1/ There are no excuses for gun violence, an autobiographical essay (#GunControl)

I grew up with guns. By the time I was twelve I owned two rifles. Every time my father took me shooting he would ask, “are you excited?”

I would feign a “Yes!”
2/ We would drive out to nearby farms and hunt pheasant and guinea fowl. But the thought of taking a life — even a bird’s — was nauseating to me. I would miss, sometimes by mistake, sometimes on purpose.
3/ My father was an avid fisherman and hunter. Although he only shot birds, he was drafted into the army where he learned to shoot from white men. He took lives and watched lives being taken. Most of his memories from the war were erased by trauma.
4/ Unlike my dad, I wasn’t cut out for guns. (Or rugby or cricket for that matter).

When my father wasn’t forcing me to shoot or fish, I was playing with a My Little Pony doll, baking brownies, and secretly playing dress up with my grandmother’s saris and makeup.
5/ Growing up queer in hyper-masculine Zimbabwe, I was alienated by guns from my own father.

Guns reinforce toxic masculinity. They teach young boys that it’s ok to own someone’s life. They concentrate power with men who have low self-esteem, boosting their egos artificially.
6/ Over the years, we have been burgled or broken into multiple times.

My dad said we needed to keep guns in the home for our own safety.
7/ In 2009, a burglar held a gun to my sister’s head in front of my parents while he forced them to empty the safe.

A gun was close by; my dad could’ve tried reaching for it.
8/ But by the time someone has pulled a gun on you, they have the power.

To reach for the gun, would’ve been to risk my sister’s life for the safe’s contents.

We haven’t used the guns since then. They are locked in a cabinet while we figure out how to safely dispose of them.
9/ As a physician and mental health researcher, I can also confidently say that gun violence is not a mental health issue, it’s a *public health* issue. See the work of @meghanranney in @NEJM nejm.org/doi/full/10.10…
#ThisIsOurLane
10/ Guns don’t protect us, and they never will. They are the physical manifestation of a culture of misogyny and hate.
11/ Until we have #GunControl, we will continue to put power in the hands of white supremacists, everyday citizens, and even kids. Power that stretches far beyond what any individual should have: to take life or let live.
12/ If you haven’t read it, this thread was inspired by Walter Johnson’s 2018 @BostonReview essay, “Guns in the Family,” which should be required reading for all this week.

bostonreview.net/race-gender-se…

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More from @kkidia

18 Mar
1/ THREAD: BEING A GENDER-SENSITIVE PROVIDER

It was an honor to have @BrighamMedRes's @ohamnvik join us in Zimbabwe @kushingazim and @galzinf to discuss hormone therapy.

He covered so much, but I'd like to reiterate some of his tips on being a gender-sensitive clinician.
2/ Ask everyone about gender identity in paperwork.
3/ On patient forms have the following fields:

-gender identity
-assigned sex at birth
-preferred name
-preferred pronouns

ENTER this data into the medical record.
Read 15 tweets
26 Feb
1/ ANTI-CHINESE RACISM & VACCINE HESITANCY IN AFRICA

“No way I’m taking that China vaccine,” is a phrase I’ve heard tons in #Zimbabwe from friends, family, & HCWs, after 200,000 doses of the #Sinopharm #vaccine arrived from China last week.

TLDR-this is racism. Get vaccinated.
2/ While governments have welcomed strengthening Sino-African relations, many people think of Chinese presence as neocolonialism. They’re half right. But it’s more complex than this.

theguardian.com/cities/2018/ju…
3/ This has made anti-Chinese sentiment rife and acceptable in Africa.

My family members accuse Chinese restaurants of serving up stolen pet dogs to their patrons. Friends say they would never board a “xing-xong” airplane.

The complex geopolitics get conflated with RACISM.
Read 15 tweets
3 Dec 20
THREAD

1/
As a @harvardmed doctor, I will be one of the first people to get a vaccine. My family in Zimbabwe, however, will be some of the last, if they get vaccines at all.

In global health, vaccination coverage has been an issue since vaccines were a thing…
2/
For example, in the 1990s, the oral cholera vaccine was added to the WHO essential drug list (a compendium of “must have” resources for all countries). The lifesaving vaccine costs under US$1, yet the global stockpile is tiny and saved for emergencies.

But…
3/
Because Western countries have adequate water infrastructure, they rarely experience cholera, and therefore it is not a global resource priority.
Read 15 tweets
7 Jul 20
1/ THREAD: VIP Patients

We can't let patients buy special treatment. It privileges the white & wealthy.

In residency, when I wouldn't provide unwarranted treatment, a “VIP" patient brought me to tears, yelling and asking where I went to med school.

#TipsForNewDocs
#medtwitter
2/
Every hospital I’ve worked or trained in has a special floor where patients can spend thousands of dollars to get “better” treatment.

They are given rooms with wooden panelling, gourmet meals, and attentive nursing care.

nytimes.com/2015/10/26/opi…

@ShoaClarke
3/
Allocate your time based on patients’ clinical severity, NOT their social standing.

Don't give VIPs any more of your time or brain space than other similarly sick patients. It is inequitable and unethical to do so.
Read 11 tweets
23 Jun 20
1/14 *TWEETORIAL 4 New Interns*

WORDS MATTER!

Non-stigmatizing medical documentation

Your admission/progress notes can be harmful to your patients and will live in the medical record system forever.

Here are some tips. Please add so we can learn to together! #MedTwitter
2/14
Use patient-centered language: your patients are more than their illness.

“patient with sickle cell disease” *not* “sickle cell patient” and *definitely not* “sickler”

@brighamchiefs
@DrWilfredoM
3/14
Don't put a patient’s race or socioeconomic status in their one-liner.

The one liner is for highly relevant clinical info that allows other clinicians to understand what is going on, and, in emergencies, make quick, critical decisions.

@aaronLberkowitz
@michellemorse
Read 14 tweets

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