Lilia Cervantes
@Cervantes_Lily1
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MD | Professor @CUDeptMed | #immigrant | 🇲🇽Latinx | Colorado | #healthjustice | #Kidneydisease | community-engagement /avid runner
Denver, Colorado
Joined March 2016
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Pinned Tweet
1/14
Meet Hilda. I was one of her doctors. When she died, she left 2 sons behind. My grief about her situation brought anger and then determination.
A
#tweetorial
on outcomes, advocacy, and policy in dialysis access for undocumented immigrants.
#medtwitter
#nephtwitter
#NSMC
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616
Promoted to Professor!
Appreciate everyone who has walked with me on this journey. Tomando tiempo para celebrar!
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WOOHOO! We are funded! So humbled! Just received our NOA for our U01 !!! Excited to work with a consortium to address structural racism to reduce kidney health disparities!
#healthdisparities
#KidneyDisease
My journey to research & healthcare policy change has been one with
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It is with happy tears that I share some incredible news! As of 9-1-18, non-citizen patients will have access to standard outpatient dialysis! ESRD will be included in the definition of "emergency medical condition" in Co!
@medicalaxioms
@Peralta_KHRC
@DrDeidraCrews
@allisontong1
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I'm incredibly honored & humbled to receive
@SocietyHospMed
prestigious award for Diversity, Equity, and Inclusion Leadership. So excited to continue this fight for
#healthjustice
.
#SHMConverge
#healthequity
@CUMedicalSchool
@CUDeptMedicine
@DenverHealthMed
@CCTSI
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You're looking at one of the newest members of
@the_asci
! I'm honored among these other amazing individuals!
Deep gratitude for the patients that inspired a research career and the amazing team that nominated me-
@Neil_R_Powe
@DrDeidraCrews
@EbonyBoulware
@vineet_chopra
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🩷Today, I ran a half marathon under beautiful fall colors in Denver. I will miss running for the next few weeks.
As healthcare providers it's often hard to find time for self-care, myself included. I am having a surgery this week to prevent breast cancer, a choice I put off
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I never imagined…this girl who grew up in poverty from 🇲🇽 & w/English as a second language. Never EVER imagined…in a Super Bowl commercial.
Thank you
@CUAnschutz
for highlighting our awesome campus!
Did I just see
@Cervantes_Lily1
on a SuperBowl commercial for
@CUAnschutz
University of Colorado?! What a boss! I can’t think of a more deserving person—She changed laws to permit us to care for Coloradans most in need.
#MedTwitter
@CUMedicalSchool
@CUDivHospMed
@CUDeptMedicine
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Deeply grateful for the thoughtful award (painted by Denver artist Arlette Lucero) & beautiful reception from
@COHealthFDN
&
@KeriAnnJo
I received the Dr. Virgilio Licona Community Health Leadership Award for our work to improve access to care for undocumented immigrants 😍
Thanks to everyone who joined us in celebrating
@Cervantes_Lily1
, recipient of the 2021 Dr. Virgilio Licona Community Health Leadership Award, earlier this week!
@KarenMsquared
#COHealth
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Hilda inspired me to use research to change the way dialysis is done in Colorado for undocumented immigrants.
Dialysis in the Undocumented: Driving Policy Change with Data
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The frightening reality at my daughters school.
At many schools across the country.
So angry. No words. We will change this.
#GunLawsSaveLives
@abbeywinter1
@MomsDemand
“This is the reality of being young in America: sitting through a shooting and waiting for information just hours before you’re scheduled to testify in support of gun safety bills.” - Gracie Taub, co-lead for Denver East High School Students Demand Action
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PUBLISHED TODAY
Read our paper & learn about how the experiences of
#Latinx
with COVID-19 before, during, & after hospitalization in Denver & SF can inform local & national interventions.
@MarleneMartinMD
@Neil_R_Powe
@AliciaFMD
@allisontong1
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So much joy! HB22-1289 was signed today!!!
#CoverAllColoradans
!
“Expanding health-care coverage to all children, pregnant & postpartum people, regardless of immigration status, is fundamental to correcting the root causes of health inequities”
@SerenaForCO
#SiSePuede
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20
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This is devastating. As a parent of an East HS student we must ALL engage in advocacy and change this.
