"Just 5 more minutes? I want to make sure I get every last drop."

She knows this is my usual dance before I let them disconnect. I am usually the last patient standing in the way of my nurses heading home for the evening.

1/
We have been doing this dance my whole life - at least as far as I can remember. As a child with Thalassemia Major, my parents watched patiently as the very last drop of blood crossed the threshold into my body. And, this baton passed to me as an adult.

2/
Since I have received >500 units of blood in my lifetime, I consider myself an expert blood recipient.

More importantly, I consider myself indebted to the kindness of blood donors.

I owe a debt, a debt of life, to those who volunteered their blood for my life.

3/
As far as I know, there are no studies looking at the experiences and emotions of blood donation recipients.

And so, I hope to convey my singular perspective because I wish I could say this to my donors.

Here goes:

4/
You are my superheroes. I owe you my life.

Through your gift, I experience the joys of life - walks with my dog, hiking with my husband, cherished time with loved ones. Because of you, I can live a life full of mundane pleasures, casual worries, and wondrous surprises.

5/
The immense act of thinking about another being's life and tolerating discomfort to improve the other's is remarkable.

Your act of compassion has fueled my own path to sharing kindness & empathy.

6/
And your purposefulness has helped me focus on finding purpose in my daily life - whether it be stopping to smell fresh ground coffee or advocating for better care for my patients.

7/
I am in awe. My life is indebted to the kindness of strangers. When I despair about our world, I find solace in these acts of kindness. And, when I find myself soaring with joy, this debt grounds & reminds me that these moments are possible only through these acts of kindness.
8/
Though I do not my donors' names, I feel that I know them in a way few others do.

For your kindness, I am eternally grateful. And, promise, to make every last drop of this debt worthy of a life lived.

9/
Please be someone's superhero.
#donateblood

redcross.org/give-blood.html

10/

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More from @sagar_ankita

2 Feb 21
Pro tip #1: All those over 50 are not one group.

Pro tip #2: needs, skills, adv illness burden, access to vaccines varies
👉esp. by age, race/ethnicity, gender identity.

Pro tip #3: we need more accurate data summaries

A 🧵 on what this PCP sees in the .@CDCgov data
2/ Age 65 to 74, or 75+ individually represent the LOWEST vaccinated age group than any other adult age group, 14 and 15% respectively

👉compare to NHS which report 42% of vaccinated represent 80+ age group
3/ Race/Ethnicity data is not readily available for 18.9 million of those vaccinated = 6% of US population

Still,
👉Black
👉Asian
👉Pacific Islander/Native Hawaiian
👉American Indian/Alaska Native

CUMULATIVELY represent <20% of those vaccinated
Read 7 tweets
11 Dec 20
Few days ago, I asked #MedTwitter : tell me what is on your #wishlist for 2021 US Health Policy?

Here is a quick review of all the requests
(a 🧵)

#PolicyCapsule
.@PolicyCapsule
🌟#Science & Trust🌟

👉Restrict tangible & intangible barriers to evidence based policy
👉Restrict dismantling of public health structures & policies w. evidence based support
👉Leverage scientific, clinical & public health expertise for rapid response to public emergencies

2/
🌟Better #Medical care🌟

👉Equitable $$ for Primary Care (inc. peds, adult, geri, OB/GYN, family med) vs. procedural specialties
👉⬇️paperwork for clinicians in caring for patients (DME forms, Prior authorizations..)

3/
Read 10 tweets
21 Oct 20
1/ Let’s talk America's Health Care Plan
This week, we focus on:
-Cost of Care
-Medicaid & who it covers

Next week, we focus on:
-Women’s health care
-LGBTQA health care
-Behavioral health care
-Firearm injury
-Climate Change
#PolicyCapsule #VoteHealth
#MedTwitter
2/ Cost of care:
-Monetary pre-COVID: $3.6 trillion in 2018
-Lives lost from COVID: >220,000 (greatest in comparison to other nations per capita)

#PolicyCapsule #VoteHealth
3/ Cost of plan to individuals/families:
-$20,000-21,000 family coverage cost annually
#PolicyCapsule #VoteHealth
Read 12 tweets
3 Mar 20
#MedicarePartD --- we wrap up the #tweetorial series on Medicare with Medicare 103 - Part D
Part D - D for drugs (as in meds)!

#PolicyCapsule @policycapsule

1/
2/ #MedicarePartD is an extension of #Medicare to allow coverage for medication for Medicare enrollees. But it is an optional or opt-in program, with a premium (monthly)

#MedicarePartD #PolicyCapsule @policycapsule
3/ Formulary - used in Part D plans; must cover at least 2 medications per category; formulary change time to time causing concern for clinicians + patients
Tiers are also used within formulary to delineate coverage

#MedicarePartD #PolicyCapsule @policycapsule
Read 10 tweets
23 Feb 20
#MedicareAdvantage --- you asked, we deliver Medicare 102!
Part C - let’s make it move from confusion to clarity!

#PolicyCapsule @PolicyCapsule
1/ Image
2/ #MedicareAdvantage is an alternative to the mother program #Medicare.
This allows Medicare to pay private health plans for providing services/managing Medicare beneficiaries

#MedicareAdvantage #PolicyCapsule @PolicyCapsule Image
3/ Benefits under #MedicareAdvantage are similar and sometime more encompassing: dental, vision, wellness, hearing, and Part D prescription
#MedicareAdvantage #PolicyCapsule @PolicyCapsule Image
Read 8 tweets
18 Feb 20
#Medicare ... such a tiny name for such a BIG program.
The mammoth size program definitely deserves a 101, 102, 103 and many more.
Today, let’s start with #Medicare101

#PolicyCapsule @PolicyCapsule
1/ Image
2/ #Medicare is federally sponsored insurance - has 4 parts : A, B, C, D
Inpatient + Prescription Drug payments account for the largest benefit payments for Medicare!

#Medicare101 #PolicyCapsule @PolicyCapsule ImageImageImage
3/ #Medicare covers about 60 million persons - Age 65 or older and those under age 65 with certain disabilities, ESRD, or ALS
#Medicare101 #PolicyCapsule @PolicyCapsule Image
Read 8 tweets

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