Wendy Dean
@wdeanmd.bsky.social
Relentlessly curious disruptive innovator, author (IF I BETRAY THESE WORDS), podcast host (43cc), founder, physician.
#moralinjury matters
#moralinjury matters
Reposted by Wendy Dean
Hey #medsky #primarycaresky
H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share
Check this out for some #diplomaticdefiance skill building 👇👇
Of particular relevance, primary care …
www.fixmoralinjury.org/centerline/t...
H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share
Check this out for some #diplomaticdefiance skill building 👇👇
Of particular relevance, primary care …
www.fixmoralinjury.org/centerline/t...
The Quiet Power of Speaking Up — Moral Injury of Healthcare
A Guide to Diplomatic Defiance for Reinforcing Ethical Systems
www.fixmoralinjury.org
July 10, 2025 at 5:54 PM
Hey #medsky #primarycaresky
H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share
Check this out for some #diplomaticdefiance skill building 👇👇
Of particular relevance, primary care …
www.fixmoralinjury.org/centerline/t...
H/T 🎩 @wdeanmd.bsky.social and @dhpomerantz.bsky.social for the share
Check this out for some #diplomaticdefiance skill building 👇👇
Of particular relevance, primary care …
www.fixmoralinjury.org/centerline/t...
Reposted by Wendy Dean
I am always amazed by the number of readers who have no idea what authors make on their books. Most think we are raking it in. Unless you are one of the authors in the rarefied air at the top, basically you’re making hobby money. You have to love writing to stick with it.
#writer
#writingcommunity
#writer
#writingcommunity
May 30, 2025 at 2:54 PM
I am always amazed by the number of readers who have no idea what authors make on their books. Most think we are raking it in. Unless you are one of the authors in the rarefied air at the top, basically you’re making hobby money. You have to love writing to stick with it.
#writer
#writingcommunity
#writer
#writingcommunity
Reposted by Wendy Dean
Steerforth authors @wdeanmd.bsky.social of IF I BETRAY THESE WORDS and Tim Heaphy of HARBINGERS discuss what healthcare can learn from Jan 6 and Charlottesville on the 43cc podcast
podcasts.apple.com/us/podcast/h...
podcasts.apple.com/us/podcast/h...
Harbingers: What healthcare can learn from Jan 6 and Charlottesville
Podcast Episode · 43cc · 03/13/2025 · 45m
podcasts.apple.com
March 13, 2025 at 3:48 PM
Steerforth authors @wdeanmd.bsky.social of IF I BETRAY THESE WORDS and Tim Heaphy of HARBINGERS discuss what healthcare can learn from Jan 6 and Charlottesville on the 43cc podcast
podcasts.apple.com/us/podcast/h...
podcasts.apple.com/us/podcast/h...
My mentor has called me every 3 months for the last 10y. He’s not warm and fuzzy - being an engineer and a horse person - but his unwavering vision of my potential changed how I think of myself. And his calls have occasionally made the difference between soldiering on and folding up.
February 4, 2025 at 2:59 PM
My mentor has called me every 3 months for the last 10y. He’s not warm and fuzzy - being an engineer and a horse person - but his unwavering vision of my potential changed how I think of myself. And his calls have occasionally made the difference between soldiering on and folding up.
Some days just be like this. Tomorrow will be its own thing.
January 29, 2025 at 6:47 PM
Some days just be like this. Tomorrow will be its own thing.
This is what I call the best kind of week - seeing the people I love most in some of my favorite places (there may be causality there 😉).
December 21, 2024 at 2:32 PM
This is what I call the best kind of week - seeing the people I love most in some of my favorite places (there may be causality there 😉).
This 💯.
"One of the great tragedies of mankind is that morality has been hijacked by religion. So now people assume that religion and morality have a necessary connection. But the basis of morality is really very simple and doesn't require religion at all."
Arthur C. Clarke
Arthur C. Clarke
December 21, 2024 at 2:11 PM
This 💯.
#MoralInjury in hc has gotten a lot of attention since 2018, most of it focused on description and characterization.
