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Mark Reid, MD @medicalaxioms
, 3 tweets, 1 min read Read on Twitter
Although it looks like a religion (or at least a cult), a career in medicine is not a spiritual practice.

Medicine is a reason to develop a spiritual practice: learn to define success; tolerate disappointment; gain gratitude for your important role in people’s lives.
PS Don’t get all stuck in yer pigeon hole defining “spiritual practice.” Join kinship with crows. Read books by survivors. Write your #ThreeGoodThings list every night. Go on a walk. Count 10 breaths as slow as you can. Sing in the church choir. Do a good deed.
Reach out to one friend a day. Make one apology every day. Pick up a piece of trash on the sidewalk. Squeeze your kid’ foot. Invite your dog on the bed. Decline an invitation for a fight. Spend a day stone sober. Drop a 5er on the ground for someone else to pick up.
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More from @medicalaxioms see all

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Things That Make You a Better Doctor, Nurse, or Caregiver:
- pain
- disappointment
- uncertainty
- loss
- fear
When you experience these “unpleasant” things, consider the patients you care for. They have been experiencing them too. You might never have known to ask, though, until you have experienced them yourself.
Your own suffering is a gift. It’s a window into the experiences of the people you take care of.
Read 10 tweets
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For some reason today of all days as I was writing my notes I was suddenly irked...
[thread, unknown length]
I was writing “Acute Hypoxemic Respiratory Failure” and sufficient qualifying supportive verbiage and I considered the physicians who first tolerated being told what words to use in a patient’s note.
Surely they thought it was no big deal. Just standardize your words to help the people who pay you. Sounds so innocent. A minor request.
Read 20 tweets
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If you aren’t happy doctoring lately, it might be a mission problem.
In the US for-profit healthcare system, profit is certainly not the only mission.

It sometimes takes priority and taints the others often.
There are some places where you can practice where the profit mission is a less dominant priority.
Read 7 tweets

Related threads

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@McLNeuro @statnews "In stark contrast, the NIH has done essentially nothing to address gender violence committed by NIH-funded scientists"–@statnews YET in 5 yrs it's paid out almost $2 million 2 settle #SexualHarassment cases brt by scientists in its own labs! buzzfeednews.com/article/petera… #TimesUpNIH
@McLNeuro @statnews 1- .@NIHDirector Why is taking effective action necessary? Be part of the solution. @JulieSilverMD @DrPaulaJohnson @LiliaCortina @RUBraveEnough @GeoEdResearch #MeTooSTEM #WomenInMedicine #academicmedicine @AndrewMIbrahim @laxswamy @jocalynclark @JaneMayerNYer #MedEd #LancetWomen
@McLNeuro @statnews @NIHDirector @JulieSilverMD @DrPaulaJohnson @LiliaCortina @RUBraveEnough @GeoEdResearch @AndrewMIbrahim @laxswamy @jocalynclark @JaneMayerNYer 2- And 69% of female medical students reported experiencing #sexualHarassment or #genderdiscrimination during medical school. 2016 #AAMC med student surveys-similar results. @arghavan_salles @janevandis @AAMCtoday #LCME @ProPublica @DrHowardLiu #TimesUpNIH
Read 19 tweets
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PRACTICE: Game Design in Detail is starting at the @NYUGameCenter with some opening comments by @flantz! I’ll be live-tweeting a bunch of talks on game design over the next couple days. Feel free to mute #Practice2018 if you’d rather opt out?
First up, social psychologist Daniel Ames of the Columbia biz school on roleplaying exercises for learning how to negotiate #Practice2018
Starting with a few examples of negotiation both simple and complex: two siblings trying to split an orange, pressure from a mother to a daughter to obey tradition at her wedding, an indie developer making an offer to a collaborator #Practice2018
Read 211 tweets
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1) Confidence can be elusive as we journey through life & our careers. Doubt, low self-esteem, & a lack of emotional control undermine our ability to deal with adversity or failure. It also limits our willingness to take the actions necessary for #success. #ThoughtOfTheDay
2) Most people believe that you are born with confidence – either you have it, or you don’t. This belief is why so many people hold themselves back from ever reaching their true potential. #success #LeadershipDevelopment #careeradvice
3) What if there was a way for you to build your #confidence? What if you could learn how to believe in yourself so you could leverage all your skills and talents? What if you could make a difference in your community or become a leader within your organization? #Questions
Read 7 tweets
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Medicine vs. The Machine (thread)

For doctors, nurses, and other healers these are distressing times. The epidemic of depression, suicide, anxiety and burnout that consumes our profession is at least less hidden than ever before. I don't know anyone who is spared.
Let me share a mental model that has provided comfort to me. Perhaps it might resonate with you too. You see, I believe that we exist in two worlds: the world of Medicine, and the world of The Machine.
Medicine is why we are here, why we have worked, sweated, and suffered. Medicine is the calling, and it is an ancient good. There are good days and bad days in Medicine. The days when you save a life, comfort the suffering, support a colleague, make a deductive leap...
Read 13 tweets
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Some thoughts: There seems to be an assumption in #medicine that patients receive the best care based on best evidence, where evidence usually means quantitative research (my assumption). Yet quality of care is dependent on personal characteristics of each health professional 1/
Knowledge derived from evidence is insufficient to translate into behavioural changes that support the 'best care' intention. Science-based evidence must be channeled through unquantifiable characteristics expressed by each individual health professional to provide best care 2/
These characteristics include: empathy, kindness, unconditional positive regard, non-judgemental attitude, empathic listening, intuition, warmth, encouragement, hope and so on. If we're touting science-based medicine, it must also include practice-based evidence 3/
Read 11 tweets
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Does Hinduism refer to Culture or #Religion?

Pls follow the thread to get the answer-

#SundayThoughts #Hinduism
#sundaymotivation #Sundaywisdom (1/7)
#Hinduism is a not a religion in the western sense. The name was originally invented by people who lived outside India to designate its geographical location, culture and ethnicity. The word became associated with native faiths of India much later.(2/7)
"Hindu" word came to us from Persia. Persians identified d people who lived south of d Indus river as Hindus.#Hindu came from the root word Sindhu and overtime it became Hindu from which came Hinduism.The Greek interpreted it as “Indos.” Hence,d Europeans used d name India.(3/7)
Read 7 tweets

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