1/
#InternReflections, Day 6

*tap, tap, tap*

Me: *startling awake* “What? Huh?” *looking all around*

Suddenly, he came into focus. It was one of our hospital security officers.

He gestured for me to roll down the window.

Me: “Huh? Oh. Uh okay.”

I tried but couldn’t move.
2/
I remembered then that I’d tucked and folded my arms beneath my scrub top just after reclining my car seat.

It was now dark outside. I was so disoriented.

And . . . cold. Like freezing cold.

*tap, tap, tap*

He gave his finger a more exaggerated roll down motion.
3/
When I lowered the window, I noticed his eyes dart to my left shoulder. I registered the fleeting look of disgust and then disbelief on his face.

Him: “Were you out here, like, taking a nap . . . on purpose?”
Me: *placing my hand over the giant slobber stain* “Uhhh. . .what?”
4/
Him: *shakes head* “This is Cleveland. And this is WINTER.”
Me: *still looking disoriented*
Him: “You could freeze to death out here!”

I tried my best to replay the events preceding this encounter. But he interrupted my thoughts.

Him: “Where is your coat? Or your sleeves?”
5/
Now this? I knew an answer for this.

Me: “I left it. There’s no where to put a heavy coat so I just make a break for it.”
Him: *staring at me*

*silence*

Him: “A BREAK for it?”
Me: *nodding*
Him: “It’s 25 DEGREES. And SNOWING.”

I mean. When he put it that way. . .
6/
Him: “Don’t y’all have lockers?”
Me: “Yeah. But they’re first come, first serve.”
Him: *still staring incredulously*
Me: “So I just make a break for it so I don’t need one.”
Him: *mumbling* “A break for it.”

He let out a big sigh.

Him: “So back to you sleeping in this car.”
7/
Now I remembered. Toward the end of the day I could barely keep my eyes open. After making the break for my car, the exhaustion overwhelmed me.

Me: “Okay. I’m gonna take a power nap right quick and then head home.”
No one: “That’s a great idea!”
8/
I explained that I was an intern and I was tired. Like, too tired to drive.

Him: “But don’t you have call rooms?”
Me: “Yeah but those are for the people on call.”

*silence*

Me: “Plus I’m post-post call. On call not yesterday but the night before that.”
Him: “Post-post?”
9/
And so. Through my window in 25 degree weather with clouds of condensation coming from my mouth, I explained.

Me: “I get a second wind post call. So I go do something fun. But then it leaves me hella tired the following day.”
Him: “Sounds like you needed to sleep.”
10/
Me: “Well. I mean I would if there was another time I could do something fun. Post call is the only day I get out early.”

He shook his head again.

Him: “Like—people DIE in the cold here. You CAN’T nap in a car in a Cleveland winter.”
Me: “It wasn’t a regular nap, though.”
11/
Me: “It was a #powernap.”
Him: “A who?” *waves hand* “Don’t answer that. Listen. I can’t let you drive. So you’ve got to get out and come back in.”
Me: “Say what? Oh, I appreciate you saying that, sir, but I’m good.”

I turned the key in the ignition and the car came alive.
12/
Him: “Oh, I ain’t joking. Turn that off. You ain’t driving out of here.”
Me: “What?”
Him: “I mean you need someone come to get you or stay.”

I laughed out loud.
He did not.

Him: “Is there anyone you can call to get you?”

He was dead serious. I felt my pulse quicken.
13/
The thought of calling anyone on my team was too mortifying. Plus I knew that they were all exhausted, too.

A boo or romantic partner? Well. Seeing as I didn’t have one of those for most of my residency, that was out, too.

I also knew I had to work the next day.

Uggh.
14/
Me: “What time even is it?”
Him: *looking at watch* “It’s about 8PM.”
Me: *groan* “Seriously?”

He wasn’t budging. And I was getting cold.

Him: “Let’s figure out a plan.”

I opened the car door, stepped out, and bristled from the cold.

Then I made a break for it.
15/
Once I got through the hospital doors, I felt the tired coming back. A few moments later, the officer caught up with me and pointed to the phone on the wall.

Him: “Who you calling?”
Me: *sighs*

That’s when I heard a familiar voice.

Them: “KD? Why are you still here?”
16/
It was a fellow #MedPeds classmate who was heading out.

I gave the security officer a sheepish glance. He just shook his head.

Them: “What?”

I wasn’t even halfway through the story when my classmate started laughing.

Them: “Hold up—what the hell even is a ‘power nap?’”
17/
Me: “It’s like the jumper cables of naps.”

Everyone froze. Then erupted in laughter. But I wasn’t really joking.

I wasn’t.

Our #MedPeds crew was close knit. Fortunately, that meant I’d have a ride home and back again the next morning.

Yup.
18/
This mostly became a funny resident lore:

That one time when that intern from California made the decision to take a #powernap in the hospital parking lot during a Cleveland winter—and without a coat because, well, lockers were first come first serve.

Yeah. Ha ha ha.
19/
For the record:

That officer saved my life. I was so tired that I could have died that night. Either from hypothermia or impaired driving.

It took me several years to finally realize that. And that near death as an intern isn’t funny.

At all.
20/
What I know now:

*Restorative rest is very necessary.
*Duty hours reform was a good idea.
*Building relationships with colleagues and making time for wellness are crucial.

*Oh—and security officers secure waaay more stuff than we realize.

Yeah.👊🏽

#getrest #inyourbed

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More from @gradydoctor

27 Jun
1/
#InternReflections, Day 5

ICU, 1997

Them: "You need to steer clear of Ida."
Me: "Which one is Ida?"
Them: *head gesture* "The one talking to our attending. She's legendary for going off on interns."
Me: *swallows hard*
Them: "Look. She even checks attendings."

I looked.
2/
Ida's hands were animated as she talked. I noticed the way her biceps bulged at the meeting of her scrub sleeve when she moved her arms. Her head was up and eye contact deliberate.

Ida: *hand gestures*
Attending: *listening*
Ida: *explaining something*
Attending: *nodding*
3/
It startled me when they both erupted into laughter. It was warm and respectful. The attending said something else and she said something back. Both gave knowing nods.

And that was it.

Them: "Most of the nurses here are cool. Not her, though."

I gave a tiny nod.
Read 22 tweets
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
23 Jun
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*
Read 18 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

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