We wanted to know not what kind of organizations we already have, but what kind of organizations will minimize the risk of moral injury.
Out now: journals.lww.com/joem/abstrac...
Guidance for creating morally healthy organizations that... : Journal of Occupational and Environmental Medicine
recruited to a three-round e-Delphi survey exploring descriptors and characteristics of non-morally injurious organisations.
Results
Forty-nine, forty-one and thirty-nine experts responded at each ...
journals.lww.com
December 14, 2024 at 6:38 PM
#MoralInjury in hc has gotten a lot of attention since 2018, most of it focused on description and characterization.
We wanted to know not what kind of organizations we already have, but what kind of organizations will minimize the risk of moral injury.
Out now: journals.lww.com/joem/abstrac...
Sadly, hc doesn’t have a corner on workforce distress.
Out today in the @aftunion.bsky.social #AmericanEducator winter issue: how #moralinjury in K-12 education impacts educators, students, and their families; and how organized, collective action can drive change.
www.aft.org/ae/winter202...
Out today in the @aftunion.bsky.social #AmericanEducator winter issue: how #moralinjury in K-12 education impacts educators, students, and their families; and how organized, collective action can drive change.
www.aft.org/ae/winter202...
www.aft.org
December 10, 2024 at 8:31 PM
Sadly, hc doesn’t have a corner on workforce distress.
Out today in the @aftunion.bsky.social #AmericanEducator winter issue: how #moralinjury in K-12 education impacts educators, students, and their families; and how organized, collective action can drive change.
www.aft.org/ae/winter202...
Out today in the @aftunion.bsky.social #AmericanEducator winter issue: how #moralinjury in K-12 education impacts educators, students, and their families; and how organized, collective action can drive change.
www.aft.org/ae/winter202...
I am so grateful for this old place;
For the people we gather here, in our arms or in our hearts;
And for the work we all get to do - making the world healthier, more reflective & responsive, more just, and more beautiful.
Happy Thanksgiving.
For the people we gather here, in our arms or in our hearts;
And for the work we all get to do - making the world healthier, more reflective & responsive, more just, and more beautiful.
Happy Thanksgiving.
November 28, 2024 at 4:45 PM
I am so grateful for this old place;
For the people we gather here, in our arms or in our hearts;
And for the work we all get to do - making the world healthier, more reflective & responsive, more just, and more beautiful.
Happy Thanksgiving.
For the people we gather here, in our arms or in our hearts;
And for the work we all get to do - making the world healthier, more reflective & responsive, more just, and more beautiful.
Happy Thanksgiving.
This is the mindfulness I choose. Partnering with a 3/4 ton prey animal really helps clear your mind. It’s a victory every time *I* choose that we’ve done enough and the ride ends on a good note. 🤣
November 26, 2024 at 3:16 AM
This is the mindfulness I choose. Partnering with a 3/4 ton prey animal really helps clear your mind. It’s a victory every time *I* choose that we’ve done enough and the ride ends on a good note. 🤣
I know it’s not even Thanksgiving yet, but get SHOPPING, y’all. Time’s short! IIBTW, in hardcover or paperback. Order at your favorite bookseller, or, for signed copies, head over to my local bookshop, where Jeff keeps those copies on hand and ships promptly. www.whistlestoppers.com/notable-new-....
November 25, 2024 at 3:20 PM
I know it’s not even Thanksgiving yet, but get SHOPPING, y’all. Time’s short! IIBTW, in hardcover or paperback. Order at your favorite bookseller, or, for signed copies, head over to my local bookshop, where Jeff keeps those copies on hand and ships promptly. www.whistlestoppers.com/notable-new-....
Reposted by Wendy Dean
Reposted by Wendy Dean
November 21, 2024 at 4:12 PM
Reposted by Wendy Dean
This is a very clear summary of HR 9495, up for a vote in Congress this week.
Folks are calling their U.S. reps to urge them to vote “no” — because the bill poses such clear danger to nonprofits: civil society orgs, journalism orgs, you name it.
Folks are calling their U.S. reps to urge them to vote “no” — because the bill poses such clear danger to nonprofits: civil society orgs, journalism orgs, you name it.
