Preston Igwe, MD @PrestonIgweMD Twitter profile

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Preston Igwe, MD

2 years

A quick story. I’m on ambulatory medicine at the VA. Yesterday I went to get a patient from the waiting room. A Black man who served in Vietnam. When I introduced myself as Dr. Igwe, he gave me a very strange look. I asked if I had the wrong person, but he said “no, that’s me”.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Now y’all. I’ve had some great moments as a doctor over the last 7 months. But this one was definitely one of the most profound. It filled me with joy to know that the last 13 years of my life were in preparation to make this type of impact. And that I’m where I’m supposed to be.

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Preston Igwe, MD

@PrestonIgweMD

2 years

I knew suicide rates for Black youth have been rising, especially since the pandemic began. But this lecture by Dr. Benton highlighted many other facts I wasn’t aware of. Gonna share some for folks who are interested.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Although just having Black people represented in medicine is not enough, it is still very important. Cause our very existence is therapeutic. It makes a difference. We also need the support and systemic changes to actually thrive in this field.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Now it was my turn to be shocked. In over 50 years of coming to the VA, this man had never seen a Black physician! I was his first. He then proceeded to tell me how important this was to him. The fact that I simply existed and was here with him at that moment.

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Preston Igwe, MD

@PrestonIgweMD

2 years

After I finished up the exam, I went to staff with my attending and we came back into the room together. While pointing at me, the patient tells my attending, “You need to keep him! He’s the first doctor I’ve ever had that looks like me.”

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Preston Igwe, MD

@PrestonIgweMD

2 years

I couldn’t shake this weird feeling I had, so I asked him why he was looking at me like I had three heads. He said, “Brother, I’ve been coming to the VA since 1970. And I’ve NEVER seen a Black doctor. Many Black people around the place, but never a doctor.”

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Preston Igwe, MD

@PrestonIgweMD

2 years

Suicide rates for Black girls have increased by more than double that for Black boys. This was shocking to me because we know that overall men complete suicide at a higher rate than women. And it raises many questions about how we’re failing to protect young Black girls.

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Preston Igwe, MD

@PrestonIgweMD

3 years

I MATCHED AT UCLA IN PSYCHIATRY!!!! MY NUMBER 1 CHOICE!!! #MatchDay2021 #Match2021

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Preston Igwe, MD

@PrestonIgweMD

11 months

There’s nothing I hate more as a Black man working in a predominantly white space than being told that my “tone” and “attitude” are inappropriate. Especially when it’s in the setting of me being assertive while advocating for myself.

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Preston Igwe, MD

@PrestonIgweMD

2 years

About half of Black adolescents who attempted suicide never met criteria for a psychiatric condition by current screening tools. This indicates that our instruments may not be adequate for screening Black youth suicide risk.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Risk factors for suicide for Black youth are all connected to systemic racism. Neighborhood violence, economic insecurity, ACEs, historical trauma. And the trauma is more prevalent and severe when compared to children of other racial/ethnic groups.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Black adolescents average over 5 racial discrimination experiences per day. This could be microaggressions (which aren’t micro at all) or more overt instances of racism.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Exposure to traumatic videos online contributes to symptoms of depression and post traumatic stress. This has been linked to suicide rates among Black and Latinx youth. Videos of police violence are prominent examples of this.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Also want to say that I know this topic can be very difficult and triggering for many. So please feel free to mute me or this thread if it protects your peace. Prioritize your own mental health, always.

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Preston Igwe, MD

@PrestonIgweMD

4 months

The reality is if you see a Black person in a profession where Black people are highly underrepresented, they are likely overqualified and had to endure obstacles our white counterparts did not have to face.

PatriotTakes 🇺🇸

@patriottakes

4 months

Charlie Kirk: “I’m sorry. If I see a Black pilot, I’m going to be like, ‘Boy, I hope he’s qualified.’”

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Preston Igwe, MD

@PrestonIgweMD

1 year

This is a great article that highlights a lot of the discrimination and hostile work practices that many Black residents face. I’ll summarize some of the most salient points in a quick thread.

‘It was stolen from me’: Black doctors are forced out of training programs at far higher rates than...

A STAT investigation found that Black residents leave or are terminated from training programs at far higher rates than white residents.

www.statnews.com

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Preston Igwe, MD

@PrestonIgweMD

2 years

Some protective factors against suicide for Black youth: familial support, school connectedness, high level of racial/ethnic identification, stable finances. Found the identification part very interesting.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Community violence exposure in Black boys in the 6th grade was found to be correlated with depressive symptoms and aggressive behavior. This is further associated with suicide attempts in the 8th grade. We’re talking about middle school kids, y’all! This is wild.

