Shreya P. Trivedi MD, MHPE
@ShreyaTrivediMD
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| @COREIMpodcast Producer | @iMedEducation l PopHealth | @theCurbsiders correspondent | Internist @BIDMC_IM | Former Fulbright Scholar |#WomeninMedicine |
Joined April 2017
Humility is not about making yourself small: It’s about inviting others to be big. 🙏🏽.
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Overheard at 5AM: “I’m a fully grown person! I don’t have to answer any of ur Qs. Now give me my juice, give me my blankie and let me take a nap!” . Me (internally): same buddy, same.
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My resident labels his coffee ‘c.diff’ so no one takes it or throws it out . I can’t stop laughing 😂
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You are doing the best you can under your current circumstances. You are doing the best you can under your current circumstances. You are doing the best you can under your current circumstances. 🙏🏾.
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What is the root cause of your or a team member’s #procrastination?. It can be powerful to name. Does this resonate? .What would you add or change?
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Fix another queen’s crown 👸🏻without telling the world it was crooked . @womeninmedchat @PROWDWomen #womeninmedicine.
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Thank you to the person who smiles and nods in meetings. You are a gem.
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I absolutely underestimated the time-consuming nature and #art that #breastfeeding requires 🙏🏾.
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Being 2nd author is quite underrated. This person can help quite a bit, filling in the loose ends to move the paper forward. Shout out to all the 2nd #authors out there. I see you. Academia needs to give you more cred. @AcademicChatter.
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Patient #feedback to my intern:. “Many walk in as a doctor and add in bits of human. You walked in as a human and also had medical knowledge” . My heart is full. Future is bright 💜.
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Please grant me the #serenity to stop beating myself up for not doing things perfectly . The courage on #forgive myself bc I always try my best . And the wisdom to know that I am good person with a kind heart. 💜. #FridayThoughts.
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1/ "If doctors and nurses #clocked out when their paid #hours were finished, the effect on patients would be calamitous. Doctors and nurses know this, which is why they don’t shirk. The system knows it, too, and takes advantage." @danielleofri
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95 yo not on any medications!. Now that’s reflects some good deprescribing and goals of care convos 💪🏽.
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Unpopular opinion: While I really do want to continuously learn & be sensitive, I sometimes feel like I can’t keep up with all the words that are '#offensive.' 🙁 . Was told not to use the word “#training” bc “people get upset - we are human professionals, not pets!”.
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There’s an indescribable feeling of #failure when you completely forget to #pump for your 👶🏾 on busy clincial days 😔. #WomeninMedicine.
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Parenting little children as a #HCW in a pandemic:. You must make 2 schedules:.1. If everything goes ok. 2. If/when ur #childcare falls thru the cracks q2-3weeks.
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Came to US when I was 7 yo. This was my 1st day of school in USA. My parents didn’t have stable jobs bc of their poor English. Many memories of anxiously hearing the answering machine to see if my dad got an #interview or not (even if it was +5hrs away). #HappyImmigrantDocs
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"A full-time primary care faculty had a total of 390 #inbasket tasks per week . reported median ~20hrs/week on these tasks". "Clearly the current allocated 32 h of clinic time & 8 h of admin time are NOT enough to maintain our current practice."
Designed to Fail? the Future of Primary Care
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1/ “Visual representations are time-efficient and designed to engage the reader's visual processing capacity and decrease #cognitive workload.”. How do you start w/ #infographics & visual abstracts?!. 🧵 on Rip Out w/ @AylC1989 @AndrewMIbrahim & Amy Ou !
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#FourthTrimester: Another #doublebind that I didn't anticipate & doesn't get talked about much -. Focus on losing all the weight I gained/ Drop my milk supply. or Keep up milk supply for my baby/ Push thru low #selfesteem being 50+lbs up =/. #WomeninMedicine
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1/ While the need for more faculty to work in the hospital increases, I feel deeply #conflicted about working in my 1st trimester as this nugget is growing inside of me. The reassuring studies of very few pt in China were in the 3rd trimester when the fetus was more developed
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Working in the hospital on #thanksgiving? Needed a pep talk, I’ll leave here for any1else: . “What we do is a privilege. People let us into the most intimate aspects of their lives & they look to us to help guide them through very complex and delicate situations.” @ShikhaJainMD.
