KaraPepperMD
@karapeppermd.bsky.social
👩🏼⚕️ Internist for eating disorder care.
🧠 Helping docs build micopractices and sustainable careers.
🎙️ It's Not Just You Podcast Host.
🏳️🌈
🧠 Helping docs build micopractices and sustainable careers.
🎙️ It's Not Just You Podcast Host.
🏳️🌈
Pinned
You need more rest than you think you do.
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
My husband is traveling for work again.
Each Sunday he preps four nights of dinners so the kids and I are fed and cared for while he’s gone.
Love in action 💕
What is something kind you have experienced recently?
Each Sunday he preps four nights of dinners so the kids and I are fed and cared for while he’s gone.
Love in action 💕
What is something kind you have experienced recently?
January 25, 2025 at 7:41 PM
My husband is traveling for work again.
Each Sunday he preps four nights of dinners so the kids and I are fed and cared for while he’s gone.
Love in action 💕
What is something kind you have experienced recently?
Each Sunday he preps four nights of dinners so the kids and I are fed and cared for while he’s gone.
Love in action 💕
What is something kind you have experienced recently?
Work has always been my drug of choice
Avoid all the scary, uncomfortable, existential things by numbing with productivity.
Looks like I’ll be seeing record numbers of patients this year.
(Lalalalala ignoring the world in clinic today.)
Avoid all the scary, uncomfortable, existential things by numbing with productivity.
Looks like I’ll be seeing record numbers of patients this year.
(Lalalalala ignoring the world in clinic today.)
January 22, 2025 at 10:21 PM
Work has always been my drug of choice
Avoid all the scary, uncomfortable, existential things by numbing with productivity.
Looks like I’ll be seeing record numbers of patients this year.
(Lalalalala ignoring the world in clinic today.)
Avoid all the scary, uncomfortable, existential things by numbing with productivity.
Looks like I’ll be seeing record numbers of patients this year.
(Lalalalala ignoring the world in clinic today.)
Show me your charts, and I'll tell you about your perfectionism.
Perfectionism is a set of behaviors that help us avoid pain but often (esp in charting) sabotage our progress.
Our clinical excellence is not measured by charting. Done is better than perfect. Close the note in the room and move on.
Perfectionism is a set of behaviors that help us avoid pain but often (esp in charting) sabotage our progress.
Our clinical excellence is not measured by charting. Done is better than perfect. Close the note in the room and move on.
January 22, 2025 at 5:55 PM
Show me your charts, and I'll tell you about your perfectionism.
Perfectionism is a set of behaviors that help us avoid pain but often (esp in charting) sabotage our progress.
Our clinical excellence is not measured by charting. Done is better than perfect. Close the note in the room and move on.
Perfectionism is a set of behaviors that help us avoid pain but often (esp in charting) sabotage our progress.
Our clinical excellence is not measured by charting. Done is better than perfect. Close the note in the room and move on.
What a week
I’m going to bed so I’m rested and ready to take care of patients, myself, and my loved ones.
I can’t change the world but I can make a difference in our little world.
Goodnight yall.
I’m going to bed so I’m rested and ready to take care of patients, myself, and my loved ones.
I can’t change the world but I can make a difference in our little world.
Goodnight yall.
January 22, 2025 at 4:40 AM
What a week
I’m going to bed so I’m rested and ready to take care of patients, myself, and my loved ones.
I can’t change the world but I can make a difference in our little world.
Goodnight yall.
I’m going to bed so I’m rested and ready to take care of patients, myself, and my loved ones.
I can’t change the world but I can make a difference in our little world.
Goodnight yall.
As someone who values patient autonomy, patients have access to my calendar 24/7 and can self-schedule appts.
As a physician, I cannot for the life of me remember to schedule my own doctor appointments because that requires me to CALL DURING BUSINESS HOURS.
omg why
it doesn't have to be like this
As a physician, I cannot for the life of me remember to schedule my own doctor appointments because that requires me to CALL DURING BUSINESS HOURS.
omg why
it doesn't have to be like this
January 17, 2025 at 1:57 AM
As someone who values patient autonomy, patients have access to my calendar 24/7 and can self-schedule appts.
