Med Student interested in primary care & health equity | Research assistant
@MESSAGE_TGI
| Passionate about the gender health gap | Climate crisis=health crisis
“In
#medicine
… knowledge of health & illness predominantly focuses on men… Men [are] viewed as representative of the human species, while women [are] seen as deviations from this norm.”
You can read my opinion piece on the
#GenderGap
in medicine & why we must do better below.
"The conditions where we are told 'aetiology poorly understood' overlap noticeably with conditions that primarily affect women. Yet most medical schools fail to mention the systemic exclusion of women from research."
@marinadpol
@BMJStudent
As we enter January’s toxic diet culture, a reminder that BMI isn’t a measure of health, but was invented by a statistician based on white men, in the 1800s when Ketchup was branded a medicine, cocaine was available in every pharmacy and vibrators were prescribed for ‘hysteria’.
I’m a medical student & have been taking antidepressants since I started my degree, except for phases where internalised stigma pressured me to stop them.
A Monday reminder that there is no shame in taking medications for our mental health or in struggling with mental illness.
A PassMed question shared by a final year friend.
This should not be acceptable.
Asexuality is not a buzzword to diagnose personality disorders. Sexuality is not something that we should pathologise.
Question banks and
#MedEd
, do better. Cut out the LGBTQIA+ discrimination.
The fact that apixaban, edoxaban and rivaroxaban all contain the letters
Xa
because they are direct inhibitors of factor Xa
Made me far too happy.
A drug name that has sense to its many letters and consonants?
Amazing
I'm not a UK citizen, so often felt it's not my place to join a party, but I've joined
@theSNP
!
Inspired to finally do so after watching
@CailynMcMahon
's interview!
These values are mine. We must make our world larger +more open. An independent Scotland in Europe does this.🇪🇺🏴
Got told off for letting a patient keep flowers from family today bc it “goes against infection control policies”. I know we have to follow policies but what about the wellbeing benefit to something living in a clinical, empty NHS room? How many infections occur due to flowers?
This morning I had to give next of kin details at a doctor's appointment.
When I spelt out my mum's name, the doctor said, "Oh, I won't even try pronouncing that".
If you can pronounce choledocholithiasis and pheochromocytoma, yes, you can.
Someone asked what I was doing tonight &I mentioned a date
When asked if he’s a student too, I said “yes, she is”
In the past I’d have said “yes” or “they are”
Feeling so happy to no longer hide things ab who I am
A reminder though, that we come out daily, in many little ways
So I was practicing history taking with my mum (saving all my exams since day 1) over FaceTime, having sent her a pdf patient script.
Me: Any allergies?
Her: Yes, to NKDA.
#MedStudentTwitter
can we stop with the toxic productivity? Watch Netflix at 1.0 speed; lie in without an alarm; hold off on replying, an email can wait; go for a walk and listen to your favourite tunes not a podcast or anki; do nothing.
Investing in our wellbeing is important!
Man at airport security: What are you studying?
Me: Medicine
Him: So are you a nursing student?
I have incredible respect for nurses, and don’t want to make everything about gender, but, are the same assumptions made about my male peers who are studying medicine?
Imagine… At 3pm, you decide to briefly dip under the covers for a quick power nap and escape from the cold…
You wake up… it’s 9 o’clock. 9pm, maybe? No…it’s 9am.
Reader, I slept for 18 hours. I didn’t know this was humanly possible. My surprise for once outweighs the guilt!
How many of these green plastic sticky notes are thrown away across the NHS each day? Infection control and ensuring things have been adequately cleaned doesn’t have to come at the expense of needless single use plastic!
I’m going to be a doctor?!?!
Sometimes, it all works out.
Feeling so immensely grateful and don’t think I’ll ever stop smiling. Thank you to everyone who believed in me.
Dr Marina, coming to the wards near you in August!
I have an eating disorder.
I am deemed too unwell for uni counselling services, but not unwell enough for NHS ED services.
Reach out, ppl tell me, but where to?
I am in a strange limbo, not fitting anyone’s box of who warrants help.
We deserve better.
#WorldMentalHealthDay
Discharged from eating disorder services & closing a chapter that ruled 1/3 of my life!
So proud, I really did that whilst studying medicine in a pandemic.
This is for me today, future Marina & 13 y/o Marina who thought she wasn’t enough.
I am enough & was worthy of recovery.
