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
Not uncommon for men who have difficulty dating (socially awkward? short?) or experience social rejection

to date women who need some kind of financial security from them but may have troubled lives, have own #mentalhealth issues

Few women call for help

usatoday.com/story/news/nat…
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
In my role as a mandated reporter
Have filed many reports
Done many rape kits

Then, nothing

Why have I re-traumatized so many children, women, men in the ED with swabbing every orifice with exams we do after sexual assault for this?:

theatlantic.com/newsletters/ar…
Personally, I am extremely sensitive to anything that I notice that appears to be an abuse
& imbalanced power

Investigate it
Report it

All of us need to be that diligent
Police included

in the context of
faculty vs student/trainee
doctor vs nurse
nurse vs janitorial staff
etc
As a Muslim woman, my simply “traveling while Muslim” experiences, involved far more searches

than this man

who was accused of building bombs in his RV ..which is exactly how he later committed an act of terror

Yes, not same context..

but why not get a warrant?
believe women
Think about the structure of surveillance, policing, justice, #mentalhealth

This is not merely about historic systems that not dismantled

but active systems that we are building today where violence in some is seen as normal & in others as pathological

nytimes.com/2019/11/17/us/…
We do more surveillance of journalists and attorneys than we did of this man

don’t tell me that the police were unable to take any further actions had they wanted to investigate further

There are ways to follow due process

If:

we believe women

hrw.org/news/2014/07/2…
If you watch this video and listen to the story

she tells of elderly neighbor calling the cops

that appears to have led to more of a search

No don’t have details here

But this is why we have the “Karen” meme - too many such examples

Either danger to a woman seems not believed when the complaint is about a white man and/or we disregard domestic violence

Compared to if a complaint is vs someone minority, man or woman

We aren’t using the same lens/criteria to assess danger/risk in every situation
When I was on the board of the MA chapter of the @AmerAcadPeds learned how when undocumented women might call the police to report domestic violence, they would get deported while the abuser would not face consequences

genesisshelter.org/the-intersecti…

merteslaw.com/domestic-viole…
A judging, punitive person might say, well she “broke the law” first

Predatory people find those in vulnerable situations

Such people may go on to commit violent acts in public

Instead of rushing to judge women whether they “deserve” our protection

Believe women
The example of being “taken away” to a deportation center

applies to this example

because this woman was “taken away” to a mental health facility

in a hospital setting, a section 12 would’ve been filed

I have signed off on such things myself

berkeleybeacon.com/increase-trans…
There is no way of knowing here

if she actually were using that as a way to get out of the house safely and have another place to stay (in a psych hospital) - that would be a savvy way out of danger at home, escorted away by police

Brings to mind escort for Ruby Bridges
Or do we still practice the same responses as in Victorian times towards women who are in abusive situations who attempt to leave, speak up, defend themselves?

Did we “shut up” & not (really) believe the woman telling us what was going on?

Believe women

theatlantic.com/sponsored/netf…
I recall advising a woman seeking to leave an abusive marriage - should tell her husband she was leaving him?

Given all I have seen as a doctor in the emergency dept, was concerned she might not get out alive

I “joked”: can’t you do it in the masjid? Already under surveillance
But that’s the thing.

Why is the structure of surveillance, investigation, policing, and standard of punishment so different for different people?

is it because the police are afraid of themselves getting shot if they investigate domestic violence?

lcadv.org/recent-homicid…
Look at the headline though.

Domestic violence is dangerous to women but lethal to cops?

Domestic violence is also lethal to women.

This seems almost hard to believe but there are multiple sources that report such data of daily deaths.

nnedv.org/content/each-d…
This statistic also shocked me when I first saw it

that the number one cause of death in pregnancy

at least in some states is homicide

The data on who does it is not in the study

but domestic violence may be high or top contributor

nih.gov/news-events/ne…
Of course one might argue that if domestic violence

is so incredibly common in America

then it probably isn’t a very good screener for mass murder or a terrorism

do we just 🤷🏻‍♀️
accept this as normal?

then maybe it is not about
“believe women”

when will we value women’s lives?
How is it that a black teen girl in a bikini is treated as somebody more dangerous by police

than somebody whose girlfriend says is building bombs in his RV and she is afraid to be in the house?

Why aren’t we investigating the actually dangerous people?

nbcnews.com/news/us-news/m…
Excessive force or discipline against Black children and adults is part of many systems in America

In fact a three-year-old Black child

is more likely to be treated like a criminal

than the Tennessee suicide bomber who had been reported by his gf

hechingerreport.org/opinion-lets-n…
In fact, Black children are handcuffed in school not uncommonly

We “believe” the ones that we have the cell phone phone footage for

Too many children are treated like criminals

While we disregard what should have been a credible report worth a warrant

gq.com/story/six-year…
The way that we have our risk “radar” calibrated

Seems to be completely wrong

Overpolicing in every setting seems to be of that least powerful, vulnerable, marginalized, already abused ...including children

With a “pass” towards powerful or “mainstream” abusers
We need to re-calibrate. When will we?

“the most significant threat likely comes from white supremacists.... 2020, the terrorist threat in the United States will likely rise based on several factors, including the November 2020 presidential election.”

csis.org/analysis/escal…
if we stopped wasting our resources handcuffing Black six-year-olds with disability in schools

& redirect public resources towards where the actual danger is

& if a woman says her (white) boyfriend builds bombs, believe her

investigate
believe women

baynews9.com/fl/tampa/news/…
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More from @usnehal

30 Dec 20
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 20
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 20
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
29 Dec 20
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.
Read 13 tweets
28 Dec 20
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 20
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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