A thread about burnout 🧵

I recently went on a Euro trip to try to address feelings of burnout. I hadn’t traveled in 2 years, which is the longest I’ve ever gone without travel. I left to escape and to attend my bros wedding. It would be lie to say the trip wasn’t amazing.
After the trip I actually felt a bit better.

My biggest disappointment though was coming back and within a few days going right back to where I was before the trip.
“Everywhere you go, there you are.” As much as you try to run from yourself, it’s impossible. You can suppress your feelings and trauma while on vacation, but none of those feelings actually go away unless you work THROUGH them.
“Vacation” does not address job burnout, unless you change jobs or you’ve made changes to allow you to better manage your existing job. Going away in and of itself doesn’t fix it.
Systems change takes a while, so as we push to change the systemic drivers of burnout, we have to invest in ourselves. We have to take time to work through our trauma, emotions, thoughts, maladaptive behaviors, grief, and any problems in our lives.
We have to take the time to develop systems to allow us to better manage our work and everything else that has led us to where we are now.
And so here’s what I realized: I can’t continue pretending I’m okay, when I’m not. I love doctoring. I love seeing patients, but I’m not happy doing it right now— at least how I used to be. And so that’s my cue. And I have to listen to it.
I scheduled a meeting with my Program Director and got approval for extended leave — 7 weeks, but I’m willing to take as long as it takes. I’m going to invest in me during this time, so that I can heal and in turn be the best healer for others I can be. //The End//

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More from @DrBryanLeyva

27 Oct
Now that #JBalvin is trending after his music video sparked backlash over its portrayal of Black women, allow me to use this moment to illustrate a few points about the mechanics of racism, whiteness/Blackness, and Latinidad across different contexts. 🧵
First, let’s get this out the way: #Latinos can be white, Black, Asian, or any other race imaginable because Latino is not a race but a cultural identifier. Most Latinos are mixed race, but being mixed doesn’t mean you can’t be racist or perpetuate anti-Blackness.
Latinos can be racist because white supremacy and anti Blackness are not exclusive to the U.S., but are global phenomena. Latinos, like J. Balvin, can be white and racist (whether it is intentional or not is beside the point).
Read 14 tweets
24 May
Tomorrow marks one year since police killed George Floyd.

Just in 2021 alone, police have killed 414 people.

So you tell me, how much progress have we made? 🧵
In 2020, police killed 1,127 people.

Black people made up 28% of these cases, despite being only 13% of the population. 2/14
Officers were charged with a crime in only 16 of these 1,127 cases. 3/14
Read 15 tweets
22 Feb
I wanted to provide some context to this tweet: I’ve been a language interpreter virtually all my life. Prior to med school, I received formal training and volunteered for 2 yrs as a Spanish language interpreter at the NIH. Today, as part of my residency 🧵 1/8
I do primary care at the Center for International Health, where I use a language interpreter for about 90% of my patient encounters. My patients are mostly East African and South East Asian. Yesterday, I stumbled upon an article about the use of interpreter services. 2/8
It was a descent article. But how do you think I felt when I discovered that the all-white-male authorship team included no interpreters? If you are going to write about interpreter services or really any topic, pls partner with people who are doing the work. 3/8
Read 8 tweets
20 Feb
I’m new to Club House and I’m in this room called “Still Single - Shoot your Shot” lmao
I just changed my profile photo to “a more attractive one” 😂
I just changed my photo again bc I was getting no hits
Read 5 tweets
10 Feb
That Asians are often considered the “model minority” by white people doesn’t mean we should perpetuate this message or that they are. Read: this is a STEREOTYPE. This myth: 1) contributes high suicidality among young AA women by promoting unrealistic expectations of 🧵1/
success that foster feelings of inadequacy and unworthiness (plenty of research to support this), 2) allows racism against Asians to be normalized by preventing them from talking about racism and by downplaying its significance/impact, 2/
3) is often used as an oppressive tool against Black people to perpetuate white supremacy (“if white supremacy is as bad as you say it is, then why are Asians able to succeed?”) 4) perpetuates the false narrative that Black/Latinx people are lazy, violent, loud, 3/
Read 13 tweets
4 Jan
Did you know that at 3 mo, babies look more at faces that match the race of their caregivers? That children as young as 2 use race to make sense of people’s behaviors? That by 30 months, most children use race to choose playmates? 🧵
2/6 Did you know that expressions of racism often peak at age 4 and 5? And that by age 5, Black and Latinx children show no preference toward their own racial/ethnic groups, whereas white children at this age remain strongly biased in favor of whiteness?
3/6 Did you know that talking to kids about race and interracial friendships can improve their racial attitudes in as little as a single week?

No, no you probably didn’t. And neither did I and I’m a pediatrician. I didn’t know until I explicitly looked it up bc it’s important.
Read 6 tweets

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