Kimberly D. Manning, MD Profile picture
Internist, mom, teacher, thinker, doer | @EmoryDeptofMed AVC for #DEI & Professor | 'Bout that #DEI, #MedEd, #medhum, & #GIM life | #HBCUMade | she/her/ma’am🔺
JS-Success 🌊 Rerum cognoscere causas #JoeKamila20 Profile picture Donnie Depends Profile picture Tricia Marriott Profile picture Toby Tally Profile picture toyin jenkins Profile picture 27 added to My Authors
26 Jul
1/
#AmazingGrady

Afternoon rounds with a Grady elder:

Me: "So. . .Ms. Hodge. . .uh. . . what exactly were you doing when this happened?"
Her: *smirks and does a body wave in her bed* "Getting it ON, baby."
Me: *chuckles and shakes head*
Her: "Oh, I'm serious."

*name changed
2/
Her: "People thing jest 'cause you up in age you ain't got no desires. But that ain't true, see."
Me: *nodding* "I hear you, Ms. Hodge."
Her: "You better hear me! 'Cause I be GETTING mine--even in my 80's."

She snapped her fingers and did another body wave.

*laughter*
3/
Her: "How old are you, Miss Manning?"
Me: "I turned 50 last September."
Her: "You got a lover?" *squints eyes*
Me: "Uhh. . .I guess my husband. . is uh. . my lover."
Her: *curls lips* "Well. I hope y'all be taking care of each other." *does body wave again*

*laughter*
Read 13 tweets
24 Jul
1/
Discharge Day

Me: "What questions do you have for me?"
Him: "None. I'm straight."
Me: *nodding*"You straight?"
Him: "Straight up."

*chuckling*

Him: "Man. When I got to the hospital? Shit was straight crazy."
Me: "Straight up?"

A wave of mischief twinkled in his eye.
2/
Him: "Straight up, doc. That ambulance said they was coming here and I was nervous. I was like, 'I ain't been in a car wreck. Take me someplace else.' No shade."
Me: "And they took you straight to Grady didn't they."
Him: "STRAIGHT to Grady."

*laughter*
3/
Him: "But real talk? I was wrong about y'all. Y'all got me straight."
Me: "See? And here you was thinking all we could do was car wrecks and traumas.” *pause* “Now you just have to keep all these appointments straight."
Him: “Hey is that primary doctor you got me straight?”
Read 9 tweets
21 Jul
1/
At @EmoryMedicine, our curriculum includes a 4-year longitudinal connection of 8-9 classmates assigned to one faculty advisor in “small groups.”

I’ve been an SG advisor since 2007 and it has been—hands down—one of the most rewarding things of my career.

Like, for real.
2/
Every other year since ‘07, I’ve been assigned a new small group.

Yup.

It’s sooo cool to meet them on their first day of Med school and then get to hood them on their last day! (My commencement tears have become legendary.)

Ha.
3/
Yesterday, I got to welcome my 8TH small group to our SG fam. And I swear, y’all. It’s like anticipating a new baby coming.

Here’s why:

Because now I know what can unfold over these years. Not just in medical school but beyond. It’s sooo magical.
Read 7 tweets
17 Jul
1/
This week at Grady

You: “They stay talking’ ‘bout how everybody could get that shot if they want it. All they got to do is walk in.” *making air quotes* “But that’s some bullshit.”
Me: *listening*
You: “That AIN’T all you got to do.”

You folded your arms in a huff.
2/
You: “Like, you go up in there and it AIN’T straightforward. ‘Specially at the regular pharmacies.”
Me: “No?”
You: “I mean, not if you ain’t good with filling a bunch of stuff out on line. Plus you got to have certain information.”

I stayed quiet. You went on.
3/
You: “I mean yeah, it IS some folks who dead against that #COVIDVaccine—but it’s a whole bunch of folks that would get it if it wasn’t so got-damn hard.”

*silence*

Me: “So, like what would be best? In your opinion?”

You raised your eyebrows and laughed.

Me: “I’m for real.”
Read 15 tweets
14 Jul
1/
#AmazingGrady

I placed my stethoscope upon a quiet chest recently. Flashed a penlight into eyes where pupils did not respond.

My fingertips rolled over the curve in the neck where a carotid pulse would normally offer up a reassuring thump--but felt nothing.

Nothing.
2/
Just cool, quiet skin.

This patient was severely ill. The family and patient had chosen a "Do Not Resuscitate" order to allow a natural transition. So, once it became imminent, no one fought it.

No code sirens.
No cacophony of ACLS.

Just a peaceful acknowledgment.
3/
The illness was far too mighty and swift to allow a transfer to hospice after leaving the ICU.

