Sara Zadeh, MD

Our #UVaPath Pride celebration was a wonderful success! Many thanks to MC @basophil_brett (aka Alexandra Trebek) for spearheading a wonderfully riotous game of jeopardy, and to @LeGalloMD for her lovely words on the role of pathology in transgender care. @UVA_Pathology

You're not responsible for other people's emotions. You can stop feeling like something is wrong with you if someone else is in a bad mood. Reminders If You Emotionally Monitor People:

I was today years old when I realized that the reason email is so painful for ADHDers, other than executive dysfunction, is bc it requires a buttload of masking to figure out how to say what you need to say in the semiformal, roundabout, fake polite way that neurotypicals expect.

EMOTIONAL RESILIENCE LOOKS LIKE: 1. I can cope with disappointment 2. I can tolerate differences of opinion 3. I allow myself to feel what I feel without shaming myself 4. I can have uncomfortable conversations 5. I don’t take things personally 6. I trust that if someone has an issue, they’ll directly communicate it to me 7. I can communicate without character attacks when I disagree 8. I can soothe myself when I feel uncertain or anxious 9. When I or say something I regret, I apologize and don’t beat myself up

Over 20 years of grossing and still loving it! Always an unexpected surprise. Gallbladders are awesome #grossing

A busy life is not a symbol of status. It's a symptom of trying to do too much for too many people. A full calendar brings a surplus of stress and a shortage of energy. Reflecting and relaxing should be top priorities. Unscheduled time isn't wasted. It's invested in well-being.

How To Heal From Emotionally Immature Parents: In homes with emotionally immature parents (EIP) we learn to walk on eggshells. Emotionally immature parents struggle to cope with their emotions and often lash out, give silent treatment, remove their love, or shame their children often unintentionally. Growing up in this environment, we learn we are not safe to fully be ourselves. This creates emotional hypervigilance. Emotional hypervigilance is a survival adaptation where we constantly scan our environment to see shifts or changes in people's mood, facial expression, or tone. Emotional hypervigilance looks like: - constantly asking “are you ok?” without accepting the answer - chronic fear of upsetting or disappointing someone - micromanaging adults behavior: telling people what they 'should' be doing even when they're not receptive - playing peacemaker or mediator in family members conflict even when it doesn’t involve you - replaying conversations over and over again to see if you said something 'wrong' We're attempting to protect ourselves, but as adults emotional hypervigilance can really impact our relationships and can be source of intense anxiety. How To Heal From Emotional Hypervigilance: 1. Understand you're no longer in childhood: in childhood, this kept you safe. As an adult you have options to protect yourself, remove yourself from harmful situations, and set clear boundaries. 2. Let go of the "fixer" role: people who are hypervigilant often believe their role is to fix the problems of adults. Often because they played a therapist role to a parent from a young age. We are not responsible for fixing anyone else's issues expect our own. 3. I trust people's words: if someone tells me everything is fine, I honor their word. I don't keep picking or looking to see if something is wrong. I don't make assumptions, instead I ask for clarity. 4. I allow people to be in their own mood: it's ok for people to be in a mood or emotional state that's different from me. I don't need to fix this or change their mood. 5. I can clearly communicate my needs: as adults, if we have a need, we need to communicate that need. We can't expect people close to us to mind read or 'just know' what we want. 6. I can disappoint people: disappointing an emotionally immature parent can result in the silent treatment, shaming, rejection, or harsh punishment. As adults, we can learn that disappointing people is simply part of life and that healthy adults can cope with disappointment. If this is helpful, bookmark for later, and retweet. Sharing is caring. It will take practice to re-wire your mind and body to feel safe. Trust the process. I'd love feedback on if you prefer this long format mode or threads in the comments.

Dx: clear cell RCC! sharing case to demonstrate morphologic🔬variability! this was a tough one at high mag, easier to appreciate transition to traditional (non-eosinophilic) clear cell RCC elements at lower power #IHCpath for good measure: CA9+ (also CD117 neg, not shown here)

“It’s the final coundown”. The much awaited 3rd Ed of “The Bethesda System for Reporting Thyroid Cytopathology” will be out in July or sooner. Many thanks to the dedication & hard work of all chapter authors. A very warm welcome to the new co-editor and associate editors.

Your brains are full of medical education. Please make some room for financial education. Otherwise your love for your work and your genuine care for your patients may well be taken advantage of by the business side of medicine and the financial industry itself. No joke.

Come work in beautiful Charlottesville, VA with the nicest colleagues in the land! #UVAPath has an open-rank position for a general surgical pathologist with subspecialty interest. You can learn more here: uva.wd1.myworkdayjobs.com/en…