Well that is lovely.
Welcome 2021.

I should just disable the news notifications. I have no need to know about homicides being up. And yes, I am, aware, domestic violence is a big killer. People home with their “loved ones” = danger, maybe death.
Again, I prefer pumas to humans many a day.

Conservatives try to fear monger & tell you it is some “other” (typically another race) who is the murderer & rapist.

Nope, danger is greatest from those you trust the most with access. Pediatricians know this. americanbar.org/groups/public_…
I have become extremely discerning regarding abuses of power particularly in faculty given this long history that is extensive across multiple elite boarding schools where reputation mattered more than protecting children including my own boarding school. I had no idea of it then
Whenever I see talk of:
“reputation”
“optics”
being “proper” or “appropriate”

With abusive or blaming or overly punitive approaches
to those lower in the power hierarchy, like students
or in medicine, trainees 👀

You betcha start looking for an abusive pattern

Protect people
Quarantine increases homicide? Totally fits what we already know.

While in domestic violence, often, men abusing women, in boarding schools, especially girls boarding schools the gender issue was not clear cut.

Female headmasters will protect abusive men for school “reputation”
What it comes down to is power & money. Reputation is the basis by which you are an elite & selective school able to attract full tuition students. Elite families sending a 5th generation to a elite school want school reputations to be protected. These are the board members.
Overall in case you guys lost my thread/train of thought

my point:

it’s the people you trust
who are close to you
who have access,
who have some level of authority
like

a teacher/faculty
a coach
a parent
a parent’s SO
a babysitter
a priest/religious figure
spouse

= danger
It is absolutely shocking to me that I spent four years in a boarding school

(that my parents were able to afford as my dad took a job overseas working for an oil company)

And I was completely unaware of what was going on to girls
in my own class
living in the same dorms
Frankly

I feel so much safer in places like
the Bronx
Harlem
East Boston

than I do around people who will “strategically” exploit humans or protect abusers for (access to) power, prestige, reputations

or anyone interested in power/hierarchy

that often *becomes* abuse
Sorry folks

it’s not even 24 hours into 2021
and I can’t do
the happy happy joy joy

you can take the pediatrician out of the emergency room but....

... except it’s not even just my work in the emergency room
it is in SO many other spaces
these patterns
harm
oververbose as I am, don’t spill the beans on other people’s private stuff
+
people realize I am an empath
=
so I hear a LOT
too much

pandemic needs to be over .....so I can go climb mountains - I really need “away”
Chile?
Alaska?

maybe I need to get a car
Drive up to NH & ME
I think most people when they see a message like this

probably worry about their own safety

It doesn’t make me anxious

it just makes me frustrated at everything that is wrong in the world

can we please get above the problems and fix them at the source?
I need bubble tea
For whatever reason the place that I got really delicious lychee bubble tea via Uber eats, now lets me almost place an order, then says it is out of range - with the lychee bubble tea in the order

on door dash, I can order, but the lychee bubble tea option is not available
Mango lassi has been ordered instead.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Umbereen S. Nehal, MD, MPH

Umbereen S. Nehal, MD, MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @usnehal

3 Jan
I just found the bachata channel on TikTok. Guyses, this may be a hole from which I never emerge from. Also I know my go to Latin dance club is open. I will wait until it is safe. TikTok bachata channel it is.
Like wow... you can do that even when super preggers? Holy cannoli. That is another level. (Is she post dates & trying to induce labor?)

m.tiktok.com/v/690585866955…
And wow at his hand styling.

I once, in salsa, elbowed somebody in the nose. He was a super good sport about it. But you know they teach you to go for the nose in self defense. He was in PAIN. So now I keep everything tucked in to avoid accidents.

m.tiktok.com/v/691179694159…
Read 4 tweets
2 Jan
This is definitely a problem. There are many divides. Digital divide. Then not everyone had a credit card. Not everyone has a bank account.
22% of Americans are unbanked or underbanked.

“The events of recent months relating to COVID-19 ..have brought increased attention to the digital divide...an economy that runs on the assumption that individuals have full access to traditional banking”

forbes.com/advisor/bankin…
“the unbanked and underbanked ..less education or to be in a racial or ethnic minority group, according to the Fed data. Put all of these characteristics together.. those who are unbanked and underbanked... who may have historically felt shut out of traditional banking”
Read 31 tweets
2 Jan
Frankly every single person has some kind of privilege. If you have sight or two functioning legs you lack certain barriers

Acknowledging the same about structural racism is not insulting

unless you have cultural chauvinism/superiority & believe your own culture faultless
Personally, as someone Muslim, what I was taught about my purpose on this earth is the every single thing I “have” is only loaned to me and nothing I am entitled to.

You have to pay interest on loans.

More you have, more you must give (back).

Of course I face barriers too. Image
I don’t talk about religion a lot. I am deeply spiritual. I do believe Islam is “a way of life.”

I am less worried about reciting the exact right dua/prayer when stepping in a room with the correct foot.

Hadith can be disputed but this one is beautiful. Mercy matters most. ImageImageImageImage
Read 60 tweets
1 Jan
OMG. This is SO me.

I really truly do NOT know how people just sit on the beach. I literally have said exactly that SO many times.

Like how? Why? Are you all okay? Are you in a coma? Who just sits still and does nothing!?!? Sounds like torture.

m.tiktok.com/v/691213491165…
But I am not annoying to travel with... because I travel alone. 😉😂

I go off being Ms. Energizer Bunny all over the place without any slowpokes holding me back. For difficult terrain or activities, I book a tour or hire a guide.

Did someone say kayak?

*This* is vacation:
Also, it important to mix it up. Must salsa on glaciers and on mountains. Yes, true, on occasion it gets tricky, salsa-ing in hiking boots on loose rock. But it only makes it more interesting. A challenge.

(I am also okay with salsa-ing on beaches - better than sitting about.)
Read 9 tweets
1 Jan
The inaugural episode of the Vision to Value podcast by Nehal Group LLC - just under the wire before midnight. #MedTwitter #leadership #pandemic

Listen to "Episode 1: Vision to Value for Chief Medical Officers" by Vision to Value. ⚓ (Nehal Group)

anchor.fm/umbereen-s-neh…
I'd promised myself I would do this in 2020
Big thank you:
@Ned_Arick who taught me Anchor
@becker_sbecker whose short <15 minute format I used as a model
@Ackermanjay who invited my first #podcast
@ACHEConnect for more podcast practice
To listen: nehalgroup.com/news
Ended up trying out two different audio editing programs, finding free (non copyrighted) transition then intro/outro music (went a bit down a rabbit hole). But for inviting Mark at 6p, recording at 7p, learning to edit and editing and uploading by 11p, I feel pretty accomplished.
Read 5 tweets
31 Dec 20
“Memory” from FB: The time I could not breathe despite 6 puffs of albuterol.
Severe asthma attack.

#blackqueens - thank you for always being there. Of all the women in the world, if I had to choose one at my side, I pick a #blackqueen every time. You all are the real deal. Image
That year ended up a patient in ED twice cuz
-I was working a lot of 12-hour night shifts in the ED
-working as many hours as uncompensated/volunteer for ACA policy work including flying to D.C. often
-dancing non-stop in between

This is how I look w/peak flow ~200 (red) btw ImageImageImageImage
The #DrSusanMoore story really makes me think. I had a #blackqueen nurse friend who worked at the hospital & who knew that I don’t look sick when I am about to collapse. She was not caring for me, rather able to come visit me after she completed her own 12-hour shift.
❤️💪🏿❤️💪🏿❤️
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!