Our students are courageously engaging legislators at the capital, talking to media, and raising awareness on the streets.
@MomsDemand
@StudentsDemand
@abbeywinter1
In the aftermath of the shooting that injured two administrators at Denver's East High School, students from East and West high schools, along with parents, faculty and staff walked to the state Capitol building to demand lawmakers take action to make schools safer.
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14/14
We are only as healthy as the most vulnerable among us.
Today, despite the COVID-19 pandemic, undocumented immigrants continue to receive emergency dialysis in many states. This increases unnecessary exposure + use valuable ED resources.
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1/Three years ago today, our state Medicaid agency expanded access to dialysis for undocumented immigrants and...
💰saved the state millions
⭐️reduced mortality
🎖️improve quality of life
If undocumented immigrants continue to rely on emergency dialysis in your state, read on..
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Excited to share a special study that inspired camaraderie, community organizing, and changed healthcare policy in Colorado
@JAMANetwork
My dear friend and patient Hilda died in 2014. A few years later, we developed a peer support group for undocumented immigrants with kidney
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Incredible persistence from
@StudentsDemand
& teachers at East High School.
Today, they celebrate 4 Colorado bills signed into law yesterday and meet at the capitol to demand cont’d action & accountability.
“we are not done”
#GunLawsSaveLives
@MomsDemand
@abbeywinter1
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Excited to share our Kidney International manuscript w/
@Neil_R_Powe
and
@allisontong1
looking at patient reported outcomes (QOL & symptoms) & experiences of undocumented immigrants who transition from emergency to standard dialysis.
@ASNAdvocacy
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Wow! Inspired beyond words! Standing room only after
@gradydoctor
‘s brilliant presentation
@CUMedicalSchool
In awe of you. Thank you for everything you do!
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Muchas gracias a mi familia y amigos!!! So excited to be inducted into
@the_asci
!!! Grateful to everyone that has walked this journey with me!
@CUDeptMedicine
@CUDivHospMed
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Spring Tulips !!! Fields of tulips, daffodils, hyacinths in Amsterdam!
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Grateful to all the people who worked tirelessly behind the scenes, from concept to delivery of
#CovidVaccine
Vaccinated today for my community
#SiSePuede
#Familia
Trust science. We are all in this together.
#righttobarearms
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Feliz Año Nuevo.
Grateful—one year ago today, I survived a crazy car accident & decided I would always live in the moment. Sharing some photos that capture 2 of my favorite moments this week in Iceland.
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12/14
States can define what constitutes an emergency medical condition.
On Feb 1, 2019, guided by our research, Colorado Medicaid opted to include kidney failure in the definition of an ‘emergency medical condition’ expanding access to scheduled dialysis to the uninsured.
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NEW publication alert 👏
Qualitative study--we examined experiences of transplant among transplant recipients of undocumented immigrant status who previous relied on emergency dialysis.
Led by
@katierizzolo
@gatoclau71
& others
@CUMedicalSchool
@CUDeptMedicine
@CU_Kidney
⭐️New pub⭐️
Undocumented people are restricted from federal insurance options, which make quality care difficult to access for those with kidney failure, including transplantation. 1/11
@JAMANetworkOpen
@Cervantes_Lily1
@gatoclau71
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Within 38 hours of going live, OmniSalud, a program that provides undocumented Coloradans with private health insurance, filled all 11,000 spots! INCREDIBLE ❤️ ! Deep gratitude to
@C4HCO
, the amazing people and organizations that advocated for this program, as well as the trusted
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Graduated from the transformative Clinical Scholars RWJF Program this week!
Deeply grateful for 3 years of leadership development, friendships with community-partnered and equity-focused peers, and support
@CSPfellows
@UNC
@RWJF
@SallieG22
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Really excited to share my Big Idea Talk—a Ted style talk about how I faced moral distress from a cruel and unjust law/policy and how I partnered with others to change a law that was killing my patients.
@RWJF
@CSPfellows
#MedTwitter
5
19
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One of my favorite times of the year. Preparation for ‘Dia de los Muertos’ We honor those who have passed & prepare colorful flowers, sugar skulls & pan de muerto in prep for tomorrow.
@LatinasInMed
@LMSA_Midwest
@cjangerhofer
@lorenaramren
@MarleneMartinMD
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Providing standard dialysis over emergency dialysis saves the state millions of dollars--In Colorado, the cost of emergency dialysis was 8-fold greater.
