I've been thinking about compassion and pediatricians.

There's an idea that pediatricians are "softer" than internal medicine docs because we take care of kids. And kids are cute! Funny! Sticky! 1/
Once when I was a resident, a scrub tech told me I was going to treat runny noses all day while HE worked in the OR doing SURGERY.

I had already matched to a hem/onc fellowship.

But the perception was there. My job was soft. His was hard.
2/
The irony is that pediatricians embody fierce compassion.

We show up when kids have been shot. When they have been abused. When they have been disfigured.

When they are dying.

There is nothing soft about that. 3/
We become pediatricians because we are fiercely compassionate.

Not because it's easy.

Not because kids aren't sick.

But because they bring out the best in us as clinicians.
4/
Compassion isn't just kindness. It isn't just empathy. It isn't pity.
It is actively trying to relieve suffering.
And when kids are suffering, pediatricians show up.
We advocate for a better world for them.
It's hard.
But it's love. And I'm proud of us.
#Tweetiatrician 5/5/end

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More from @RThienprayoon

Apr 28
Day 2 @theNASEM workshop
The highlight from day 1: LaToya, a CNA, gave a moving, honest, courageous account of being a direct care worker. “The ice cream truck should not be a luxury.”
- hours & pay are bad, the work is hard & they love & care their patients & their dignity ImageImage
@theNASEM First up- @EspinozaNotes from @PHInational
The intense focus on direct care workers, paying people a living wage, improving working conditions so that we can also improve patient care during this event has given me so much hope Image
“Social determinants of success at work” is one phrase that stuck out to me yesterday.
@mad_sters doing critical work in this area for direct care workers
But I think about it for others who work in our system too.
Read 19 tweets
Apr 27
Good morning from the Keck Center @theNASEM where I am so pleased to be part of their workshop this morning to support and sustain the workforce to care for people with serious illness! #hapc #pedpc #wellness #wellbeing #suffering Image
The first panel shared experiences from the front lines so vulnerably and beautifully. @MaguirePeggy @PhilRodgersMD @RachelMayAdams ImageImage
Now @CAPCpalliative CEO @BrynnBHealth discussing the current and future workforce we need in #hapc Image
Read 12 tweets
Apr 3
Thinking about how the same gesture can be received as incredibly compassionate or just- not- depending on the actor.
Ex- after 4 was in the ED, I took cookies to say thank you. The nurse cried. "No one does this."
But if an org leader did the same, likely different response. 1/
I appreciate that the meaning and receipt of the gesture depends a lot on the power and intention of the person making it.
An org leader can change difficult working conditions and chooses instead to bring cookies, that's incompetent compassion for workers.
2/
I think the best case is to work in a system in which clinicians are so well cared for, that even small gestures by leaders can be received as helpful and a kind of love.
To get to that place requires fixing structural healthcare workplace issues first.
3/
Read 5 tweets
Mar 24
Next up: Fr218A- Agitation and feeding intolerance in children with medical complexity with @StocktonBev and Dr. Katherine Maddox! Image
Front row is Dr. Julie Hauer. The OG of this topic who wrote the book. If you don’t have it and you do #pedpc here is a link:
bookshop.org/p/books/caring…
Julie Hauer did a study on gabapentin in children with Med complexity and feeding intolerance- remarkable response in sx. (That’s Julie’s head in front of the slide! I fan girl every time I interact with her.) ❤️ #hapc23 #pedpc Image
Read 9 tweets
Mar 24
Next up: FR201a- An epic step forward- a universal #pedpc navigator in the EHR with @conradw4, Alice Bass & Kat Thomas #hapc23 Image
Actual cartoon of Conrad and Alice at work creating a #pedpc workflow in Epic. #hapc23

“If we could make the EHR better it would make me feel so much more well.” - @conradw4 Image
“We thought it would take a year and we were certainly wrong.”
On building the navigator in epic.
#hapc23
Read 14 tweets
Mar 24
Dr. Martin Bogetz, a bereaved father, sharing the legacy of his daughter Alyssa:
- an MSW who cared deeply about wellbeing
- the first non-physician associate program director in Peds at Stanford, who focused on supporting trainees
- sister of @jbogetz, #pedpc wonder ❤️ #hapc23
The inaugural Alyssa Bogetz lecture: Dr. Susan Block talking about the state of integration of #hapc and #mentalhealth
Alyssa died of AN. The educational fund was started in her honor @AAHPM w the appreciation that our field needs to grow to support people like her. #hapc23
"I think it's a miracle how far we've come." - Dr. Susan Block

We are the 6th largest subspecialty of the largest specialty in the US! #hapc #pedpc #hapc23
Read 10 tweets

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