THIS IS GOING VIRAL SO I WANTED TO SHARE IT HERE TOO:
A bit from my past:
My first job after getting my PhD was working as a therapist for people from low socioeconomic backgrounds.
Almost all of them were diagnosed with depression, GAD, bipolar, or BPD. Most were highly medicated— some to a point that still sticks with me years later.
As I got to know their background and lives 3 things were very clear:
1. A vast majority had been emotionally neglected, emotionally abused, or physically abused as children.
2. A vast majority had experienced domestic violence or were currently living in it.
3. Basic needs were never met. Life was an hour by hour struggle. Treatment was an attempt to allow them to get to work in most cases. To just continue to surviving.
It was the start of me questioning the field I had been trained in. One that diagnoses people with disorders without taking a look at the whole picture. It began my path of holistic understanding.
A person cannot be well when one unexpected bill will have them fall behind on rent. When they lay their head on a pillow and all they can think about is expenses piling up. When a bill at the grocery store is almost double what they paid last year when their income has stayed the same.
An entire family unit deeply struggles within survival mode. When a job is lost. When daycare needs to be paid, but so does the light bill— what do you choose? When parents can’t even think about the emotional needs of their children because they have to figure out where their next meal is going to come from.
In 1942, 10 years before the diagnostic manual of mental illness was released Maslow knew what was once just common sense: we have a hierarchy of needs.
At the bottom are basic needs food and shelter. Then safety (resources, security). Then belonging (connection, friendship, intimacy.) Without three things we *will* be sick, period.
I get pushback for questioning the status quo. And I’ll continue to do it. The status quo is keeping people sick. It denies their experience. And it says we should bandage people’s symptoms so they can return to the environment that made them sick.
May we wake up, heal ourselves, and build conscious communities to help each other.
Retweet if you feel this is true in your body 🙏
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
@RickDHarrington nursing isn’t a trade. My son is a trade worker and there is no shame in trade work. But before you start talking about things that don’t need an education, perhaps educate yourself. Absolutely rambling and no comprehensible plan to do anything.
Make it make sense. One nurse per 12 patients. Suspend nurses who speak out leaving even less staff. Who in God’s name wants their family member cared for by a nurse with 11 other patients?! Hell, even 6:1 is pushing it safety-wise. Healthcare is crumbling.
We cannot “graduate more nurses” our way out of this problem. We have got to address the issues. Staffing. Keeping ancillary support staff. STOP adding more menial tasks that take us away from our patients. RATIOS!!!
Lolllll the nurse that I’m working with is a new grad, this is her first job. This is her 3rd week of night shift, 2nd week off of orientation, and she’s already quitting 💀
And for all you city folks who make fun of rural America, when the zombie apocalypse or alien attack happens, know that they will take out the big cities and suburbs first, and rural America is where all of the weapons and frozen meat/ canned/ jarred fruits and veggies will be.
A non-medical friend recently asked me to describe clinic. I told her to imagine you have 20 meetings in a day, half of them new clients with urgent needs. Each requires your best self. You are late for at least 10 of them. You must prepare a report and deliverables for each one.
@Dallas_Holladay@rkh_md Have had a crashing infant in urgent care. Parents arguing that they didn’t think they needed to go to ER. Couldn’t call EMS fast enough. Even the paramedic had the “let’s get this kid the hell out of here” mindset.
As a healthcare provider, it’s important to recognize that although we may view a normal or negative workup as a good thing, if a patient is still having symptoms, normal testing just means a lack of an answer.
I travel & am in crowds a LOT. And while my luck WILL run out, I’ve avoided multiple infections with Covid. I’m not super crazy hazmat suit guy. But I AM up-to-date on my vaccinations, eat/gather outside when I can, and mask when feasible.
It’s not lockdowns vs let er rip.🤔
As we get ready rhe first road game for @RazorbackFB, a huge thank you to our partner and friends from @jbhunt360 for the sharp and brand new equipment truck. #OneRazorback
What’s happening in PICU’s across the COUNTRY right now should be front page news, but barely a word.
This is so, so wrong. We could be proactive in protecting kids right now, but no major news outlets even seem to be aware that a crisis is happening- never mind talking ab it.
BREAKING: US District Judge Reed O’Connor in Texas rules that requiring employers to provide coverage for PrEP drugs (preventing the transmission of HIV) violates the religious rights of employers under federal law (RFRA).
*mounts soapbox*: You can’t “spoil” a newborn.🗣
Newly born mammals aren’t designed to be alone.
Most mammals are born in litters, so when an adult is absent, littermates are present.
Mammals not usually born in litters (marsupials, primates) hold their babies near-constantly.
My friend who is an ICU RN told me her raise this year was 18 cents per hour. But yes, sure, we have no idea why there are huge retention issues or how we could possibly address them.