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Today was a day of #rejections. Yes, plural. If anyone's in the same boat, wise words from a good friend: "Nothing about what happened today will change what you are #capable of".
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Why is ascitic protein in #cirrhosis low (<2.5) and high in heart failure (>2.5)? 🤔. In cirrhosis, hepatic sinusoids are less permeable from #fibrotic issue . SO less protein can leak into --> ascites fluid!
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For awkward silence during holiday get-togethers: . Anymore to add for the holiday season? #DadJokes #medtwitter #PrimarycareJokes 🙂
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When a male attending double checks things, it’s “so helpful” . When a female attending double checks things, it’s micromanaging 🤷🏽♀️.
"When a man storms out of the room, he’s passionate. When a woman storms out, she’s unstable and unprofessional.” @nellsco. The study exposes yet another double-standard that women face at work.' @jessrapana @stylistmagazine #HireWomen #ChangeTheRatio.
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First few nights out of the hospital with a #newborn feel like . We are a bunch of pre-medical students 👩🏽⚕️ running nonstop (!) #rapidresponses while sleep deprived with very, very limited #signout.
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Perfect is the enemy of good. Perfect is the enemy of good. Perfect is the enemy of good. Perfect is the enemy of good. 'Good enough' is perfectly acceptable.
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1/3 Giving a talk on #Medtwitter and in anticipation for skeptics of the #clutter that can be on these platforms. I wanted to compile a list of people on #medtwitter that are *consistently* advancing conversations for the better of medicine.
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Wow wow wow, why does it cost $4,000 to have your article be #openaccess?! 😭😭. now every time i see an open-access paper, im going to ask how they got this kind of money 💸💰.
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1/ “It doesn't matter how many innovative podcast ideas u’ve had, its impact or how many you’ve inspired over the yrs. all that matters is that you finish-- #papers.”. So, I’m OVERJOYED to see EM leading the way in other means of contribution to medicine. Actionable tips 👇🏾
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#COVID19 got me realizing how much I rely on hospital food and ordering out =/. Looking up meals/ingredients that last 1-2 weeks. #MedTwitter what are your go-to meals (easy cook, healthy) for (likely) shelter in place?!.
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Hits home for those who grew up with ‘#traditional’ relatives 💜 . #Millennials during the holiday season:
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Hypothesis: The state of your white coat is a somewhat a reflection of the state of your life . S/p another coffee accident 😣
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1/ 😭 at receiving this email #SGIM20. I am SO grateful to mentors @leorahorwitzmd, @schwrtzmds & collaborators who were so supportive and helped me thru paralysis states (perfectionist + imposter syndrome here🙋🏾♀️) . Big win for #MedEd/#pophealth to be seen in this space!
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Its been a rough week - lots of family-related stress. Growing up in a traditional Indian family, ur expected to give n give but still get #blamed for things that are too much for others to emotionally bear. Just gotta keep chugging despite the extra weight =/ #WomeninMedicine.
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Must 👏read 👏thread. If I was a PD, i would send this to all my residents. If I was a chief of medicine, i would send to all my hospitalists and consult attendings. #FoodforThought: How do we combat "just in case" medicine?!.
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Hey #Medtwitter,. What "job" titles in #AcademicMedicine that allow you to have #career where you can innovate, mentor and collaborate? That help give headspace to ask tough questions and make larger impact
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“Beware of #promotions that take you away from doing what you love.”. This doesn’t get said enough. ‘Career advancement’ is put on a pedestal w/o as much scrutiny of what those titles or responsibilities will fully entail.
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ER overflowing . Medicine floors overflowing . We become #factories. Rather than listeners and #healers. What are sustainable solutions?.
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Very grateful and humbled to be recognized by @ACPinternists leadership award !!. Shout out to all the unsung heroes and support systems 🙏🏾.