From NOLA--“We are poor people,” said Deras...holding signs that pled for continued treatments. “But we are human beings.”
UMC will close a program for undocumented dialysis patients. After initially saying it would end in a month, the hospital said this afternoon, after protests, petitions and inquiries, that they would continue treatment until they come up with a plan.
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4/
Patient: "I didn't think this was real. My family told me this wasn't real."
**I hold her hand. More tears***
Misinformation & disinformation is real.
While burnout & exhaustion from this long road is real for us as clinicians, we must dig deep and have compassion.
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So proud—Qualitative study from Drs. Ram, Simpson, Manisha & Katya: “Experiences of undocumented immigrants w/hematologic cancer who cannot access hematopoietic stem cell transplant”
“If I had money, I would live. It’s hard when you see human life reduced to this”
@SocietyGIM
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Honored to participate on a panel with United States Secretary of Health and Human Service,
@SecBecerra
and Governor
@jaredpolis
to discuss healthcare policy and health equity. It was an insightful event hosted by
@Tepeyac_Health
. Feeling inspired and excited to catalyze health
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🤣 my daughter made this video and sent it to me after hearing I was having a long day 🤣
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Brilliant women & role models at
#NKFClinicals
🔥🔥🔥
La
@nkf
presidenta Dr.
@sylviaerosas
🎉
Excellence in Kidney Transplantation Award to
@tpurnell1908
🎉
Garabed Eknoyan Award to
@Delgadockdny
🎉
#NKFClinicals
possible because of magic/hard work
@JCannonNKF
❤️
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Appreciative of my mentors who encouraged me to create a fun title/logo for our study. Really happy with the result. Shout out to
@Nephro_Sparks
for guidance on creating it.
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Thank you CPR for highlighting this work! Colorado Changed Its Rules So Undocumented People Can Get Regular Dialysis. It’s Saved Lives and Dollars
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Happy
#worldkidneyday2022
Excited for the domino effect this work has had throughout the country!
Eliminating
#structuralracism
4 undocumented with kidney failure! Shout out 2
@katierizzolo
@tessa_novick
@v_valbuen
@priti899
@JMTeakell
@FlorAlvaradoMD
@mattysincs
@zapantera
Determined to give kidney failure patients across Colorado equal access to standard dialysis,
@Cervantes_Lily1
and her research team led a major change in the state’s health policy.
Now she’s taking her work nationwide.
#WorldKidneyDay
|
@RWJF
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Excited for NKF and
@ASNKidney
lead on letter supporting access to care for undoc immigrants with kidney failure!
Several signatories have already joined in support
@RPANephrology
@SocietyGIM
@SHMAdvocacy
and many more!
#kidney
#medtwitter
ARTICLE:
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I feel angry and scared.
Every day, Bella goes to school and I don’t know if she will come home. An East HS student was shot in front of school & died.
Students are leaning in—protesting, talking to legislators & reporters, posting on social media
#GunControlNow
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Woohoo! Presented my final to my committee for my Master of Science in Clinical Science this morning! Thank you to amazing mentors,
@gatoclau71
, peers, and mentees for this incredible social and health justice research journey!
@michelchonchol
@katierizzolo
@Neil_R_Powe
@HAMFDP
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Throwback to my very first grand rounds presentation.
Thank you
@Peralta_KHRC
💛 for taking me under your wing & for inviting me to present
@ZSFGCare
Every person in this picture has been a friend & mentor 🤩
@Neil_R_Powe
@AliciaFMD
@thenephrologist
& Lenny Lopez!
Dr. Lilia Cervantes from Denver Health educated us at ZSFG Medicine Grand Rounds on health disparities in immigrants with kidney disease.
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Interview with CNN Sanjay Gupta - Undocumented immigrants on dialysis forced to cheat death every week
@CNN
.
@medicalaxioms
@Peralta_KHRC
@DrDeidraCrews
@allisontong1
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So honored to receive the annual Dr. Virgilio Licona Community Health Leadership Award! Excited to continue my passion in the light of Dr. Licona's legacy!
Thank you
@COHealthFDN
and all of my patient and partner stakeholders for being part of this journey!
