🌻Sarah Diekman, MD, JD, MPH, MS🌻 (she/her)
@JusticeInMed
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Instructor @unc Gillings School of Public Health. OEM& MPH Hopkins 22|FAMU 20| Indiana 13|not Med/legal advice. 🐎🐎🦓🐎 #Dysautonomia #LongCovid #POTS
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The clinic is open! See a physician who understands from the comfort of your own home (Maryland). Get care from the dysautonomia doctor who is also a dysautonomia patient🦓
#dysautonomia
#eds
#pots
#spoonie
#chronicpain
#invisibleillness
#eds
#LongCovid
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@CovidintheChart
Report to the police. Assault and battery. Find a lawyer & sue civilly. Horrible
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@LindseyMarie_xo
POTS doctor here, I am 100% with you. He is wrong. POTS is not rare. It is rare to find doctors that are up to date on their POTS knowledge. Please keep advocating for yourself 🙏
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Another year, another great Dysautonomia International Conference. I am speaking on emerging therapies & learning from experts in to help my patients fight this horrible illness. So grateful my health is good enough to do all of this.
#LongCovid
#pots
#eds
@Dysautonomia
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@ChrisMCanDO
This really infuriates me. It might seem like a small thing but it shows how attending just get away with doing anything to Med Students and treated like sub-human objects. You’re not allowed to ask someone to not ruin your notebook. It’s very symbolic
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@EM_RESUS
Yup. An EM attending told me about a pt with this chief complaint & no other findings. Begged to get admitted to tele floor. Coded in middle of night. Good outcome because they were on the tele floor⭐️⭐️⭐️⭐️⭐️
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I was a resident who reported. Everyone at the institution let me down & did everything they could to destroy me. I hired a lawyer & went to law school to change things. The change does not happen fast enough.
These resources are less than what you deserve but they are a start:
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@EbonyJHilton_MD
My family has been in Florida for most of the pandemic. “Lockdown” was 1-2 weeks & people were still mingling. Masks have never been prevelant there. Florida has been precaution free and yet children’s hospitals are overflowing. It ain’t immunity debt
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Today I am the girl formerly known as “law student. “ All work is completed. Virtual graduation this weekend.
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The people on the frontlines can’t scream any louder
I’m a newly registered nurse. I’ve been working for three months. As of today, they are asking to deploy me to the ICU because of the increasing ICU demands. I will be the first to tell you that I am not prepared for this. This is not safe. This should tell you how bad it is.
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To all of you out there who are sad you didn’t match your
#1
, I did & guess how that ended? With me filing a federal lawsuit & going to law school to understand the messed up stuff they did to me. I had many moments when I wished I hadn’t gotten my
#1
.
#Match2023
#MedTwitter
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@MichaelChaikof
@drcopps
2x insertions here. The staff probably describe me as doing ok. I was not. I almost didn’t get the second one because of the fear. Delaying care because of pain is not ok. Patients cover up pain to make providers comfortable
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@sbernsteinmd
@RyanMarino
Very similar here. I refuse to hear that my less is less valuable. I am not a dented can.
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@jbullockruns
@813JAFERD
Just because some people do a job a certain way doesn’t mean it is an essential function of the job. ADAAA requires the essential functions not any function. Schedule changes are a long established reasonable accommodation. Some people love nightshift & happily take the month
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@grahamwalker
Given that the medical community continues to try and push me out for having a disability, this is a common and unacceptable experience.
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@mahad_minhas
Affordable daycare onsite. Visit kids at lunch. No waitlist- expand the daycare if there are more kids
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@allietrann
@EnnnDeee
It is terrible. I have questioned this for years. My theory is that it starts with toxic Med culture. We are taught to work 36 hour shifts & roll pony tails up in the car window to make it home. That toxic “push through” philosophy becomes ingrained & applied to patients.Terrible
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@sarahbellumPA
I wonder why healthcare workers are burnout out? Our expectation is only that they keep working 24/7 until they die. Is that unreasonable?
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@Praxeas
@Delta
@delta
should pay your Med bills & long term disability. FYI I have been looking into train travel & you can sleep like the $10k tickets on airplanes for the price of a coach air ticket.
