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Umbereen S. Nehal, MD, MPH Profile picture
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14 Nov, 9 tweets, 2 min read
Are you 🤬 kidding me? My movers for the a.m. just canceled on me.

So found new movers within 3 calls. Rebooked. Now moving out on Sunday.

But dear God. Who cancels a move at 8:03 p.m. the night before?

This is why I detest moving.

I was still traumatized this from last move.
Last move: movers kept making disparaging remarks "I told you you had too much stuff. Everyone who moves from Boston to NYC does this." Okay. They mark up the ceiling. They get annoyed at my cat. Dishes they packed broken. And they kept one box "open" then charged for "packing"
Meaning they had charged "packing" time for an untaped box. Meanwhile the guy I had hired to re-assemble my IKEA wardrobe started hitting on me and I got him out ASAP but then I only had a half built wardrobe and CMO job started the next day. Every day, drained, exhausted.
Move before that the moving company went out of business while my stuff in route. They refused to deliver unless I paid 2x the rate on the contract. What do you do? Not "theft" but "breach of contract" so police would not touch it. A former Navy Seal buddy said just pay up.
Move before that ...within the city..actually was okay. Only issue then was I was not finished packing and I had dropped some jewelry off my nightstand at some point and I never found the pair to the sapphire earrings my grandmother gave me that I know was somewhere there.
I looked and looked and looked - when you have a cat and hardwood floors, jewelry can end up anywhere. I never found the pair. But in Pakistan last year I had them re-made. The move before that was okay but the movers had charged me and extra $70 for tape used to mattress pad
I did dispute the charge and got the money back. If you say "mattress padding included" then the way to secure the mattress padding should also be included.

I HATE MOVING
Yes, I am capable of, when someone does something super uncool and massively 💩y of immediately jumping into action, doing a quick internet search for reliable movers, calling 3 movers, booking a move, calling my bank to dispute the first change, booking the elevators....
How about, life you stop with Umbereen the punching bag drama? Meanwhile my sister's house, on a cliff..well, the cliff just fell. Their house is hanging in the air pretty much. Insurance refused to pay. Last month my tooth randomly chipped.

Life. just puhleese give us a break

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More from @usnehal

Umbereen S. Nehal, MD, MPH Profile picture
15 Nov
As a physician, can say this about doctor culture in the U.S.: we are a socially stunted puerile bunch easily manipulated by sales & marketing ppl or by metrics of competition, obsessed with status, prestige, ego..

...not my doctor friends...but we hang out at the margins.
The high school level drama that plays out in hospitals, then the replica, amplified, on #MedTwitter is 😱 No wonder our profession kills so many patients when we are so busy policing on pettiness & ignoring standards of quality, safety, population health ncbi.nlm.nih.gov/pmc/articles/P…
There are many reasons why I am hanging up the stethoscope, one of which is that I cannot in good faith go into any clinical setting and feel confident about “first do no harm” - The system is too misaligned, not driving quality, safe results

Then, the human dynamics are
😨😣😖
Read 30 tweets
Umbereen S. Nehal, MD, MPH Profile picture
15 Nov
Accountability is when someone takes money for a job and fails to use standards or violates standards. Referencing standards when seeking accountability, in a transparent way, is fair game and necessary. Teaching at esteemed institutions = an obligation to deliver quality.
Some info on #MedEd - the roles and responsibilities

medschool.ucla.edu/workfiles/site… ImageImage
For medical professionals, especially doctors, payment of the critical part on liability.

Good Samaritan protection relies on no payment, often.

Doctors can be served papers up to 25 years later if it was an infant.

That is level of accountability of clinicians ImageImageImageImage
Read 18 tweets
Umbereen S. Nehal, MD, MPH Profile picture
13 Nov
This. Black nurses like @mclemoremr who not only have authentic clinical and community experience, not only know the disparities data, but also are winning grants to do the studies themselves belong on the transition committee or COVID Task Force.
In contrast when I have taught medical students straight from @AmerAcadPeds policy statements on racism in a hospital with a disparities center, have been told by a division chief that nurses find me “too political” which exactly is this that @COCoQC lays out

Not safe spaces Image
Repeatedly I “break ranks” - I don’t spend my time on outrage over “scope creep” - who is serving in the communities where Black women die at a 12x higher rate from maternal mortality? Not the doctors or nurses battling on own job & pay.
Is these ppl: mededportal.org/doi/full/10.15…
Read 28 tweets
Umbereen S. Nehal, MD, MPH Profile picture
4 Nov
I literally have no election stress tonight. Met with a senior dean & a director to advocate for a peer. Wrote a 4 page executive report with 20+ references that was just emailed to 6 top brass leadership. No, it is not about loyalty. It is about correct application of standards
#MedTwitter is likely aware of my propensity to write detailed reports with a multitude of references emailed directly to deans. If there is a top, and if I am a tuition paying student or even just a concerned citizen, you’re gonna hear from me if someone is misusing rules.
My great grandfather, a Justice in the High Court, figuratively threw the book at a white barrister in Colonial times, telling him to learn the law. For standing up to a white British man as a brown Muslim man in colonial times he got the title Khan Bahadur. (Brave)
Read 8 tweets
Umbereen S. Nehal, MD, MPH Profile picture
3 Nov
I know that there is the anti-leader leader concept (not using titles, wearing hoodies and such) particularly in the tech & entrepreneurship world. At the same time, those are spaces that are not necessarily as woman or BIPOC friendly historically so the "casual" can be a trap
implicit, or frankly, explicit biases have not gone away. Except professionalism is also a trap - it is well documented in peer-reviewed publications and I've repeatedly notice with how multiple "professionalism" faculty fail to examine embedded biases & cultural chauvinism
In tightly controlled spaces there is a so-called right/wrong way to have one's hair, with "wrong" including natural hair if one is "ethnic", women must wear skirts and pantyhose automatically adding distracting details (do I have a run in my stocking? am I sitting okay?) &such
Read 18 tweets
Umbereen S. Nehal, MD, MPH Profile picture
20 Oct
I'm always amused by sales or marketing or communication professionals attempt to sell to me how I need their help, how I need their protection, etc or it could be "mutual benefit" to connect. Oh, then what is your rank for what you are paid to do and attempting to charge me for?
Why am I able to outpace, by far, sales, marketing, and communication professionals? What is it they are teaching you wrong in school and/or you are unable to apply for success in real life?

Likely, the answer is: authenticity
Lived experience
Open communication
Values
Yes, metrics matter
Yes, reputation needs to be protected
But as we see happening with Dr. Fauci, those who wish to suppress science-based information (that they find embarrassing or wish to hide) will malign the person speaking about verifiable facts. Blowback does happen.
Read 28 tweets

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