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Doctor explains why he checks a dead patient's Facebook before notifying their parents

Louis M. Profeta MD explains why he looks at the social media accounts of dead patients before talking their parents.

Photo from Tedx Talk on YouTube.

He checks on your Facebook page.

Losing a loved one is easily the worst moment you'll face in your life. But it can also affect the doctors who have to break it to a patient's friends and family. Louis M. Profeta MD, an Emergency Physician at St. Vincent Emergency Physicians in Indianapolis, Indiana, recently took to LinkedIn to share the reason he looks at a patient's Facebook page before telling their parents they've passed.

The post, titled "I'll Look at Your Facebook Profile Before I Tell Your Mother You're Dead," has attracted thousands of likes and comments.

"It kind of keeps me human," Profeta starts. "You see, I'm about to change their lives — your mom and dad, that is. In about five minutes, they will never be the same, they will never be happy again."

"Right now, to be honest, you're just a nameless dead body that feels like a wet bag of newspapers that we have been pounding on, sticking IV lines and tubes and needles in, trying desperately to save you. There's no motion, no life, nothing to tell me you once had dreams or aspirations. I owe it to them to learn just a bit about you before I go in."

"Because right now... all I am is mad at you, for what you did to yourself and what you are about to do to them. I know nothing about you. I owe it to your mom to peek inside of your once-living world.”

Dr. Louis Profeta, health, death, doctors

Dr. Profeta talks his experience with the death of a patient.

Photo from Tedx Talk on YouTube.

Profeta explains that the death of a patient makes him angry:

"Maybe you were texting instead of watching the road, or you were drunk when you should have Ubered. Perhaps you snorted heroin or Xanax for the first time or a line of coke, tried meth or popped a Vicodin at the campus party and did a couple shots.”

"Maybe you just rode your bike without a helmet or didn't heed your parents' warning when they asked you not to hang out with that 'friend,' or to be more cautious when coming to a four-way stop. Maybe you just gave up."

"Maybe it was just your time, but chances are... it wasn't."

personalization, trauma, mental health, social media

The facebook app.

Photo by Brett Jordan on Unsplash

Profeta goes on to explain why he checks a patient's Facebook page:

"So I pick up your faded picture of your driver's license and click on my iPhone, flip to Facebook and search your name. Chances are we'll have one mutual friend somewhere. I know a lot of people.”

"I see you wearing the same necklace and earrings that now sit in a specimen cup on the counter, the same ball cap or jacket that has been split open with trauma scissors and pulled under the backboard, the lining stained with blood. Looks like you were wearing it to the U2 concert. I heard it was great."

"I see your smile, how it should be, the color of eyes when they are filled with life, your time on the beach, blowing out candles, Christmas at Grandma's; oh you have a Maltese, too. I see that. I see you standing with your mom and dad in front of the sign to your college. Good, I'll know exactly who they are when I walk into the room. It makes it that much easier for me, one less question I need to ask.”

"You're kind of lucky that you don't have to see it. Dad screaming your name over and over, mom pulling her hair out, curled up on the floor with her hand over her head as if she's trying to protect herself from unseen blows.”

"I check your Facebook page before I tell them you're dead because it reminds me that I am talking about a person, someone they love — it quiets the voice in my head that is screaming at you right now shouting: 'You mother f--ker, how could you do this to them, to people you are supposed to love!'"

— Updated June 5, 2019.

This article originally appeared on June 5, 2019

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Trouble falling asleep? Doctor shares mental 'card trick' that helps you fall asleep fast.

It's called "cognitive shuffling."

Photo credit: Canva

Counting sleep is a thing of the past.

If you’re having trouble catching those elusive zzz’s, you are not alone. Roughly 1 in 3 adults worldwide have insomnia, which we know can lead to a whole slew of things that negatively impact our health. Which is probably why social media is full of various hacks the promise a better night’s sleep.

Recently Denver-based board-certified dermatologist Dr. Scott Walter made a video touting the efficacy and benefits of “cognitive shuffling,” which he said was an “absolute game changer” for his own sleep schedule.

In the clip, Dr. Walter described cognitive shuffling as “a way to rearrange or reorganize your thoughts similar to shuffling a deck of cards — basically, distracting your mind from conscious thought patterns that may keep you awake.”

The “simple mental exercise” can be done in a number of ways.

