I knew a guy who went there. He was nice."
Me: *awkward smile*

*names/details changed Image
2/
My attending looked to the other intern on my team.

Him: "And Mick--you went to Michigan, right?"
Mick: "Go Blue."
Him: "Don't say that too loud in Ohio!"

*laughter*

Him: "I almost went there. But I knew my parents would disown me so I changed my mind."
Mick: *smiles*
3/
Him: "Do you know *names of several people at Michigan*?"
Mick: "Oh yeah! *One of the people* retired this year."
Him: "Really? He's one of my heroes."
Mick: "Totally. And *other person I never heard of* was my attending for my sub-I."
Him: "Lucky you."

*knowing nods*
4/
Him: *to Mick* "Where was undergrad?"
Mick: "Also Michigan."
Him: "What?! You left your homes tate of Ohio for college AND med school at Michigan?"
Mick: *laughing* "Go Blue."
Him: *exaggerated eyeroll*

*laughter*

Him: "Isn't your dad faculty at Ohio State?"
Mick: "Yup."
5/
Mick: "We're a house divided."
Him: "Remind me of his specialty?"
Mick: "He's in *insert subspecialty*."
Him: "Aaah. That's right. So is he trying to get you to follow his footsteps? Or are you going to break his heart again?"

*laughter*

Mick: "I'm wide open still. "
6/
Me: "What made you choose Michigan?"
Mick: *shrugs* "At first I was just being contrary. But it really was a good fit for me."
Me: *nodding* "I hear you. I felt that way about my schools, too. Not the contrary part. The fit part."

*nodding*
7/
Mick: "Yeah. My folks met at Ohio State. And dad did everything there."
Me: "Yeah, my folks met at Tuskegee and my whole family went there. I almost went to Spelman the same way you went to Michigan."
Mick: "Wait. You mean Tuskegee like the syphilis place?"

*pause*
8/
Me: "Huh?"
Him (attending): "Mick, it's actually a college, too."

A college. Too.

Mick: "Gotcha. I'm not sure I realized that. I always think of syphilis when someone says that." *shrugs* "Huh. The more you know, right?"
Him: *laughs* "Indeed."

*silence*
9/
We start to round.

Him: *more conversation with Mick*
Mick: *more conversation back*
Him: *more questions about his family and life*
Mick: *more answers back*

We step on the elevator and see some faculty.

Them: "New interns?"
Him: "The most wonderful time of the year."
10/
Them: *points at Mick's lapel pin* "Aaah. Go Blue."
Mick: "You, too?"
Them: *vigorous nod*

All of them: *discussion about Michigan*

Him: "And she comes to us from Ma-Hahry."
Them: "Ma-Hahry. . .Ma-Hahry. . ."
Me: "It's a historically Black med school in Nashville."
11/
Them: *nods* "Did you know they have pierogis in the cafeteria this week?"
Him: "Really?"
Mick: "Are they any good?"
Them: "Surprisingly delicious."
Me: *wonders what a pierogi is*

Elevator opens. Everyone walks off.

Them: *to Him* "Be nice. They're interns."

*laughs*
12/
We finish rounding. And we move on through the rest of the month. In a very similar fashion.

I learned a lot.
My attending was nice to me.
Mick became a friend.
We even ate pierogis in the cafeteria together.

But.

It was a lonely, lonely time.
13/
Back then I didn't understand why. Instead, I just wished I'd gone to a place where my lapel pin might garner fraternal back slaps. Or that my family's college tradition didn't make people think of a venereal disease.

But that was then.

And now I am older.
14/
I'm grateful for that lonely time. It shaped me into the clinician educator that I am today. And has given me an example of how subtle inclusion--and lack their of--can be.

I wish I had been my attending.

Or, at least, had someone there to have my back.
15/
And so. Today, I stand up for intern me. And the lonely interns who may feel like I felt that month.

Her name is Kimberly. Not Kim.
She went to Meharry. Not Mah-Harry.
And she is a 4th generation alum of historic Tuskegee University.

Oh, you don't know what it is?
16/
It's the home of the iconic Tuskegee airmen.
Where George Washington Carver made discoveries.
Where veterinarians are created.
And where Black excellence is cultivated.

And yeah. It HAPPENS to be near the NHS Untreated Syphilis Study site.

Yup.

17/
And yeah. Meharry IS where she wanted to go. Because not only has it created Black doctors since 1876 -- it also survived the #FlexnerReport after 1910.

Oh, you aren't familiar? Ask.

And while you're at it? Tell her what a pierogi is.

For real.
18/
A few small tips from older me:

* Connections are cool but keep the spotlight moving.
* Let no one be a cultural ball hog.
* Pay attention to all names & pronunciations.
* Assess if you're giving everyone the chance to feel seen.

Okay? Cool.

#humanismalways
#iseeyou

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More from @gradydoctor

24 Jun
1/
#InternReflections, Day 2

Me: "Is it normal to feel this afraid on call?"
Her: "Define normal."
Me: "Expected? Regular? Like. . what's supposed to be?"

She took a bite of the room temperature falafel she'd snagged from noon conference to eat on our call night.

