Nathalie Martinek PhD Profile picture
May 15, 2018 20 tweets 5 min read Twitter logo Read on Twitter
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Being an entrepreneur comes with a sense of freedom & none of the institutional limits on creativity. Yet unless I'm consulting within an organisation or connected to community, it can feel lonely & isolating. Online communities are great for support but it's not enough.
I've seen the negative effects of people investing all their time/energy in networking online & draining group dynamics. I realised that one of my values is to participate in collaborations that involve physical meet ups or at least in the potential of physical meetups. 2/
What can I say? I derive inspiration from in person experiences. So it's not surprising that I notice changes in my thinking patterns & emotional landscape when my interactions are more virtual than physical. It's de-motivating & raises mental health alarm bells 3/
Knowing there's a risk to my wellbeing, I finally decided to join a coworking community that seems to have everything I'm looking for. I'm one of the earliest members & the idea that we're encouraged to work with each other through their clever membership system is a relief. 4/
We're all encouraged to exploit our skills & one of the ways I support the co-working community is through holding meditation sessions to help increase self-awareness and shift thinking patterns to engage more satisfaction-promoting over stress-promoting beliefs. 5/
It helps reconnect people to what matters to them so they can make choices from their well of self-worth which feels energising. The ripple effect blows me away. Having opportunities to share our gifts to benefit others enriches all our lives. 6/
When we don't or can't express our creativity, skills or essence, it's as if we're cut off from our purpose. Looking at healthcare, it's not surprising why so many HCP suffer mentally, emotionally or existentially. 7/
The requirements for roles today often take them away from what they aspire to do & be. They're told they're not resilient, to suck it up or that 'we did it, so should you.' It's harmful. HARMFUL.

This post describes the risks & harms so beautifully:
ericlevi.com/2018/05/13/bro… . 8/
The essence of this talk is: when those who answered the call/yearning to help others are unable to fulfil their PURPOSE to contribute to positive change in the world, it leads to an existential crisis that gets us stuck in dark, hopeless & scary corners of the mind. 9/
I've experienced it as a scientist & every single step that preceded changes in professional & personal development & acts of courage to take leaps of faith into the unchartered territory of life or disrupt status quo. It's scary AF. 10/
Yet, we can persist in suffering-sustaining practices, professions, workplaces & expectations because the devil we know is less scary than the one we don't. Then I ask, can I get through life knowing that I didn't risk my comfortable discomfort to see what else is possible? 11/
The answer from within me is: No. It's more dangerous to remain who I'm not than taking risks to discover who I now am.

Pressing the eject button from my own situation is quite different than pressing eject from my life. Yet, I empathise with those who choose it. 12/
No one likes to talk about it, yet we must.

Entertaining ideas of ending our own lives puts us at risk of losing sight of potential opportunities to repurpose ourselves. The opportunities are numerous but we can't see them when we're only listening to the devil we know. 13/
The devil we know is an asshole.

He lures us to hang onto false security. He tells us that we're nothing unless we continue on the path we're on. He says we're doing nothing to solve the problems of the world so why bother. 14/
He only shows us suffering & pain so we can't see anything else. He tells us that we're useless & worthless and so many other lies that some believe. Cause he's an asshole.

Stop listening to him.

You matter. That's it. No qualifications or evidence required.

15/
Vulnerability is where we find our power.

Asking for help, guidance & direction through asking, talking, writing, praying, tweeting, demanding is how we unchain ourselves from that asshole so we can have the strength to climb out of the dark hole & see a new way.
16/
All of these methods help us connect with others, find our people, communities, opportunities, possibilities & get us back to feeling purposeful. They've been my lifesaver, course corrector & bouncers for that lying fucker who's always lurking in the background. 17/
Connection is medicine. Connection to my purpose, connection to my values & path, connection to my vision for humanity, connection to my power & desires, my family, friends, colleagues, clients, humanity, the cosmos & this beautiful Earth. 18/
Time to talk & take action.

What matters to you?
What do you do when you notice you're isolating?
Who mentors you through life's transitions?
What can you do to look out for each other?

