#ToxicMedicine

I got a call from one of our NPs that a neurosurgeon was berating him and the icu nurses about why his postop patient was in the icu. He brought one to tears and was yelling at the charge as well. So I called.
Nsg: Who the hell transferred my postop pt to the ICU?

Me: I did.

Nsg: Who gave you permission to transfer my patient?

Me: I’m the admitting physician. You’re a consultant. Are you aware of their other injuries?
Nsg: Listen, hun, I don’t know who you think you are but...

Me: First, don’t call me hun. Second, it’s Dr. Hussein
Nsg: Ok “DOCTOR” I have never admitted pts to the ICU after this procedure. I don’t know what possessed you to make these decisions. But this is not the end of this discussion hun.

Me: Didn’t I tell you not to call me hun?
Nsg (no livid): I’M CALLING THE DIRECTOR AND CMO TO TALK ABOUT THIS!!!!!

Me: Great! Let me know what they say.

Nsg: ~click~

Toxicity doesn’t end, even when you become an attending because this bad behavior is never checked. We just have to learn to check it ourselves.
*now livid*

Edit button
This was awhile back. He’s told I’m right and he backs off. I report his behavior and, surprise, no repercussions for him. Calls me “DOCTOR” every time we interact for a few months and eventually learns to stop trying to get under my skin because I never let him 🤷🏾‍♀️

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More from @QaaliHussein1

6 Dec
The toxic culture of surgery...

The story of two attendings. One we’ll call Toxic and the other Nice.

Toxic is your typical surgery bro with a god complex.

Nice is a good surgeon and a patient teacher.
I was on call with Nice when Toxic came to sign out to us on the patient he just operated on. He shared his plans and some labs to follow up on.
I asked if the labs had already been ordered or if I needed to order them.

Things went off the rails quickly. This was routine for him to go off for random reasons. And it didn’t help that he and I never got along for some reason.
Read 9 tweets
22 Sep
“We were going to ask you to take off your hijab.”

I was made aware of this idea at the end of my term at one of the institutions I trained in. Timeline ranges from 2004-2015.

This was the conclusion reached after a faculty meeting.

A FACULTY MEETING‼️
I wasn’t told the thought process behind this ask or who brought up the idea.

I was simply told that my hijab could be “a potential problem.”

For who? 🤷🏾‍♀️

But lucky for them, there was someone in the room who knew better and told them the potential consequences of this ask.
So, they ended up not asking me to take off my hijab NOT because they respected me and my decisions in how I chose to practice my religion.

Not because I belonged in medicine as my authentic self.

They didn’t ask me because they were afraid of the legal consequences.
Read 11 tweets
4 Sep
#antiracism work in #Med needs to progress beyond statements, shows of solidarity, and hashtags (all performance).

It requires having difficult conversations and facing harsh truths. It requires taking action.

If you’re not getting uncomfortable, you’re doing it wrong.
I’m going to keep reposting this thread on a conversation I was invited to host.

Look at the non-engagement.

People are not ready move out of their comfort zone.

We keep getting distracted with more performance.

More bandwagon jumping on the fad that is now “antiracism”
This is not going to work.

#DEI for a long time has been made just a gender-equity fight. All other marginalized groups have been (surprise, surprise!), marginalized.
Read 4 tweets
2 Sep
Does it have to take a national movement against racism for the discrimination BIPOC women face in medicine to be taken seriously?
Does it have to take a national movement for “all these disparities women face in the workplace are worse for intersectional women” to move from a one-liner in #DEI work to the forefront and for #SystemicRacism to be relevant in the women in medicine movement?
When Black women spoke up about the discrimination we face and asked for allies to hold systems and institutions accountable, why is our go to answer “academia takes time?”
Read 8 tweets
30 Aug
#postcallreflections

Inappropriate consults 🧐

We’re all busy and can get annoyed by inappropriate consults. Surgery consults that are specialty specific coming to acute care surgery or trauma.

But do we ever pause and put ourselves in our consulting physician’s shoes?
When someone calls you to ask for help, they’re stuck. They’re not sure what the next step is and they’re calling you for guidance.

For us, it maybe as simple as saying call the other specialty service who handles this problem better or suggesting the next set of tests to order.
What about when the person consulting you has an emergency, they’re worried about their patient, and no one else is available or willing to help?

You’re their last resort to help their patient. But it’s not your field. And you’re probably not going to intervene.

What then?
Read 7 tweets
22 Aug
Good morning everyone!

It’s the one year anniversary of our Professional Muslim Women podcast!!

We’ve been so lucky to create this platform and share our stories to inspire the next generation of Muslim women.

podcasts.apple.com/us/podcast/pro…
We were honored to have @phatimah share her journey through Harvard Law School with us.

podcasts.apple.com/us/podcast/pro…
We learned the value of embracing our story and authenticity with my favorite #tweetiatrician @namd4kids

podcasts.apple.com/us/podcast/pro…
Read 7 tweets

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