The family stood vigil for those first few hours. Then exhaustion set in. When it happened, no family was in the room.

But it was peaceful still. And with dignity.

It was.
Read 10 tweets
29 Jun
1/
Mostly I have remained quiet about #twitter verification and (what I like to call) Black physician #verifygate.

Partly because I'd like to believe that verification starts with how we feel about ourselves.

But I'll also admit it's a form of self-protection.

You know? Image
2/
I also think of how, historically, there are so many examples of successful people who look like me who do or don't get the metaphorical blue check for their work.

So you say the thing we always say:

"You don't verify me. My community verifies me."

Right? Right.
3/
But then, if you have enough time, it creeps into your thoughts. And, even if it doesn't really mean anything, you think about it.

You know?

And listen. Since I'm generally not a person who likes to be upset, I will instead shape this into a case.

Okay? Cool.
Read 17 tweets
29 Jun
1/
#InternReflections, Day 7

This final reflection isn’t really a story. It really just centers on gratitude.

Yup.

Was internship tough? Yes. Was I scared a lot? You better believe it.

But damn, I loved that year. So, so much.

Let me explain why: Image
2/
I didn’t know if then, but that year was where I cultivated a #growthmindset.

It was humbling.
It was inspiring.
It was empowering.

And—dare I say it? It was fun.

It was. Image
3/
The learning curve was exponential. The new relationships and expectations were overwhelming at times but, in hindsight, they were the best part.

Totally.

One thing I’m super glad about is that I heeded some great advice I heard during my intern orientation. . . . ImageImage
Read 7 tweets
28 Jun
1/
#InternReflections, Day 6

*tap, tap, tap*

Me: *startling awake* “What? Huh?” *looking all around*

Suddenly, he came into focus. It was one of our hospital security officers.

He gestured for me to roll down the window.

Me: “Huh? Oh. Uh okay.”

I tried but couldn’t move.
2/
I remembered then that I’d tucked and folded my arms beneath my scrub top just after reclining my car seat.

It was now dark outside. I was so disoriented.

And . . . cold. Like freezing cold.

*tap, tap, tap*

He gave his finger a more exaggerated roll down motion.
3/
When I lowered the window, I noticed his eyes dart to my left shoulder. I registered the fleeting look of disgust and then disbelief on his face.

Him: “Were you out here, like, taking a nap . . . on purpose?”
Me: *placing my hand over the giant slobber stain* “Uhhh. . .what?”
Read 20 tweets
27 Jun
1/
#InternReflections, Day 5

ICU, 1997

Them: "You need to steer clear of Ida."
Me: "Which one is Ida?"
Them: *head gesture* "The one talking to our attending. She's legendary for going off on interns."
Me: *swallows hard*
Them: "Look. She even checks attendings."

I looked.
2/
Ida's hands were animated as she talked. I noticed the way her biceps bulged at the meeting of her scrub sleeve when she moved her arms. Her head was up and eye contact deliberate.

Ida: *hand gestures*
Attending: *listening*
Ida: *explaining something*
Attending: *nodding*
3/
It startled me when they both erupted into laughter. It was warm and respectful. The attending said something else and she said something back. Both gave knowing nods.

And that was it.

Them: "Most of the nurses here are cool. Not her, though."

I gave a tiny nod.
Read 22 tweets
24 Jun
1/
#InternReflections, Day 2

Me: "Is it normal to feel this afraid on call?"
Her: "Define normal."
Me: "Expected? Regular? Like. . what's supposed to be?"

She took a bite of the room temperature falafel she'd snagged from noon conference to eat on our call night.

*shrugs*
2/
Her: "What do you mean by afraid?"
Me: "Um. Terrified?"
Her: *still chewing* "But of what?"

*silence*

Me: "I think. . . like. . . hurting someone."
Her: "Oh. That. That's normal."
Me: "But like what if it makes you feel dread?"

She put down the falafel. Then she sighed.
3/
Me: "What?"
Her: *just staring*
Me: "What?"
Her: "Do you feel dread?"

*silence*

Me: "I just. . .I think I just think of the worst thing that could always happen, you know? Like. . .someone counting on me and me alone to know everything."

She gave a slow nod.
Read 13 tweets
23 Jun
1/
#InternReflections, Day 1 of 7*

Him: "Where was medical school?"
Me: "Meharry."
Him: "Oh--wait. Where is Ma-Hahry again?"
Me: "Um. Oh. Meharry? It's in Nashville."
Him: "That's right. I knew a guy who went there. He was nice."
Me: *awkward smile*

*names/details changed Image
2/
My attending looked to the other intern on my team.

