Not only experience, which is important, but clinical #research does not parse out the Japanese man or woman from the South Asian man or woman on heart disease risk, epidemiology, treatment.

#EBM lacking for us then

#MedTwitter #AcademicTwitter #AcademicChatter
And then there is the question of who is white.

Iranian/Persian & Arabs are white on census.
Does the rest of America agree?

Racists & xenophobes tend to use loophole to say being anti-Muslim (whom they consider to all be Arab) is “not racist.”

latimes.com/projects/la-me…
Proving again: race is a social construct

Not until 2020 Persians really started to call selves “POC” (for self protection)

Have lots of Persian friends
Urdu culture has Farsi roots

But let’s be honest: Persians have seen selves as superior race, apart

wbez.org/stories/renewe…
South Asian diaspora similar:
self interested claims
convenient opt in POC status to ✅ “model minority”
in race obsessed America

for HR stats & optics of diversity
then serve this role

I offend not black POC
when I am honest on this
but #facts
#BLM

npr.org/sections/codes…
Maz Jobrani always nails it

(It’s Maz, spellcheck - stop trying to force “Max” into this tweet with your Eurocentric AI 😒)

Desi aunties/moms can do this too

That is not to say non-European cultures are not maligned or experience xenophobia in the U.S.

but we have to be honest about elitism & anti-blackness

especially, among fiscal/social conservatives in our communities

South Asian diaspora itself has TONs of diversity and cultural challenges within ourselves

Too many respond
in Pavlovian manner to capitalist system incentives
or
to crushing insecurity by seeking to belong
with an attempted narrative of exceptionalism

theatlantic.com/magazine/archi…
Am Muslim Urdu speaking Pakistani-American

ignorant to assume “Indian”

Indian government dropped a bomb on & killed my dad’s only brother & family (I don’t blame the Indian ppl)

In healthcare some w/ name “#ethics” assume & act in this bizarre, ignorant way re: my #BLM posts
Thing is, I know if I placate such racist bullies
who use classic minority vs minority shaming or division
to counter allyship on #BLM
I could gain
conditional acceptance
as white aligned
at margins

No thanks
I stand with #BLM
I am also unapologetically Muslim
Have “khudi”
I don’t talk of “microaggressions.” These terms seem meaningless

Is being called Indian micro?

Is it “micro” for a schoolyard style bullying attempt from a doctor

to bring up how my barely alive aunt lay in a bombed home of mangled bodies of her children, husband, siblings?
In South Asian culture we don’t dramatically talk of this

Americans LOVE trauma porn
LOVE to see you bleed & be broken

to maybe allow into the “club” of trauma
=dehumanize/token

So my aunt was also mistaken for dead & put in a morgue until someone realized she was breathing
Unlike Amy Cooper or white woman who lied about Emmett Till invoking KKK style barbarism to torture & multilate that child

WW can use “damsel in distress”

South Asian women know brown & black female pain or trauma not seen, apart from an occasional token white savior response
How much have you heard about this? You haven’t, I bet

Brown & Black pain is not seen or important

Not all of us seek to be broken human beings for scraps of someone’s attention or opt in/out racist “empathy”😒🤮

Hard pass
There are many (family) stories of trauma I don’t tell
My family had enuf privilege to get out early/protected
Many killed, mutilated like Emmett Till

When @USC @Sarah_Mojarad claims my tweeting daily on my OWN experience
or
holding newly self-identifying “POC” accountable on implicit bias is “harassment”
Trauma a “club”?
No

#BLM
Mostly ignored libel/gossip
recently learned @Sarah_Mojarad is closely associated w/ ppl who share anti-Muslim QAnon posts
+ what social media sites labels #misinformation #disinformation
+ her unverified, non-factual posts
despite teaching @USC #SciComm
=dangerous miseducation
@Sarah_Mojarad @USC I said it before & will say it again, please educate yourself first as white (aligned)

South Asian & Muslim women have been silent or complicit long enough (too many generations)

Stop mislabeling, silencing black, women, LGBTQ while newly calling self POC
Just another petty academic turf war of “her” narrative to exclude/invalidate others? 🤷🏻‍♀️
But QAnon association, now #CapitolRiot #insurrection
+ this
= scary

I choose not to feel fear on things I cannot control
It merely wastes my own energy
Am documenting this here for @FBI
Not my place to #cyberstalk - experts have the jobs for a reason

What shows up in a simple Google search I find

Since this, I admit I have started looking at FB accounts of those in #healthcare

And while 🤐 “safer” (for me)
“Silence is violence”
#BLM

thehill.com/homenews/53674…
I - on whose trauma is silenced or ignored or dismissed - will not “move on”

It kills black & brown women & babies in American #healthcare

@AOC showed her humanity & vulnerability, to what response?