#SuicidePrevention #Everyonematters #Youmatter #MH4Docs #crazysocks4docs
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More from @NatsforDocs

May 24, 2018
I mentor & coach physicians on their wellbeing & how to use their energy wisely.

Just as there are people called to work in healthcare, it's my calling to serve those who help people in their most vulnerable times & phases of life to continually have the capacity to do it.
Somewhere along the journey to becoming a physician, students started believing that they should be able to handle everything they're exposed to & developed messy coping habits that impact on their ability to connect with others & self in healthy ways.
Healers need healers otherwise they will fail to recognise how their own suffering can become a source of wisdom to apply in their work with patients & in supporting their peers/colleagues. Instead, personal suffering or denial of it, can take one's mind into dark places.
Read 10 tweets
May 11, 2018
#FridayNightMusings
The end of my week involves reflecting on my week and what I've learned from my experiences & conversations with others. Topics in my awareness are gender inequality in medicine, physician burnout, abuse in healthcare & sharing/oversharing our stories 1/
There are those here who strive to inspire peers, provide a space for connection & rally for change through the various discussion threads. It's clear to me that there's a lot of passion & desire to do great things in the world by those who I follow/see in my feed. 2/
I can also feel the collective frustration/anger/angst/sadness/resignation/sympathy/name that heavy emotion when any of our efforts aimed at success & liberation from system constraints appear to be blocked by injustice, abuse, ineffective strategy or poor communication. 3/
Read 17 tweets
May 8, 2018
This is my commentary on #twitter #movements. Before I go I want to preface this with a statement: I love humans. We're amazing creative & powerful beings. I'm fascinated by human behaviour and the hidden motivations underlying our basic need to belong. 1/
I've observed some movements taking off on Twitter. Some for #MedEd, raising awareness, knowledge sharing, inspiration and sharing failings, wounds & triumphs. Generally they support creative expression in 280 characters. Awesome! 2/
As these movements gain momentum, more people want to join in b/c #belonging. I'm seeing a disturbing trend of sharing experiences of patients/clients to promote how deep & human they are. Some are purely intended, some not. 3/
Read 21 tweets
May 1, 2018
I’m going to pitch in here. A lot of what’s considered burnout is actually compassion fatigue. Poor understanding of either which affects types of interventions, prevention & support available. Let’s also remember how boys are socialised to be ‘men’.
Depersonalisation: shut down of empathy to cope. Emotional exhaustion: too much empathy & absorbing emotional burden + vicarious trauma thrown in. Both contribute to compassion fatigue-looks like burnout but isn’t.
Burnout is related to untenable/unsustainable work conditions rather than emotional labour. Burnout is the signal that your ideal life doesn’t match your reality & you’re working hard to maintain what you have rather than make choices that move toward ideal. Energy sucking life.
Read 9 tweets
Apr 27, 2018
Some thoughts: There seems to be an assumption in #medicine that patients receive the best care based on best evidence, where evidence usually means quantitative research (my assumption). Yet quality of care is dependent on personal characteristics of each health professional 1/
Knowledge derived from evidence is insufficient to translate into behavioural changes that support the 'best care' intention. Science-based evidence must be channeled through unquantifiable characteristics expressed by each individual health professional to provide best care 2/
These characteristics include: empathy, kindness, unconditional positive regard, non-judgemental attitude, empathic listening, intuition, warmth, encouragement, hope and so on. If we're touting science-based medicine, it must also include practice-based evidence 3/
Read 11 tweets
Apr 18, 2018
Wellbeing preservation in healthcare (within your control)

1. Stable & trusting connections to others
2. Connection to self - meditation, self-reflection, self-examination ie. quiet time
3. Connection to your environment/Nature

#medtwitter #phdchat #MH4Docs #womeninmedicine
1/
4. Connection to your purpose (your Why) & desire to serve wellbeing of others
5. Peer support & group reflective practice w/ agreements to preserve confidentiality, respect, non-judgement & openness
6. Mentoring by someone who has qualities you want/admire & skills you need

2/
7. Therapy with someone who can see in you what you can’t ie. your strengths, growing edges & blind spots)
8. Have a life & interests outside of your profession
9. Trust your intuition by listening to it and following through. If something feels ‘off’ it is.

3/
Read 5 tweets

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