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! Image
“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 Image
“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 Image
“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 Image
“For a long time I wanted to be like everyone else after my stroke. Now, I think that different can be ok.”

- John Kindschuh stroke survivor #UNMCPsychGR Image
“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.”

- Dr Sam Bierner @smb1dal1, founding chair PM&R @unmc @NebraskaMed @Madonnarehab at #UNMCPsychGR ImageImageImage
“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.”

- Dr Sam Bierner #UNMCPsychGR ImageImageImage
“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.”

- Dr Sam Bierner @unmc @NebraskaMed #UNMCPsychGR Image
“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.”

- Dr Sam Bierner #UNMCPsychGR ImageImage
“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 Image
“In our society there is a stigma about seeking health. I benefited from mental health specialists after my stroke and continue to do so.”

- John Kindschuh stroke survivor Image

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More from @DrHowardLiu

Sep 21
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."

- Chancellor & Provost @jeffreypgold
"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."

- @SAStrongMD #InvestInHer
Read 16 tweets
May 16
Thrilled to kick off our #AAPIHeritageMonth program with keynote speaker @chancellor_li from @UNOmaha to discuss the importance of community!

We are all from different families, cultures and backgrounds. The strength of an academic health center is in its diversity! Image
"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!"

- Chancellor @jeffreypgold at #AAPIHeritageMonth Image
"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. Image
Read 16 tweets
Mar 30
Thrilled to have @jack_turban discuss his cutting edge work on transgender youth at @unmcpsychiatry!

"Unfortunately, transgender youth experience a high rate of bullying and a high rate of psychiatric morbidity, especially anxiety & depression. This includes suicidal thoughts." ImageImage
"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."

- @jack_turban at #UNMCPsychGR Image
"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."

- @jack_turban at #UNMCPsychGR Image
Read 5 tweets
Mar 30
"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."

- David Smith, @unmc Breakthrough Thinking Summit
"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."

- Brad Johnson, @unmc Breakthrough Thinking Summit
Read 15 tweets
Sep 14, 2021
As the pandemic impacts women in healthcare, we held a #GiveHerAReasonToStay panel at @unmc @NebraskaMed.

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."

(1/8) ImageImage
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."

(2/8) Image
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."

(3/8) Image
Read 10 tweets
May 13, 2021
"65% of reports of anti-Asian hate are against women.

Allyship is something for us to practice.

Report incidents to #StopAAPIHate and work on your allyship."

- @InclusiveComm Virtual Table talk with Krystal Vuong Wegner, Lorraine Chang, Sharon Ishii-Jordan, @mariaecorpuz
"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.

#AAPIHM #StopAAPIHate
"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."

- Sharon Ishii-Jordan on #AAPIHM
Read 6 tweets

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