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Umbereen S. Nehal, MD, MPH Profile picture
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20 Nov, 5 tweets, 2 min read
Never, ever, ever, ever in my life have I had such a horrid view. In the past looked onto a park, or just even the inner courtyard..I somehow ended up with a window right in front of me and another not far away..with WFH..in each other's faces plus exhaust pipes of roof. Yuck
So...I am doing a thing...that is likely a waste of money and time...but since I have a ridiculously (waste of space) huge bathroom..am buying stuff from Overstock to make it into a Moroccan themed "spa" bathroom so I can look into my bathroom instead of out the window. LOL
Also..am thinking to get "art glass" film that lets in light and obscures outside view or WFH neighbors whose desks are at their windows. Thinking to do a strip to avoid losing too much light from my single piddly windows in each room. My old apt in same building had more windows
On option is lavender for the bedroom. Soothing. Associated with sleep.

homedepot.com/p/70-86-in-x-1…
The medallion type seems easiest to install and least likely to block light: homedepot.com/p/Artscape-12-…

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More from @usnehal

Umbereen S. Nehal, MD, MPH Profile picture
22 Nov
Normalize reporting that is non-punitive. There may be some reporting that leads to a dismissal but good systems do a fish one or RCA to identify system factors and processes or staffing levels before blaming anyone individual.
Now that the majority of physicians are employed, there is an imbalance of power between administrators eyeing hospital margins and their main revenue producers, docs. With expanded scope of practice then it is “providers” who bill. All are employed/controlled/kept in line.
In the past (there was a LOT wrong in the past albeit) there was a balance of power. Hospitals needed doctors to admit to them, refer to them, do procedures there, see their patients there. Docs needed hospital facilities for inpatient or surgeries. Now, that mostly is erased
Read 26 tweets
Umbereen S. Nehal, MD, MPH Profile picture
21 Nov
🧵, riffing off of this comment

The system teaches people they don’t matter, symbolized by name “does not matter”

To change “doesn’t matter”, change the system & culture in academia & medicine

When people respect individual humanity, people will become comfortable as salves
I hear “shocked” a lot and so this is not to single anyone out as it is common. If shocked, then need to dramatically educate self on #BlackintheIvory that affects Black & brown & immigrant. Also, when common to be called wrong name entirely, many of us finally just adapt/accept.
Personally, at the end of the year meeting w/ my division chief, when I have prepared my packet for academic promotion, if I find myself given the one other South Asian woman’s evaluation in a group of 7 that is my time wasted because you did not vet or verify individual identity
Read 20 tweets
Umbereen S. Nehal, MD, MPH Profile picture
21 Nov
If you are still saying "slavery happened a long time ago" whether you are a bedside provider communicating which are the "good" families to the rounding doc vs not
or a new immigrant...
please, just don't
Read the 13th amendment.
Educate yourself on preschool to prison pipeline.
Please don't tell me you have "read" or "know" U.S. history unless you are going to break down the exception clause in the 13th amendment for me. What is written in laws matter. You can be anti-government in views but does not change role of government in: muse.jhu.edu/book/39502
On the preschool to prison pipeline. Racism affects children in the spaces that should develop their minds and curiosity - instead criminalized and taught self concept of “bad”

tedxmilehigh.com/preschool-to-p…
Read 5 tweets
Umbereen S. Nehal, MD, MPH Profile picture
21 Nov
Why is my desk chair so complicated to assemble? I am exhausted just taking the parts out of the box.
This is not looking good.... Image
At least my vacuum was easy to assemble. Already used. Image
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
20 Nov
Indeed. And I silence myself for no one. Too many women - ones who seek personal success by aligning with the past or perpetuating current system - are the ones shushing other women, especially shushing activist WOC with authentic lived experience of system gaps or harms.
I’ve been in compliance myself. I still believe in the need for oversight of safety & quality. But petty policing that is common in those naturally drawn to compliance is itself waste & harm. “Professionalism”, used to silence “problem” WOC’s communication is harm. @COCoQC Image
Compliance cuts out waste & harm - overpolicing & gaining “market share” thru fear, not facts or outcomes, is an example

If your source of profit, revenue, or even job represents waste & harm, then yes, we might be coming for your job

Waste & harm:

psmag.com/news/research-…
Read 14 tweets
Umbereen S. Nehal, MD, MPH Profile picture
19 Nov
This does not surprise BIPOC. We live it daily. The rest of you often deny our lived reality or assume it is exaggerated. Then you are shocked and ask “what happened to my country”

what happened: is you insisting on keeping your head in the sand & shutting down truth tellers
Most liberal/progressive types who get super excited by data... data that are incomplete, flawed, or based on people lying in polls due to social acceptability bias. But many liberal intellectuals are
Very little has changed since this was written by MLK. Very little has changed since my grandfather was training in England in Colonial times (there he was considered “black” and black/brown more similar as BAME) as a highly skilled surgeon (ophthalmologist) but sub-human.
Read 22 tweets

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