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In recent years have started to question the traditional approach to #narrativemedicine. Who owns a story? What lens is applied? I get it is seen as important for “joy of practice” to tell these stories as doctors. Except, these are actual lives and bodies of human beings.
As in, I don’t know the right answer but I also don’t think we are asking enough questions of ourselves, our profession, our peers, our professors/attendings.

Ours is a profession that labels
>age 35 as “geriatric pregnancy” after all

My pinned tweet:
Or: #nyc writing class, read “The Laugh”
by Tea Obreht:had never been yet wrote story in Subsaharan Africa

Vivid descriptions of wild animals
Black male=passion

WOC in class had to point out to instructor: WOC characters were flat, one-dimensional, silent, passive
=White gaze
So:

who is writing #narrativemedicine stories

about whom

who chooses the words and definitions?

what cultural lens?

are we checking our own assumptions and biases?

are we perpetuating same old stereotypes and tropes?

are we seeing ourselves as noble, saviors, etc?
Status quo =

Obreht a young Serbian-raised woman, read a books in a library to write a story in SubSaharan Africa for @TheAtlantic

wrote like Rudyard Kipling might about “Africa”

like Kipling’s “white man’s burden” lens

which is rejected by POC today

insidehighered.com/news/2018/07/2…
Compare the two poems side by side. Which one should current day students walk past daily? Why was the first one, among the thousands of poems written in history, even the one selected for display? What framework/standards/criteria are people using when they make these decisions?
When institutions of higher learning AND other women in pop culture (thread)
AND seemingly intellectual spaces like the @TheAtlantic or a #creativewriting class in #nyc keep perpetuating the same old, same old tropes

=repeat past

& sets WOC up to fail

We know this from MLK:

the true barrier to progress
those defending walls that need to come down
those perpetuating marginalization and inequity

are

the seemingly liberal intellectuals

smug at not being KKK
angry at others
yet, just as responsible

uumidland.org/blog/martin-lu…
An early #MedTwitter experience: commented in a thread of white male physicians who reacted negatively to my questioning evidence base of IVF

Not one of them had this lived experience tho

Long, rambling thread because, well, is a lot to unpack & messy

Those who control the conversations on #MedTwitter like that thread I wandered into of male, not #URM fertility doctors

may also be gatekeepers of which #WomensHealth #narrativemedicine stories get published in peer review

Men gatekeeping women:

sciencedirect.com/science/articl…
Then this critical work by @JulieSilverMD in #pediatrics in @JAMA_current

as have risen in career
gained confidence
lost #impostersyndrome
hit up against this

current criteria & status quo:
your opinion not valid
= be spoken for & about
more so if WOC

jamanetwork.com/journals/jaman…
Even more so for black physicians, academics

You are only seeing stories told after internal gatekeeping of what one feels can be safely shared without career harm

There are SO many levels of bias/barriers
#blackintheivory
#AcademicTwitter
#MedTwitter
Long suppressed childhood memories from multiple childhood hospitalizations have bubbled up as I have gotten deeper into family-centered care, disparities

Recall seeing my mother disregarded, overridden, assumed to be barely literate by doctors
#MedEd

Why I choose rational compassion instead of empathy

I was that 7 year old child in the past
Now: empowered

If I tell the tearjerker story just right per how *you* want to hear it, 👍

But are you willing to hear how you’re perpetuating this reality now?

This clip applies

What walls are erected (to communication)?
Who defines who passes?
Who defends those walls?

In your cocktail parties, journal clubs, editorial board meetings

..can you handle the truth?

Or do you prefer controlled & whitewashed?

So anyone who has hashtags of #equity & #socialjustice

yet wants controlled, comfortable, whitewashed stories

trusts gatekeepers & “protectors” who are academic equivalent of Col. Jessep

& cannot see racial & sexist tropes in “The Laugh” @TheAtlantic

...I question your lens
have realized
my stories, if told my way
are uncomfortable truths
#AcademicTwitter #MedTwitter
Can’t handle
So:
Tune me out. Mute me. 🤷🏻‍♀️

Now: b-school
drawing on my heritage
for social #entrepreneurship
to drive change
#WomenInSTEM
#womenentrepreneurs

/fin

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