I was just reflecting on that this last day.

There is SO much shame in various cultures: healthcare (medicine, nursing), religion (Catholic, Muslim, Jewish), political (conservative or progressive/woke).

People who say “shame on you” are revealing they’ll a lot about selves.
If you shame others, is that your own internal wiring?

Thing is, if you allow shame to be your go to for others, you keep it alive internally. That is SO easily manipulated.

It is also the basis for ostracizing behaviors associated with bullying.

psycnet.apa.org/record/2009-07…
It is the lazy person’s way to express themselves in interpersonal interactions IMHO because most of us had shame instilled in us by culture, religion, family, education. It is why so many have #impostersyndrome which is really is about ego, not ethics or getting 💩 done.
Shame is a favorite go to in women’s groups who often define themselves as who is against them or by barriers, rather than by vision.

“There’s a place in Hell reserved for women who don’t support other women.”

That is a shaming statement. I used to agree with it. But, no.
Because, what American feminism does not tell you is how much of feminism is about exploiting other women along lines of privilege and access to the same patriarchy they fail against. Personally, as pro-woman as I am, it all requires a nuanced, pragmatic approach, IMHO.
In regards to causes to join, that shaming into joining is frequently used. Whether or not you are a “good person” is determined by joining it not. In/out group status is assigned. Language and talking points are controlled. Advocacy relies on narratives which invoke emotions.
We talk of “#empathy” but @paulbloomatyale is spot on that it makes us immoral. We are responding to emotions which often are there based on early childhood experiences (parents). Think of “bean dad” & what emotional disorders come from bad parenting. We should filter thru ethics

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More from @usnehal

4 Jan
Dear #MedTwitter please, please, if you are a licensed medical professional and/or in school to be, do NOT delete your tweets or comply with anyone telling you to do so. It will harm you far more than leaving them up and explaining. Nothing is ever deleted. Can be used in court.
When I was at Harvard Med School and at an esteemed children's hospital, a case against an esteemed professor, that NO lawyer would touch cuz this was someone who had WRITTEN the textbooks and trained every expert, was won ..based on "a document was deleted" - creating suspicion
"Sunlight is the best disinfectant" you will hear me say OVER and OVER - wins & losses *should* be on data/standards but unfortunately wins & losses are in the court of public opinion. So be reliable, credible, and trustworthy. Transparency is one way to achieve that reputation.
Read 64 tweets
3 Jan
Spot on.

No one agrees on definition of #professionalism.

Differs by field & setting within medicine.

Let’s be more precise.

There are several cultural and system changes/shifts happening in healthcare that change interactions, expectations, parameters.

#MedTwitter
More from @Dr_Bowser - yes, #professionalism is diffuse, varied

It quickly devolves into
shaming labels
in/out group
(=You do not belong in the profession/club)

Fear of being ostracized

to enforce “rules” that are
nebulous
not verifiably mapped to quality
often indefensible
Methods to exclude, ostracize, label as “out group”

are hallmarks of bullying

which we know is too prevalent in medicine and education

Not everyone who uses term “professionalism” intends to/is a bully but many of us are complicit
Read 17 tweets
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.
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.
Read 60 tweets
2 Jan
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
Read 15 tweets

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