Why would Congress hand the President-Elect a new weapon to crush law-abiding American nonprofits? My new piece explains why a counterterrorism bill the House is voting on this week is unnecessary, lacks basic safeguards, and is at alarming risk of abuse: www.ifyoucankeepit.org/p/congress-w...
Congress weighs handing Trump a dangerous new weapon
Bill to revoke tax-exempt status raises alarms
www.ifyoucankeepit.org
November 20, 2024 at 11:35 PM
This is a very clear summary of HR 9495, up for a vote in Congress this week.
Folks are calling their U.S. reps to urge them to vote “no” — because the bill poses such clear danger to nonprofits: civil society orgs, journalism orgs, you name it.
Folks are calling their U.S. reps to urge them to vote “no” — because the bill poses such clear danger to nonprofits: civil society orgs, journalism orgs, you name it.
Reposted by Wendy Dean
"The MitraClip story is, in many ways, a cautionary tale about the science, business, and regulation of medical devices."
Trump just named TV doctor Mehmet Oz to run Medicare, Medicaid and the Affordable Care Act. He's also the man behind a controversial heart device we wrote about earlier this year.
Via @kffhealthnews.bsky.social
kffhealthnews.org/news/article...
Via @kffhealthnews.bsky.social
kffhealthnews.org/news/article...
From Dr. Oz to Heart Valves: A Tiny Device Charted a Contentious Path Through the FDA - KFF Health News
The story of MitraClip, a device Dr. Oz helped invent to treat faulty heart valves, is a cautionary tale about the science, business, and regulation of medical technology.
kffhealthnews.org
November 20, 2024 at 12:25 AM
"The MitraClip story is, in many ways, a cautionary tale about the science, business, and regulation of medical devices."
Reposted by Wendy Dean
With Medicaid facing severe threats next year, I will be periodically posting facts about the program which demonstrate the many critical roles that Medicaid plays.
Medicaid covers 62% of all nursing home residents. #healthpolicy
www.kff.org/medicaid/iss...
Medicaid covers 62% of all nursing home residents. #healthpolicy
www.kff.org/medicaid/iss...
November 18, 2024 at 6:21 PM
With Medicaid facing severe threats next year, I will be periodically posting facts about the program which demonstrate the many critical roles that Medicaid plays.
Medicaid covers 62% of all nursing home residents. #healthpolicy
www.kff.org/medicaid/iss...
Medicaid covers 62% of all nursing home residents. #healthpolicy
www.kff.org/medicaid/iss...
Now’s the time for finding the gaps - those spaces in the structure you can slip between to get leverage on opportunities or initiatives that would have stagnated in ossified bureaucracy. Take every one. Use chaos and distraction/inattention to make progress.
First impression: professional organizations in biomedical research, public health and healthcare are treading carefully with the RFK Jr. nomination and it does not bode well for the courage we'll need to stem the damage this administration will do.
November 18, 2024 at 4:11 AM
Now’s the time for finding the gaps - those spaces in the structure you can slip between to get leverage on opportunities or initiatives that would have stagnated in ossified bureaucracy. Take every one. Use chaos and distraction/inattention to make progress.
“Entranced by the girl with the half-smile”…and then he made her into a doll that’s forever simultaneously rescued & assaulted?
Sorry, there’s nothing innocently endearing about this. It’s creepy af.
Sorry, there’s nothing innocently endearing about this. It’s creepy af.
The face of "Resusci Annie" is based off a death mask of a woman who drowned in Paris in the 1880s. The pathologist on duty became entranced by the girl with the enigmatic half-smile, and commissioned a plaster cast made of her face. In 1955, a toymaker created the CPR doll using that mask. #histmed
November 18, 2024 at 4:01 AM
“Entranced by the girl with the half-smile”…and then he made her into a doll that’s forever simultaneously rescued & assaulted?
Sorry, there’s nothing innocently endearing about this. It’s creepy af.
Sorry, there’s nothing innocently endearing about this. It’s creepy af.