As a physician, I cannot for the life of me remember to schedule my own doctor appointments because that requires me to CALL DURING BUSINESS HOURS.
omg why
it doesn't have to be like this
As a physician, I cannot for the life of me remember to schedule my own doctor appointments because that requires me to CALL DURING BUSINESS HOURS.
omg why
it doesn't have to be like this
First full work week after the holidays is always very busy.
Everyone is “circling back,” and for healthcare workers, viral season is in high gear.
How I planned ahead to stay focused and sane:
🧵
Everyone is “circling back,” and for healthcare workers, viral season is in high gear.
How I planned ahead to stay focused and sane:
🧵
January 5, 2025 at 3:38 PM
First full work week after the holidays is always very busy.
Everyone is “circling back,” and for healthcare workers, viral season is in high gear.
How I planned ahead to stay focused and sane:
🧵
Everyone is “circling back,” and for healthcare workers, viral season is in high gear.
How I planned ahead to stay focused and sane:
🧵
In residency, I learned about two ways to practice:
Noble academics
and
Money hungry private practice
Neither felt exactly right but I chose a path for 14 years but kept thinking, “there has to be a better way.”
🧵
Noble academics
and
Money hungry private practice
Neither felt exactly right but I chose a path for 14 years but kept thinking, “there has to be a better way.”
🧵
January 4, 2025 at 9:09 PM
In residency, I learned about two ways to practice:
Noble academics
and
Money hungry private practice
Neither felt exactly right but I chose a path for 14 years but kept thinking, “there has to be a better way.”
🧵
Noble academics
and
Money hungry private practice
Neither felt exactly right but I chose a path for 14 years but kept thinking, “there has to be a better way.”
🧵
If we are not actively counseling our patients on alcohol cessation, we are missing a huge opportunity for disease prevention.
And if I see another breast cancer fundraiser that serves wine . . . 🤯
www.hhs.gov/about/news/2...
And if I see another breast cancer fundraiser that serves wine . . . 🤯
www.hhs.gov/about/news/2...
https://www.hhs.gov/about/news/2025/01/03/us-surgeon-general-issues-new-advisory-link-alcohol-cancer-risk.html#:~:text=“Alcohol%20is%20a%20well%2Destablished,of%20this%20risk%2C”%20said%20U.S
January 3, 2025 at 12:34 PM
If we are not actively counseling our patients on alcohol cessation, we are missing a huge opportunity for disease prevention.
And if I see another breast cancer fundraiser that serves wine . . . 🤯
www.hhs.gov/about/news/2...
And if I see another breast cancer fundraiser that serves wine . . . 🤯
www.hhs.gov/about/news/2...
Hey, #medsky
Have your patients brought these cards to you or asked not to be weighed?
How are you responding to these requests?
How do you manage weight documentation/disclosure in the EMR?
How do you train your staff to respond?
Have your patients brought these cards to you or asked not to be weighed?
How are you responding to these requests?
How do you manage weight documentation/disclosure in the EMR?
How do you train your staff to respond?
January 3, 2025 at 3:58 AM
Hey, #medsky
Have your patients brought these cards to you or asked not to be weighed?
How are you responding to these requests?
How do you manage weight documentation/disclosure in the EMR?
How do you train your staff to respond?
Have your patients brought these cards to you or asked not to be weighed?
How are you responding to these requests?
How do you manage weight documentation/disclosure in the EMR?
How do you train your staff to respond?
This was the Mondayest Thursday ever.
January 3, 2025 at 12:07 AM
This was the Mondayest Thursday ever.
If you deeply care about your patients, creating a sustainable, burnout-proof career is not optional
January 2, 2025 at 1:13 PM
If you deeply care about your patients, creating a sustainable, burnout-proof career is not optional
Dear Resolution Makers,
"You are not required to justify your existence on earth through constant improvement.
You are not a Fortune 500 company.
You don't have to show increasing profits.
You don't have to earn the right to be here by pulling yourself to higher and higher standards.
1/2
"You are not required to justify your existence on earth through constant improvement.
You are not a Fortune 500 company.
