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Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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14 Dec, 9 tweets, 7 min read
Whew this hits home- @JoShapiro3 talks about how we are "asked to metaphorically debrief on a toxic system" on an individual level.
This is why #organizationalcompassion in #healthcare is necessary!
Ooh there it is! "The best results are organizationally driven...there are factors that are organizational driven that are harming our wellbeing. Often organizations don't know what those factors are."
I really appreciate @JoShapiro3 invoking #shame in medical errors & touching on how systems issues can set us up for medical errors.
We all know the impact of #safety interventions at the system level. The same goes for caring for clinicians.
This is all still so true. There is so much #trauma for #HCWs right now. There is also #gratitude. @JoShapiro3 #CincyKidsPGR
@JoShapiro3 quotes study by Hu et al JAMA surgery 2012- 88% of docs want support from other docs (after errors?).
This decreases the isolation in moving through the stressor.
This reminds me of parental #bereavement and need for peer support also. #pedpc #CincyKidsPGR
Given the tenor of #MedTwitter this week this part hits home- @JoShapiro3 debunks the culture of medicine that "Self-care is selfish".
Brene Brown points out that the most compassionate people have the best boundaries.
#CincyKidsPGR #wellness
@JoShapiro3 quotes @zandashe regarding #resilience
This is beautiful. And again, so close to home.
@threadreaderapp unroll thread please
@CincyKidsCME sorry to leave you off the thread!

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More from @RThienprayoon

Rachel Thee-in-pray-oon, MD, MSCS Profile picture
5 Nov
There are no local appointments to vaccinate my 5 year old.
Feelings:
Failure as a mother for not sitting waiting when the appointments came online.
Failure as a pediatrician for my kid not being one of the first.
Frustration.
We have waited so long.
1/
Wondering- how did all these other parents pull it off so quickly?
Twitter filled with pics of littles getting vaccinated.
Even my nephew in Seattle got his shot yesterday!
2/
Temptation to try to game the system.
Text my friends who are in the know!
Ask when more appointments will be added!
3/
Read 7 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
25 Aug
"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.
Read 5 tweets
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

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