Arghavan Salles, MD, PhD Profile picture
Aug 18, 2019 15 tweets 4 min read Read on X
Observing Twitter over the past few years, I’ve been concerned about how quickly people jump to judgment and condemn others. I did it, myself, with that doctor in Texas who said unfortunate, embarrassing things about women in medicine.

1/
Then I listened to a podcast from @NPR on call-out culture, and it really changed the way I view these moments. This op-ed from @LorettaJRoss has some important insights that I want to share.

2/
“Call-outs are justified to challenge provocateurs who deliberately hurt others, or for powerful people beyond our reach. Effectively criticizing such people is an important tactic for achieving justice. But most public shaming is horizontal...”

3/
“... and done by those who believe they have greater integrity or more sophisticated analyses. They become the self-appointed guardians of political purity.”

4/
This, to me, is the heart of the problem with pouncing on people the second they say something gauche:

“Call-outs make people fearful of being targeted. People avoid meaningful conversations when hypervigilant perfectionists point out apparent mistakes, feeding...”

5/
“...the cannibalistic maw of the cancel culture. Shaming people for when they “woke up” presupposes rigid political standards for acceptable discourse and enlists others to pile on. Sometimes it’s just ruthless hazing.”

6/
Honestly there are times I don’t contribute or respond bc I don’t want to say something “wrong.” I’m about as liberal a person as there is in the US. But I also only have my own perspective and experiences, and these are limited. I am so afraid of offending unintentionally...

7/
That when I’m not quite sure, I just stay quiet. Of course, who cares about whether I get to chime in? That’s not the point. The point is then I don’t learn, understand, grow.

8/
That is the true cost of call-out culture. Sure, there are people who are racist, sexist, transphobic, etc. And maybe they do deserve to be held to task. But this culture also prohibits the engagement of a far larger group of people, I think: those who want to...
Contribute, learn, grow, do better. The potential allies. But call-our culture freezes them out. So, I agree completely with @LorettaJRoss that we need to welcome conversations, especially uncomfortable ones, if we are to make any progress.

10/
Some of you out there are doing this. You are gifts to the world. I’ve had convos in DMs with some of you and we have tag teamed lowering the temperature of a convo to prevent it from boiling over. Thank you.

11/
Please also hold me accountable. Call-ins, done with love as @LorettaJRoss says, are a gift. I’m here for it.

In our search for social justice, let’s help each other push forward rather than climbing up, shoving others down as we go. 🙏

12/12
Here is an interesting opposing view:

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Arghavan Salles, MD, PhD

Arghavan Salles, MD, PhD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @arghavan_salles

Apr 9
The problem isn’t false accusations. It’s that men refuse to acknowledge rape. “They [rapists] had absolutely no sense of themselves as rapists and were only too happy to talk about their sexual behaviors.”

Based on a study of rapists, as described in Missoula by Jon Krakauer.🧵 The participants in the study had no qualms about being research subjects, Lisak told me, "because they share this common idea that a rapist is a guy in a ski mask, wielding a knife, who drags women into the bushes. But these undetected rapists don't wear masks or wield knives or drag women into the bushes. So they had absolutely no sense of themselves as rapists and were only too happy to talk about their sexual behaviors." Most of the student rapists interviewed by Lisak were regarded by their peers as nice guys who would never rape anyone, and regarded themselves the same way.
They are too entitled and self-centered to see the harm they cause. The serial rapist hidden in plain sight among us, isak explained, "harbor all the usual myths and misconceptions about rape. Adi. tionally, we now have data showing they are more narcissistic than average. So they are caught up in their own worldview. They lack the ability to see what they do from the perspective of their vic-tims. It's not like they've spent any time thinking about what it would be like to be passed out and wake up to someone raping you. It's not like they've ever asked themselves, 'How would I feel if I fell asleep, someone climbed on top of me, and penetrated me wit...
“It pissed me off that she played along the whole way and then decided to squirm out of it…I mean, she was so plastered that she probably didn’t know what was going on, anyway.”

