Memorial Day is to remember those who died for our country.
But today, I think of a friend who continues to risk his life in our military. His 3 kids and his wife. The work he's doing.
1/
Our friend flies big planes.
He evacuated thousands from Kabul. He flew into the madness and got people out.
I took his wife out to lunch while he was there. Sat with her. Worried with her. Felt it.
2/
The war in Ukraine has made me feel so helpless.
Our friend flew and left weaponry to arm the Ukrainians.
He's a helper.
3/
He, and thousands of other Americans, are at work in our military every day. Risking their lives to try to help.
Their lives are not abstract.
They have families. Partners, children, parents, friends. We are all connected.
4/
I share this every year.
When my husband deployed, I had a secret plan for who I would call if the uniformed people showed up to tell me he'd died.
Dallas hospital- chaplain friend and program director.
Dallas home- neighbor.
CCHMC- admin friend.
Cincinnati house- neighbor.
5/
I would call my brother, who would call my parents. They would all come.
Then I would have to call my MIL in Thailand.
Then I would have to plan the funeral.

Thousands of families have these secret plans.

We don't talk about them. We try not to think about them.
6/
Yesterday we saw a friend I haven't seen in more than ten years. He almost died in a military plane crash since in 2013. He and the others ejected, and they lived.
He calls it "the accident".
He has four children.
7/
#MemorialDay is a big deal to me.
We honor those who have died.
We honor their families.
We should pause to grieve what is lost.
And I also honor veterans and those currently serving, and their families, and the risk they incur daily. What could be lost.
The secret plans.
/end

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More from @RThienprayoon

Apr 19
In #pedpc we think of Pam Hinds work- parents ask themselves, what would a good parent do?
I think this is the crux of what many of us have struggled with throughout the pandemic.
How we weight risk/benefit often comes down to our personal definition of a good parent.
Last week, my children's school dropped the mask mandate for the 3-6 classes. My husband expected it. I didn't.
We have managed to avoid our children getting COVID for 2 years.
That doesn't make us "better" parents than others.
We have been lucky. And tried hard.
Academia means attending meetings. I enjoy meetings!
Would a "good parent" travel now?
I traveled yesterday. In a KN95. The majority of other travelers were masked, but many were not. It wasn't heavily enforced, including during flight.
Read 7 tweets
Mar 31
Something interesting is happening as we work our way back into in-person meetings. I’m realizing how conveniently stunted emotions have been in virtual meetings for the past 2 years. How did I miss this? A🧵 (1/)
There are so many nonverbal cues that pass us by in virtual meetings. I find dialogue that is both meaningful AND difficult to be almost impossible. But I hadn’t noticed until recently. I thought things were fine. (2/)
Example: I’m in a virtual meeting with 8 people. A statement is made. Half the room smiles and nods. The other half looks away. Two people go off camera for a moment. What just happened? (3/)
Read 9 tweets
Dec 14, 2021
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.
Read 9 tweets
Nov 5, 2021
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
Aug 25, 2021
"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
May 31, 2021
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

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