Nathan Chomilo, MD, FAAP, FACP Profile picture
Dec 5, 2019 10 tweets 6 min read Read on X
Excited to start my #SPHHealthyFutures day learning from this awesome panel about how we can help build resilient communities (& hopefully highflying ways to reinforce the resilience that already exists!)
🙌🏾🙌🏼🙌🏿🙌🏻 ImageImage
Cyrus Batheja from @UHC
“Understanding of peoples’ social circumstance has a greater impact than their medical circumstances. But when you connect the two you can have an even greater impact”
#SPHHealthyFutures Image
His recommendations:
🔹have a mindset of “what happened to you? Not, what’s wrong with you?”
🔹centering personal narratives
🔹providing clinicians w/tools to capture via ICD codes
🔹use the data to find ways to better meet needs & connect patients & systems
#SPHHealthyFutures ImageImage
@katybkoz challenging #SPHHealthyFutures to see the connection btw how public health conversations around individual behaviors’ impact on health is actually systemic gaslighting

When we fail to address the structural inequities that are present we can’t truly empower communities Image
@katybkoz lays out steps to stop gaslighting & start empowering.

🔸recognize strengths, stop using “vulnerable”/“high-risk” terms to define communities
🔸don’t just share power, give it away
🔸ensure representation
🔸question what’s assumed to be “normal”

#SPHHealthyFutures Image
Atum Azzahir asks, “Who are you & who are your people?”

Points out that most students have never been asked to think about this & are often looking to others to answer it for them.

This impacts our view of communities & how we engage in research.

#SPHHealthyFutures
She highlights the People’s theory:

that a loss of culture, loss of community ➡️ makes you sick

And talks about Cultural Capital & Systems of Thought (African, European) as ways to research health through a lens of community strengths & processes.

#SPHHealthyFutures
“In this word disparity is an emotional connection with the word despair...so when we looked at infant outcomes we didn’t only talk about mortality, we looked at the children who lived despite the obstacles”

#SPHHealthyFutures
Elder Atum Azzahir shares some@her lessons learned over the years:

🔸Social support ⬆️ peoples health
🔸Social cohesion ⬆️ well-being
🔸Health empowerment is about connection, not just being shuttled off to resources

#SPHHealthyFutures
Cyrus Batheja talks about how they didn’t build systems but identified experts/programs that are under-resourced, then provided connections & resources such as data, legal & financial to lift up institutions that are the “back bone” of their communities

#SPHHealthyFutures

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More from @ChomiloMD

Jun 22, 2023
Kicking off Day 2 of @aspenideas #AspenIdeasHealth with 2 of my faves ☺️ @iamKSealsAllers & Dr. Emily Miller!🙌🏾
#AscendFellows
Catching up on a wonderful morning!
Started with this fantastic conversation on the Fight for Reproductive Health btw @ChelseaClinton & @ChanelPorchia moderated by @kwelkernbc

Chelsea & Chanel did not come to play!👏🏾

"we know what to do!" - CC
#AspenIdeasHealth
"We need to be angry about the fact we're letting moms die...This isnt a mystery. Its a failure of political will. Its a comfort w/misogyny & racism" @ChelseaClinton

@ChanelPorchia dropped so much fire about racism in medicine folks left w/a certificate 🔥🔥
#AspenIdeasHealth
Read 9 tweets
Jun 22, 2023
This is a devastating loss to all of our MN communities 😔

Dr. Charles Crutchfield III was ever present & a force within not only dermatology but organized medicine, among Black physicians in MN in particular.

#RestInPeace

spokesman-recorder.com/2023/06/21/acc…
How many dermatology clinics signed up to do #COVID19 shots?! Dr. C's did because he knew how important it was to get shots from a provider you trust.

He inspired @MNAADocs to begin a weekly column in @MNSpokesman sharing health education information🙌🏾

spokesman-recorder.com/2022/01/27/ple…
Dr. C was always down to help me in any way he could whenever asked. Whether a curbside consult or questions about my own families skin, he always got back & would follow up to see how things turned out if I didn't tell him.
Read 4 tweets
Jun 21, 2023
Made it! Let's get the IDEAS flowing & bring about the change needed in #Medicaid, racial health equity & early childhood 🙌🏾
#AspenIdeasHealth
#AscendFellow
Hey @AmerAcadPeds & @Vot_ER_org look at who I found @aspenideas #AspenIdeasHealth🙌🏾

#AHealthierDemocracy #VoteKids

"Interesting" start to this panel of HHS secretaries @aspenideas #AspenIdeasHealth

@SecBecerra when asked what he wishes folks knew about HHS replied, "we don't control health care"

@Sebelius agreed... 🤔
Read 4 tweets
Feb 26, 2021
Today’s MN #COVIDVaccine announcement is disappointing & largely fails to move the needle on equity.

I think understanding why & how it could likely worsen inequity requires a recap.

On 1/14 MN opened up vaccination to 65+ w/no subprioritization. What have we learned since?
🧵
1️⃣ There was no federal stockpile (as the previous WH administration HHS had eluded) to support this decision.

So now ~1 million Minnesotans believed they were at the front of the line but MN was getting ~60,000 new doses/week & still had not completed everyone in phase 1A
2️⃣ A new administration came in with equity as a priority & recommended expanding eligibility even more... but no new guidance around subprioritization for any groups incl those 65+

& still not enough shots to meet demand = scarce resource allocation

verywellhealth.com/biden-covid-19…
Read 14 tweets
Dec 15, 2020
I have enrolled in a #COVIDvaccine trial & last week got my first shot!!

But this wasn’t always my plan. I had a surprising amount of hesitancy early on. So I want to share how I worked through it.

This will probably be my longest thread ever. But stick w/me! (1/)
An avid advocate that #vaccinessavelives I found myself personally & professionally skeptical about the speed with which vaccines were being developed & politicized.

So I read about #COVIDvaccine development & listened to @NEJM’s podcast weekly podcasts.apple.com/us/podcast/new… (2/)
I also found this @nytimes #COVID19 vaccine tracker helpful

nytimes.com/interactive/20…
(3/)
Read 35 tweets
Oct 5, 2020
“When we fight to change children’s circumstances, THAT is when we keep children healthy. THAT is Socially-Responsive Pediatrics”

@DrOmolara opening up the final #AAP2020 plenary with powerful perspective
.@DrOmolara breaks down common frameworks:

Cultural competency doesn’t deliver justice

Structural competency doesn’t dismantle structural inequity

We need to move to Social responsiveness to deliver justice & dismantle structures of oppression

YES🙌🏾🙌🏾
#AAP2020
.@DrOmolara’s approach: bring care to the communities instead of working to fit communities into care settings w/historical trauma

Her practice has been setup next to community based organizations. In collaboration, no hierarchy

#AAP2020
Read 4 tweets

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