Reposted by Wendy Dean
HHS has routinely imposed the "death penalty" on small businesses, barring them from participating in Medicare.
But it has never barred a national Medicare supplier -- even when that company has repeatedly committed fraud.
Some companies, it seems, are too big to ban.
But it has never barred a national Medicare supplier -- even when that company has repeatedly committed fraud.
Some companies, it seems, are too big to ban.
Lincare Made Billions While Repeatedly Defrauding Medicare. Feds Did Little To Rein It In.
Lincare, the nation’s largest distributor of home oxygen equipment, has repeatedly violated Medicare rules and probation agreements, victimizing ailing patients and costing taxpayers huge sums. The fe...
www.propublica.org
November 17, 2024 at 6:48 PM
HHS has routinely imposed the "death penalty" on small businesses, barring them from participating in Medicare.
But it has never barred a national Medicare supplier -- even when that company has repeatedly committed fraud.
Some companies, it seems, are too big to ban.
But it has never barred a national Medicare supplier -- even when that company has repeatedly committed fraud.
Some companies, it seems, are too big to ban.
Reposted by Wendy Dean
Louise Norris with an important reminder, becos this comes up ALL the time.
People go in for a routine colonoscopy— which the law says must be fully covered by insurance— and end up with a big bill.
That’s bulls—t. If it ever happens to you, cite this, chapter and verse, to your insurance company.
People go in for a routine colonoscopy— which the law says must be fully covered by insurance— and end up with a big bill.
That’s bulls—t. If it ever happens to you, cite this, chapter and verse, to your insurance company.
If you go in for a preventive colonoscopy, it CANNOT get changed to a diagnostic colonoscopy due to polyps being found and removed. CMS has made it clear that the health plan still has to pay the full cost, including the polyp removal and biopsy costs: www.cms.gov/CCIIO/Resour... (see question 5)
Affordable Care Act Implementation FAQs - Set 12 | CMS
Set out below are additional Frequently Asked Questions (FAQs) regarding implementation of various provisions of the Affordable Care Act. These FAQs have been prepared jointly by the Departments of La...
www.cms.gov
November 18, 2024 at 2:40 AM
Louise Norris with an important reminder, becos this comes up ALL the time.
People go in for a routine colonoscopy— which the law says must be fully covered by insurance— and end up with a big bill.
That’s bulls—t. If it ever happens to you, cite this, chapter and verse, to your insurance company.
People go in for a routine colonoscopy— which the law says must be fully covered by insurance— and end up with a big bill.
That’s bulls—t. If it ever happens to you, cite this, chapter and verse, to your insurance company.
It seemed fitting this week to visit Fraunce’s Tavern, a key gathering place during the Revolutionary War, & where Gen Washington bade farewell to Continental Army officers in 1783.
Then, from 1785-8, it housed the US Depts of Foreign Affairs, War, & Treasury - cementing a new nation.
Then, from 1785-8, it housed the US Depts of Foreign Affairs, War, & Treasury - cementing a new nation.
November 17, 2024 at 3:33 PM
It seemed fitting this week to visit Fraunce’s Tavern, a key gathering place during the Revolutionary War, & where Gen Washington bade farewell to Continental Army officers in 1783.
Then, from 1785-8, it housed the US Depts of Foreign Affairs, War, & Treasury - cementing a new nation.
Then, from 1785-8, it housed the US Depts of Foreign Affairs, War, & Treasury - cementing a new nation.
A union chorus is a HARD act to follow, but they definitely got the audience primed for a talk about #moralinjury & seeing things differently.
And 150 copies of IIBTW in the hands of frontline activists? 🙏
Federation of Nurses/UFT.
And 150 copies of IIBTW in the hands of frontline activists? 🙏
Federation of Nurses/UFT.
November 16, 2024 at 8:08 PM
A union chorus is a HARD act to follow, but they definitely got the audience primed for a talk about #moralinjury & seeing things differently.
And 150 copies of IIBTW in the hands of frontline activists? 🙏
Federation of Nurses/UFT.
And 150 copies of IIBTW in the hands of frontline activists? 🙏
Federation of Nurses/UFT.