Reminder that LGBTQ+ individuals can break their legs or get heart attacks too! A clinical scenario in a textbook or exams doesn’t have to revolve around GUM or HIV medicine to involve LGBTQ+ patients. 🏳️🌈
#QueerMedTwitter
#GayMedTwittwr
The happy smile of someone who hasn’t engaged in eating disorder behaviours for 3 months or in self harm for almost 8!
Nothing like 4°C water & Scottish sun to remind me how grateful I am to be alive.
It gets much better & we are all worthy of recovery!
#MentalHealthMatters
Reflecting on an evening of road closures and uncomfortable police interactions.
A likely not very coherent 🧵, but the fact that the police will protect a dinner in a museum over the citizens in the city says everything.
#COP26
is happening to Glasgow, not in Glasgow.
20-year-old girl vs 18-year-old man
Can we simply stop calling women girls?
Until you tell me about the 22-year-old boy who presents with a fracture after falling off his motorbike, I just don't want to hear it.
The implicit gender bias in medicine runs deep.
Hearing of doctors/students being told to remove Palestinian flags from their lanyard, meanwhile every second healthcare professional and royal college was flaunting a Ukrainian flag last year. Perhaps be a little less overt in your racism, Islamophobia and double standards, NHS?
Hearing students in uni say
#COVID19
isn’t that bad bc it only seriously affects people w pre-existing conditions.
Two of my flatmates are immunocompromised.
You don’t know who around you might be.
People w chronic health conditions are not less valuable.
This chat must stop.
Can medical school teaching please stop saying "commit suicide"...
Language like this perpetuates stigma and a culture of shame and blame.
Suicide isn't a crime or a sin.
The Suicide Act was in 1961. Half a century ago.
As a queer medical student, hearing a doctor advocate for conversion therapy is appalling & disgusting.
This is putting patients & members of the medical profession at harm.
LGBTQIA+ patients, we are here for you and we need to condemn anyone who holds these views.
#ARM2021
I somehow got a first?! Cue one smiling, happy Marina.
When I say I jumped out of my seat (and dropped my ice cream) in surprise, I’m not exaggerating.
4 years of uni (and 18 years of full-time education) finished, 2 to go.
There’s something special about the fact that my grandmother wore this dress fifty years ago and now the dress has travelled to a different country and different millennium to be worn to my halfway ball.
Passed my exams so I'm officially going into 3rd year! 🥰
My aim for the year was a B, and I even hit that! I'm so very happy (and v. surprised) today! 😁
The last 2 years in Glasgow and at medical school have been the best time, time is flying!
⬛️⬛️⬜️⬜️⬜️ = 40% of the way!
Three weeks without engaging in any eating disorder behaviours!
A life without bulimia is feeling very possible.
These achievements are as (no, more!) important than any academic, extracurricular or other achievements.
So, celebrating this win! 🌟
Recently a male dr on placement joked to the male med students about drs dating nurses, explaining how they can get someone more attractive that way.
That misogyny & lack of respect for nurses isn’t funny.
It’s a small thing, but the implicit sexism in medicine is tiring.
Age 16, on work experience, a male GP gave me a talk ab how at some point I’d want a family and how training women just to have them leave med to have children was a waste of resources.
Fortunately that didn’t put me off, but only w hindsight do I realise how that wasn’t okay..
Not a nurse telling me in front of everyone on today’s shift after asking what my name is: “Politis… That sounds like a disease.” Not in fact funny, just a bit tiring constantly hearing jokes like this.
#MedTwitter
, do you know what’s unprofessional? Misogyny and sexism.
Do you know what not unprofessional? Enjoying yourself, knowing how to relax and owning your body.
Here I am in a cold waterfall. Placement clothing wouldn’t be very appropriate here.
#MedBikini
#BodyPositivity
I’m 6 months (!) bulimia free! I’m so proud but simultaneously more uncomfortable in and repulsed by my body than ever... Hoping in another 6 months this will have improved too, but this day really shows how ED recovery is much more than quitting a behaviour.. Onwards and up!💫💪
It is wild how much GP bashing you hear as a medical student, I mentioned I was interested in GP and a consultant responded “don’t waste your brains on that, you’re too good”… Not the compliment you think it is!
My flight from Glasgow to Berlin was £7.99.
Had I taken the train.
Glasgow - London
London - Brussels
Brussels - Berlin
≈ £400…
This is disturbing. Rail travel needs to be affordable.