You don't have to show increasing profits.
You don't have to earn the right to be here by pulling yourself to higher and higher standards.
1/2
January 1, 2025 at 2:12 PM
Dear Resolution Makers,
"You are not required to justify your existence on earth through constant improvement.
You are not a Fortune 500 company.
You don't have to show increasing profits.
You don't have to earn the right to be here by pulling yourself to higher and higher standards.
1/2
"You are not required to justify your existence on earth through constant improvement.
You are not a Fortune 500 company.
You don't have to show increasing profits.
You don't have to earn the right to be here by pulling yourself to higher and higher standards.
1/2
This meme cracked me up because it is exactly how I felt three years ago as I was launching my practice.
It was as if I finally woke up from the matrix, realized I could have control of my life, and I built a life that worked for me.
🧵
It was as if I finally woke up from the matrix, realized I could have control of my life, and I built a life that worked for me.
🧵
December 29, 2024 at 8:38 PM
This meme cracked me up because it is exactly how I felt three years ago as I was launching my practice.
It was as if I finally woke up from the matrix, realized I could have control of my life, and I built a life that worked for me.
🧵
It was as if I finally woke up from the matrix, realized I could have control of my life, and I built a life that worked for me.
🧵
This love letter, history lesson, masterpiece memoir is a must read for every clinician.
Thank you Dr Blackstock. I loved hearing your voice share your story with the world.
www.audible.com/pd/B0C4BH4L2...
Thank you Dr Blackstock. I loved hearing your voice share your story with the world.
www.audible.com/pd/B0C4BH4L2...
Legacy
Check out this great listen on Audible.com. AN INSTANT NEW YORK TIMES BESTSELLER ONE OF TIME’S 100 MOST INFLUENTUAL PEOPLE IN GLOBAL HEALTH “This book is more than a memoir—it also serves as a call to...
www.audible.com
December 28, 2024 at 5:46 PM
This love letter, history lesson, masterpiece memoir is a must read for every clinician.
Thank you Dr Blackstock. I loved hearing your voice share your story with the world.
www.audible.com/pd/B0C4BH4L2...
Thank you Dr Blackstock. I loved hearing your voice share your story with the world.
www.audible.com/pd/B0C4BH4L2...
It's the time of year where many folks feel compelled to set growth and achievement goals.
If DOING more gives you the ick - same, friend, same.
I think a better question to ask is, "WHO do I want to be in a year?"
This is why this works:
If DOING more gives you the ick - same, friend, same.
I think a better question to ask is, "WHO do I want to be in a year?"
This is why this works:
December 22, 2024 at 9:01 PM
It's the time of year where many folks feel compelled to set growth and achievement goals.
If DOING more gives you the ick - same, friend, same.
I think a better question to ask is, "WHO do I want to be in a year?"
This is why this works:
If DOING more gives you the ick - same, friend, same.
I think a better question to ask is, "WHO do I want to be in a year?"
This is why this works:
My brain is so so tired this week.
Anyone else?
Anyone else?
December 18, 2024 at 1:40 PM
My brain is so so tired this week.
Anyone else?
Anyone else?
“Im so glad you quit your job”
My husband recently spoke to a friend who is also married to a doc - both know the hardship of being married to a doc who is married to their career
“I didnt recognize how hard it was for you but I knew how hard it was for your job to be the center of our family”
1/
My husband recently spoke to a friend who is also married to a doc - both know the hardship of being married to a doc who is married to their career
“I didnt recognize how hard it was for you but I knew how hard it was for your job to be the center of our family”
1/
December 15, 2024 at 6:13 PM
“Im so glad you quit your job”
My husband recently spoke to a friend who is also married to a doc - both know the hardship of being married to a doc who is married to their career
“I didnt recognize how hard it was for you but I knew how hard it was for your job to be the center of our family”
1/
My husband recently spoke to a friend who is also married to a doc - both know the hardship of being married to a doc who is married to their career
“I didnt recognize how hard it was for you but I knew how hard it was for your job to be the center of our family”
1/
Went to get my family of four vaccinated for flu and COVID at our grocer’s pharmacy.