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Preston Igwe, MD

@PrestonIgweMD

2 years

For older adolescents (15-17), the most common precipitating factor for a suicide attempt is relationship problems. For younger adolescents, it’s family problems.

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Preston Igwe, MD

@PrestonIgweMD

4 years

I can’t wait to become a medical school dean and protect Black students. And love them. Loudly and proudly. We’re always an afterthought, and that’s not acceptable.

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Preston Igwe, MD

@PrestonIgweMD

2 years

In the words of @BelleEspritNoir , the kids are not alright. Suicide rates are increasing for Black youth, as well as children in other racially minoritized communities. We need more research examining the trends, better screening tools, and better interventions.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Oh we live baby!!!! I give all the glory to God!! #MATCHED #Match2021 #JustAKidFromSouthwestHouston

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Preston Igwe, MD

@PrestonIgweMD

2 years

Strong ethnic/racial identity is a protective factor, but racial trauma is a major precipitating factor and leads to collective injury. Interesting to me because I’d assume that strong racial identity would put you at greater risk of internalizing racial trauma.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Huge thank you goes out to Dr. Tami Benton at @ChildrensPhila for the great lecture today! She’s done amazing work in this field and continues to make a big difference in youth mental health.

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Preston Igwe, MD

@PrestonIgweMD

2 years

There isn’t a lot of research on what interventions exist to reduce these rates among Black youth. Or if the interventions we have to reduce suicide risk in kids in general are effective for Black youth. So a lot of work still to be done.

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Preston Igwe, MD

@PrestonIgweMD

3 years

My Nigerian mother never misses an opportunity to tell someone that I’m graduating from medical school. I don’t know why the guy who came to fix our washer needed to know. But she definitely felt he did 😂😂😂

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Preston Igwe, MD

@PrestonIgweMD

3 years

Called my mom and couldn’t hold back the tears. Y’all...we been through a lot. She’s been my number one supporter through EVERYTHING. I do this for her and for myself and for my entire village behind me. WE DID IT!!!

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Preston Igwe, MD

@PrestonIgweMD

2 years

I never expected my short thread to get this much attention! Thank you to everyone that reached out with kind words and encouragement, and those who shared your own powerful stories! I’m glad to be doing this work and to see that so many of you appreciate its importance.

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Preston Igwe, MD

@PrestonIgweMD

4 years

I wish medical school included a course in the differences between private practice and academia. And how to be successful and happy in both. We’re surrounded by academic medicine, but most students have no idea how it works.

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Preston Igwe, MD

@PrestonIgweMD

4 years

What’s good #MedTwitter ! Let me reintroduce myself. My name is Preston Igwe, and I’m applying to psychiatry residency! I’m passionate about mental health equity, medical education, and diversifying the face of medicine! #Match2021 #PsychMatch #BlackMeninMedicine

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Preston Igwe, MD

@PrestonIgweMD

1 year

Finished up my last 24 hour call shift of residency and hopped on a plane! Finally made it to San Francisco for #APAAM23 ! Excited to network and learn from the greatest minds in psychiatry 🧠

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Preston Igwe, MD

@PrestonIgweMD

4 years

Being a black medical student means you have to watch people who look like you regularly get murdered on camera. And before you can even process that, you’re thinking about how unproductive you’ve been in your grief. #MedStudentTwitter

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Preston Igwe, MD

@PrestonIgweMD

2 years

There is no substitute for good sleep. It can change your entire perspective on life.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Honestly feel like this constant on the go lifestyle is not for me. I used to view being busy all the time as a badge of honor, but I know I don’t love that life anymore. I want to only do things that bring me peace, joy, and purpose.

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Preston Igwe, MD

@PrestonIgweMD

2 years

There’s no reason a domestic flight should be $800. Especially when bought 6 weeks in advance.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Black women 🤝 Matching into ortho Is it just me or has there been a surge of Black women entering orthopedic surgery over the past couple of years? Love to see it! The field needs you.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Yesterday I had a patient say something that really stuck with me. “As you keep walking in your purpose, arrows will come your way. Some will hit. Some will be hard to pull out. But just keep moving forward. God put the dream in you for a reason.”

