The world (specifically healthcare) is not giving me good feels right now.

And:

I miss my cat

I miss NYC

I want bubble tea
Well, bubble tea has been ordered.

Puritan territory New England does not have the flavors I want at 10:27 p.m. but I realize that at least I do have bubble tea access in the first place.

As much as I now call Boston a village... it isn’t really.
It’s here!!! Image
Bubble tea!!! ImageImageImage
Okay, I went slightly overboard... but you know. I am not an emotional eater but apparently I am an emotional bubble tea drinker. Image
Three of them are in the fridge
@NatsforDocs

Me right now
Also, I do have a tiny bit of #NYC in my apartment Image

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More from @usnehal

28 Dec
We need more doctors who speak up.

Yes, I know we have worked hard to get where we are and are regulated/monitored in so many ways it is scary to deviate and take a risk of censure or discipline. It feels like we are vulnerable, not strong.

Speak up anyhow.
We can’t let our reputations or achievements become reasons why we stay silent.

Opposite, what is it all for anyhow?
What does your title mean?

They say you can’t take it with you in regards to money. But you aren’t going to take your CV with you either. Image
We can’t be telling the most vulnerable to speak up, like those early in career.

While I have yet to understand the details of what went on here, what is reported is deeply concerning.

Even with a good lawyer, this can derail an entire career right at its start.
Read 25 tweets
28 Dec
It is not about being "woke" per se as some people claim. It is about caring about measurable results & caring about human life. If you don't care about such things and are in #healthcare, if #equity is merely a hashtag or for "reputation management", you are part of the problem
I understand some people feel those at the margins can be written off or just are not part of their consciousness, irrelevant. That position of privilege goes away in a pandemic. Those people you may disregard most of the time become highly relevant to everyone's wellbeing.
It is very attractive to break problems into little, manageable parts and to isolate yourself to a silo. Too much of science operates this way. Too many of those rewarded within #STEM go narrow and deep. Then the messiness of the real world is not addressed in solutions.
Read 14 tweets
28 Dec
"Died at the scene"?

This was a suicide bombing & terrorism where someone filled an RV with explosives, parked it in front of key infrastructure, while he was inside. They were not initially sure if the "tissue" found was human or not to ID him.

Why not call it what it is?
I am feeling SO exhausted this morning.

Add the media coverage of Dr. Moore describes her as "complaining" as opposed to "reporting" or "identifying." Then the hospital's response is to describe her as "intimidating" to nurses as "knowledgeable"

The words we use matter. How much caution do we use, with whom, when? What tropes or associations are invoked? How does that populate the "data" in our brains that fill certain "buckets"? Who "complains" or "intimidates" vs "we don't know all the facts"

brookings.edu/blog/the-avenu…
Read 10 tweets
27 Dec
Nothing captures structural racism better than this as has been put out by many including @QaaliHussein1

Knowledge + Black (+ woman) = scary?! (“intimidating”)

This is the type of implicit bias to racism spectrum communication I had identified this summer as well. #MedTwitter
These dynamics is partly why I have been wary of any subsequent executive roles I have been offered.

I made it past the glass ceiling. In many institutions this is exactly what you will find.

Why many BIPOC go off a #glasscliff

Your job: Be token.

hbr.org/2011/01/how-wo…
To be clear, I have the privilege of choosing to be so called “model minority” or to be anti-racist.

Black women and men never get that choice.

Executive incentives and rewards often are to generate revenue for an institution per the existing system, NOT to be a change agent.
Read 4 tweets
27 Dec
This is very important. I had been preferably using Black gifs for representation.

The nature of #communication is that how you intend it and how others may receive it will pass through many other filters as well as sources of trauma.

When in doubt err on side of caution.
While I have not received any feedback that my gif use is inappropriate one should not wait to be told. Going to be sure to apply an additional lens and filter.

Caution: Some who call themselves #communication “experts” may be about promotion rather than reliable #DEI or results
In particular, when you look at who to trust or emulate on #SciComm or #MedTwitter, take note of who is effective at communicating their point, does not need to delete, can post on important topics with least misinterpretation, while maintaining the broadest audience.
Read 10 tweets
27 Dec
I am amused by anyone on #MedTwitter who thinks I can be easily intimidated. Chile.. first I am Gen X. Then, I have lived through having gas masks distributed in case chemical war happened (when living in an oil compound). Then I have lived in places you hear gunshots routinely.
I experienced a ton of bullying, including (but not limited to) racial, as a child back when teachers told you the problem was you not being tough enough and they were not there to solve “your problems” for you. If a kid stole something, why’d you “let” him?
I have navigated the outspoken WOC in the workplace such that (despite folks who attempt to spread rumors otherwise) I have a perfectly “clean” record. No dark web searches will uncover “dirt” cuz there is none to be found.

Yes, some will resort to manufacturing instead.
Read 16 tweets

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