Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
@ChaseTMAnderson
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An AA, gay, rainbow-phoenix psychiatrist
@UCSFMedicine
spreading love + justice throughout the world. Welcome aboard. Views are mine|not med advice ๐๐๐ฆ.
Your Black, gay child and adolescent psychiatrist getting their name on the door.
I had an office at ZSFG when I split time there but consolidated to our main campus last year and been bouncing offices.
Only 2-3% of American psychiatrists are Black. Honored to be one of them.๐
Note from a psychiatrist with 4 years of medical school training, 3 years in adult psychiatry, and 2 years as a child and adolescent psych fellow: itโs not marijuana. Itโs not antidepressants. Itโs the guns, white nationalists, Fox News and the conservatives who enable this all.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Nineteen years ago when the depression started I wasnโt sure if I would make it. All I wanted was to find a way to help others.
Today, I graduate from child and adolescent psychiatry fellowship at UCSF!
I will forever love you all and be your Black, gay unicorn-phoenix.๐๐ฆ๐ณ๏ธโ๐๐ฅ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize the knowledge that just one accepting adult can reduce suicide attempts in LGBTQ+ teens by 40% or more - be that accepting and supportive adult.๐๐ฆ๐ณ๏ธโ๐๐ณ๏ธโโง๏ธ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
If you donโt provide healthcare to transgender people because of your โbeliefs,โ get out of medicine - leave the field to the people who actually care.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
We still aren't talking enough about the long-term effects this pandemic is already having on healthcare workers as society betrays them yet calls them heroes and expects them to smile about how the populace couldn't do the bare minimum.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Letโs stop with the โdoctors are heroes.โ Doctors on the frontlines are NORMAL people doing extraordinary things because they are forced to by a broken system.
Fix the system, give them hazard pay, understand calling them heroes undervalues their efforts, get vaccinated.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Your queer, Black, child and adolescent psychiatrist enjoying being in remission from their depression and thinking about how much he loves you all.๐๐ฆ๐ณ๏ธโโง๏ธ๐ณ๏ธโ๐๐ฆธ๐ฝโโ๏ธ๐ฅโ๐ฝ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
A note from a psychiatrist: bipolar disorder doesn't cause you to be racist. Depression doesn't cause you to be racist. Dementia doesn't cause you to be racist. Racism is never a criteria used for mental illness diagnoses. Stop blaming someone's racism on their mental illness.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Once upon a time, I wrote about experiences of bigotry in medicine as K.C. Ardem due to fear of retaliation.
Now, I write to you using my real name. It's time we take back our voices.
Many thanks to
@NEJM
for publishing this piece.
#HumanityIsOurLane
Iโm just a gay, Black, unicorn-phoenix physician, standing in front of a country, asking them to wear a mask so I can one day make out with a bunch of dudes at clubs again. ๐๐ฅ๐๐ฆ๐ณ๏ธโ๐
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
LGBTQ+ children deserve to become LGBTQ+ adults.
LGBTQ+ children deserve gender-affirming care.
LGBTQ+ children deserve to live without fear.
LGBTQ+ children deserve adults and peers who love and respect them.
LGBTQ+ children deserve a society that fights for them.๐๐ฆ๐ณ๏ธโโง๏ธ๐ณ๏ธโ๐๐ฆธ๐ฝ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Today I was waiting for food at a restaurant and a guy came over.
โHi, I follow you on Twitter! I know youโre an introvert and I want to respect your space, but just wanted to say thanks for what youโre doing.โ
I said thank you and he went on his way. It was perfectly done.๐ฅบ๐
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
(CW: suicidality). Physicians have suicide rates 2x the general population.
I am a gay, Black physician who lives with a history of two suicide attempts.
This is my story.๐
So many thanks to
@letswondermind
@AshleyOerman
for publishing this piece.๐
Normalize the understanding that an introvert might absolutely love to just sit with their friends and listen to the conversation without saying a word - that listening is participating.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
If you're a physician saying, "Why do we have to learn pronouns for everyone?" when you took the time to learn and pronounce choledocholithiasis, your biases are showing - and your lack of compassion.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
The introverted urge to pack up, release your job, break your phone so you canโt be found, move to a big cabin the woods with bookcases on every wall, and live out the rest of your days canoeing on calm rivers, taking walks through the forest, and communing with nature.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
First year of attendinghood at UCSF as a Black, gay, non-binary, Ass. Professor in child and adolescent psychiatrist officially done!