“One is just thinking of random words or objects that have nothing to do with each other,” Walter said. “For example, cow, leaf, sandwich, butter, liver, things like that — just random words that make no sense.” Apparently there’s even an app out there called MySleepButton that will feed you random words to form a picture in your mind.

Alternatively, if you “don’t like random,” you could also pick a letter of the alphabet, and start counting your heartbeat. After every eight beats, you’ll think of a word that begins with that letter.

@denverskindoc Stitch w/ @sidneyraz say goodbye to the Sunday Scaries and fall asleep quickly with this doctor approved sleep hack! #sleephack #todayilearned #wishiknew #howtofallasleepfaster #cognitiveshuffling #cognitiveshuffle #sleephelp #doctor #medicine #sleep #sundayscaries #doctorhack #fallingasleep #anxiety ♬ original sound - Dr. Scott Walter | Derm

Walter went on to explain that cognitive shuffling is so effective because in addition to distracting your brain, it ““mimics what are called microdreams, which occur during the transition to sleep, [letting] your brain know, hey, it’s safe to fall asleep.”

Pasha Marlowe, MFT, who also improved her sleep routine with cognitive shuffling, posted her own TikTok claiming that it “interrupts the processes of memory, scheduling and problem solving.

She also explained a slightly different process, saying you could take a word and think of as many words as you can that also begin with the same letters in your chosen word. Her example was the word “PUMPKIN,” and beings listing out “prince, pie, peanut butter, product,” and so on. Then she might go onto the letter “U” and start naming things that start with that letter…you get the idea. Multiple resources recommend following this particular strategy.

Luc Beaudoin, cognitive scientists and creator of MySleepButton, told The Guardian that the hack is superior to the traditional insomnia-busting tactics like counting sleep because the former are so “boring” that virtually any other thought, including worries, will be perceived by the brain as “more compelling.”

But with cognitive shuffling, there’s enough gameplay and “nonsense” involved to distract our hypervigilant cortex from perceiving potential threats just long enough for us to drift off.

Cognitive shuffling isn’t without its limitations. The MySleepButton site says that this method is not effective under the follow conditions:

  • You are too tired to conjure up words, but not drowsy enough to fall asleep. (For example, when you wake up in the middle of the night.)
  • You don’t like to think deliberately when you are trying to fall asleep.
  • You find it difficult to come up with words that start with a given letter, despite practice.
  • You find spelling tedious.

For these instances, the site says you can lay back while MySleepButton does the work for you. Or, you could try a few other proven hacks, found here and here.

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Woman shares her 'save the day' self-care tip that can help alleviate work stress

Save the day. Every day.

@breatheintransformation/TikTok

Such a simple—and fun—way to add in daily self care

Work-life balance is a popular phrase thrown around these days, and certainly, with all the benefits it can add to our sense of purpose and wellbeing, it’s something worth striving towards.

But integrating the concept into our lives…that’s another story.

Before you know it, 12 hours of busywork have flown by, leaving us too exhausted to do anything for ourselves. And now, on top of the fatigue, we have the guilt of not doing that hour-long workout or thirty minute meditation or whatever else we know could help us feel fulfilled, if only we had time. Because the sad truth is—our current society makes it very easy to put our personal needs on the backburner in the name of productivity.

On the upside—taking even the smallest personal breaks can make a world of difference. And Trina Merz, a Hawaii-based holistic healing practitioner, recently shared the simple, yet powerful way that she and a friend created to remember their self care.

In a video posted to her TikTok, @breatheintransformation, Merz shared that whenever she and her friend carved out a small personal activity during a full work day, they’d call it “saving the day.”

For Merz, that often looked like catching a surf, calling her mom, or making a delicious meal. “One thing that reclaims the day as our own,” she explained in the clip.

And to hold each other accountable, they would ask each other how they saved the day. “It became this fun thing that we used to just casually talk about all the time,” she said.

Merz went on to affirm that "there's honestly so many ways you can save the day, and it doesn't have to be a huge time commitment. It could even be just making a cup of tea and cozying up with one of your favorite books; anything that makes the day feel like you had some space in it again."

@breatheintransformation Save the day. Everyday. #savetheday #careeradviceforwomen #corporategirlies #stressrelief ♬ original sound - trina 🕊️ work-life harmony

There’s just so much about this that works. For one thing, adding the phrase “saving the day” makes you feel like a superhero (and, let’s be real, main character energy is totally healthy sometimes). But also there’s the sharing with a friend aspect, which Merz told Upworthy is "such an impactful part of this practice not only for accountability…but because when our energy comes together it expands and inspires each other, adding fuel to the flame of seeing the positives in our lives."