Thrilled that women and URiM physicians comprise 51% of 20-21 MACPs and 47% of Awards #IMProud! ! ACP Announces New MACPs and Awardees for 2020-2021 | Awards, Masterships & Competitions | ACP
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When ur dad texts u this picture but tells u he is okay 🙏🏾. And u realize all the things u were worried aren’t that big 😔. Life is precious. Hug your loved ones. Drive safely.
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I was recently told in a job #interview:. 'Shreya we need to think how we are going to help u #grow'. My heart swelled bc I had started to think academia only cared about #ROI and forgotten that there were ppl who are genuinely invested in their faculty #CareerTransitions.
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Clerical Staff: I like when the male residents are on service. Female residents are too stressed. They have too much hormones. I want the male residents back. Speechless 🙁 #WomeninMedicine.
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I used to think #time was the most precious commodity. This week has made me realize more imp than time is #energy . And how imp its to do the #intentional work in finding ppl & environments that rejuvenate your energy and #protecting urself from ppl/places that drain ur energy.
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OMG YES. Deeply think about this: ‘Why aren’t sensitivity, grace & tenderness the qualities that can help me #advance in society?!’ . Is our society so rigid that it can’t promote women in #leadership unless they have more traditional male qualities. Drawing @bymariandrew 💜
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1/ Please read my first @kevinmd piece!. When we have “grown up” in a world reverberating with #masculine voices, it is no wonder we have a critical reaction when clinical expertise and leadership are presented in an unfamiliar package. #WomeninMedicine .
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Non-covid tweet: Can someone explain to me why we have to write a #coverletter when submitting a journal? The abstract already gives you the gist. 🤷🏽♀️@AcademicChatter.
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#39WeeksPregnant: . Overjoyed @Marty_Fried got this #onesie with our tagline: . “The more you test urself, the deeper ur learning gains” #5Pearls . 👶🏽, I hope u like deliberative practice and #learningtheory as much as ur mama !
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"It’s OK NOT TO BE OK. This is not what any of us dreamed of when we choose to go into healthcare. We did not dream of feeling this helpless. We did not dream to watch people die w/o their loved ones. We did not dream of being scared to go home to our families.".
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1/ Are you a #multipotentialite? . Helpful talk for mentees and mentors navigating journeys in medicine! Especially for generalists #ProudtobeGIM folks and #EmergencyMedicine who have many things that speak to them/talents.
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“You're in a good hands. She's top notch”.- pt being discharged saying to a new patient being rolled to their room. #LittleThings to make your day #JoyinMedicine.
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Don’t start something new, until something else is off your plate. Don’t start something new, until something else is off your plate. Don’t start something new, until something else is off your plate. #JugglingAct 🙏🏾
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1/ Tragic when u lose one of ur own. When I was a July @BellevueHosp intern, Ernesto coached me on how do an #ABG, helped me do my 1st fecal disimpaction w/o hesitation and brought me snacks when I looked hypoglycemic.
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Sleep training and nap training my little #nocturnist in his @thenocturnists onesie this weekend 😴. Wish us good luck world (I am more nervous about this than labor) 🙏🏾.H/t @ESilvermanMD
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Outstanding Grand Rounds on Updates in Hospital Medicine ! . 7 compelling studies & their take aways 👇🏽
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So much is lost when our social Hx is limited to:."Smoking, Etoh and drug use". I often start with: ."What are the things that impact ur ability to care for ur health?" . Been surprised insights it opens up, but not always. Either way have an excellent framework to guide👇.
7/To assist, I offer a Social Hx Schema – MAASSH . Meds.Ambulation.ADL/iADL.Substances.Sex.Home-work.
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When I was in college, I had a mentor who said she’d get #paps / gyn appts on her birthday . I didn’t really understand 🤔. And today, I gave myself a birthday present of FINALLY making a health appointment after 5+yrs 🙏🏾#PrioritizeYourself #WomensHealth.