@Amtrak
has an air exchange rate of 4-5 min with is not off during boarding. My new choice
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@fuzzymittens
Oh my god. My suggestion is to make no statements & lead her to the truth with questions. I was taught this by a great oncologist who taught me to get patients to process issues deeply.
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Obvi it worked out because I LOVED law school & ended up finishing residency at Hopkins but it was a journey.
#1
match is just our best guess of how to get us to a good life & training. Thrive where you are & be proud of yourself!
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@brookevitti
@michaelyehmd
Thank you for sharing this experience. I wish the attendings would be mindful of this when setting expectations for students & residents. If they don’t get the info, they get pummeled in their scores. Meanwhile this is the pt experience 😞
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@sugardose
@fuckyouiquit
And they literally did communicate instantly they would no show- so the “no call” doesn’t fit either
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@ctrssierra
“Most of the medical community” translates to his physician friend circle. He is 100% wrong.
@VirusesImmunity
has shown many hard findings in long- Covid. This guy hasn’t stayed up to date on his literature. You can get better care than this.
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@TheBlondeRN
But no restrictions on how many hours you can be awake or conversely sleep deprived and care for patients. It is the beverages that kill!
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@jtrebach
Same but it was Situs inversus. I was the only one who didn’t lie about hearing it. The favorite students failed the test so they pretended it never happened🙄🙄🙄There is some BS I can’t participate in, no matter how much my survival depends on it.
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@blondenerdx
First graders get treated with more kindness. This is meant to break your will. I am sorry our training system is so cruel. You deserve better 🙏
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@LeylsTurk
The irony is that I bet many of his patients wish he wasn’t their doctor but they are stuck with him per their insurance coverage
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@Mormolykeia
By far the most common trauma I find in my patient’s history is medical gaslighting
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@dysclinic
The arrogance of them to believe that medical science is done explaining every disease process. Also very interested how they are saying FND is not a disease process????👀👀👀 I will once again remind everyone that MS was called hysterical paralysis until the invention of MRI
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@AAMCtoday
This article is ableist. My disabilities prevent every single suggestion in this. Also the $ that I had to pay to my own institution for my medical treatment pushed my bills up. I refuse to take the blame for this system that I did not build
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@ShaneyWright
It is astounding. Please don’t give up. Not all of us physicians are like that. We are trying to work together as fast as we can to learn & help patients. We know this is catastrophically real🙏
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@ShawnteJamesMD
I was on a plane once & the pilot said that we were “decompensating.” Apparently that is a more relaxed term in aviation.
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@UnderCoverDocMD
I will not apologize for flexing ever again. Period. I spent too much of my life apologizing for my competence.
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@olsonplanner
A perversion of the Socratic method. Attendings ask questions to confirm whatever hierarchy they want. Ask easy questions to the favorites & impossible ones to someone you want to break down. Totally not methodical. All about dominance & crushing self esteem
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EEOC- Equal Employment Opportunity Commission-employees
OCR- Office for Civil Rights-students
DOJ- Department of Justice
DOE- Department of Education
National Women’s Law Center
Your state’s Bar Association
State Level Civil Rights Office
State Attorney General
#TikTokDoc
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@timricketts_
I was a Med student. 6 month old only ounces more than birth weight. Seen by every specialist service. No Dx. I noted a true basophilia & proposed atypical milk protein allergy. Baby ⬆️pounds immediately & thrived. Attending NEVER said “good job”& refused to write me a letter 🫠
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@ChrisMCanDO
I wish I could say it would be the last but we both know that is not true. Never forget that this is not ok. Don’t let it dull your own moral compass. We have to break the cycle & make a better future!
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@LindseyMarie_xo
For what it is worth, in my experience almost 100% of people who have researched and believe they have POTS, do in fact have it. Keep looking for someone who will actually help you 👏
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@MaddieMierMD
It is a constitutional right of the states to control health & safety licensing (10&11th amendment). The states can voluntarily make a compact to allow universal licensing. It will always be the states choice.
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@dra_gonzalezz
It is an OSHA violation for you to not have the correct equipment. Contact environmental health or the safety department & tell them you need special order gloves
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@AlexAurlom
@AdenaZadourian
Studies has shown that women are more likely to get this non actionable feedback 😭Such BS!