🏆 Join us in celebration of Dr. Lilia Cervantes’ as the 2021 Dr. Virgilio Licona Community Health Leadership Award recipient! 🏆 Thank you for your tireless fight to advance health and health equity,
@Cervantes_Lily1
.
#COHealth
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8/14
We found that emergency dialysis is hard on clinicians too:
Led to burnout due to:
- witnessing needless suffering & high mortality
- moral distress because care is reflective of immigration status
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New publication ⭐️
Undocumented immigrants face many transplant barriers.
In
@AJKDonline
,
@katierizzolo
, Dr. Klassen, & I review & provide clarity around OPTN guidelines/policies as they relate to undocumented immigrants & transplant equity
#NephTwitter
Organ Procurement and Transplant Equity Among US Residents: The 5% Guideline
(FREE)
@Cervantes_Lily1
@katierizzolo
@CU_Kidney
#kidneytransplant
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Inspired by
@DrDeidraCrews
visit to Colorado for Collins lectureship! ❤️ Powerful presentations on
#kidney
#disparities
for nephrology & medicine grand rounds.
Such a joy to be in-person for this awesome visit.
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6/14
We began research...
Compared to undocumented immigrants that received scheduled 3x/wk dialysis, those receiving emergency dialysis have a:
Mortality that is 5-fold worse at 1 yr:
Mortality that is 14-fold worse at 5 yrs:
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Grateful to be featured in
@acphospitalist
today
The inequities experienced by
#undocumented
#immigrants
with
#kidney
disease who rely on emergency dialysis are enormous -- greater mortality, symptom burden, and poor quality of life. We must do better.
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I am so honored to be a speaker for
@JHUWelchCenter
's Grand Rounds! So looking forward to connecting with role models & research superstars
@DrDeidraCrews
&
@tpurnell1908
#advocacy
#SocialJustice
#healthequity
Looking forward to grand rounds this week!
@Cervantes_Lily1
from
@CUMedicalSchool
joins us to discuss "Dialyzing the Undocumented Community: Research and Policy".
🗓️ Wednesday, February 24
⏰ 12:10 - 1:15 pm ET
Learn more ➡️:
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Congratulations on completing nephrology fellowship
@katierizzolo
It has been such an honor to witness your passion for health justice work and advocacy! You are a brilliant rockstar & I love your energy! Feel incredibly honored to have worked w/you so closely these last 3
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⭐️Congrats
@tpurnell1908
-- on being the inaugural recipient of the American Society of Transplant Surgeons "Diversity, Equity and Inclusion Award"
@ASTSChimera
#transplant
#equity
@AST_info
You are so deserving!!!
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10/14
Comparing utilization/costs between undocumented immigrants that receive emergency dialysis vs 3x/week scheduled dialysis:
- 5 fewer ED visits per month
- 1.6 fewer hospital days per 6 month
- savings of $6000 per person per month
@OanhKieuNguyen
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4
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Love our tradition celebrating Dia de los Muertos, an annual remembrance of friends and family. Decorating sugar skulls and celebrating with delicious food.
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13/14
Step by step guidance to change access state by state:
-Gather a coalition who can develop case for change & influence decision-makers
-Engage media
-Gather the data
-Provide policy analysis
-Monitor outcomes
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To reduce the burden of CKD among Latinx individuals, we must create culturally tailored interventions that build trust and cultivate community-clinic partnerships. Excited to share our narrative in
@CJASN
@nkf
@FlorAlvaradoMD
@katierizzolo
@tessa_novick
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3/14
An estimated 6000-8000 undocumented immigrants with kidney failure have limited access to care due to exclusion from Medicare, provisions of ACA & some Medicaid programs.
This U.S. map shows where dialysis is covered by Medicaid (green).
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Celebrated a life changing health policy win! It has been a 4-year journey that culminated in policy change last month! Inspired by
@apoorva_ram
, Haley Simpson, Manisha, & Katya’s grit and persistent advocacy!
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An AMAZING outdoor dinner with AMAZING friends!
Gracias ❤️
@DrAnikaLucas
@Nephro_Sparks
&
@mattysincs
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4
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So awesome to see some of my favorite
#Kidney
#NephTwitter
@DukeKidney
community in-person! Feeling inspired by you all! At
@CSPfellows
conference!