#ClimateCrisis
8.35am and a man just stopped me at the train station asking for directions only to then say, “Can I just tell you, I think you have a really nice figure”.
No, you cannot tell me. Please keep your unsolicited comments on my body to yourself.
Ugh. Too early in the day for this.
I’m foreign! 🇩🇪🇬🇷
I currently work for the NHS as a vaccinator & HCA! 💉
I’m also a medical student, so all going well, will be a junior dr in 3 years. 🩺
@didoharding
, how about we stop reliance on racists and xenophobes instead?
Pinching myself, bc somehow I’m going to be a final year medical student?!
Funeral in the middle of exam season meant I’d resigned myself to repeats but instead, written and OSCE passed and one step closer to being a doctor.
This one’s for you, grandad. Wish I could tell you ♥️
Told a nurse I’d rather not know my weight as I find it triggering. They responded, in that case, I’ll just tell you your weight has dropped by X%.
Speaking as a pt & med student, we really need to talk about how to better discuss weight in eating disorder care/wider healthcare.
My biggest procrastinatory project ever will always remain the time I made a life sized skeleton out of paper in first year instead of learning any anatomy. Yes, it was worth it.
Second bulimia slip up in the <2 weeks I’ve been home after 6 months doing well. Wasn’t going to tweet due to embarrassment/shame/feel like I’ve failed, but if I want to stop stigma around mental health, I’m going to discuss lows as well as highs/milestones. Here’s to tomorrow.
If a man operates on a woman, women are:
15% more likely to have bad outcomes
32% more likely to die
Vs when a woman operates on a woman.
These statistics are terrifying. Where is the outcry?
Once again, gender bias, implicit or explicit, costs lives.
Medical schools: we care about students’ mental health!
Also med schools: let’s not tell our students about exams, timetables or placements until the last minute so anyone who might have to make medical appts in advance, have jobs or other commitments are left hanging...
Smiling bc eating disorder treatment? Completed it!
From someone who had no hope left for recovery a mere year ago, a reminder it can get better.
Whilst the journey ahead is scary, here’s to not losing any more of my life to eating disorders!
Next challenge= finish med school!
23 days without engaging in eating disorder behaviours! Reflecting on how I’ve been beating myself up for not being ‘productive enough’ this semester, when actually, smashing bulimia recovery is a pretty great win, & means more than hours studied or things ticked off to-do lists.
It's high time to denazify the medical curriculum
Clara cell = Club cell
Reiter's syndrome = Reactive arthritis
Reiter’s spirochete = Treponema forans
Wegener's granulomatosis = Granulomatosis with polyangiitis
Seitelberger disease = Infantile neuroaxonal dystrophy
Can’t believe I just won £250 in an essay competition (and can’t believe anyone would like an essay written by me) - me and my bank account are happy. 🥰
I’ve just gotten the best phone call - I’ve got a
#COVID19
vaccinator job! ✨
So excited to play a small part in making a difference, one jab at a time. Perhaps it’s silly, but I feel a little less powerless now! 💉
Beyond grateful to have recived Scotland & Northern SFP offers today!
Time for a change of scene - looks like I'll be heading down South (the far South that is Newcastle)
So v excited for what's to come!
(Refreshing Oriel just in case it's a glitch, time to believe in myself!)
Have felt so ashamed for being referred back to eating disorder services but it’s not a failing.
Recovery isn’t linear, it’s okay to need more support sometimes.
I post the wins on twitter, so to smash stigma, I’ll talk about the lows too. Mental illness doesn’t make us lesser.
Doctor: What is important to ask about when taking a history from a patient with suspected pancreatitis.
Me: Whether they have any scorpions as pets, specifically, the Tityus trinitatis scorpion from Trinidad.
Doctor: ...
Me: ...
As we approach January’s diet and weight obsessed season, a reminder that BMI isn’t a measure of individual health, but was invented in the 1800s, a time were Ketchup was branded as a medicine, cocaine recommended as a health supplement and vibrators were used to treat hysteria.
Guess who’s starting therapy again?
Sharing because as medical students we shouldn’t be ashamed to talk about mental health. Mental illness doesn’t make us lesser.
Here’s to smashing the stigma that says therapy or antidepressants differ from swimming or a multivitamin.
I have an ED weight appt tomorrow so feel I should restrict as much as possible today.
But... f*ck the ED
We’re going to have a flat takeaway.
I am allowed to enjoy food (and so are you!)
Recovery, we’re going to get there!