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@Esqueer_
Compensation for the victims sounds absolutely appropriate. He is gonna have a hard time claiming he has no assets
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@SolNataMD
For the record, I have seen long Covid cases that were fine after 1st infection & have horrendous long Covid after 2nd. A first infection doesn’t not tell you about a response to a 2nd.
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It is with the heaviest of hearts that I have resigned from TIME’S UP Healthcare. See my letter below. I will never stop fighting for equity & safety in healthcare & STEM. Let’s focus on survivors & preventing harm.
#BelieveSurvivors
#Metoo
#MedTwitter
Introducing Sarah Diekman (
@JusticeInMed
), MD MS, law student and founding member of
@timesuphc
.
#FOUNDERSFRIDAY
#TIMESUP
#TIMESUPHC
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Would hospitals have fared better over the last 30 years if doctors were in charge? New research suggests they may have done.
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It is not a productivity problem. Women get paid less even when they are top earners
Becker Spine Review in November 2020 reported that "female orthopedic surgeons earn on average $122,677 per year less than their male counterparts, according to Doximity's 2020 physician compensation report." It is not 'greedy' to ask for fair pay. It is time to close this gap.
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@mike88555926
@deannabryant210
@Hopefulin2021
@DavidNHackney
If there is fetal cardiac activity these laws are written to make the pregnant person disposable. It is not about life, it is about subjugation of women. Pregnant people are just disposable incubators to them. That is how the laws are written
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#MedTwitter
is 2,000mg of oxi compatible with life? I have certainly seen high volumes, maybe it’s financial limitations, but I have never seen anything close to this volume.
#AlexMurdaghtrial
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@Rob_Smithers
@GabrielThigah
@AyushKumarMS3
Exactly. I love the mass casualty example. Like you espoused, the adrenaline would totally carry one through such an event, not the brain damage from years of sleep deprivation
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@ask_aubry
I was watching investigation discovery yesterday, and a guy was confessing to murder of a young woman. He called himself a good guy during his confession. “ he just made a bad decision.” To me, it was the ultimate summation of the good guy thing.
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@Happydog___
Bless you🙏. This is Marie. Senior rescue. 2 years she had a good life. Best thing I have ever done
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My last degree, I swear! MPH from Hopkins. Next month graduation from residency & then a real job. OMG! Finally🙌
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@brookevitti
@michaelyehmd
One thing I forgot to mention. I have heard these painful morning pre-rounds justified because it is “better for the patient” & no matter how much it damages trainees we have to do what is best for the patient....So who really is driving this 🧐
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@natalizumab96
You do have a copyright on the work & its derivatives. Only in medicine are we expected to just give up our rights to be a good team player
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@chaecliff
@drjessigold
😫😫😫What are we doing to healthcare workers??? It’s like someone wrote a management book on how not to do things & the not was forgotten
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@WhyamIhereb
To everyone on here invalidating your concerns about an abusive environmental: 1. There is a huge burnout suicide problem w/ the current system—> don’t protect it- look for ways to improve 2. Trainees have some of the best perspective because they have not yet normalized th abuse
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@BeingDrBernice
If you watch certain news stations they are directly telling people that getting the antibodies after infection is the same as vaccination. Killing your viewers seems like a bad strategy to me but I don’t make the rules
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@amyn86
@ctrssierra
Right?!! Citing fiction is not appropriate when one should be citing peer reviewed journals
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“‘Best died from "multiple blunt force injuries" and it ruled his death a suicide.”’
