1/
The hospital is on diversion. And is at 106% capacity.

The jeopardy backup system has been exhausted. Because people keep testing positive.

Oh, and the kids' school will be remote this week.
For now.

And the 750 emails I missed on vacation? Everyone is "looping back."
2/
All of this is swirling through my head as I am walking through the hallway at Grady.

*ping*

A text.
A text reminding me to check my email.

Uggh.

I pause for a moment and close my eyes. I take in a drag of air. A simple reset that I do when I need a break.

Woosah.
3/
That pause must've given you an in.

You: "Scuse me, doc."

I slowly opened my eyes and turned to face you. Sitting on the padded seating near the information desk.

Me: "Hello there."
You: "Can I ask you a question?"

I waited before answering. And thought about my reply.
4/
I could speed walk by you and announce, apologetically, that I'm just too busy. Whilst pointing to the information desk and saying, "But they can help you."

Or

I could be honest and say, "Not the best time for me, fam."

Hoping the use of the word "fam" might excuse me.
5/
All in this split second, I eyed you. Wondering what you might want. I thought of the debate I'd once had with my dad about open-ended requests to talk.

Me: "People need to say what it's about when they ask you to talk."
Dad: "Unless THAT'S why they want to talk instead."
6/
You were sitting there with your outdoor coat on waiting for your ride. On your lap was what appeared to be a coloring book. And, next to you on the bench, some colored pencils. Your eyes appeared content behind your mask.

You squinted an eye, looked up, and shook your head.
7/
Even though I was cognitively tired in the moment, I decided to bite.

Here's why:

I've been working at Grady long enough to know that some of my very best experiences here have happened this way. Through interruptions when I'm going from point A to point B.

Me: "Okay."
8/
What you said next was the furthest humanly possible thing from what I imagined.

You: "You ever heard of ROY G BIV?"

I wrinkled my face in confusion.

Me: "Say what now?"
You: "ROY. G. BIV. Do that ring a bell with you?"

I closed my eyes and released an amused snort.
9/
Me: "You mean like. . .the rainbow colors?"

You exploded in laughter, slapping your thigh and knocking the coloring book down. I reached down to hand it back to you.

You: "You the 4th person I asked but the first one to know!"
Me: "Well. I AM a nerd."

*laughter*
10/
You: "Hell, them other doctors looked like they was nerds, too."

We laughed again.

You: "Okay! So I was trying to remember what the 'i' stand for."
Me: "Beg pardon?"
You: "The 'I!' RED, ORANGE, YELLOW, BLUE, SOMETHING, VIOLET. What is the 'I'?"

Aaaah.
11/
I legit had not thought about this in years. But like a lot of remote memories, it bubbled right to the surface.

Me: "Indigo."
You: "Who?"
Me: "Indigo."

*silence*

You: "What the hell is INDIGO?"

*laughter*

Me: "It's like . . . between blue and purple."
You: "Violet?"
12/
Me: "Yeah, but before that."
You: "The violet is the purple I thought."
Me: "Yeah."
You: "INDIGO? I ain't never heard that in my life."

*laughter*

Me: "Like '@Indigo_Girls.'"
You: "Like WHO?"

*laughter*

Me: "Like the band Indigo Girls. They're from here, you know."
13/
You: "If it was life or death for me to know what you was talking about right now, I'd be dead."

*laughter*

I went into my phone and googled "Indigo Girls." Then I showed you the result.

You: "Well, hell. They ain't even wearing purple."

*laughter*
14/
You: "Are they a new group?"
Me: "Actually? No."
You: "What they sing?"
Me: *laughing* "A lot of stuff."
You: "Well play me some of one a they songs to see if it rang a bell."

That's when it dawned on me that I was familiar with only one song. So I admitted it.
15/
My life lens in high school and my HBCU hadn't included Indigo Girls. I thought about the day "A Blister in the Sun" came on when I was with @LesleyMillerMD and how she couldn't believe I'd never heard it.

But I digress.

I went to the song I know and pressed play.
16/
The guitar intro started and we both listened. And for some reason, those lyrics hit me like a ton of bricks.

Especially this line:

“And the less I seek my source for some definitive, the closer I am to fine”

I felt a giant wave of emotion well up in me.
17/
Before I could move into tears, you broke me into laughter.

You: "Nope. Never heard it in my whole life. And I'm in my 60's."

*laughter*

You: "I'm confused about why they ain't wearing indigo."
Me: *pointing* "Her sister works here. I'll be sure to ask her."

*laughter*
18/
Me: "Alright then. Let me get going."
You: "Okay, doc. Thanks for stopping, hear? And for playing that song. I kind of liked the message in it."

I paused and smiled.

Me: "You know? Me, too."
You: "Especially now."

I loved that. So much.

19/
I waved goodbye and that was it.

I'm glad you stopped me. And even though I am still tired, the hospital is still on diversion, and Omicron is still raging, that 2-minute exchange lifted my spirits.

And reminded me of the closer I am to fine.