*shrugs*
2/
Her: "What do you mean by afraid?"
Me: "Um. Terrified?"
Her: *still chewing* "But of what?"

*silence*

Me: "I think. . . like. . . hurting someone."
Her: "Oh. That. That's normal."
Me: "But like what if it makes you feel dread?"

She put down the falafel. Then she sighed.
3/
Me: "What?"
Her: *just staring*
Me: "What?"
Her: "Do you feel dread?"

*silence*

Me: "I just. . .I think I just think of the worst thing that could always happen, you know? Like. . .someone counting on me and me alone to know everything."

She gave a slow nod.
Read 13 tweets
8 Jun
1/
Arrrgghhh! A couple of years ago, I wrote a thread on #recommendationletters. Somehow it got all mixed up and out of order.

Booo!

I decided I'd reorganize & retweet it for any who are gearing up to get their letter game going--including me!

Y'all ready? Let's do this!
2/
How do you feel when someone asks you to write them a letter of recommendation for residency or fellowship?

Do you feel:

Honored?
Indifferent?
Conflicted?
Obligated?
Happy?

Now that I have a good approach, I actually love writing letters. Crazy, I know!
3/
Since many are in the throes of letters (or just finished) thought I’d share my approach. I welcome your insights, too!

Cool? Cool.

Let’s 1st assume that the person you’ve agreed to recommend, is 1 you CAN recommend. If you can’t? You owe it to them to be honest.

But how?
Read 14 tweets
6 Jun
1/
You: “Hello! Will this be your first dose today?”
Me: “No. Second.”

You nodded and then entered something into the tablet in your hands. Suddenly your head flung up as if you’d forgotten something.

You: “I’m sorry. How y’all doing this evening?”

I offered a thumbs up.
2/
Me: “Especially glad to get here before y’all closed.”
Son: “Not me!”

*laughter*

Me: “What about you, friend?”
You: “Ma’am?”
Me: “How're you doing?”
You: “Oh! Me? I’m good!”
Me: "Yeah?"

*laughter*

You: “You’re the first person to ask me that all day!”
Me: “Awww dang.”
3/
You handed me two forms to fill out and gestured for us to roll forward.

Son: “Do you think this one will hurt more?”
Me: “Mine didn’t.”

When I finished filling out the forms, you were back beside my window.

You: “Perfect. Y’all should be next.”
Son: *groan*

*laughter*
Read 22 tweets
4 Jun
1/
Y’all! In less than 1 week, the first of hopefully many #HDPHumpDay drops will happen!

OMG!

@ash_mcmullenMD and I are nervous + excited + + grateful + ready (which pretty much sums up how we feel every day as academic physicians. 😂)

Here’s what you can expect. . .
2/
1. A glimpse of the interaction between 2 Black women physicians & friends being their entire selves and uplifting one another.

2. Stuff we learned or are learning.

3. A story of the week then us unpacking it.

4. A whole lot of unfiltered #BlackWomanMagic.

Yes indeed!
3/
Our first #HDPHumpDay will kick off with 3 (!) episodes for the price of 1 (which is #free btw!😂)

👊🏽Ep 1: #BlackWomanMagic Intro to us (and our hair)
👊🏽 Ep 2: “Oh, you work here?”
👊🏽 Ep 3: “Some people just don’t like pizza.”

Mmm hmmmm, chile. Intrigued, ain’t you?
Read 6 tweets
2 Jun
1/
You: “‘How do you even know how you feel? You’re still young.’”

I listened in silence as you reflected on the response your parents gave when you told them who you are. And because they were seemingly older and wiser, you said OK.

But you knew. Even then, you knew.

Yup.
2/
Me: “When did you know?”
You: “I feel like I knew for a while. But for a long time I kept telling me what they kept telling me.”

*silence*

You: “I’m young. And that maybe the right person hadn’t come along yet.”
Me: “Damn.”
You: “Yeah. Damn is right.”

Hmm.
3/
You stared straight ahead and sighed.

You: “A piece of me wishes my family was just fully opposed, you know? This quasi-openmindedness combined with this idea that I was ‘too young to know’ sucked.”
Me: *listening*
You: “Then again. . . I don’t know.”

You sighed again.
Read 11 tweets
26 May
1/
If I close my eyes, I can see it
My daddy in a faded tank top
Standing in front of a rusted, half barrel grill

Uncles and aunties slapping down dominoes
On rickety folding tables
Wet with condensation from cold drinks

And us with our feet in a circle
To pick who would be it
2/
If I listen hard enough, I can hear it
Gravelly laughs and nicknames
Hard finger snaps to the O’Jays
or Frankie Beverly & Maze

“Hot Peas and Butter! Come and get your supper!”
The explosion of bare feet running
Cornrows with beads on the end clatter

A screen door slams
3/
If I inhale deeply, I can smell it
BBQ from a charcoal grill
a wad of bubble gum

Hot combs on kitchen stoves
and sizzling Blue Magic hair grease
My Auntie’s perfume when I kiss her cheek
And tell her that the “Sock It To Me” cake is good

The funky aftermath
of kids outside
Read 7 tweets

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