Warning ⚠️ ⛔️ : Uncomfortable Thread 🪡
My tweets lately have focused on my daughter’s #healthcare at @SanfordHealth & our struggle to access appropriate & compassion care where her agency is not taken away. I know the threads my be uncomfortable for some particularly if you 1
are a #medical professional. I am aware that many are thinking 💭‘what’s the back story’, ‘something they did caused this no #medical facility or #medical#professional would partake in this’. I get that. There IS a back story. A child at 2 wks having her 1st #hereditary 2
#pancreatitis flare. In 1st grade undergoing her 1st #transplant. In 6th grade undergoing 2nd #transplant. Complications, no real follow up. Complications being ignored. Physicians both on #transplant team as well as others questioning her symptoms, her #pain. Dismissing & 3
ignoring. Then when issue was found 2 be ‘legitimate’ no acknowledgment by the #physicians that they were sorry 4 not listening to her, 4 blaming her. My once extremely confident daughter gave up. She did NOT trust doctors, she did NOT take care of herself, she was no longer 4
pleasant w #medical professionals thanking them after IV placement or after placement of NG tube. She felt lied to & betrayed but not only medical professionals but by me. And she had good reason. I understood why she was this way yet it terrified me. For several years I was 5
so afraid I’d lose her. Her #behaviors made sense to me but to #medical#professionals she was ‘uncompliant’ she was a ‘frequent flyer’ she was a ‘drug seeker’ that’s how she was scene. No matter how honest I tried to be, how upfront many #medical#professionals did not 6
& because of this added to the snowball gaining speed going down the mountain. The last several years my daughter has grown. She has worked hard to address the #trauma she has experienced. I am incredibly proud of her YET that snowball is still gaining speed & out of control. 7
I often see posts of #violence towards #medical#professionals. I don’t ‘look away’ it IS a problem one that must be addressed. #Medical#professionals should feel safe. There is never a time when calling names, threatening or harming someone is acceptable. Never. YET there is 8
#gaslit, it is having your #agency taken. It happens. I think being in #healthcare is an extremely difficult job, that there are good people that are not only working to care for #patients but also improve the system. Yet, there are people whose intentions are NOT good, there 10
are admin, #physicians & #nurses whose actions regularly #harm#patients.
What my daughter has experienced the last several years is NOT ok & it IS occurring. It’s dehumanizing, shaming & has impacted access to appropriate care. Her safety has been jeopardized a number 11
of times. Requests to reach out to specialists or be transferred denied. And for years this issue of her injecting herself w #insulin has been a focus EVEN though there is a note from one of top #specialist in this area outlining that it is normal for post AITTP #patients to 12
experience the issues she has. YET no one seems to have read it. I have been labeled ‘aggressive’. I have NEVER called anyone names, threatened or harmed anyone NOR would I EVER. I have #advocated 4 my daughter, I have asked for a collaborative meeting. I have taken other 13
appropriate steps in order for a plan to be implemented. In over 3 years we have been denied a meeting, concerns denied, and we’ve been labeled many things. I despise tweeting about this yet my daughter & I made the decision a few years ago that it was only option we had 14
we much rather have sat down years ago. So while I hate tweeting our lives we will continue. What is occurring is wrong. It’s unethical & care is dangerous. I understand that many will assume they is a ‘reason’ my daughter is being treated how she is but this treatment is NOT 15
ok. There is a huge issue in #healthcare, not only are #physicians & medical professionals being harmed, #patients & #caregivers are as well & BOTH should be acknowledged & unacceptable. It’s not ok to acknowledge one & not the other. And as much as I hate it, as much as my 16
daughter hates it we no longer will remain silent. There are basic rights that #patients should not be denied & it happens & it’s not ok to look away or rationalize that we (or they) did something to deserve such behaviors. I refuse to look away from #harm done to 17
So @SanfordHealth has continually accused my daughter of injecting herself w #insulin to create crises. Well she has security guard monitoring 24/7, all bags searched. Her #bloodsugars have dropped & skyrocketed with no rhyme or reason. We have told them this happens. There is 1
a note 📝 in chart from specialists that outlines (ignored) only thing looked at behavioral plan that highlights her insulin injecting 😡. #DiabetesEducator comes in & asks if she has #insulin on her as her #BloodSugar ‘doesn’t make sense’ 🤦🏻♀️. This is abusive. I have been told 2
they have the knowledge to care for her. She has been abused by security yelling at her calling her druggie (their words) & saying she injects herself with #insulin. Doesn’t matter if proof is right in front of face that what they are blaming her for is not accurate. They are 3
Before anything listening to person and or family, planning being centric, based on strengths & needs of Ind and or family. People (those working in system) found it radical but it worked it was effective. It pushed systems, thus in many places the process retreated back to 2/
‘Business as usual’ which is exactly where the problem is. We have mounds of research on #engagement we know the benefits that could be produced yet going from point A to B, is ‘too difficult’. Yes, implementing authentic #engagement would come with changes and yes they are 3/
Almost 25 years ago I entered the world 🌍 of #raredisease when 1st my husband was dx w #PRSS1 & then our children.
What I’ve learned is #HealthcareInAmerica is brutal & often #harms those most in need.
The system is broken.
There is no disguising it.
I believe that our 1
#Healthcare system truly only benefits a small populous; individuals that are mainly #healthy & don’t belong to a marginalized group.
There are monumental system issues that need to be addressed that impact #medicalprofessionals ability to provide necessary 2
care. I understand that. I believe that #patients, #caregivers#medicalprofessionals need to work in collaboration to push back on the systemic issues that plague the system. I absolutely can give & find grace in many situations.
What I have no time for is the void of 3/
I continually see research papers and presentations given on how #childhood#trauma relates to likelihood of #chronicpain.
While I do not dismiss this may be a factor, I am very frustrated at the lack of introspection by many #physicians where #medicaltrauma due to care that 1/
was dismissive, shaming, manipulative and lacked transparency does a great deal of harm leading to PTSD & I would postulate the worsening of #pain & or #disease. It’s as if the model, is backwards. Don’t get me wrong I absolutely believe #trauma can have long lasting impacts 2/
impacts that impact multiple areas. What I don’t understand is how many physicians don’t understand how care for children & youth w #rare or #complex#health issues or/and ones that include #pain can lead to #MH issues (not always be the cause). Why is it difficult for some 3/
Honestly #medtwitter why is it so damn had to have a consistent plan in place for #patients w #complexhealth issues when person necessitates hospital frequently?
goals as well as often your own biases result in care that is subpar & harmful & leads to said hospitalizations 🤦🏻♀️. I understand you all are in a difficult position yourselves but you definitely have much more #power than #patient. 2
Also, why does it seem so difficult for #hospitalists to pick up phone 2 specialists? I know many of you work hard to acknowledge your biases, to incorporate the #patients voice in care planning, BUT if you are not one, YOU are harming #patients. #HealthcareInAmerica 3/
After years of my daughter receiving care at our local #hospital that is often based on #bias & is often subpar I have begun to reach out to different state agencies. The experiences that my daughter has had to experience over the last several years has been surreal 1/
I’ve attempted many times to engage with #patientservices w various staff in attempts to implement a plan which is based on her needs, recognizes the #medicaltrauma she has experienced & how it impacts her. I’ve attempted to explain how her diabetes works (to the extent I even 2
understand. Type 3 is brittle, it can shoot up or down for numerous reasons. I’ve tried to explain her complications based on her #AITTP but instead assumptions have been made and that what care has been based on. In reviewing her chart it’s truly horrifying their utter lack 3