@DMohottige
@ssfarouk
@mattysincs
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1/Our new
#research
on distress faced by caregivers of undocumented
#immigrants
that rely on emergency dialysis
@JournalGIM
Effect on children:dropping out/missing school & psychosocial distress
@jeevsmd
@OanhKieuNguyen
@NathanAGray
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9/14
And emergency dialysis is also difficult for family because they experienced
- death anxiety
- physical and emotional exhaustion
Also, children acting as caregivers dropped out or missed school and faced psychosocial distress.
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Join East High School students and community members in Colorado this Saturday, 4/29 at 10a.m. as we march at the capital and discuss efforts to reduce gun violence.
@StudentsDemand
@MomsDemand
@abbeywinter1
@shannonrwatts
#GunControl
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❤️ is full. Celebrated the holidays with our Latina research team and our Colorado patient & community partners. Feel so blessed to work on
#kidney
#HealthEquity
research in partnership with our beautiful community.
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1/
On COVID-19 ward -- LatinX Spanish-speaking pt
Me: "We may need to transfer you to the ICU"
Patient: "I'd rather go home. I have supplements that will make me better."
Me: "I'm worried. You're very sick."
Patient: "I don't feel sick."
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9
42
Community Health Workers unite to improve outcomes in
#kidney
disease! ⭐️ Inspired at
#nkfclinicals
“I had to interpret to patients that they couldn’t receive care because of their immigration status”
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In total awe of Mount Fuji. So incredibly beautiful.
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My journey to research and advocacy was inspired by Hilda ❤️
Appreciate
@CUAnschutz
investment in sharing this story through video and including Hilda, friends, & family.
Appreciate all my partners including patients, families,
@chprogress
@aubreykhill
Determined to give ESKD patients across CO equal access to standard dialysis,
@Cervantes_Lily1
and her research team led a major change in the state’s health policy. Now she’s taking her work nationwide.
@CUMedicalSchool
@CUDivHospMed
@DenverHealthMed
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Are policymakers adequately addressing health equity?
Join us for this awesome panel presentation at
#NKFClinicals
starting now.
@tpurnell1908
@Delgadockdny
& Dr. Yuvaram Reddy
@eugelin06
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1/Really excited to share about our state-funded project👉The Hummingbird Initiative
We will:
⭐️⬆️healthcare workforce diversity
⭐️Close academic achievement gaps
⭐️Eliminate social/structural challenges that impact medical school matriculation
⭐️ ⬇️Mental health disparities
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10
40
Attended Latina 1st foundation luncheon with our Latina med students & Latina kidney navigator team —honored trailblazer Sonia Flores from
@CUDeptMedicine
& Latinas in high school received scholarships!
@NHMAmd
@LatinasInMed
@CUSOMODI
Girls can be what they can see!
#Latinas
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You're awesome!
@DrDeidraCrews
!
@UNCKidney
Our nephrologist of the day is Dr. Deidra Crews from
@hopkinsneph
. Dr. Crews is a nephrologist, researcher, and Associate Vice Chair for Diversity and Inclusion.
#BlackHistoryMonth
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11/14
What’s the solution?
EMTALA- A federal law allowing Emergency Medicaid that specifies that hospitals provide emergency services to anyone w/an emergency medical condition.
As of now, CMS provides no subregulatory guidance on the definition of emergency medical condition
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2/14
Hilda suffered along with the other 80 undocumented immigrants with kidney failure, who in Colorado could only receive dialysis every 6 to 7 days when at the brink of death (=’emergency dialysis’).
Illustration
@NathanAGray
1
5
36
Celebrating life🧡on this beautiful
@nkf
walk in Denver with “Guerreras y Guerreros, Salud de los Riñones” on behalf of people with
#kidney
disease who have no health insurance.
#undocumented
#healthjustice
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6
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Published today
@JAMANetworkOpen
Qualitative study-perspectives of 30 dialysis center clinicians on the social challenges faced by
#LatinX
with
#KidneyDisease
on dialysis.
***We need community-based interventions that improve patient activation & support
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7/14
Our qualitative study of patients found physical & psychosocial distress due to:
- symptom accumulation
- being turned away from treatment (despite being ill) due to triage by lab values
- the perceived imminence of death
- no access to transplant
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3
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Appreciate
@ColoradoSun
&
@COHealthFDN
highlighting need for diversity in our healthcare workforce. Latinos are nearly 30% of Denverites yet less than 5% of Denver’s physicians are Latino. We need to invest in our youth! Start earlier!
