Thrilled to kick off our inaugural #UNMCPsychiatryGR & PM&R joint grand rounds on Stroke Recovery & Rehab: Patient & Physician Perspective.
Appreciate attorney & stroke survivor, John Kindschuh, for his inspiring story! And PM&R chair, Dr Sam Bierner, for stroke best practices!
“My life changed overnight when I had a stroke at age 35. I was throwing up and went to the hospital - they thought I had vertigo. Then they noticed speech changes and I had a craniotomy and spent 2 weeks in the ICU.”
- John Kindschuh young stroke survivor at #UNMCPsychGR
“My stroke was in my cerebellum. It affects my speech & balance. I am able to understand things, read, write & have my memories. I focus on what I can do instead of what I can’t do. I learned to listen more.”
- John Kindschuh at joint #UNMCPsychGR and PM&R GR
“One of my clinicians said I wouldn’t ever walk again. I proved them wrong. The first year, I had to think about every step. But now I routinely walk and even run on the track and for stroke benefits.”
- John Kindschuh #UNMCPsychGR cerebellar stroke survivor
“For a long time I wanted to be like everyone else after my stroke. Now, I think that different can be ok.”
“The ability to write, run and talk require sequential processing in the cerebellum. There is a lot of traffic between the motor cortex, cerebellum and brainstem.”
“Function is critical when you are working with stroke survivors. The @WHO domains of function shape our goals to rehabilitate a patient. People should improve or plateau, but not decline. It is key to work with the patient to define goals.”
“Young stroke is increasing in incidence - we don’t know why. It seems rare, but I have seen several patients in my practice with young stroke. We must be ready to diagnose and treat it in people younger than age 50.”
“People with asymptomatic COVID infection can have a vascular inflammatory process that can increase risk of stroke. I have seen patients suffer a stroke with no other risk factors. Get your booster.”
“After my stroke, I experienced that people associate speech with intelligence. A waiter asked me to speak English. Others ask questions to my wife instead of me. Treat people with dignity.”
- John Kindschuh #UNMCPsychGR and PM&R grand rounds
“In our society there is a stigma about seeking health. I benefited from mental health specialists after my stroke and continue to do so.”
Assistant Vice Chancellor for Inclusion @SAStrongMD opens the @unmc@NebraskaMed session to #InvestinHer as we celebrate #WomeninMedicine Month! "It's a call to action to recruit, retain, promote & resource women in healthcare to succeed. And support re-entry for women as well."
"It has never been more important to dialogue on #WomeninMedicine. As I chair the @theNAMedicine section on wellness, women physicians are critical. Whether it is childcare, promotion, pay, etc. there are countless ways to do better."
"We respect all women in healthcare from patients to healthcare professionals. When we have any session on diversity, equity and inclusion, we must lean into our discomfort for growth to occur. We can have different viewpoints and both can be true."
"This is a time of tragedy with recent hate crimes. This is also a time of opportunity. The more we can bring our communities together the better we can eliminate disparities. We are so lucky to have @chancellor_li's leadership!"
"With our 10,000 plus employees at @NebraskaMed, I am thrilled to celebrate #AAPIHM and to learn from our colleagues. Our culture is so important to our work in healthcare."
- @drjlinder CEO on the importance of diversity on our teams.
"Unfortunately, transgender youth experience a high rate of bullying and a high rate of psychiatric morbidity, especially anxiety & depression. This includes suicidal thoughts."
"If you use the wrong pronouns, you might remind a transgender or gender diverse youth of a past invalidation from a parent, a bully, etc. If you use the wrong pronouns, just apologize. You are trying to be on their team."
"If you are working with a kid who is transitioning, it's really important to work with the school and the community to ensure it is a safe environment."
"How do we show up as allies in the workplace? We are not going to mansplain for the next hour. We asked a lot of women on what their experience is when a male really shows up as an ally. Partnership is key."
- David Smith & Brad Johnson at @unmc Breakthrough Thinking Summit
"Women are not receiving the same level of support - including sponsorship."
"According to data from Boston Consulting Group, the participation of men as allies in gender equity was a huge predictor as to whether women felt their organization was making progress toward gender diversity."
Chancellor @jeffreypgold, "I would love to become the most inclusive organization for women. We need to redouble our efforts to listen, respond and then act."
Dr. @AllisonGrennan, "The pandemic has worsened the cognitive load for women. Now, we have to worry about whether we can go to work and keep our children safe."
Her tip: Leaders, look at meeting times vs. caregiving duties: "If the meeting is 6 am, I can't be there."
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Dr. @RUBraveEnough, "Since the pandemic, I have had 200 personal conversations with women physicians who've said, 'I don't know if I can do this anymore.'"
Her tip: "Every woman who talks to you about work/life conflicts represents 10 more. See it as an opportunity."
"We need to have a seat at the table so our voices are heard. "
- Lorraine Chang at @InclusiveComm Table Talk on the need for Asian American Pacific Islander voices to be included in elected office, leadership, diversity initiatives, etc.
"You can learn more about Japanese Americans by visiting this website - densho.org. We have to work in a bipartisan fashion to stop anti-Asian hate crimes."