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Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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25 Aug, 5 tweets, 3 min read
"Academia rewards those who can make hardship invisible, who can be productive amid and despite crisis...Academic parenting, sandwich generationing, left no space for processing."
@klharrisonPhD ❤️💜💙
Making Space for Grief in Academia ja.ma/3ksigRZ via @JAMA_current
"In retrospect, what I needed was systematic supports and anticipatory guidance... I needed funding for a year so that I could wait to write grants."
She is describing what I consider to be elements of #organizationalcompassion
I surveyed our org about #compassion and @theSCCH rounds and a comment I can't forget was
"There is no compassion in research."
The research world in the US is built on a scarcity mentality. This breeds paranoia, distrust.
We can do better.
Finally: "I listened to the colleague who said that accepting help was a gift to the otherwise helpless." @klharrisonPhD describes something we talk about a lot on my team-
Is it #compassion if it's not received?
Be open to receiving #compassionate gifts from others!
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More from @RThienprayoon

Rachel Thee-in-pray-oon, MD, MSCS Profile picture
31 May
Each time my husband deployed, I had a plan for what I would do if he died.
I assumed someone in military dress would find me. At work? At home? Could be anywhere.
I would know when I saw them why they were there.
1/
In Texas, I had a plan of who I would tell them to call to be with me. These people were different at work versus home.

When I moved to Ohio, I didn't know anyone. So that person became our #hapc #fellowship coordinator.
2/
Once they got the news out, and I had calmed down, I would have to call his mom.
She mostly lived in Thailand. Her home number was best back then. I was afraid someone would answer in Thai and I wouldn't know what to do.
3/
Read 9 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
25 Mar
In previous training there was a woman attending who inspired fear in all of the residents and fellows.

(Sidebar- my experience is that these docs care most deeply about their patients, prove you do too and you are good.)

Short 🧵 1/
I worked closely with her during fellowship.

She was the only attending to visibly emotionally react when she learned my husband was deployed.

She was the only one to consistently ask how I was doing.

2/3
When I think of her now, I chuckle at how intimidated I was when I was young.

I remember with deep gratitude how clear it was that she cared about me. My unique difficulties. My humanity.

Punchline- ask about your trainees and show them you care. It matters.

#compassion

3/3
Read 4 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
17 Feb
#hapc21 "How do we balance our personal goals and values with the benefits,limits of an organizational identity (in social media)?
When you took the job to be a palliative care doc and employed by an org, you take an oath of acting a certain way publicly. Her recs:
1. Don't be anonymous.
2. Let your org know you are on Twitter and what you are doing so that no one is surprised. Let them follow along.
3. Be your authentic self.
4. Make rules for yourself so as not to diminish your authentic self. (ie don't tweet after a glass of wine)
Openness, transparency, accountability should always be part of your online footprint.
@wendysueswanson #hapc21 #pedpc #medtwitter
Read 4 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
5 Nov 20
Recently a woman in Canton, GA found this book. Canton is close to my hometown of Cartersville. 1/3
She grew up in Texas, where her math teacher was Mark Chesley. He's my uncle- dad's brother- and my god father. My maiden name is Chesley. 2/3
She saw this name so shipped the book to Mark. It was my grandfather's. From decades ago, found up the road from where I grew up. Small world. We are happy to have it back in the family. 3/3
Read 4 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
12 Oct 20
Breaking leadership convos down:
1. Empathy- we can be aware w/o responsibility for their emotions. Also- defensive posture blocks empathy.
This is big, I really struggle with this interpersonally at work!
#hapc #pedpc
@KtNeuendorf #Ascend2020
2. Levels of discomfort.
Using words to not make difficult times worse. Attend to discomfort, acknowledge it, don't heighten it.
Having a crucial conversation as a leader is different than in patient care- colleagues have greater control than patients.
#hapc #pedpc #Ascend2020
I love this- asking someone to change will probably result in discomfort. "As adults, we need to take ownership...There's something about having discomfort that can lead to change."
As clinicians we want to mitigate discomfort. Not our job as leaders.
@KtNeuendorf, brilliant.
Read 7 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
11 May 20
Yesterday I asked my MIL about her mother. She (my GMIL) was born in 1920 in Northern Thailand. She had her first child when she was "about" 19. She had 11 children. 1 died when she was "2 or 3". My MIL came home from school and she was gone. 1/
Her mother was uneducated. She knew some numbers and could sign her name. I asked if she wanted an education and my MIL said "No, the girls weren't supposed to go to school. They were supposed to have the kids." 2/
My MIL became a nurse. I asked her once if she had wanted to be a doctor- she had. But nursing school was more affordable for her family of 10 kids. I asked her yesterday if her mother supported her coming to the US. She looked me in the eye and shook her head. "No." 3/
Read 7 tweets

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