Parents came to visit before my surgery next week. Literally bought me a freezer, put it in my basement, and filled it with meals. THAT”S HOW YOU DO IT.
Paged during dinner, so taking notes. (Non-medical) husband looks over my shoulder.
Him: “Hey, you didn’t do your little drawing?”
Me: “What little drawing??” 🤔
Him: “You know...”
Me: “Ohhh. You mean this one...”
When I see kids for their first clinic visit after kidney transplant, I ask them all:
What did you wish I warned you about that I didn’t?
Was anything a surprise?
Here are some things I’ve learned that have helped with pre-transplant counseling...
I grew up in a small town in North Dakota. To think that someday I would be invited to give a talk in Bangkok at the
#ISNWCN
and be author on a Lancet publication on the same day makes me want to cry.
Schools going from hybrid to all distance learning. Kids sobbing uncontrollably.
Me: It’s ok to be sad.
14: I’m not sad, I’m mad that no one is taking this seriously.
Me too kid. Me too.
Yesterday was a really good day.
Maybe even a career high.
I should be popping the 🍾.
But with every high has to come a low, right? That’s how this works.
Have you been getting your mammograms like you’re supposed to?
I haven’t. 🧵
#KidneyWk
#WomenInMedicine
Watching the new Zac Efron series on Netflix and his “water sommelier” 💧 tells him to never drink purified water because it will leach all the minerals out of your body. I think my head exploded. 5 minute rant later...
13: Mom. 🙄 It’s not always about the kidneys.
“I am currently out of the office. But let’s be honest. I’ll still see your email. I’m just really, really going to try not to respond until next week, and I’ll feel terribly guilty about it, so maybe not send anything else until next week.”
I’ve taken a lot of time recently to think about what I want to do with my career. What brings me joy and has the most impact? This👇 is what I came up with. I’m the new Director for the Center for Women in Medicine and Science
@umnmedschool
.
I’ve been feeling down a lot lately, so my family made me this collage to remind me that it’s been a good year and that I shouldn’t feel sorry for myself. 😭
But that big talk, that big paper, that big promotion, that important position aren’t worth it if you don’t take care of you.
Learn from my mistakes.
Get that mammogram.
Get that colonoscopy.
Go to the spa.
You won’t be too busy when you’re dead.
#KidneyWk
Only 20% of the general public knows what a "nephrologist" specializes in. 4% thought it meant "death". 😱 Great work from the team
@UMNPeds
. I've learned to introduce myself as the kidney doctor.
Any other pediatricians feeling
#Covid19
guilt? Our patients will be ok, mostly, and our professional exposures minimal. Meanwhile our friends and colleagues in adult medicine are being extraordinarily brave, just by going to work. 😢
Why is this infant formula shortage and people using homemade formulas such a big deal? If you or I changed what or how much we drink, our kidneys would simply maintain homeostasis. Why can't babies do the same?
Turns out baby kidneys are stupid. 🧵
@HollyBiology
Be thankful you got out when you did. My ex husband left me for one of our bridesmaids (also best friend). I’m 1 million times better off now.
If you are trained in an ultra rare specialty with a workforce shortage (say, I don’t know…peds nephrology), do you have an ethical obligation to practice? 🤔
Best part of my “journey” so far:
Got injected for a contrast CT. Machine malfunctioned and wasn’t able to get it started again before contrast time window was up.
Tech’s eyes got wide 😳. “OMG. I just injected a nephrologist with contrast for no reason!” 😂😂
My grandmother has been hospitalized with
#Covid19
this week and I find myself worrying about the stupid stuff like...have any of the nurses helped her hook into WiFi so she can get onto Facebook? The isolation is so stressful for families.
“Please can you make the meeting this week? It’s the only day we can get the rest of the committee together.” )
“No, sorry. This is my vacation week and I’m trying to set boundaries so I have time for my family.”
(Say it with me...)
Associate professorhood is a black hole for mid-career women in academic medicine. Have seen too many leave in the past few months. What practical steps can departments take to get these women to the next level?
#WomenInMedicine
I got mine too! And to think, if it wasn’t for Twitter, I never would have met
@edgarvlermamd
and never would have been part of this book.
1st 3 people who recognize me at
#ISNWNC
in Bangkok and ask will get a free copy!
Day 1 of 25 radiation treatments in the book. It’s wild and humbling that there are corners of medicine where I have zero expertise. Not even like, “once in medical school…”
Give a child a fish and they will eat for a day.
Give a child a sushi kit for Christmas and they will prepare a very expensive, not pretty, but very delicious meal for you. 🍣
Thanks
@RoshanPGeorgeMD
for asking me to write a piece on Women in Medicine for the
@ASPNeph
Kidney Notes newsletter (page 4 in the link: ).
Advancing Women In Nephrology: Don't Just Say It, Do It
17 got accepted to one of her top college choices after receiving a heartbreaking rejection last week. The stress level around this place has dropped about 80%. Coaching our kids through disappointment is one of the hardest things we do as parents.
