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Yesterday 3 patients I had cared for over years died, on the same day; 1 in the ICU, 2 at home under hospice care. The youngest was in her 20s. I was almost numb with grief last night thinking about all the lost potential, the children left behind, their collective suffering./1
For one patient, I scrolled through the EMR as I entered a final note yesterday & saw I'd 'written' more than 400 notes over the years. I have both her clinic ID number and birthdate - and the phone number of her insurance company's Prior Authorization department - memorized./2
In this context, so many of the disputes & petty jealousies of academic medicine that fill hallway discussions & Twitter feeds just seem so irrelevant. It is too easy to get lost in minutiae... feels important to rise above that & work to keep fewer people from dying too young./3
Outcomes for patients with cancer and marrow failure syndromes have improved in recent years, and I'm grateful for that - but we still have a long, long way to go. 
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I am deeply touched by all your kind & thoughtful responses.
There have been times Iâve despaired about @Twitter - but then someone posts a good study I hadnât seen yet, or a young scientist shares her hard-earned 1st grant, or community rallies around someone in a dark spot. 
There have been times Iâve despaired about @Twitter - but then someone posts a good study I hadnât seen yet, or a young scientist shares her hard-earned 1st grant, or community rallies around someone in a dark spot.