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Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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Dec 9 • 8 tweets • 9 min read
Kicking off #QMC2022- @arifkamalmd with Top 10 Pearls in #hapc #quality! #pedpc
Speaking of @PalliativeQual - do you do palliative care?
Do you follow the Palliative Care Quality Collaborative? No time like the present! Twitter is still here!
@arifkamalmd on palliative care as a field: "We're kinda badass!"
Wish I felt this way more often! Always good to be reminded! #hapc #pedpc
"Palliative care is the field that embodies the quote 'people won't remember what you say, or what you do, but they will remember how you made them feel'". #hapc #pedpc
@arifkamalmd #QMC2022 @PalliativeQual
Arif made me laugh out loud!
He knows he should floss. (evidence based)
Getting him to floss is a different thing. (#QI)
I also hate flossing. I'm sorry, dentists.
#QMC2022 #hapc #pedpc @PalliativeQual @arifkamalmd
"QI is counter culture because it often involves changing things that are baked in...you are taking things that are well baked and trying to break them. To disrupt without being disruptive."
Reminds me of palliative care.
#hapc #pedpc #QI #QMC2022 @arifkamalmd @PalliativeQual
Ooh intrigue! @arifkamalmd thinks #QI is harder than #research! What say ye, #MedTwitter?
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More from @RThienprayoon

Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Oct 18
"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
Read 7 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Jul 27
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/
Read 10 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
May 30
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/
Read 9 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
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

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