When I work from home, I feel terribly guilty if I’m not doing “work” for one minute. Today I took a 15 minute walk to clear my head and WHY HAVEN’T I BEEN DOING THIS EVERY DAY?
Hey academics. This year is really going to hurt the CV for many of our junior folks. Consider inviting someone from another institution to give an invited lecture to your group. Costs nothing, we all expect zoom anyway, and they continue to make progress toward promotion.
So yes, I finally got that mammogram and 4 weeks ago found that I have breast cancer.
I have cancer.
Still hard to say. Find myself tearing up for no good reason.
Now I’m the one being approached for consent for a clinical trial instead of the one running it.
#KidneyWk
I got divorced my 3rd year of medical school and checked all of these buttons.
I didn't tell anyone.
The culture of invincibility in medicine needs to end.
Parents: “You didn’t tell me it would take so long for me to recover after donating.” OK, this one’s on the donor team. But now, I make sure they have help lined up for when they go home.
What are your pre-kidney transplant counseling pearls?
Every time I search Pubmed for myself, I'm reminded that there's another M Rheault out there diligently studying the metabolic fate of dietary nicotine in the cabbage looper. Some day I'll meet them and figure out what that means. 🤓
Quiz fm the AJKD archive (Mar 2007):
A 6-yr-old boy had episode of painless gross hematuria. Family history significant for kidney stones on father’s side. Urine dipstick showed a large amount of blood. What does the intravenous pyelogram show?
(FREE)
Recent microaggression: Nurse wouldn’t start CRRT unless the (male) PICU fellow was at bedside even though I (20 years experience) was standing right there and said we could start. Bothered me the rest of the day.
I am an accidental nephrologist.
As a 4th year Med student I had to do a peds specialty rotation. When my first choices of heme/onc and nicu were already full, I was randomly assigned to nephrology and loved it. Early exposure is key to recruitment.
#WhyNephrology
“You didn’t tell me I’d have to get up and move around so fast.” Our physical therapists are ruthless. Now I talk about the recovery process and how we help them exercise to help them recover faster.
Some days you feel pretty good. And you feel like you’re making progress. And you wonder if you even need organizations like
@womeninnephro
anymore.
And then this rolls across your feed and you feel angry and so, so tired.
#NoManels
I'm sorry if I don't answer your page right away. It's because I'm putting my kids to bed. And my baby (10) said:
"One more minute mommy. Lay by me one more minute."
And I can never say no.
#MomMedTwitter
“You didn’t tell me I was going to be on 10 medicines.” True. I always warned about the immunosuppressives and anti infectives, but often didn’t mention the frequent mg or phos supplements. Adds to pull burden. Now I warn them. 💊 💊 💊
I am a Pediatric Nephrologist. I thank god I don’t have children between the age of 5-11 (seriously, how have you people survived this??), but if I did, they would be getting their COVID vaccine as soon as it was available. 💉
I am a Pediatric Allergist. My husband works at home so I can work full time.
I have followed
#COVID19
vaccine data closely, and reviewed Pfizer's safety & efficacy data in children <12.
We WILL vaccinate our 4, 8 and 11 year old children with confidence. THANK YOU science!
For the 13th year in a row, our hospital has been named a national leader in caring for children – and it ranks for the most pediatric specialties in the Twin Cities ➡️
I am the first person in my family to graduate from college. It wasn’t easy, but worth every loan and misstep to get here. Every kid deserves a shot at college.
Happy National First-Gen Day!
Being first in your family to graduate college is a major accomplishment. Then going on to become a doctor is truly incredible.
The grit, drive, & ambition of a first gen is unmatched. You break barriers & defy stereotypes. Celebrate yourself 🎓🩺
Hey! I made the cover! “Clinical trials, consortiums place glomerular disease in the spotlight“. Also features quotes from
@poyanmehr
@GlassockJ
and
@LauraMarianiMD
.
Holy crap! I didn’t know that was going to come out yet. I’ll save a copy for my mother. Thanks
@ASNKidney
for giving a ped nephrologist a seat at the table.
Nothing like opening up
@KidneyNews
and being greeted by the smiling face of my friend and extraordinarily gifted clinician-researcher Dr
@rheault_m
!
Representing for
@ASNKidney
&
@ASPNeph
simultaneously (and with distinction!)
Kids hate the Foley catheter, but they don’t know what that is when the surgeon tells them it will be in for 4-5 days. Use simple explanations. “You will have a rubber tube in your urethra that will drain your urine. It will be uncomfortable”
Just starting this book and already love it. I’ll be posting my highlights. First, this is not a ‘women just need to say no more’ book. “Women aren’t the problem. Organizational practices are.”
Lots of tears at the Rheault house tonight as girls hear that their school trips and long-awaited activities are cancelled. 😢Take-aways for talking to your kids:
✅It’s OK to be sad
✅It’s OK to be mad
✅It’s not fair
✅I’m here to protect you