Think about the Black women you know that are killing it in academia - prolific writers, orators, researchers, excellent educators, commanding administrators.
Know they are often creating this beauty from the ashes & scraps they were given...all while watching their backs.
Know that every single day a colleague, fellow admin or even a student undercuts, undermines or sabotages their work & their voice. Know that they deal with this on top of micro-aggressions & gaslighting
Know that most is unspoken because the whiteness that dominates academia is too fragile to handle criticism and too busy reveling in a false sense of supremacy to critically examine racism.
Know that Black women are pegged over and over for talks on diversity, talks on racism, book clubs, workshops only to be viewed as “not a team player” when they decline and criticized for “lack of productivity” when these activities detract from academic work.
Know that they work for (or have previously worked for) people with savior complexes who fancy themselves benevolent gatekeepers and behave as though Black women should be grateful to have been granted access to a sacred white space.
Know that for every public case of a Black woman being openly chastised and demoted or fired for speaking up about racism in academia, there are many more who’ve experienced the exact same thing in silence.
Academia is a toxic environment for Black women & it’s exhausting.
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If the Senate votes to convict I’ll be surprised as hell.
You want to know what you have to do to dismantle white supremacy? You have to denounce and condemn it. You have to punish people for the violence done in its name.
A white president summoned a mob of mostly white people with flags bearing his name to violently siege the central symbol of our democracy. They were permitted to erect a gallows in plain sight. They were permitted to go home & they are mostly charged with misdeameanors
We could play all kinds of “this wouldn’t happen if this were a ___” games. But we all know there is no other circumstance under which this would be happening and getting such a soft handed reprimand. Whiteness is a requisite for this whole situation.
One of the most common Oncology e-consults I get is a post-menopausal woman with sweats, no lymphadenopathy, a completely normal CBC, RBC indices, & diff where the concerned primary is asking about the utility of a bone marrow biopsy to evaluate for an occult heme malignancy.
In first year of fellowship, one time on Heme consults, on my weekend off, the team gave ATRA & did a marrow on a patient with nary a circulating blast or promyelocyte (but gorgeous babesia rings) on the peripheral smear.
He did not in fact have occult APML, just Babesiosis.
I have seen a few occult Heme malignancies - a T-ALL presenting as parotitis for example; some indolent lymphomas presenting with paraneoplastic autoimmune manifestations
But, most have been stunningly obvious - circulating blasts, cytopenia(s), obvious nodes or splenomegaly.
I almost quit after the section on “Racial Categorizations in the United States” b/c it oversimplifies & inaccurately recounts the history of census racial designations.
(No “Black” or “Native” in the 8/2/1790 census, btw. Indigenous ppl were first counted in the 1860 census)
Many weren’t “white” until coming to the US & many immigrated to access “whiteness”
The US census can’t be used to demonstrate the merits of race as a proxy for biology or ancestry - white is a group for the non-Black/non-othered & includes Northern European & North African folx
Being sick is bad enough - fatigue, pain, shortness of breath. I imagine that to be a member of the majority caste in this country is to be able to just be sick. To be able to focus energy on getting well and maybe (because medical capitalism) how to pay.
There is so much more on the minds of Black patients - considering if the hospital you go to will treat you well (or at all). To have to, in the midst of the emotional and cytokine storm of infection, muster strength to fight for adequate care. To trade rest for diligence.
Last night while researching frailty scores, I vividly remembered being paged at 2am by the paging operator to call a patients family member while I was working in the ICU (back in the day when I did such things 😅)
Things were calm - and I figured a patient family member paging in the middle of the night was probably important - so I called:
“Is this Dr. Weeks?”
“Yes”
“you may not remember me, but I’m ___ you took care of my dad a few months ago and I wanted to talk about his paperwork.”
Now this was curious. This patient died but my mind is a Rolodex of patients I’ve pronounced so I remembered this family well.
“How can I help you?”
“Well I noticed in the admission note you wrote and the discharge summary you listed “failure to thrive” as the chief concern.”