I’d love to write picture books for children describing health conditions in an accessible way that makes them less frighting.
Anything from a grandmother w dementia to a dad w depression, or an aunt w diabetes to a sibling w an eating disorder.
Anyone want to make this happen?
The best & most unexpected email - I got into my top choice intercalated degree! ⭐️
Couldn’t be more excited to spend a yr doing a
#GlobalHealth
iBSc. 🌍 🩺
Yes, I may have happily skipped home from placement today.
#MedTwitter
(5 yrs at uni just isn’t enough, is it?)
Me in secondary school: Cried because I got 92% in a chemistry mock.
Me in medical school: 59% in a mock? Absolute academic weapon. D for doctor, here we come.
Can’t believe that now I’m out to my grandmother, I’m never going to have to talk about hypothetical future husbands or boyfriends again. This week has been so freeing. 🏳️🌈
Two weeks since I last listened to bulimia. 2022, I really am saying goodbye to this eating disorder.
A regular reminder that there shouldn’t be any shame in mental illness, and the non linear path that it often takes.
5 days without engaging in eating disorder behaviours. Truly waving bye to bulimia this time.
When just weeks ago, recovery once again felt impossible, this is a big deal.
Proud of myself for prioritising my mental health. We’re all worthy of getting better
#MentalHealthMatters
Decided I’m taking a grade I’m not happy with as an opportunity to challenge them defining my worth.
A pass is a pass and I’m one year closer to being a doctor.
I passed 3rd year in a pandemic whilst smashing eating disorder recovery.
That’ll have to do.
Next up, GH intercal!
I’ve just received an opt in letter to stay on the eating disorder services wait list. If I don’t respond, I’ll be removed.
No physical health referral I’ve ever had, has asked me to opt in.
I wonder how many pts are lost to follow up at this stage or how this adds to stigma?
Nothing happened, everyone is safe & at the end of the day, it’s just another day as a woman.
Blocking the 2 well-lit routes, leaving ppl to make their way through a dark park w no signage about diversions is not okay.
Today highlighted what their priorities are.
Do better.
Five weeks bulimia free today after struggling with an eating disorder for 5 years!
Proud of myself! Not long ago, this seemed impossible, so if you’re struggling - keep going.
Check out
@beatED
in the UK and
@bodywhys
in Ireland.
Recovery is possible.
#eatingdisorderawareness
121 newly graduated junior doctors are starting work in GGC hospitals.
One is referred to as Diane Vlek, but the other as Dr McCulloch.
@BBCScotlandNews
, how about some consistency between titles for both genders?
#EverydaySexism
@medicalwomenuk
Given how high the prevalence of PMS and PMDD is, why aren’t we taught to ask about menstrual cycle and connection to mood/ mental health as a part of standard psychiatry history taking?
Psychiatrists of twitter, do you include asking about this when seeing patients?
Increasingly struggle w. how as bank HCAs, we often witness hard to deal w. things (we’re often 1:1, need to call emergency buzzer, feel the wait after we call it) yet bank means we’re not a part of a team that know each other, don’t get debriefs etc. Walking home in a daze.
If you put your point across passionately as a woman then you can be described as hard or a ball breaker whilst for men you are courageous or strong willed.
@theBMA
⬆️ This. Hands up if you’ve been called “bossy” or “emotional” or “abrupt” as a woman. 🙋🏻♀️
"Why is it that only 1% of GP surgeries in the UK have a hoist?
What are you meant to do about your cervical smears, prostate exams?
Why can't ppl w disabilities access healthcare like everyone else?"
Such an important statement by
@HannahPopsy
at
#IVMC
. Things need to change.
I just picked up my morning coffee and was confused when I couldn’t find the handle.
This is not a mug...
It’s a flowerpot from a flatmate’s succulents...
28 days without engaging in eating disorder behaviours! 4 whole weeks!
This
#EatingDisorderRecovery
thing might be possible after all.
There’s so much shame surrounding bulimia, so I hope that by sharing, it can be a reminder to others navigating EDs that you aren’t alone.
Medical schools will insist that because their student body is now >50% female, they couldn’t possible have any problems with sexism or gender bias.
Equality is more than just a numbers game.
Domestic violence is one of the leading causes of morbidity/mortality for women.
I have been at medical school for almost 3 years.
When 30% of women worldwide have been subjected to domestic abuse, why haven't I learn't about recognising and supporting this yet?
#MedTwitter