My experiences on #MedTwitter, ostensibly a place for activism & public health - at least as is the approach of a #tweetiatrician

affirmed that

until

we FIX
culture of #medicine
change perverse incentives

until then

#healthcare will continue to fail

even be source of harm
When will we start caring more about problems than petty fights?

When will we spend our energy on #creativity and #problemsolving rather than stalking, blocking, hiding & deleting tweets?

This is not limited to #MedTwitter
It replicates what happens in #hospitals and #academia
Faculty need to step up and keep other faculty in check.

#Safespace is not just a hashtag.

Am grateful I trained under Dr. Ralph Feigin @bcmhouston. He fiercely defended trainees. There are important ways he created safe spaces.

#AcademicTwitter

alchetron.com/Ralph-Feigin
I have had my adjustment issues to @MITSloanFellows and @MITSloan for sure. But what I appreciate is this #mindset as described in @techreview

https://t.co/ETMD5lrzJi

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More from @usnehal

Jun 24
@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
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
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
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
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
Jan 3
This 👇👇👇 (h/t @joemd)

Also, at midcareer female success is threatening to men our age AND to younger men who rely on patriarchal patronage systems. Women, overpoliced by the system, then, yes, are tougher bosses AND we *do* tend to adhere more closely to ethics.

I do do all:
On #MedTwitter there is a pattern of “callouts”, yes vs all genders & ages, but also pattern of misogyny and misogynoir. It happens towards nurses & doctors alike. One of the reasons I connected with @ShrimpBrokkoli is because I saw a yt male resident ridiculing her online.
I saw that behavior being taught by NON-clinical faculty & that REALLY crossed a line.
If you are a woman + nurse + frontline + Black/WOC, you already live with so much violence towards you. Added online made up drama from a trainee vs nurse?
No, no, & no.
webmd.com/a-to-z-guides/…
Read 16 tweets

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