Onto year two!
So appreciative of the mentorship, the families and amazing kids, all of my friends and family, and all of you!!๐ฅฐ๐๐ฆ๐ณ๏ธโ๐๐ฆธ๐ฝโโ๏ธโ๐ฝ๐ฅ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
When youโre working with a kid who is transgender and after pronouns you say, โIโm clearly openly gay and Iโm always here to talk about your identity if you want or need.โ
And they and parent smile.
And your supervisor later praises your openness. This is the way.๐๐ฆ๐ณ๏ธโ๐๐ณ๏ธโโง๏ธ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
When you see in a patient note for the first time "Patient seen and discussed with attending Dr. Chase Anderson" and you reflect on having made it to this point while being Black and gay in medicine--I gay gasped, gay cried, and had all the good minoritized feels.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
For all the doctors saying "I don't care about pronouns," or "it's too hard to remember," here are the facts:
"...for transgender youth, using their chosen name in school, work, home, and with friends... decreased suicide attempts by 65%."
So, you better fucking care.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
PSA: If you can find the time to figure out how to pronounce choledocholithiasis, you can take the time to properly pronounce the names of your minoritized colleagues.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
LGBTQ+ 101: itโs not โwhat are your preferred pronouns?โ itโs โwhat are your pronouns?โ Their identity is not a preference, it is who they are.๐๐ฆ๐ณ๏ธโ๐๐ณ๏ธโโง๏ธ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize not calling healthcare workers heroes then having Super Bowls with tons of fans in the stadiums and a halftime show where people are touching each other.
Just be honest and call healthcare workers expendables.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize the knowledge that many introverts โplay the extrovertโ role because we live in a society where extroverted traits are โmore valuable.โ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
I cannot tell you the number of kids who came out for the first time simply because of my hair or being openly - clearly - gay. It's a lot.
Or how parents breathed easier when I asked their kid their pronouns.
But I will say, representation - you being you - matters.๐๐ฆ๐ณ๏ธโ๐๐ณ๏ธโโง๏ธ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
A few questions of many that remain on my mind: once we get through this pandemic, who is going to heal the healers? Who is going to help them with the aftershocks they suffer and repair the dreams they once had of a society that did not support them by doing the bare minimum?
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Gay bros after the amazing
@brosthemovie
๐
When I was younger and experiencing depression due to discrimination for being Black and gay, all I wanted was a simple life.
A life where I went to gay movies with gay friends.
Iโm glad I stayed alive and get to see that life.๐
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize the fact that many physicians live and work with mental illness and are stunning at their work - and those that struggle because of how the system is built deserve kindness and love.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize white people not forever tagging Black people in articles or posts about racism - tag your white friends who need to learn and educate themselves.
Weโve already lived - we are living - that mess and often can be re-traumatized seeing such things.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize the knowledge that using a transgender individualโs chosen name can decrease suicidal behavior by 56%. Be that person who respects others - you could be saving a life.๐๐ณ๏ธโ๐๐ณ๏ธโโง๏ธ๐ฆ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Calling healthcare workers "heroes" perpetuates the idea that people in the medical field have some sort of "superpower," when they are simply ordinary people who deserve better support and actual action - such as getting vaccinated.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Psychiatry 101: no one asked for their mental illness. No one asked to have days that are hard, where to survive is more than enough. No one asked to have parts of their mind fragmented. Remember those facts before judging someone with a mental illness.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
PSA: My being a gay doctor is never the problem.
Your homophobia is the problem.
My being a Black doctor is never the issue.
Your racism and biases are the issue.
My being myself is never wrong.
If you donโt allow me to be myself, that is what is wrong.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
I take an antidepressant for depression - now in remission - and anxiety. That is okay.
I have gone to therapy in the past because of my mental illnesses caused by discrimination. That is okay.
I am alive because of those supports and others. It is right to use those supports.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Introvert 101: Most of us are drawn to careers where we listen to people and/or help them process previous trauma, struggles, and dreams. We need alone time in the morning to gear up for that, and alone time after to process and have our own space after holding space for others.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
The introverted urge to be in that remote cabin in the woods with your thousands of books, wake up and sip your hot tea on the deck with a blanket around you, not have to respond to a single email, and walk underneath the stardust in the sky at night without a care in the world.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
I'm a child psychiatrist so here's some basic stuff I know.