As one viewer rightfully commented, “This is the healthiest lifestyle tip I’ve seen in a while."

Lots of folks requested some more examples of “saving the day,” and Mez happily obliged. Here’s a small sampling of what she listed in a follow-up video:

Blowing bubbles

Taking a walk or run outside

Making rituals out of special treats—using a special plate with a fancy piece of chocolate, for example.

Reading a book or article you find interesting

Getting a pedicure or a massage

Enjoying a crossword

Taking a dance break

Walking barefoot in the grass

Doing anything with a good friend

And of course, you are free to create your own “Save The Day” list. Share it with a friend, and see how it affects your week.

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Expert says this one odd laundry habit could indicate ADHD

Plus, how to make the habit more manageable.

Representative image from Canva

ADHD Coach Jeff Rice says this habit is a near "universal sign" of ADHD

If you were to walk into your bedroom right now, what are the odds that you’d see clothes that never quite made themselves into actual outfits piling up on the floor? Perhaps they are sitting next to—or are even mixed in with—clothes that you did wear once throughout the week that aren't quite dirty, but for some reason can’t make their way back into your closet.

If this sounds familiar, then you have what’s known on social media as a “floordrobe.” And sure, the phenomenon is common enough to warrant a slang term, but according to experts it could indicate neurodivergence—ADHD, specifically.

In a TikTok video that has been watched almost 5 million times, ADHD coach Jeff Rice explained that this type of clutter, be it actual piles of clothes on the floor or a laundry basket “that just sits there for days and days or weeks,” happens to folks with ADHD for two reasons.

“The first has to do with the clothes which are not quite dirty. Usually we leave these things out because it’s going to act as a visual cue to remind us ;this is not quite dirty and I want to wear it again,” he said.

However the problem with visual cues is that “we become visually adapted to them,” Rice noted. And after we’ve adapted to seeing these cues, we no longer act on them.

The second common reason is that it’s neither interesting nor urgent, and so it gets put off until it does at least become urgent, like when there are no more clean socks.

While it might be hard for any of us to focus on boring tasks, it can be physiologically impossible for those with ADHD. We have enough research now to prove that it has nothing to do with laziness or unwillingness, and everything to do with different brain wiring that comes with its own advantages and disadvantages.

And thankfully, Rice has a few ADHD-proof strategies that have helped him with the floordrobe issue, which can possibly help others.

@jeff_coachyouradhdbrain It seems like many people with ADHD have challenges dealing with laundry.  The clean laundry, and the “not quite dirty and I’ll probably wear it again” laundry tends to accumulate and create clutter.  This laundry clutter is often called our “floordrobe”.  Here are two thoughts on how to tackle this kind of clutter. #laundry #clutter #organizationhacks #adhd #adhdtiktok ♬ original sound - Jeff Rice - Author, ADHD Coach

First, he put “parameters'' on which of the not-quite-dirty clothes can stay out. “For example, if I’m leaving a sweatshirt sitting on the edge of the tub in the bathroom because I’m planning on wearing it tomorrow, great. If I don’t wear it tomorrow I either have to put it away or just put it in the dirty clothes,” he says.

As for putting away clean clothes, Rice decided to tackle his warped ability to gauge how long a task might take, commonly known in the ADHD community as time blindness.

“Whenever I look at a basket of laundry, I think, ‘Oh my gosh, this is going to take forever to put away,’” he said. “And objectively, it’s not true. One of the ways that I attacked this was, at one point, I had three baskets of laundry sitting in my closet and I didn’t want to put them away. So I decided to check to see how long does it really take for me to put away three baskets of laundry. The answer — 21 minutes. I set a timer, and I timed myself while I put them away ― seven minutes per basket.”

Rice shared how having the hard data help transform the emotionally overwhelming concept of “forever” into a very manageable “seven minutes” made all the difference.

“It actually makes it easier for me to look at it when I don’t want to do it, take a breath, and think intellectually ‘it’s only seven minutes.’”

And obviously, while Rice says that floordrobes are a “universal sign” of ADHD, there are plenty of other causes. Everything from depression to simply a lack of storage space could leave us making clothing piles from times to time. Still, having ways to declutter when life or our own brain chemistry seems to be working against us can help us better navigate the tough times.

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