Yeah.💜

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More from @gradydoctor

5 Jan
1/
Grady Wards

Them: "Hey Dr. M. You busy?"
Me: "Not at the moment. What's up?"
Them: "Wondering if you could weigh in on rash on our new patient. It's on her backside. Kind of looks like yeast but I'm not sure."
Me: *listening*
Them: *pointing at door* "She's in bed 2."
2/
Me: "Okey dokey."
Them: "I need to run and see someone with chest pain. Can you let me know if I should call derm after you look?"
Me: "Yup."

I watched the resident disappear down the corridor as I stopped to open the chart in the EMR.

Ooooh. A Grady elder.

Yay.
3/
I approached bed 2 and noticed that the curtain was pulled all the way closed.

Me: *knocking on wall* "Hellooooo. . . "

When I came around the pink divider, this Grady elder was in the middle of being given a sponge bath by one of our nurse assistants.

And was not pleased.
Read 14 tweets
3 Jan
1/
Grady Wards

Him: "You know? My friend had a heart attack just like me. Just a year older than me. He died. My tight man, too."
Me: "Wow."

His brother was sitting in a bedside chair and chimed in.

Brother: "And don't forget the dude from the car wash.”
2/
Brother: “Wasn't even 50. Left a wife and 4 kids behind."
Him: "Ahh man. I forgot about that. He was good people, too.”
Brother: "Oh yeah."
Him: *snaps finger* “And remember ol' dude from The Sopranos? He died from a heart attack, too. Young."

He shook his head and sighed.
3/
The room fell awkwardly silent after that. I guess something about mentioning Tony Soprano seemed to make the possibility of death seem more real. His eyes started glistening and his face cloaked over with grief.

He turned his head away, hoping his brother wouldn't notice.
Read 10 tweets
25 Dec 21
1/
Every year I prepare a Christmas scavenger hunt quiz for my kids. 1 clue to find a question which, when answered correctly allows opening of 1 gift. Then they get another clue.

Yup.

The theme changes every year. And slows the whole process down in the most wonderful way.
2/
One of my fave years was “Books We’ve Read.” They’re such great sports about it, too. Even now that they’re on high school!

And shout out to award-winning author @JasonReynolds83 whose books have blessed our family and my Black sons beyond measure.

Mmm hmmm.
3/
This year we did “It’s a Family Affair.” Questions about our family and our origin story. Best part? Answers can’t be found on Google. Only by phoning a friend (aka a grandparent, aunt, uncle, or cousin!)

As a true nerd, I know the cognitive effort slows them down.

Ha!
Read 4 tweets
18 Dec 21
1/
Grady Hospital, last week

You: “What’s up, Dr. Manning? I been hoping I’d see you.”
Me: “Hey you! Good to see you.”

You paused, gave your arms an exaggerated fold, and huffed.

You: “You know I got a bone to pick with you.”
Me: “With me?”
You: “With y-o-u.”

Hmmm.
2/
Me: “Okay. Talk to me.”
You: “What’s this omicron? Maaaaan you got me thinking if I took them shots I’d be good.”
Me: *listening*
You: “I know 3 people who took three of them shots and all three of ‘em got #COVID!”

I took deep drag of air.
3/
Me: “Yeah. We’re seeing breakthroughs right now. But the good news is that if you’re vaccinated it’s usually mild.”

You scowled.

You: “I’m salty. You know I ain’t even want that shot! But I got it ‘cause it felt like the only way to get back to living.”

I nodded.
Read 15 tweets
12 Dec 21
1/
On the airplane

The flight attendant told you two separate times before we took off. Please pull up your mask. And both times you pulled it up. But then, as soon as they walked away, you slid it back down.

Yup.
2/
And real talk? This wouldn’t have been so disconcerting if you hadn’t been sitting on the window seat of my same row.

You reached down and pulled out some headphones. After sliding them over your ears, you gave a tiny cough.

Mask still off your face.

Uggh.
3/
I quickly ran this through my head. Wondered if you seemed like someone who might snap or maybe even cause our entire flight to be interrupted because you refused to wear a mask.

Hmmm.

You cleared your throat. Or coughed. Honestly? I couldn’t tell. But it was something.
Read 15 tweets
9 Dec 21
1/
#TodayICried, Day 3 of 7

Grady Wards

Me: "How are you feeling?"
You: "Terrible."
Me: "Terrible?"
You: "Terrible."
Me: "The medicines aren't taking the edge off?"
You: "It helped a little bit, but now I feel sick to my stomach. My bowels are loose, too."

Hmmm.
2/
Your voice is quiet and defeated. This is different. . . and it scares me.

Me: "We put you back on what you were getting at home and--"
You: "I know that. Soon as you said that yesterday I started. But now all I feel is sick and queasy in the stomach."

*silence*
3/
Me: "I'm sorry. . . what do you mean by 'as soon as I said that?'”
You: "What?"
Me: "The medicines. You said you started as soon as I said something? That part confused me. Just wanted to get clear."

You reach under the bed and pull out a plastic Kroger bag full of pills.
Read 17 tweets

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