No, this is NOT okay
Yes, there *is* lasting harm
Not a “club”
We are all AOC
I started squarely in my own lane of #HSR #research #policy #MedEd #communication

Had applied for both @PCORI advisory panel on #health #system & #disparities
Got latter (then they merged)

This is over 1.5 decade of my life
This is my identity as a Muslim, WOC
Standing firm
I had some trepidation, tbh, speaking on my Muslim identity to a #business crowd w/ @becker_sbecker in this #podcast - I focused on #disparities generally. Old habits die hard, denying I had experienced racism
In doing so tho, could tell others’ stories

go.beckershospitalreview.com/scott-becker-i…
We hear of the danger of the single story

“Ngozi Adichie uses the phrase “single stories” to describe the overly simplistic and sometimes false perceptions we form about individuals, groups, or countries.”

Whose story is heard?
Who defines a group?

facinghistory.org/resource-libra…
Human beings are messy. We often try to connect the dots for others.

“follows in the footsteps of other popular memoirs, like Malala Yousafzai’s I Am Malala and Misty Copeland’s Life in Motion, that have been modified for younger readers”

apple.news/AvSA2zDhwRsuKb…
And some stories repeat. Minority experience is always conditional, revokable citizenship/belonging.

“Taken together, those cases reveal a Supreme Court unwilling to exercise its constitutional responsibility to confront naked discrimination.”

nyclu.org/en/publication…
This is the newest version of it. Grateful @mit has pushed back. The allegations were not spying but tax issues. This is “gotcha.”

It’s why as someone Muslim I check and double check to avoid error. This is a reality based necessity in country with this & recent Muslim ban.
Even though “Asia” has been identified as an preferred #clinicaltrial #clinicalresearch destination.

novotech-cro.com/sites/default/…
Will this help with #clinicaltrial #research #diversity?

The gatekeepers of how data defined or applied in U.S. #healthcare are primarily white & male. Will they have right definitions or lens on ethics? Will white-aligned POC establish accountability?

biospace.com/article/pushin…
Or if POC achieve seeming positions of power

is the experience still akin to schoolyard bullying unless one aligns and supports coded or overt white supremacy?

WOC who affirm their full, messy, multicultural identical are often targets & mislabeled on most petty issues.
It is SO painfully clear from responses to both @AOC & @IlhanMN vs those anti-accountability after #insurrection & #capitalriots
double standards

I dehumanize my OWN self
BEFORE anyone can do it to me

Fear is what bullies want
I refuse to comply
But yes, is scary
If I am honest
I pulled thru this semester
getting all As (except one class)

trying to
ignore QAnon/alt right #cyberbullying
cuz of my #GOTV
volunteer #covid19 #vaccineworks #SciComm to combat #disinformation in marginalized communities
publish
etc

severe pain flares again
nearly passed out
It has been a long road, trying to learn to feel pain I actually have
thru “mind-body” work

I had learned to accommodate the way the world treats black, brown & Muslim women

But was too stoic
focused on what others wanted from me

I push thru until I get really, really sick
just got approved for leave

thought I had learned not to end up in burnout, not get so sick

this has not been a normal year for anyone
tough as a WOC, Muslim, anti-racist

way my country AND my peers/profession dehumanize sometimes does get to me
have my weak moments it’s true
@DrvanTilburg is spot on: exhausting to live smoke & mirrors of double standards. Everything I do is per policy & protocol, due process, validated facts

....except, double standards means I can do it exactly right & still be seen as a threat

(If new to this thread, scroll up)
So I keep pushing myself into burnout over & over

just not enuf people doing this work authentically, for RESULTS

I *have* to overdeliver by 3-5x
I still assume merit matters
I try to be stoic

Even as I take leave:my mind races, “but what am I going to show for it/accomplish?”
I am really torn on writing formally & the gatekeeping of #publishing. Note in this #TikTok: she lists ALL her #writing prizes to validate her “right” to speak about her own experience

Scroll up on South Asian silence on history of trauma. I don’t want to exploit my ancestors
I understand what “sells” but I am not interested in delivering that

I don’t validate Orientalist fetishes or biases that Muslim women need saving (by a culture that will abuse)

If I expand past expected boxes or stereotypes, I confuse the reader

People want the “single story”
That’s the tweet I started with. What would it be like to be able to be truly yourself?