Him: "And Mick--you went to Michigan, right?"
Mick: "Go Blue."
Him: "Don't say that too loud in Ohio!"

*laughter*

Him: "I almost went there. But I knew my parents would disown me so I changed my mind."
Mick: *smiles*
3/
Him: "Do you know *names of several people at Michigan*?"
Mick: "Oh yeah! *One of the people* retired this year."
Him: "Really? He's one of my heroes."
Mick: "Totally. And *other person I never heard of* was my attending for my sub-I."
Him: "Lucky you."

*knowing nods*
Read 18 tweets
8 Jun
1/
Arrrgghhh! A couple of years ago, I wrote a thread on #recommendationletters. Somehow it got all mixed up and out of order.

Booo!

I decided I'd reorganize & retweet it for any who are gearing up to get their letter game going--including me!

Y'all ready? Let's do this!
2/
How do you feel when someone asks you to write them a letter of recommendation for residency or fellowship?

Do you feel:

Honored?
Indifferent?
Conflicted?
Obligated?
Happy?

Now that I have a good approach, I actually love writing letters. Crazy, I know!
3/
Since many are in the throes of letters (or just finished) thought I’d share my approach. I welcome your insights, too!

Cool? Cool.

Let’s 1st assume that the person you’ve agreed to recommend, is 1 you CAN recommend. If you can’t? You owe it to them to be honest.

But how?
Read 14 tweets
6 Jun
1/
You: “Hello! Will this be your first dose today?”
Me: “No. Second.”

You nodded and then entered something into the tablet in your hands. Suddenly your head flung up as if you’d forgotten something.

You: “I’m sorry. How y’all doing this evening?”

I offered a thumbs up.
2/
Me: “Especially glad to get here before y’all closed.”
Son: “Not me!”

*laughter*

Me: “What about you, friend?”
You: “Ma’am?”
Me: “How're you doing?”
You: “Oh! Me? I’m good!”
Me: "Yeah?"

*laughter*

You: “You’re the first person to ask me that all day!”
Me: “Awww dang.”
3/
You handed me two forms to fill out and gestured for us to roll forward.

Son: “Do you think this one will hurt more?”
Me: “Mine didn’t.”

When I finished filling out the forms, you were back beside my window.

You: “Perfect. Y’all should be next.”
Son: *groan*

*laughter*
Read 22 tweets
4 Jun
1/
Y’all! In less than 1 week, the first of hopefully many #HDPHumpDay drops will happen!

OMG!

@ash_mcmullenMD and I are nervous + excited + + grateful + ready (which pretty much sums up how we feel every day as academic physicians. 😂)

Here’s what you can expect. . .
2/
1. A glimpse of the interaction between 2 Black women physicians & friends being their entire selves and uplifting one another.

2. Stuff we learned or are learning.

3. A story of the week then us unpacking it.

4. A whole lot of unfiltered #BlackWomanMagic.

Yes indeed!
3/
Our first #HDPHumpDay will kick off with 3 (!) episodes for the price of 1 (which is #free btw!😂)

👊🏽Ep 1: #BlackWomanMagic Intro to us (and our hair)
👊🏽 Ep 2: “Oh, you work here?”
👊🏽 Ep 3: “Some people just don’t like pizza.”

Mmm hmmmm, chile. Intrigued, ain’t you?
Read 6 tweets
2 Jun
1/
You: “‘How do you even know how you feel? You’re still young.’”

I listened in silence as you reflected on the response your parents gave when you told them who you are. And because they were seemingly older and wiser, you said OK.

But you knew. Even then, you knew.

Yup.
2/
Me: “When did you know?”
You: “I feel like I knew for a while. But for a long time I kept telling me what they kept telling me.”

*silence*

You: “I’m young. And that maybe the right person hadn’t come along yet.”
Me: “Damn.”
You: “Yeah. Damn is right.”

Hmm.
3/
You stared straight ahead and sighed.

You: “A piece of me wishes my family was just fully opposed, you know? This quasi-openmindedness combined with this idea that I was ‘too young to know’ sucked.”
Me: *listening*
You: “Then again. . . I don’t know.”