$480
because our insurance only covers vaccines in a doctor’s office.
Called four different docs offices to schedule vaccines and we can all be vaccinated by February 🤦🏼♀️
$480
because our insurance only covers vaccines in a doctor’s office.
Called four different docs offices to schedule vaccines and we can all be vaccinated by February 🤦🏼♀️
December 14, 2024 at 4:02 PM
Went to get my family of four vaccinated for flu and COVID at our grocer’s pharmacy.
$480
because our insurance only covers vaccines in a doctor’s office.
Called four different docs offices to schedule vaccines and we can all be vaccinated by February 🤦🏼♀️
$480
because our insurance only covers vaccines in a doctor’s office.
Called four different docs offices to schedule vaccines and we can all be vaccinated by February 🤦🏼♀️
I want to love my work and have space for the entirety of who I am.
I want to have purpose in my career and come home to the people who matter most.
I want to work hard and rest harder.
I want to make patients well and make sure I am well.
Our patients deserve doctors who are well.
I want to have purpose in my career and come home to the people who matter most.
I want to work hard and rest harder.
I want to make patients well and make sure I am well.
Our patients deserve doctors who are well.
December 14, 2024 at 1:11 PM
I want to love my work and have space for the entirety of who I am.
I want to have purpose in my career and come home to the people who matter most.
I want to work hard and rest harder.
I want to make patients well and make sure I am well.
Our patients deserve doctors who are well.
I want to have purpose in my career and come home to the people who matter most.
I want to work hard and rest harder.
I want to make patients well and make sure I am well.
Our patients deserve doctors who are well.
God, I love my medical office. This exam room feels like a second home where I can now (literally) put my feet up while I see patients.
What feels good in your life today?
What feels good in your life today?
December 12, 2024 at 4:48 PM
God, I love my medical office. This exam room feels like a second home where I can now (literally) put my feet up while I see patients.
What feels good in your life today?
What feels good in your life today?
If insurance denies a hospital stay and requires an appeal, whose job is that?
A. The ER doc
B. The admitting physician
C. The hospital administrator
D. The PCP
lol of course it’s the pcp who did not even get notified that the patient was hospitalized
A. The ER doc
B. The admitting physician
C. The hospital administrator
D. The PCP
lol of course it’s the pcp who did not even get notified that the patient was hospitalized
December 12, 2024 at 2:43 AM
If insurance denies a hospital stay and requires an appeal, whose job is that?
A. The ER doc
B. The admitting physician
C. The hospital administrator
D. The PCP
lol of course it’s the pcp who did not even get notified that the patient was hospitalized
A. The ER doc
B. The admitting physician
C. The hospital administrator
D. The PCP
lol of course it’s the pcp who did not even get notified that the patient was hospitalized
You need more rest than you think you do.
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
December 9, 2024 at 5:20 PM
You need more rest than you think you do.
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
If you’ve been living on fumes, filling your gas tank to 10% via
- a week off
- one good night’s sleep
- completing a task only to have 100 more waiting
Will still leave you running on fumes.
Here’s what I recommend to my patients and physician clients:
Looking for non-medical CME:
Wellness
Enrichment
Fitness
leadership
Personal development
What are awesome courses or conferences you know of?
Compiling a list to use up all CME funds by the end of the year!
#medsky
Wellness
Enrichment
Fitness
leadership
Personal development
What are awesome courses or conferences you know of?
Compiling a list to use up all CME funds by the end of the year!
#medsky
December 4, 2024 at 1:02 AM
Looking for non-medical CME:
Wellness
Enrichment
Fitness
leadership
Personal development
What are awesome courses or conferences you know of?
Compiling a list to use up all CME funds by the end of the year!
#medsky
Wellness
Enrichment
Fitness
leadership
Personal development
What are awesome courses or conferences you know of?
Compiling a list to use up all CME funds by the end of the year!
#medsky
The harder you work, the harder you have to rest and recover.
I don’t make the rules.
I don’t make the rules.
December 3, 2024 at 3:00 AM
The harder you work, the harder you have to rest and recover.
I don’t make the rules.
I don’t make the rules.