Umbereen S Nehal, MD, MPH, MBA Profile picture
Sep 21, 2020 11 tweets 6 min read Read on X
Someday soon this labor of love and product of dogged persistence will officially be published after something like 100 edits to slide format, removal of any photos not from Creative Commons, adding content, updating references, expanding on limitations.

Yes, I am relentless. Image
When it comes to protecting the marginalized and vulnerable from the bullies spreading xenophobia, cutting funding, closing clinics, I am non-stop

With every clinical service closure I am more and more pointed on understanding what administrative budgets are used for ImageImageImageImage
I was CMO of a 14-center FQHC that also was a dedicated refugee screening center and no, this type of care is NOT any CFOs favorite tho the mission driven ones figure out a way to serve mission at the cost of margin and get the revenue from elsewhere.

modernhealthcare.com/article/201810…
So if I have been questioning anyone with zero clinical background, persistent that all curriculum must meet standards, or questioning anyone consuming academic/hospital resources, this is why. I do not apologize for prioritizing care. We need to cut out waste to preserve care.
There ain’t money/time to spare and there are jobs that do need to be done. Someone like @mclemoremr who publishes on maternal health, community health, disparities?
👍🏿❤️🏆

But “scholarship” on #Medbikini type “professionalism” that often is anti-POC & NOT anti-racist?
Been so busy multi-Zooming to take 3x allowed classes to maximize yield from this one short pricy year that I had missed the editor’s email! Dear God, this peer-reviewed publication stuff that drags on months is 🤯😫 (Yes, I am on the neurodiversity spectrum to learn this way) Image
I am trying to pull back a bit as everyone is warning me I am going to burn out.

But a “top strength” is “input” - that is exactly how I then create multi-institutional, multi-disciplinary, comprehensive curricula spanning spectrum of knowledge.

gallup.com/cliftonstrengt…
We just lost #RBG and we cannot let up.

I am fine being relentless and unforgiving if that is how women get things done on behalf of the marginalized, powerless, vulnerable.

RBG was both within the system and fighting the system to advance equity.

brennancenter.org/our-work/analy…
I was not as productive as I should have been this weekend but my brain clearly needed some down time. I think we all are feeling it as this LinkedIn post got >11K views and reshared. People need to see rest and periods of unfocus modeled and normalized.

linkedin.com/posts/usnehal_…
Tomorrow morning is U-lab and it makes my brain SO happy to start off the week with meditation, reflective writing, and centering. #Mindfulness

It also makes me SO happy that when I speak up in that class or email the professor if he can urge people to be authentic - not just have #BLM performatory hashtag but then to invest time in attending the Black Business Students Association meetings - he does step up

= Allyship

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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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