What if could express without others slapping labels or telling you which spaces to be in & how?

What if you did not experience being interchanged with other WOC? What if could define self?
@threadreaderapp please unroll

• • •

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

4 Feb
@FBI - I have been marked as a target by alt right already - my #GOTV work is what #MarjorieTaylorGreene spreads hate on - citizen rights of minorities. The violence that smashed the skull of #OfficerSicknick on Jan 6 was about effective #votingrights work of @staceyabrams ImageImageImageImage
(Deleted tweets cuz the posted link was wrong - gah. I hate deleting tweets but the meaning totally changed.)
What I threaten is the power differential in #healthcare -by my identity & work - all bullying is about power first & foremost. Yes, I threaten bullies & their sidekicks. I open, expand, include vs paranoia to exclude, block.

Other Muslims like me, shot: dailytarheel.com/article/2020/0…
Read 12 tweets
4 Feb
Important to keep in mind that #AI is made by humans. Our flaws and biases get encoded and amplified. We need the right diversity of people at the table to design and implement #ArtificialIntelliegence and #ML. #humancentereddesign for all of humanity. #design
Who determines definitions, labels of #data cut offs? Too often we get all nerdy on which variables & factors in the model. But are we even using the right data? #tech #technology types might consider reading Maya Angelou & Toni Morrison and others to think outside the box
#AI Image
Example: many people are interested in #SDoH #socialdeterminantsofhealth & #data for it.
Who has existing large #databases?
Banks
Banks are traditionally risk averse, block/exclude those who are labeled high risk
So can their data improve health equity?

reuters.com/article/us-usa…
Read 5 tweets
3 Feb
Some outcomes are for best. I considered 2 jobs in CT in recent years. (As a kid, lived in Cheshire & Branford)

Got one offer. Other, hiring manager wanted to hire me but person to sign off heard I was “activist” so passed on my candidacy. Maybe cuz:

juberoad.com/cheshire-and-t…
We had a lovely house in Cheshire w/ a big yard & fireplace, right near my school

the realtor told us that it had been suddenly put on the market because a black family had moved in next-door

I bet when we also moved there it was seen as a negative?

I made friends quickly ImageImageImageImage
My sis, in high school, had it rough. Really rough. Girl groups make up bizarro rules to police belonging.

My sister actually saved me from stuff I did not even know she had saved me from - like the girly girl dress in the last tweet? Mom’s choice.

Read 16 tweets
3 Feb
Oooooh.

Yes, riling up Scotsmen & women, expecting them to back down, from a fight seems
SO logical
SO aligned with Scottish history & spirit

*makes popcorn*

Between this & trending #seashantytok what is not to love about our kilt wearing neighbors across the Atlantic?
On the #seashantytok #Seashantytiktok in case you were not up to speed

I would like to point out I was already following him & had watched all his videos, long before he got the 7 million views, record deal, or noticed by Kermit or Andrew Lloyd Webber

Read 4 tweets
2 Feb
Also, if you notice a pattern of certain women who are very concerned about “cancel culture”, these are often women whose income, power, position comes from those men who avoid/fear accountability.
There is no reason to be afraid of women if one already was doing the right thing. Have good ethics yourself and have a good radar for that yourself. I have NEVER had problems with male mentors as we align on values/mission first. We work through trust.

hbr.org/2019/03/advice…
If you are playing a dirty game or don’t have standards to who you hire, do business with, etc (or no standards to own behavior), yeah, I get why you are paranoid.

Drain your own swamp then.
Not all women are pawns in a man’s game like:

apnews.com/article/donald…
Read 6 tweets
2 Feb
Those of us who affirmed our own agency and power by learning from and with our moms. My mom’s stories are her own but she and I together have unpacked many cultural myths to learn better self compassion, willingness to identify racism, less perfectionism.
💪🏽💪🏻💪🏿 @DrvanTilburg
This is a type of trauma many WOC/POC experience. My mom’s hair is extremely thick, textured. I recall her being very fixated on making sure her own hair & our hair was always incredibly neat.

More recently I’ve come to understand this matches an experience of having black hair.
The so-called “model minority “is taught to align with white culture, to suppress oneself in order to layer under & serve white supremacy.

I have worked to remove internalized racism, colorism, self hate & learned from #blackexcellence on:

chalkbeat.org/2020/1/16/2112…
Read 20 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!