@CUSOMODI
@CUMedicalSchool
@CUDeptMedicine
Dr. Lilia Cervantes, recently named the 2021 Dr. Virgilio Licona Community Health Leadership Award Recipient, is featured in
@ColoradoSun
.
Thank you for all you do to bring Latino voices and leaders to the forefront,
@Cervantes_Lily1
.
#COHealth
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5
35
Honored to be featured in
@ACPinternists
this week with
@jeevsmd
@katierizzolo
@ICUnephroSuarez
on access to care for
#undocumented
#immigrants
with
#KidneyDisease
Our 'experience taught us that advocacy can be effective...its our social responsibility'
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We need more interventions that are community based & culture/language concordant (individualized) to end health inequities faced by patients with CKD.
@katierizzolo
@gratefull080504
@tessa_novick
Patient navigation programs in kidney disease and their potential to improve patient-centered and clinical outcomes among members of racial and ethnic groups with kidney failure receiving dialysis
@Cervantes_Lily1
@michelchonchol
@CUMedicalSchool
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Celebrating Biden/Harris win with fall leaf confetti in trampoline!
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I really enjoyed spending the afternoon with
@UCSFNephrology
! So honored to be the annual Dr. Gary Kardos lecturer today & appreciated connecting with several superstars including
@Peralta_KHRC
@Delgadockdny
@LeticiaRolonMD
@hurryknee
Honored to have Dr. Lilia Cervantes
@Cervantes_Lily1
speaking at our annual Kardos renal grand rounds on "Latinx and CKD: Unpacking Structural Drivers and Solutions." Humbled by her impactful & empathic work.
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Hi amigos! Hoping to hire an amazing ED for a new Center for Health Equity
@CUAnschutz
! This is a brand new launch w/a 10 million dollar commitment. A steering committee composed of community stakeholders & CU faculty is guiding the work.
To apply:
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Incredible!
@tpurnell1908
inspired us all during her Colorado visit with her presentation & passion to engage in advocacy and conduct research to reduce health disparities! ❤️
@CUDEICEAnschutz
@ReginadRichards
@amira_dPJ
@CUDeptMedicine
1
8
34
No words. This is absolutely shameful and dehumanizing. There must be accountability.
Please vote.
BREAKING: Lawyers say they can't find the parents of 545 migrant children separated by the Trump administration. With
@JuliaEAinsley
.
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Really struggled with courage & persistence this week. Found these two on my desk. 💛💚💙💜
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Pulling my 3rd all-nighter as I finalize my community health worker study design.
Finding inspiration ❤️ in health equity role models & mentors that have paved the road:
@Peralta_KHRC
@DrDeidraCrews
@Rasheeda_HallMD
@thenephrologist
@AmakaEMD
@Neil_R_Powe
and running...
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Excited to be back in North Carolina for the
@CSPfellows
conference ❤️ I have grown so much & met such incredible and inspiring people!
#healthequity
#leadership
#community
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Congratulations on being inducted into the Gold Humanism Honor Society
@katierizzolo
You are a rock star! Your passion to cultivate humanism through your research & advocacy is inspiring! ❤️
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Thank you so much for this honor
@SocietyHospMed
. I am deeply humbled. Grateful for everyone that has been part of this journey- patients & community,
@DenverHealthMed
@CUAnschutz
,
@CUDeptMedicine
and many more.
🏆 2021 Award of Excellence: Diversity, Equity, and Inclusion.
Congratulations
@Cervantes_Lily1
!
Lilia Cervantes, MD, works with undocumented immigrants and researches projects & programs to reduce the burden of COVID-19 on the Latinx community.
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The people affected by structural racism are the best positioned to drive policy change
@CIRCimmigrant
@chprogress
describe in podcast (coming soon 😊) how community power-building & partnership led to HB1289 ‘Cover All Coloradans’➡️ Medicaid 4 undocumented children/women.
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My heart is full ❤️
⭐️Middle school graduation for my daughter
⭐️Medical school graduation for my brother Eddie Cervantes and
@DrWilliamWorld
⭐️Skate city party to end the week
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