Umbereen S Nehal, MD, MPH Profile picture
Jun 27, 2020 12 tweets 13 min read Read on X
From @AmerAcadPeds - staying safe while Black or minority

To go a step further, we have police in #schools and even #school is unsafe for black #children and children of color

linkedin.com/posts/usnehal_…
What is the image and coloring of “an angel” or “a cherub”?

Not a Black child. These are powerful images that inform how people view and then treat children

Who is “innocent”?

Ask any advertiser. Images are powerful and change behavior ImageImageImageImage
There is suspension and punishment of Black girls and boys as early as age 3 called “preschool to prison pipeline”

What happens when the place you are supposed to go to grow, develop, expand, play, take risks

...is a place you are seen (and told you are) bad? Criminalized? ImageImageImageImage
Black children with learning disabilities whose needs are not recognized or met, get frustrated in school, are criminalized, even cases of excessive force in restraint that can physically and psychologically harm a child

wjla.com/news/armstrong…
Add to that, #pediatricians are mandatory reporters on many issues. We know #fostercare has disproportionate number of black & brown children

No it is not “what is wrong with ‘their culture’” as one nurse asked me when I was explaining racial disparities in healthcare ImageImageImageImage
In hospitals there may be an entire research center dedicated to disparities like this

while bedside clinicians at the same institution unaware, biased & think citing that research from the same institution is “political” if incorporated on rounds

npr.org/sections/healt…
Right questions: What is wrong with a system that selectively destroys some families because of cultural chauvinism and wrong assumptions?
If I am part of that system, then how am *I* party to harm?

When I cannot be sure I do more good than harm, I have left jobs and systems ImageImageImageImage
#BlackintheIvory is full of stories of #AcademicTwitter #MedTwitter #MedEd of #blackexcellence not only denied but punished, criminalized

starts in cradle & school

then #academia @PASMeeting

Never recognized as expert in own work, always at margins

https://t.co/kYOTXP2SkB
So why bang head against a wall in spaces silenced, unvalued, &, if #BlackintheIvory, even potentially criminalized?

After a half career of experiencing gender pay gap, am pursuing world’s most expensive MBA

Why? Be in the room & be “self” w/ people who control 💰for results ImageImageImageImage
That’s how world works - there are clubs & various ways to acquire “membership”

(I learned service at front lines or peer reviewed pubs not the way 🤷🏻‍♀️)

Sometimes the “club” where power brokers meet is a literal strip club

Let’s change that
@TIMESUPHC

cnn.com/videos/busines…
Sometimes WOC get more respect from #quality & #innovation minded business leaders like @Ackermanjay who has vision & puts 💰💰💰 behind equity & #SDOH. Here, agreed with my suggestion to interview #blackqueen @fstanfordmd of @harvardmed & @MGHMedicine

reveleer.com/blog/value-bas…
#SoMe & #Medatwitter should be space where women & minorities can thrive & be expressive, as compared to the Carly Fiorina strip club example of gated sexist access

Thought provoking piece in @Forbes on cultural chauvinism to policing of expression

forbes.com/sites/kalevlee…

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More from @usnehal

May 29, 2023
This. When I had experiencing #bullying towards myself, I had just walked away or been silent, keep moving forward.

Once I had some degree of “rank”, felt others should not “just deal”

I did speak up on behalf of those less powerful… which only set me up for this mislabeling.
That is not to say that as faculty you should not speak up for or defend students are trainees

but you should be aware of this.

If the #bully is a woman, then she can always claim that she is being “attacked”… “as a woman”

That narrative aligns with a common reality.
False narratives spread quickly

if they align with something that people recognize as a truth (& may even have experienced themselves)

This is particularly why Machiavellian types are strategic/smart to utilize/promote a female bully while they stay more quiet/behind scenes
Read 13 tweets
Jun 24, 2022
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.

theatlantic.com/politics/archi…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.

pewresearch.org/fact-tank/2017…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte Loss of Civil Liberties happened after 9/11: even if go white water rafting, spied on

pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state

gothamist.com/news/nypd-spie…
Read 5 tweets
Jun 23, 2022
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.

Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up

plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like

Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…

…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
Read 5 tweets
Jun 23, 2022
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.

More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
If you are a Black, immigrant, LGBTQ, chronic illness, Muslim, etc person, patient, #HCW, teacher, heck yeah, is scary

Thing is those who have been safely tucked in cocoon of suburbia, worried about junior making the cut for the bball team
now feels suddenly scary

Us: not new
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies

Be a true ally
Not bully ally

Cuz:
Read 5 tweets
Jun 22, 2022
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).

“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…

institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
Read 5 tweets
Jun 21, 2022
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further. ImageImageImageImage
Who was it “okay” to torture? (assumed is a terrorist?) Whose civil liberties disappeared 20 years ago? Muslims.

“But you all ‘deserve’ it” we’ve heard &: Why didn’t you stop terrorism? Why haven’t you apologized about x & y?

Now: consequences of that

vox.com/2016/3/31/1133…
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…
Read 22 tweets

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