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If my father has pain, please listen to his full story. He never c/o pain and has strong #mistrust of the medical system (despite his daughter being a physician) . That 5 min experience likely be the reason he won’t seek medical care for the next 5 yrs 🙏🏾.
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"I have #Aspergers and that means sometimes I'm a bit different from the #norm. And — given the right circumstances — being different is a #superpower” - @GretaThunberg . 👏🏽Not 👏🏽#MentallyIll👏🏽.
Fox News has apologized to 16-year-old climate activist Greta Thunberg after conservative pundit Michael Knowles called her a "mentally ill Swedish child" on the network's air.
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Walking with my poster makes me think ‘is this the nerd version of #lightsaber?!’ . Instead of bad guys, we fight health disparities 💪🏽🤓 #SGIM19
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“Let me take something off ur #plate so you can work on things you are brilliant at.”. :: Excuse me while I wipe off these tears of gratitude :: 😭.
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This work is hard. Patients are sicker than ever, more things to #coordinate and do in limited time. Surround yourself with ppl that remind you of all little things that mattered 🤗. “That discharge summary was really helpful” . “You handled that hard GOC convo with grace”
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I'm quite envious of people who can snap into "deep work" (writing, editing, etc) quickly. I always need to factor in 10-30 (!) mins of letting my brain be a "squirrel" (with ideas or just eating/making more ☕️ haha). #Efficient ppl what do u to minimize ur "Time to Deep Work"?!
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“Never quit on your worst days”. — consistent #breastfeeding advice from seasoned #WomeninMedicine 🤱🏽. Thinking about how this #peptalk also resonates for many parts in our journey within medicine 🙏🏾.
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Dear future self,. Remember how much #peace and joy you feel when you focus on one thing at a time. Figure out how to allow for more of ::this:: . Less is so much more.
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1/ Hey @EricTopol, one of my patients on wards read ur article. While complaining about all the #lapses in her care as a patient with metastatic brain #cancer w/ many complications, she goes: .
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Contrary to popular belief, . #InternalMedicine teams can do thoughtful patient care and teaching and finish rounds by 11 AM 🙌🏾
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Perhaps in #COVID era, hospitals will figure out #virtual communication with inpatients . Instead of bedside hospital screens for unidirectional #entertainment, . It will be used to check-in on patients, give updates or do #GOC in PPE-limited settings #HealthIT.
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We are good at responding to the important, urgent tasks! But it’s really not getting to the *important, non-urgent tasks* that can weigh heavy on us. #Medtwitter, I wish you all a week of slaying all the 'important, non-urgent' tasks!
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SO excited to be moving to such a supportive place with a talented partner in crime @AdamRodmanMD!. @BIDMC_Medicine @BIDMC_Education.
A lot more research has to be done, including implementing podcasts into actual curricula. @ShreyaTrivediMD and I are excited to be part of this; we’ve launched a new initiative @BIDMChealth -- we’re co-directors!
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This was a really hard week. I will try again next week 🙏🏾
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Life Protip: Develop "textable" friends in every specialty 🤣.
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Colleague: You just know a #leader when you see one. Me: What do you mean?.Colleague: They just have *it*.Me: Define *it*.Colleague: you know. *it* . *It* is how we perpetuate our leaky #pipeline and keep out diverse styles and perspectives.
Study shows that women in #acmed are less likely to attain senior-level positions than men, even after adjusting for publication-related productivity. Authors conclude that institutions must examine the climate for women: #MedEd #womeninmedicine.
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Medicine’s equivalent to a #marathon ?!. Today it was finishing a med reconciliation for a patient on 32 (!) meds 😅.
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Impressive how often this has been true
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Celebrating small #wins today:. I exercised today after many months!.15 mins with @onepeloton cardio 🫀. Just gotta keep it up with pep-talk:. You have 15 mins for your health.You have 15 mins for your health.You have 15 mins for your health.
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It takes only one encounter to absolutely #drain you. But it also only takes a few words of #encouragement to lift you . Wishing more positive net energy your way today 🙏🏾.
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