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Umbereen S. Nehal, MD, MPH

@usnehal

9 Apr

https://twitter.com/OrganJM/status/1380253166718029832

I state, highlight, mark up, not insinuate
Why is someone who likely does not menstruate a sudden expert on #womenshealth to identify a WOC seeking #data #quality & #integrity as the threat...to women?
"Respecting" social science = using respectable methods, not online surveys.

https://twitter.com/OrganJM/status/1380253166718029832

What you see in the tweet and the "study" is ego, defensiveness & flagrant Dunning-Kruger effect for #womenshealth, #menstrualhealth, #COVID19, #vaccine #research.

The best way to demonstrate the value of a field is to be consistent on #quality not

sciencedirect.com/science/articl…

Academic language on #online #survey #data:
"systematically assess carelessness in a crowdsourced sample" Denial that quick & dirty is poor #quality is an odd use of time & ineffective. One could better defend one's merit, by delivering #quality per best practices and standards.

Read 34 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

9 Apr

@MIT

LOVE being faculty at @MIT this semester for a class on #dataanalytics & #datascience. I tend to PM my mentees, especially women and #blackexcellence to start to prepare questions to ask. Too often people stay silent. Speak up. Never be embarrassed to show #curiosity.

@MIT

Listening right now to mid-semester progress reports from teams and am feeling like such a proud #datascience #BigData #bigdataanalytics momma. Bear cubs doing good (well AND good in world)

LOVE that this is a space within @MIT that focuses on #SDoH and #equity.

Literally right now, hearing about a study on #socialmedia chatter as a driver of vaccines hesitancy driven by #Twitter - start postulate "cause/effect" by an incident that happens within days after a vaccine - like ppl automatically assume a death is "caused" by vaccine

Read 27 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

9 Apr

Adding the word "experience" to an online survey of biological & immunological mechanisms does not make it anthropology. People who are spreading online rumors about vaccines need to take a hard look at what they are doing. There are valid ways to collect health data. Use them.

There are real, concerning, harmful gaps in knowledge in #womenshealth. Bad data of the GIGO method of data collection for quick and dirty "research" on "vaccine side effect" merely replaces one harm with another harm. searchsoftwarequality.techtarget.com/definition/gar…

If collecting data, overtly on "vaccine" and "side effect" claiming causation from temporal relation
for "after" on something as highly variable as menses, w/ deliberate inclusion of perimenopause (known menstrual variation)
=methodology used by anti-vaxx

sciencemag.org/news/2017/04/f…

Read 15 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

9 Apr

https://twitter.com/WSJ/status/1373197682630651904

Handling uncertainty has been the work of the last few years. First there was the abyss of #womenshealth issues I fell into following what seemed simple enough egg freezing, then the unearthing of years of remote & recent medical system trauma causing me to question my own work

https://twitter.com/WSJ/status/1373197682630651904

Oh, cancer monitoring too. & other types of uncertainty

One thing that I changed was my level of frankness. I became much more direct and not concerned with whether what I communicated was liked

You can't be a "pleaser", outwardly focused, & deal with uncertainty from own body

My mom gave me "permission" to be less perfectionist despite that being a trait she had most of her life. You have to develop self-compassion. When you have the latter you seek less external validation

More than that is recognizing control is only ever an illusion. Ride the wave

Read 6 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

8 Apr

Peak Twitter. Woman w/ stage 4 #endometriosis, #fibroids, latter condition more common in WOC, post 2 gyn surgeries

identifies online #womenshealth #vaccine #survey as poor #data #quality

instead of improving, response ~ "not to attack... but am glad you are not my doctor"

Indeed, I engage patients & families 1:1 without forcing them into fields I've pre-created for my #data collection, based on assumptions I have from personal experience

Respecting women & WOC allows people to not be forced into leading questions or pre-created fields

Measuring needs to be #quality to deliver quality. Your #results will never be better than your #studydesign or collection methods. Wrote this cuz we need less measurement & more humanity. I'm in b-school & everyone sends a new survey every 30 sec..
journals.sagepub.com/doi/abs/10.117…

Read 7 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

8 Apr

Utterly irresponsible

An *anthropologist* spreading vaccine hysteria (hate the word but she’s using the uterus to spread vaccine fear) 😱😡

NOT AT ALL controlling for
prior COVID
b4 vaccine

Perimenopausal included?!?

This is why you need GOOD science
#MedTwitter
#COVID19

Some women trying to “lead” on #womenshealth only serve to harm

No, the way to win in a man’s world is NOT to be as nonsensical as Trump on science

You only harm WOMEN when you fear monger with ZERO understanding of female biology

This is akin to “bleach treatment” science

They literally included perimenopause (pregnancy and lactation) which is KNOWN to have fluctuating hormones and distressing symptoms.

There IS *zero* biological understanding yet claiming to study “immune” response.

OMG.
Women are women’s worst enemies, I am convinced.