Umbereen S Nehal, MD, MPH Profile picture
Sep 23, 2020 21 tweets 11 min read Read on X
On "called in" versus "called out": in fact, a true ally can tolerate being "called out" to model #learning #mindset/#growthmindset for others. Those who need everything to be done hidden/in private reveal they care more about image, optics, their own reputation.
People need to let go of this concept of "shame" or "did you just call me a racist"? Everyone has more to learn. Was just discussing with a woman who pointed out elite programs in the U.S. fulfill "diversity" quotas with "Black" from Africa rather than descendants of slaves.
The underlying issue of exploitation, specifically slavery, was #economic. The experience of personal + generational trauma + loss of generational wealth + loss of identity is a deliberate #systematic #systems approach to value extraction for economics.

wbur.org/hereandnow/201…
System level issues aren't solved by private conversations ("call in") even if you feel entitled to that. That sense of entitlement, to preserve reputation (your "good name"), is a privilege compared to those enslaved had their names and identities erased
facinghistory.org/reconstruction…
Plus, instead of controlling those on the side of social justice, racial justice, or economic justice, how about control/hold accountable the people who impose the current controls? In all industries, including healthcare, "professionalism" is racial
ssir.org/articles/entry…
Where does your discomfort come from? Maybe your discomfort with uncomfortable topics that confront your personal, racial, ancestral identities are part of the barrier to needed change for justice and equity? How about try to grow instead of put up walls?

npr.org/sections/codes…
This happens in schools too, thus perpetuates these wrong mindsets and reactions to social justice, racial justice, economic justice work. You need to examine what "lines of code" exist in your own brain and who put it there? Are you self aware?

eric.ed.gov/?id=EJ1206634
Are you really scared of a few honest words said to you in public? Where is your commitment and courage? The real work gives no immediate 🏆 In fact, as Heifetz points out, true leadership will get you taken out/down: hks.harvard.edu/courses/leader… If it feels hard, that's cuz it is.
There are Black men who walk out of the house daily with the kind of courage that @DrJCoftheDC describes here explorethespaceshow.com/podcasting/jas… Do you have any idea what it is like to have to smile no matter what cuz your *life* may depend others not fearing you? @ETSshow #BlackExcellence
These emotions of those scared of few words, loss of their "good name", "optics" exhausts and consume yet more of the already scarce resources for this work after generations of exploitation.

If you need to work on yourself before you do this, do that.

sojo.net/articles/our-w…
Your need to get a trophy for allyship or know it all already or rush in to save the day is itself part of an ego-driven exploitative construct that may be part of your personal, cultural, religious, and/or community identity and narrative: theatlantic.com/international/…
Do you, by the way, have views on whether or not you would consume pornography? (Not judging, just asking). Are you aware of this type you may consume that makes you feel powerful and feels good compared to someone on their knees? Can you tolerate equity? goodthingsguy.com/opinion/what-i…
Why does a WOC or POC need to be one their knees to be “beautiful”?

This political cartoonist actually draws about economic, social, political injustice yet was completely misinterpreted by a different cultural lens

cagle.com/author/dario-c… Image
That’s why you have to spend time on your OWN lens before you can assume your see it all clearly.

No one can see it all, all the time, so why not accept that failures are expected?

Can we please we be honest about imperfections?

Model humility and learning.
Please get over this entitlement to private, customized, 1:1 call ins to protect your ego & feelings. Please stop expecting #blackqueen, POC, WOC, BIPOC to continue to be emotional mammies as per @mdawriter

That still maintains value extraction towards you from them

Exhausts
While am myself a WOC (some do count Muslim as URM) none of that matters as I can assess my own self as having had various types of privilege such that I do what I can to try to counter this.

Not saying I have it “easy” but I do lack some barriers

npr.org/sections/codes…
I do hold others accountable in “my” communities, be it pediatricians, women physicians, South Asian, “model minority”, academics, Muslims - please don’t pull any “I am a WOC too” as a self defense or to invoke victimhood. Tolerate the discomfort to grow. forbes.com/sites/sujanpat…
Where is your attention? On yourself and your comfort? Or on these things that are exquisitely painful?

If you call yourself empathetic and you are not doubled over in pain at this daily, how well is your empathy working as an ally?

Do you center on yourself? ImageImageImageImage
Your empathy often gets in the way of ethics per @paulbloomatyale

by making yourself and your feelings the gatekeeper of your attention and to determine what is “good”

you perpetuate, not eradicate, historical, cultural, systemic inequity and injustice

qz.com/1024303/empath…
There are 1001 more things on “call in” vs “call out”

but bottom line is:
this should not be about
you
your ego
your image
your avoidance of discomfort
your avoidance of growth
your reputation
your professional clout or earnings or promotion

Be a true, authentic, humble ally
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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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