It’s sad this has to be said, but if she doesn’t know what’s going on, she can’t consent.
She was really woozy by this time. So I brought up another drink, you know, and sat her down on one of the beds, sat down next to her, and pretty soon I just made my move. I don't remember exactly what I did first. I probably, you know, leaned her down on the bed, started working on her clothes, feeling her up. ... I started working her blouse off. ... At some point she started saying things like ... I don't want to do this right away, or something like that. I just kept working on her clothes, ... and she started squirming. But that actually helped, because her blouse came off easier. And ...
Lisak's interview with Frank was typical of the interviews he did wich other rapists. In a part of the interview not included above, Lisak told me, Frank "actually described two other rapes he did, under almost exactly the same circumstances, except the two other victims were unconscious from alcohol at the time. And Frank had no idea that what he was describing to me were acts of rape." Predators like Frank get away with it over and over, Lisak explained, because most of us are in denial. We're disinclined to believe that someone who's an attentive student or a congenial athlete ...
Read 4 tweets
Dec 16, 2023
The pandemic has been so badly bungled that people don’t know if they have Covid, don’t care if they have Covid, don’t know when to test for Covid…what are we doing here??

My mom just tested positive for Covid and wouldn’t have known if I hadn’t told her to test again… Photo of a positive Covid test and a text message that says “positive”
…She had tested the first day of symptoms and was negative. I told her to test again, and bam, positive.

A family friend got Covid around Thanksgiving. I told her she should keep testing even after she feels better bc of rebound and how long some people stay positive…
…She had taken paxlovid and started to feel better. Then, symptoms came back and bam, she was positive again.

These are smart people who follow the news. My mom didn’t know to test again, family friend didn’t know about paxlovid rebound…
Read 5 tweets
Aug 25, 2023
We don’t talk enough about coercion in healthcare. I just had a procedure I did not want to have because I was forced to do so in order to move forward with IVF. I stated multiple times I would accept the risk of foregoing the procedure. (The risk, as far as I can tell, is…
…perhaps slightly lower success rate for implantation.) I invoked shared-decision making and bodily autonomy to no avail. I was reassured, in the classic paternalistic medicine way, that this was in my best interests.

I am a 43-year-old physician. If my doctor doesn’t think…
…I am competent and capable of making decisions about what’s in my best interest, do they think anyone is?

So today when the PA wanted to confirm that I wanted to move forward with the procedure, I told her the truth: No, I did not want to have the procedure, but…
Read 11 tweets
Jul 19, 2023
Did you know up to 200 women at Yale’s fertility center were forced to undergo egg retrievals without narcotics? These procedures are typically done under heavy sedation, but these women were awake enough to talk; one even told them she was alert enough to drive. These women…
…were in pain, and they were brushed off. A nurse in the clinic had swapped out fentanyl for saline in hundreds of syringes. So for FIVE MONTHS women had these horrific experiences. They told their doctors, but nothing was done. One of the women recalls her doctor saying…
…only that he was “perplexed” and “surprised.” Without another explanation, some of the women were convinced it was their own fault; they must not be sensitive to fentanyl.

The patients weren’t aware of the fentanyl swap, but they knew something was wrong. One of them said…
Read 10 tweets
Jul 18, 2023
We all know women make less money than men. Did you know people are compensated less for performing procedures on female patients than if performing similar procedures on male pts? We’ve know this in the US, where compensation is based on RVUs which are determined by a group of…
…almost exclusively men.

A recent study found the same thing in Canada, where compensation is totally different!

Urologists and ob/gyn surgeons created a list of procedures performed for female patients and identified analogous procedures performed on male patients…
…70% of these procedures were compensated more highly when performed on male patients. What really blew my mind is that treating ovarian torsion (remember, the ovaries are inside the pelvic cavity) is compensated less than treating testicular torsion. We all know… Screenshot of a figure showing compensation for procedures performed for female patients to similar procedures performed for male patients. Bars extending to the left are ones where compensation is lower for caring for female patients. The majority of the bars extend to the left.
Read 7 tweets
Jul 12, 2023
Seemingly “natural” homogeneous gatherings like this are a result of the systematic exclusion of marginalized people and further perpetuate the marginalization.

Here are my favorite tweets pointing out this absurdity.
Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(