You sighed again.
Read 11 tweets
26 May
1/
If I close my eyes, I can see it
My daddy in a faded tank top
Standing in front of a rusted, half barrel grill

Uncles and aunties slapping down dominoes
On rickety folding tables
Wet with condensation from cold drinks

And us with our feet in a circle
To pick who would be it
2/
If I listen hard enough, I can hear it
Gravelly laughs and nicknames
Hard finger snaps to the O’Jays
or Frankie Beverly & Maze

“Hot Peas and Butter! Come and get your supper!”
The explosion of bare feet running
Cornrows with beads on the end clatter

A screen door slams
3/
If I inhale deeply, I can smell it
BBQ from a charcoal grill
a wad of bubble gum

Hot combs on kitchen stoves
and sizzling Blue Magic hair grease
My Auntie’s perfume when I kiss her cheek
And tell her that the “Sock It To Me” cake is good

The funky aftermath
of kids outside
Read 7 tweets
13 May
1/
#HumpDayHumanism

I'd just gone hard on some #motivationalinterviewing about smoking cessation with a Grady elder one day. We talked about his grandbabies and his life. We even talked about his "nature."

He was looking deep into my eyes--like it was really resonating.

Yup.
2/
Me: "Well?"
Him: "Well what?"
Me: "What're your thoughts?"
Him: "My thoughts 'bout what?"

I groaned. He was tickled.

Me: "Sir! About quitting smoking?"

He raised one eyebrow at me and laughed again. This raspy, gravelly chuckle.

Him: "Miss Manning?"
3/
Me: *listening*
Him: "Tell me. Have you ever had somebody piss you off on a hourly job real, real bad--then step outside, flick your lighter, and then take a good, hard drag on a menthol cigarette?"

I shook my head no. Because I had not.
Read 19 tweets
29 Apr
1/
Grady Hospital, 2019

Her: "Um. . . the family invited us to the funeral. Dr. Manning, how do you handle something like that?"
Me: "Like what?"
Her: "Like being invited to a patient's funeral."
Me: "When I am, I'm honored. So if I can go, I go."
Her: "You do?"
Me: "I do."
2/
Her: "Should I go?"
Me: "Do you want to go?"
Her: "I do."
Me: "Then let's go.”
Her: *smiles*
Me: *smiles back*

And so. On a wintry Saturday, we met up at our patient's church. And from the countless cars surrounding every inch of the building, the love was evident.

Yup.
3/
"Loooord...help me to hold out...until my change has coooome. . ."

Those are the words that the mass choir lifted over the sanctuary as loved ones walked down the center aisle into our patient's homegoing service that next day.

And those loved ones included us.

Yup.
Read 22 tweets
11 Apr
1/
I remember saying in a talk once:

“Bad intentions aren’t a prerequisite for something to be considered a #microaggression.”

Funny how our own words and lessons can come back to tap us on the shoulder.

Let me explain.
2/
All of our luggage was clustered near the front porch. It was about five minutes to the hour that we had to be fully vacated from the house that we’d rented for spring break.

Everyone was scrambling about and making sure we had everything after a lazy week of relaxing.

Yup.
3/
The hatch was up on the back of my car and my teen son was loading in bags with me.

That’s when I noticed a gentleman walking toward me from what appeared to be a truck filled with cleaning items. I could see that he was accompanied by some others gathering what they’d need.
Read 18 tweets
27 Mar
1/
Discharge day

Me: “Couple more updates—so I spoke our social worker. We’ve got some ways to help.”
You: *staring at me*
Me: “Also the pharmacist worked the stuff out with your insulin pen. They’ll be right over to help with that. Oh! And I found the pill box.”

*silence* Image
2/

Me: "You okay?"
You: "Yeah. I’m good.”
Me: "Okay. I thought maybe something was wrong.”

You fixed your eyes on me and shook your head. Hard.

Me: “What?”
You: *sigh* "I'm just tripping, that’s all."
Me: *squinting* "Tripping off of what?"
3/
You: "I was just thinking. . like every time I see y'all . . .everybody be hustling to help me. Almost like y’all really, truly give a shit about whether I live or die."

*silence*

I placed the pill container on the tray table and sat down.
Read 13 tweets
17 Mar
1/
My patient died the other day. One often described as “cantankerous" and known for his legendary cuss-outs and kick-outs from his room.

And one who was sick.

"Cantankerous" by definition is:

bad-tempered
argumentative
uncooperative

A bad rap if you're a patient.

Yup.
2/
On my first day meeting him he told me to go away. Let me know he didn’t give a damn about me “needing to take a look” or “just give a quick listen.”

I explained that I was the senior doctor and he sucked his teeth hard. Then sighed and quickly had a comeback.

Mmm hmm.
3/
Him: “Well, how ‘bout you carry your 'senior doctor' self down to the cafeteria and talk to them 'bout my food!”
Me: “What’s wrong with your food?”
Him: *glaring* “What’s not?” He lifted the top on the plate and slammed it back down.

Then he told me to beat it. Verbatim.
Read 20 tweets