🤔
So he fights to lower pharmaceutical prices & then beats himself to death? Hope the same doesn’t happen to me after posting this😬
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@miriamgershow
Don’t forget about filling the brain with knowledge! While enjoying soothing animal company & low effort nutrition 💆
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@KatyGarcia91
Not ortho here but got into program way above my league. Networking is everything. I went to conferences that were geographically close to me for free by email organizers and asking if I could volunteer. Organizers also know a lot of people
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@iamn0tthe1
Thank you for this post. This is a big problem. I have had attendings get mad at me for respecting patients wishes. Which was shocking but now I know it is coming. The patient is the boss! It is their body. Respect that
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@Mariavee
I am so sorry. I hate this so much. I gave up several priceless moments for Med training. But did it at least help someone? No. But did it at least make me a better doctor? Also no. Probably made me worse. The system needs to change
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@MVGutierrezMD
Become a gardener. See exhibit A of my tomatoes touching my roof 🍅 This was during one of the worst times of my life but my garden gave me purpose, calm, feeling of power & beauty 🌺
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@arghavan_salles
Is she is a 3rd year medical student, it medical student syndrome🥲. Bonus points for killing her grades on her clinical rotations because her condition was not diagnosed & treated. Good thing she figured it out herself. Yes, it’s me
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@DrAlrahmani
@MayoClinic
No words are enough to state the sadness of losing another colleague this way 😞🙏
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@KaniveEdward
@jbullockruns
@813JAFERD
If you are working in a system that does not already have a currency as to what shifts are worth in order to account for sick call and emergencies then you are working in a negligent system built on ableism
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@DrCargle
@CountyofLA
@USC
@AAOSAdvocacy
I am so sorry. If you are interested in Prev Med or occupational Med there are off cycle spots at programs like UIC. Also regular cycle applications are in the fall. Match in Jan. Lots of ortho in oc Med.
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@plwin49
@allietrann
@EnnnDeee
Exactly. It has long term psychologic impacts. I think one of these is how we treat patients & think about problems. The fruit of the poisonous tree. We need better health philosophy from root to fruit.
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@RNSuperHero
It is astounding that they don’t understand they need to care about the health & safety of healthcare workers!!! They are so used to healthcare workers showing up despite the worst abuse, they have completely taken them for granted. These are real people who need safety & a voice
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@meganranney
Or a rash. Maybe it is the new detergent or maybe it is Stevens Johnson Syndrome. This policy is murder
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@AmyPearsonMD
Truth. A wise Midwest attendings taught me that open ended is for first 2 min. It gives the patients a chance to relax & feel heard. After 2 min the guided portion starts. It was very helpful
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FYI- that was a past residency. NOT my current one.
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@jfunkmd
Oh my god. Medical board should reprimand for this. I glad he got good care with you
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@AdenaZadourian
Truly the most toxic of cultures & I will never understand how people don’t see that this culture makes our misery. There is nothing wrong with you. The culture is sick & wrong. I still kiss the ring to survive it & part of me dies each time but I have loans to pay 😞
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#MedBikini
: You made the Boston Globe! The hashtag sounds lighthearted but the pain runs deep. Professionalism is only ethical if it respects civil, Constitutional, and human right 💖 via
@BostonGlobe
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@DGlaucomflecken
I am gonna spin if for you. “I want to heal the broken hearts of medicine with the salve of laughter. Validated the experiences of those who have been gaslit & uplift those who have lost their joy. With the mighty tool of TicTok, I shall fight the darkness.” 🦸
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@ClinicalPearl
@studentdrdemon
Meanwhile if the patient was not trying so hard to makes other people comfortable, she would be called hysterical for not hiding the pain🙄
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@MrsPA_C
I think pregnancy is a qualifying condition for open enrollment. You should be able to get a plan outside of open enrollment aka now. He might still qualify to enroll. I am so sorry for this stress 🙏
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@jtrebach
I thought of you yesterday at the National Aquarium as I licked this frog. Also I had gotten there in a plane crash with Meg the Stallion
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@msalmanfaisal
@DocBLaw
He is saying it hurts him to not be able to save these people. We feel like failures because we couldn’t save them with a vaccine. It is a trauma of caring that people are dying & you can’t help them. Even with a vaccine, we can’t help them.
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@RyManMD
Chronically ill patients are more likely to to be faking how well they are than how sick. Believe patients first.
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@jfitzgeraldMD
@ACLU
@ACLUTx
My first call would be to ACLU TX. They are who will actually be litigating these issues. Also consider donating to help. Each of these laws costs millions to challenge & they are the last line of defense
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@MeganAttridgeMD
I always try to start the new students with an intro explaining that I am not trying to trick them & I am asking about what they know to not waste their time & meet them where they are. My goal is always 100% excellent students. I want to know what they need to know
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