It is not like the information was not there.

I recall having Twitter exchanges in early 2020, telling someone who was reacting to seeing hazmat suits, to trust the public health officials. Nothing to worry about.

We must now restore integrity of & trust in #publichealth
Apparently, there were doctor mom groups on Facebook that were tracking this in December and January and trying to raise the alarm while everybody was telling them to “calm down.” Back then I was trusting we would be alerted through government mechanisms.
In fact, I recall a friend of mine, whom I have known for years, who is very active in Facebook doctor women’s groups, when I kept suggesting she should avoid posting certain unverified messages, told me I was “mansplaining” her. I was like, but I am a woman.

Now I get it.
It’s true that most of my public health information comes from official sources and LinkedIn which is primarily populated by (white) men.

I likely sounded a lot like them to her.

(On Twitter I have a primarily female, minority crowd.)
Even when it comes to the alert Dr. Moore issued regarding her concerns on how she was being treated and substandard care or lack of empathy/compassion

that was via Facebook and women doctors’ groups.

ksro.com/2020/12/24/bla…
I don’t know the details

Generally:

We do know that burnout leads to compassion fatigue & depersonalization
We also know that empathy often fails across racial divides
Black pain is not even seen

Thus: logical Dr. Moore’s was care affected by all this

frontiersin.org/articles/10.33…
It’s very unfortunate that even today there are tweets on #MedTwitter claiming that all people suffer exactly the same.

Even if we all suffered the same, some of our suffering is seen & responded to and others’ is not.

aamc.org/news-insights/…
Race aside

cultural stories abound

of examples of women

who had foresight or even prophecy

but were not believed

though they warned about danger

were silenced or marginalized

britannica.com/topic/Cassandr…
While I recognize the value of having “safe spaces “for women

high empathy in these spaces

as compared to a world that disregards women

In past generations a woman who did not comply was frequently shut up in an institution by her husband or father

theatlantic.com/sponsored/netf…
On the other hand, given there is disparity by gender and race the higher up you go in administration

one actually needs “man speak” to be heard

My own communication flips between super curt and oververbose

Execs (men) want brevity

inc.com/mary-rezek/wha…
Even in terms of content, men & women have been found to speak differently.

But is this circular? If women are not believed they may become increasingly detailed to try to prove the validity of what they say.

Then get oververbose, tuned out. (tldr)

insidehook.com/daily_brief/ne…
Then there is the issue of who is allowed to have emotions and how those emotions are perceived.

This study looks at whether anger is seen as a high power response likely to have social influence or not, broken down by gender and race.

journals.sagepub.com/doi/full/10.11…
We all laughed at this

but certain people are only heard if they remain emotionless

perfect diction (combination of approachable & educated)

speak slowly

etc

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More from @usnehal

30 Dec
Believe women

The gf was taken to a #mentalhealth facility

The man she was afraid of, the future TN suicide bomber, was assumed to not be a threat enough to get a warrant

Hers *could* have been a normal response to living with someone violent

apnews.com/article/ap-top…
There is no way of knowing w/out additional details

But as long as

-we do not believe women

-we do not see fear of a “regular guy” as valid enough to investigate (like if he had been Black, brown, or Muslim)

-we are soft on domestic violence

then: we will fail on prevention
It is a

“d*mned if you do and d*mned if you don’t”

The woman who calls the police may be discounted and then, after they leave, be at greater risk from her abuser

If she does not call the police she is not believed to have ever been in danger

Believe women ImageImageImageImage
Read 27 tweets
30 Dec
Yes, the #vaccine rollout is slow, uneven, not matched to need. "Botched"? That is a bit too strong. Much blame to go around.

American #healthcare is built for silos, turf, acute care, reactive..not #populationhealth #publichealth #prevention. It shows. Why is anyone surprised?
And #MedTwitter, despite your hashtags & publications, when it comes to real life actions inside departments, hospitals, or even on Twitter, all you all do is turf, ego, cliques, us vs them, etc. I am unimpressed. Build *systems* Yes #impostersyndrome makes you crave validation.
I am a #pediatrician and if you need validation, I've got a whole box of stickers for you. I will even let you choose your own sticker. How is that? Because, yes, you are special. You matter. You are wonderful. Happy?

Then after that, could we get 💩 done?
Read 12 tweets
30 Dec
1- If we knew terrorists looked like the "average Joe" we might see things right before our own eyes

2- If we believed women we could prevent terrorism

"She related that the guns belonged to a 'Tony Warner'..she did not want them in the house any longer," -MNPD spokesman"
There is a clear link between prior examples of violence towards women (wife, gf, mother), domestic violence, violence towards animals or elderly or "other" and later public violence like mass shootings or terrorism. bloomberg.com/graphics/2020-…
No, the TN suicide bomber did not kill anyone and took measures to reduce deaths similar to what is reported the IRA would do in Ireland. (I grew up watching a lot of BBC News at home and all they ever talked about was this IRA bombing or that).

wkrn.com/news/local-new…
Read 6 tweets
30 Dec
These #vaccine battles get fought in hospitals and #healthcare. This is not going to be easy. #communication #strategy and skill will be critical. Anti-vaxx fearmonger to already traumatized groups or those who distrust authority. @JAMA_current

linkedin.com/posts/usnehal_…
Anti-vaxx target grieving mothers then spread #misinformation through women's online groups and social networks. #vaccineswork @AmerAcadPeds #tweetiatrician @DrToddWo @NicoleB_MD

That billboard is fear mongering. (I debated whether to post this at all)

nbcnews.com/tech/social-me…
Read 7 tweets
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.
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

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