What's NOT bad for kids?
- Supporting them exploring their sexuality
- Talking about their mental health
- Drag queens
What IS bad for kids?
- Discrimination
- Climate change
- School shootings
Easy peasy!
I'm a pediatrician so there's some basic stuff I know.
What's NOT bad for kids?
Rainbow clothes
Spacious swimsuit bottoms
Stories & poems
Learning the history of your country
Gender affirming healthcare
What IS bad for kids?
School shootings
Teaching them to hate
Easy peasy!
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
When you send your first Chief email and it's literally as gay as you can make it without adding glitter.
Welcome to UCSF Child and Adolescent Psychiatry Fellowship: we want you to be loved for who you are.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
If you're a physician saying, "I went through worse," or "I went through it so you should too," you're perpetuating the legacy of abuse - you need to reflect on how you're now perpetuating the same actions of those who abused you - stop, now.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
People are getting STEP scores, so going to self-disclose like I did before
#MedTwitter
:
- 202 on Step 1
- 210 on Step 2 (one point above passing)
- Failed 4 Shelf exams (thus, automatic Pass on clerkships even with honoring clinically)
Still here. Tests are not you.๐๐๐๐
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Men make women feel unsafe.
If one man does it then it is every manโs problem, and we need to be actively working to make women feel safe.
Stop with this โnot all menโ bullshit.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
PSA: we are already seeing psychiatric fallout for healthcare workers during the pandemic - depression, anxiety, PTSD, etc.
We need to be playing a better long-game.
Every single healthcare worker should have psychiatric services put in place for them in an opt-out setup.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Once upon a time, a gay psychiatry fellow went on a 13-hour drive to see his parents and sister in Seattle because everyone was vaccinated, to relax, and to take some time for himself before reengaging as always.
And it was beautiful along the way. ๐๐ณ๏ธโ๐๐ฆ๐ฅ๐ฆธ๐ฝโโ๏ธโ๐ฝ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
#PitMad
#BVM
#POC
#LGBT
#MH
#Mem
#A
: Seven years ago, a Black, gay student from MIT went to medical school and became class president, only to find bigotry insidiously woven into every part of medicine.
And so, he decided to take on the system to help change it for everyone.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Handy white guide for Juneteenth tomorrow:
- Should I do Blackface? No.
- Should I appropriate Black culture? No
- Should I talk about how slavery had good aspects? No
- Should I tell Black people I โget themโ? No
- Should I work for true social justice and equity? Yes
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Psychiatry 101: sometimes people self-discontinue medications. They do not need your shame when this happens. Figure out why they discontinued them: side effects, lack of effect, breakthrough symptoms, cost, so many other reasons. Set aside your ego and delve deeper with them.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Good morning to everyone, except people who say living with a mental illness means you shouldnโt care for patients.
Especially when you have no idea how that person copes with their illness.
~ Your child and adolescent psychiatry fellow living with depression in remission.๐
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
(CW: suicidality). Your Black, queer, child and adolescent psychiatrist who lives with depression, SI, and anxiety (in remission) and goes to weekly therapy and takes the SSRI Trintellix, out on a solo mall trip where pretzels will be eaten.
I love you all.๐ฅฐ๐๐ณ๏ธโโง๏ธ๐ณ๏ธโ๐๐ฆ๐ฅ๐ฆธ๐ฝโโ๏ธโ๐ฝ
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Normalize women never feeling the need to apologize - or being shamed into apologizing - for telling people invading their space to fuck off and stop harming their mental health by being trolls.
This is for all women and for Naomi Osaka being so brave with shittastic people.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
One of the best quotes Iโve ever heard an attending say when other teams were being toxic, โDonโt mistake my kindness for weakness.โ That has been my motto ever since in the medical system.
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Chase Anderson, MD, MS (K.C. Ardem) ๐ฆธ๐ฝโโ๏ธ๐ณ๏ธโ๐
Six years ago I left Chicago and planned to never return. My heart was shattered from the racism and homophobia during medical school and I was just putting myself back together again.
Six years later, I returned for a friendโs bachelorette because it felt like it was time.