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Preston Igwe, MD

@PrestonIgweMD

2 years

One thing I want all resident physicians to be free from is the idea that we need to be immensely grateful for just being here. So grateful to serve that we shouldn’t demand more. All that does is perpetuate the unjustness of the system.

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Preston Igwe, MD

@PrestonIgweMD

9 months

Only 2% of psychiatrists are Black. So taking care of patients during LA’s first tropical storm in 84 years alongside this amazing team of Black psychiatrists was a powerful experience. And hopefully a sign of change to come. @sincerely_amira @FredB_MD @UclaPsychRes

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Preston Igwe, MD

@PrestonIgweMD

3 years

Today was tough. During an interview, I found out that someone I knew passed away suddenly. Gave my condolences to his mom during one of my breaks. And had to pull it together to finish my interview day. Life is too short. Cherish each day because nothing is promised.

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Preston Igwe, MD

@PrestonIgweMD

3 years

A “transition to residency course” that does not cover systemic racism or sexism in residency is wholly inadequate.

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Preston Igwe, MD

@PrestonIgweMD

1 year

My attending gave me the opportunity to lead rounds. Afterwards, he gave me feedback on how I did and my general performance over the past month. He said, “you have all the tools to be outstanding, and you are.” And that was exactly what I needed to hear.

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Preston Igwe, MD

@PrestonIgweMD

4 years

Currently taking an elective called Psychiatry and the Cinema where we watch movies portraying mental illness or psychiatry and discuss them. I’m loving it! It’s definitely highlighted how much media and pop culture influence perspectives about mental health.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Fresh cut ✅ Match Day fit ✅ Nigerian worship music ✅ It’s time. And I’m ready!

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Preston Igwe, MD

@PrestonIgweMD

11 months

As a Black person in medicine you have to be constantly aware of how you’re coming off to others. Because you know that at any point “professionalism” can be weaponized against you and it can cost you everything.

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Preston Igwe, MD

@PrestonIgweMD

1 year

Just want to say that I’m incredibly grateful for being elected as President of the UCLA Psychiatry Residents’ Council. Alongside my co-president Stephanie Wong, I will advocate for the needs of our residents and help uphold a culture of wellness, inclusion, and support.

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Preston Igwe, MD

@PrestonIgweMD

1 year

Black residents account for about 5% of all residents, but we account for nearly 20% of those who are dismissed. I think most Black people in medicine know that they are being evaluated on a harsher scale than our counterparts, and this begins when applying to medical school.

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Preston Igwe, MD

@PrestonIgweMD

11 months

It’s funny how people are so shocked when they don’t get the response they were expecting. You thought I was gonna back down and apologize? Nah we can get even more active cause I got time today!

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Preston Igwe, MD

@PrestonIgweMD

11 months

Even if you feel like the other party is behaving in a manner that is truly unprofessional. You know that you will not be given the same grace. You know that some folks are just looking for a reason to knock you down. And that’s incredibly frustrating.

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Preston Igwe, MD

@PrestonIgweMD

3 years

We thank God 🙏🏾. It’s not justice, but it is accountability.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Today marks 6 months since I graduated from medical school, fulfilling a dream a lifetime in the making. I’m getting exceptional training and taking care of people at their most vulnerable moments. It’s truly a blessing! #MedTwitter #BlackMeninMedicine

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Preston Igwe, MD

@PrestonIgweMD

1 year

The advice I give to premeds and current medical students is always the same. 1. Give yourself grace. Life is hard enough without pursuing a career in medicine. We’re often our own worst critic. So remember to be kind to yourself. You’re doing enough. You are enough.

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Preston Igwe, MD

@PrestonIgweMD

1 year

Our scores, activities, research projects, and clinical skills are more heavily scrutinized. Our evaluations are often vague when talking about our deficiencies. And “professionalism” is used as a weapon for anti-Black racism.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Had my LAST interview for psychiatry residency yesterday 🙌🏾 Followed that up with my covid vaccine today! Fourth year of med school has not been what I envisioned this time last year, but I thank God for the lessons and the blessings on this journey. Next up: #Match2021 ! 😁

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Preston Igwe, MD

@PrestonIgweMD

11 months

I know that is the reality, but I refuse to allow that to affect how I do my job and take care of my patients. I’m always going to stand up for what I believe in. I will continue to advocate for myself. That’s the only way we will get things to change.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Connect with the people you meet along the interview trail. They are your future colleagues and maybe even your co-residents.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Congratulations to all the medical students graduating this weekend! This is a huge accomplishment. Not just for you, but for your family and friends as well. Live it up to the fullest. You deserve it!

