Initially I was a bit wary but after speaking with @londyloo and learning all her tweets were all already in news articles, yes, I understand this approach.

Many people in our profession remain in denial that is was “us”, some of us, at least.

Wake up. These are our peers.
The reason it matters
reason that I support @londyloo in her approach:

If you work for the government, receive a salary that WE the PEOPLE pay for with OUR tax dollars, have taken an oath to uphold the CONSTITUTION

Accountability

It is necessary for integrity
& trust in system
Who do we entrust with shaping/enforcing our system of laws? If you are a legislator, law enforcement officer, an elected official, you CHOSE a job about rule of law & CHOSE to assume a position of power/authority. There are responsibilities to respect rule of law and processes.
As physicians our #ethics are critical. We are mandated reporters. We are licensed professionals. We are expert witnesses. We are among the more trusted professions in society. So if criminal activity that results in having a photo released by the @FBI, rest of us must cooperate.
I have been outspoken on failure of “professionalism” for ~a decade. It is too often abused to silence & protect the “elite” nature of a “club” rather than identify when standards & ethics are violated. Too often, we focus on superficial, “optics”, and what others think.
Respect that today’s med students, especially as higher education is a $583 BILLION industry, are being both informed consumers of own education & questioning/challenging the silencing pressures from the “profession”, increasingly of Wall Street culture, not Maimonides ethics
Increasingly I have understood why the phrase exists, “those who can’t do, teach.” Have tremendous respect for educators, but for future licensed professionals who will make life & death calls, serve as expert witnesses for abuse, pragmatic & current experience matters.
Increasingly seeing people with prior careers or other prior roles in healthcare in medical school: EMTs, nurses, MBAs, consultants, teachers, etc, etc. These people are not “below” ivory tower faculty. Opposite. This is a tremendous opportunity to learn from students’ experience
For instance, a former EMT who had to make split second decisions in dangerous circumstances without clear evidence in the moment that had ethical implications
Vs
a professor reading theory
Who “knows” more on ethics, then, in a med school ethics class?
= Different knowledge
Yes, I was a bit taken aback by some of what I saw @londyloo post UNTIL she explained she was posting already published, vetted, validated information & amplifying awareness of what is active search for information by the FBI on matters of national security & public safety.
Those who pride selves in experience & expertise actually become close minded, even unable to learn - full of hubris. It is important to maintain a “beginner’s mind” to stay open minded & learn from all possible sources, see familiar things in new ways.

In fact some types of intelligence, especially those found on silos of academia, can be more biased

If deep in own area of expertise, blocking out rest of knowledge/other fields

may be relying on heuristics to fast track

in “publish or perish” race.

amp.theatlantic.com/amp/article/53…

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More from @usnehal

10 Jan
It “took a village” to “raise”/create Andrew Wakefield - it is common for everyone to back away once accountability happens but Andrew Wakefield did not do this all by himself.

What about medical culture and who is not policed on professionalism that allowed him to get so far?
When I look at Wakefield, I see the same kind of lack of ethics evident in #Medbikini study

but Wakefield was far further down the spectrum

because he was doing invasive GI procedures on children for his study, funded by a lawyer

First: consent matters
Informed consent matters Image
What incentives exist in healthcare & academia that shaped his mindset & behaviors?

What was Wakefield rewarded for throughout his career?
Where did he NOT get questioned?

Look as this patent he had filed to compete vs MMR
Gibberish
+
His 🤑incentive

patents.google.com/patent/US65342… ImageImageImageImage
Read 16 tweets
10 Jan
Keep in mind how imprecise the “no fly” list has been. Even babies ended up on the list. Being able to fly to attend a funeral or wedding is a lot bigger deal than being able to tweet, that too when you have official media people working for you. Endangering lives = consequences
“their infant, identified only as Riyanna, had boarded ...ask them to get off the plane”

“‘computer glitch’ 18-month-old daughter..on a government no-fly list”

“..’put on display like a circus act because my wife wears a hijab,’ Riyanna’s father said.”

cnn.com/2012/05/10/tra…
If you are 18 months it is a bit easier to prove that you are in fact innocent of the allegation that you are a terrorist (altho I have heard people say that the only good Muslim is a dead one which includes babies)

But how many others have had rights curtailed as “precaution”?
Read 6 tweets
10 Jan
“There's also a double standard for reporting on ‘protests’ and ‘riots.’ And an unwillingness to say ‘terrorism’ when the terrorists are white.”

linkedin.com/posts/suzanne-…
“For example, Ghislaine Maxwell is often described as ‘sourcing’ girls who were ‘abused.’ This softening language does not accurately frame her crimes the way ‘sex trafficking’ and ‘raped’ does”

Case in point
You stalk/ensnare 14 year olds, not “recruit”
vanityfair.com/style/2020/10/…
This title accurately describes the charges but likely should use “alleged” until conviction.

Notice difference in “recruited” (as if for a modeling job) vs “child trafficker”? Do you *feel* different things to those words?

trillmag.com/75045/read/new…
Read 4 tweets
9 Jan
So... identify & hold accountable.

Shame is often cited as a way to fix things but shame is the other side of the coin of pride. Shame causes people to reject then join “proud boys” to counter and find “safety” in an echo chamber & “tribe.”

Let’s instead focus on rule of law.
When I think of “shame” I think of the Puritans who led witch trials, killing women who were different and disrupted norms or I think of those who stone women to death. Shame is what happens when “honor” lost. When KKK rides to “protect” white women’s “honor” or “honor killings”
We need to eradicate shame, in fact. It has too much of a violent, ugly history of social control, engaging the limbic system & lizard brain, most often is used against those who are different

Let’s NOT use that when the point is that we live in a Constitutional federal republic
Read 12 tweets
8 Jan
Recently @JAMA_current published an OpEd about #SoMe harassment, framing it as a problem women experience

It fails to acknowledge the danger/assault/harassment Black boys and men face from white women like this, in person or online
Same for LGBTQ men

Women not the only victims
American feminism and the role of white women & damsel in distress in relation to Black men in America

has a deep and ugly history

that keeps popping up in current affairs, like Amy Cooper in Central Park calling 911 on a birdwatching Black man asking her to respect rules
@JAMA_current’s failure to frame this as an inherently intersectional issue has multiple implications for #SciComm at a time we need to be using correct frames.

First gender is not binary.

An opening line of women vs men excludes spectrum of #LGBTQ & or experience of Black men. Image
Read 6 tweets
7 Jan
Look, if you all don’t want the donuts, no problem... more for me. 😁
I mean, before the pandemic, at a fancy schmancy MBA event in NYC, I literally put two cider donuts, wrapped in napkins, in my purse. After you have subsisted on a steady diet of hospital saltines, peanut butter, & graham crackers, one becomes shameless.
Also: child of immigrants
Exhibit A
Read 4 tweets

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