"Listening is only powerful and effective if it is authentic. And authenticity means you are listening because you are curious and you care- not just because you are supposed to." @jennilinebarger (quoting "Difficult Conversations" & "Humble Inquiry" books) #hapc#pedpc
❤️this chart from "Humble Inquiry"
It's about listening to understand- not to tell.
Not to prepare the next thing you will say.
We are trained that knowing the "right answer" = good doctor. There's much more to it than that. @jennilinebarger#CincyKidsPGR#pedpc
Beautiful nod to William Carlos Williams poem "The Red Wheelbarrow"
Uncertainty is hard for the medical team.
It is hard for families.
What is the right thing?
"It all depends."- @jennilinebarger#CincyKidsPGR#pedpc#hapc
"Other clinicians have used uncertainty as a reason to NOT include palliative care...with time, they have learned that #pedpc#hapc is a perfect fit for leaning into uncertainty and supporting families for 'what ifs'". @jennilinebarger#CincyKidsPGR
"Denial is not a response to the facts. It is a response to the feeling that the facts evoke."
WHOA Jenni!
Pointing to- telling the family bad news again isn't necessary. They know. They hear you.
They can hold hope AND realism. @jennilinebarger#CincyKidsPGR#pedpc#hapc
This is important. The answer to "Oh how do you DO THAT?" (peds pal care):
The #hapc team cares for each other. Intentionally. Compassionately. It's baked in.
We see patients together. We debrief.
It's baked in. #hapc#pedpc#compassion@jennilinebarger#CincyKidsPGR
The Stress First Aid model (Credit- Patricia Watson, PhD) adapted by @theSCCH for use in healthcare describes 4 phases of stress: green, yellow, orange and red. It's so useful because even if you don't know the details- I think NO ONE has been green for over 2 years. 1/
This is especially true in healthcare.
We can't pretend COVID is over.
Patient autonomy is being taken away.
The best of us, on our best days, are probably still pretty yellow.
2/
We're still living through trauma. (@AbbyRosenbergMD's resilience work is so important here.)
We're trying to survive, and also (2 years in) gather our resources towards ourselves and each other.
But can't make meaning and get back to green. We are still in it.
3/
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/
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.
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/)
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.
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/