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Preston Igwe, MD

@PrestonIgweMD

2 years

Today I gave my first official lecture to third year medical students! Topic was substance use disorders. Wild how just two years ago I was in their shoes. Life comes at you fast.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Good luck to everyone applying to residency this week! Know that what is for you is for you. Keep an open mind and always trust your intuition. Now go secure the bag.

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Preston Igwe, MD

@PrestonIgweMD

1 year

I’ve been on vacation for the past two weeks. I start work on Thursday, and I don’t even remember what I do.

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Preston Igwe, MD

@PrestonIgweMD

1 year

“Professionalism can be used to tell people they are too loud, or too quiet, or that they need to dress or look a certain way. Many Black residents report an uncomfortable focus on their hair…there’s a lot of concern about fitting into the mold.”

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Preston Igwe, MD

@PrestonIgweMD

3 years

Today is my first day on the job as Preston K. Igwe, MD! The past 13+ years of my life were spent working toward this day. I thank God for the journey and everything to come! Shoutout to all the new residents on #MedTwitter 😁

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Preston Igwe, MD

@PrestonIgweMD

3 years

Finished my first rotation of residency last week! Here are some pics that made me happy when working 12+ hours overnight. (First day shoes had to be immaculate 😂😂)

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Preston Igwe, MD

@PrestonIgweMD

3 years

Divine timing took a lot of patience 🙏🏾 I thank God for never taking His hand off my life! Even when I couldn’t understand them, the plans He had for me were always perfect. Two more days until you gonna have to add those letters after my name! Respectfully! #MDLoading

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Preston Igwe, MD

@PrestonIgweMD

4 years

For me, getting into med school changed my life. It opened a lot of doors and will allow me to take care of my family in the way I’ve always dreamed of. I’m glad I can help others know what that feels like.

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Preston Igwe, MD

@PrestonIgweMD

1 year

I want to end with a special shout-out to some organizations who are working to support Black residents and fellows as we complete our training. Your validation and advocacy is immensely appreciated. @SNMA @NationalMedAssn @blackmenphysic1 @ABWP_Drs @BlackDocVillage

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Preston Igwe, MD

@PrestonIgweMD

11 months

I saw a doctor post online saying not everyone needs healthcare. Only the sick. And that kind of mindset is why there isn’t more emphasis placed on preventative medicine and keeping people healthy.

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Preston Igwe, MD

@PrestonIgweMD

1 year

“A 2020 survey of 7,000 residents found that nearly 25% experienced discrimination based on their race, ethnicity, or religion, with the highest rates for Black respondents. The study found this discrimination led to higher rates of burning out and not finishing residency.”

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Preston Igwe, MD

@PrestonIgweMD

2 years

It’s Day 3 of my internal medicine rotation. I’m still alive post long call lol. I got a lot of respect for y’all who did this year round while only averaging one day off a week. That’s wild.

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Preston Igwe, MD

@PrestonIgweMD

1 year

Many Black residents are gaslighted and end up internalizing their negative feedback and experiences. Which often leads to worse mental health outcomes and even suicidal thoughts during and after residency training.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Nothing like the smell of generational curses being broken in the morning.

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Preston Igwe, MD

@PrestonIgweMD

1 year

And with a disproportionately higher amount of Black residents being terminated or quitting, the diversification of medicine is stalled, especially in the surgical sub specialties. This ultimately hurts the patients and communities we serve.

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Preston Igwe, MD

@PrestonIgweMD

3 years

One of the best parts of today. I guess I’m officially a Bruin now 😎

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Preston Igwe, MD

@PrestonIgweMD

2 years

Congratulations to all the applicants who matched into urology today! And for those that didn’t match, know that this is not the end of your journey! Delayed is not denied.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Black men deserve to grow old.

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Preston Igwe, MD

@PrestonIgweMD

1 year

I’ve been thinking about the life and death of Dr. Nakita Mortimer since I heard the news yesterday. The struggles that residents go through, especially Black women, is immense. And it can be devastating to not only us but our family and friends. May her soul rest in peace.

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Preston Igwe, MD

@PrestonIgweMD

1 year

When residents leave or are dismissed from their programs, many end up switching specialties or leaving medicine entirely, while still being responsible for paying back hundreds of thousands of dollars in med school loans.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Just learned that the USMLE has decided to permanently discontinue Step 2 CS. As a current medical student, I feel that this is the right decision. One that should’ve happened a long time ago. But better late than never.

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Preston Igwe, MD

@PrestonIgweMD

3 years

Yes, because it’s the wood-burning stoves of African countries that are destroying the planet. Not the major corporations and fossil fuels of western nations. This is incredibly dumb, condescending, and disrespectful.

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Preston Igwe, MD

@PrestonIgweMD

4 years

Nothing makes me happier than when my mentees tell me they got accepted into medical school. I’m gonna be on cloud 10 all weekend 😁

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Preston Igwe, MD

@PrestonIgweMD

3 years

I used to think being able to fall asleep at the drop of a hat was a flaw, but as an adult I realize it’s actually my greatest flex. If there’s one thing I’m gonna do, it’s fall asleep immediately 😂😂

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Preston Igwe, MD

@PrestonIgweMD

1 year

The constant question of what role racial bias plays in negative experiences is tough to bear. “What is hard because of the residency training, and what is hard because I look different and don’t fit the mold…Teasing that out is difficult.”

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Preston Igwe, MD

@PrestonIgweMD

3 years

Going into residency, I really want to invest in a comfortable bed. The bed I had in medical school was pretty awful and I woke up with back pain often. Any recommendations? I’m also a side sleeper if that matters.

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Preston Igwe, MD

@PrestonIgweMD

1 year

Yeah today is gonna be dedicated toward Match results. This is now an MS4 fan account.

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Preston Igwe, MD

@PrestonIgweMD

3 years

This is the most expensive April ever.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Today is my first official day as a PGY-2! Starting off on inpatient child psych. Happy to be able to intervene so early in these kids’ lives.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Congratulations to all the MS4s that submitted ERAS today! It brings me joy to see y’all move another step closer to your dreams. Show up as your most authentic selves during interview season, and remember that you deserve everything you’ve worked so hard for. #Match2023

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Preston Igwe, MD

@PrestonIgweMD

2 years

People want to weaponize Christian doctrine for power and control while going out of their way to avoid being like Christ. It’s sickening.

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Preston Igwe, MD

@PrestonIgweMD

3 years

It’s wild to see rising MS4s arriving to #MedTwitter and giving their intros. I was doing the same thing around this time last year, and now I’m starting residency in two months. Shoutout to everyone I’ve met on Twitter who helped me get to this point. I appreciate you!!

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Preston Igwe, MD

@PrestonIgweMD

3 years

Officially done with my last course of medical school! Graduation up next! We move!!!

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Preston Igwe, MD

@PrestonIgweMD

3 years

Not guilty on all counts means they didn’t even think he was guilty of reckless endangerment. Guy brought an AR-15 to a protest and shot three people, killing two. But that wasn’t reckless? That’s sick.

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Preston Igwe, MD

@PrestonIgweMD

1 year

This year I’m committed to reaching certain financial goals but in as healthy a way as possible. I’m interested in hearing about what other residents do outside of moonlighting to make extra money without burning out.

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Preston Igwe, MD

@PrestonIgweMD

3 years

I’ve gotten better sleep in this last stretch of fourth year than in the last 13 years of my life. Seriously. From high school through medical school, I thought 6 hours/night was great. Now I’m getting close to 8 every night. Let me cherish it while it lasts lol

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Preston Igwe, MD

@PrestonIgweMD

2 years

And I want a lot of free time to spend time with my friends and family. That’s what I love to do the most. I’m going to create a life that allows me to do as much of that as possible.

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Preston Igwe, MD

@PrestonIgweMD

2 years

A year ago I became a doctor and moved across the country to Los Angeles. It’s been a tough year, but a beautiful one as well. A transformative one. I thank God for the journey and all the lessons learned so far 🙏🏾

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Preston Igwe, MD

@PrestonIgweMD

1 year

God will take me to incredible new heights this year. I’m ready for it.

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Preston Igwe, MD

@PrestonIgweMD

2 years

Jails and prisons are our largest mental health facilities, and that’s a societal failure.

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Preston Igwe, MD

@PrestonIgweMD

1 year

I’m excited to announce that I will serve as a @APApsychiatric / @PsychFoundation Leadership Fellow for 2023-2025! This fellowship develops the next generation of leaders in psychiatry, and I’m honored to work alongside these amazing individuals.

APA Foundation - APA Foundation Welcomes 2023 Class of Fellows, Largest in Program History

The American Psychiatric Association Foundation today (APAF) proudly welcomed 116 future psychiatric leaders into the 2023 class of fellows, marking the largest class in program history.

apafdn.org

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