Umbereen S Nehal, MD, MPH, MBA Profile picture
Apr 22, 2021 13 tweets 22 min read Read on X
The only feelings to center on are those of black community
Wrong use of this quote during the week of #DerekChauvinTrial

Some people “feel” things if a white male faces accountability
Amy Cooper’s feelings: call cops
Racism & racism lite has always focused on “feelings” #BLM
When @ayshakhoury or @uche_blackstock were authentic in their feelings: ended careers

Black female physician #DrSusanMoore having “knowledge” or a “voice”
while DYING
made others
*feel* “intimidated.”

This is part of a known pattern for WOC
@COCoQC
#BLM #BlackintheIvory
This is a repeating pattern of “feelings” used against tellers of uncomfortable truths that #MLK described in the letter from the Birmingham jail.

Seeking order > justice or overpolicing are all to protect only certain “feelings” of “security” while those like #adamtoledo die.
This desire for “order” is also the construct of Colonialism

France validates military dictators for “security” & “order” (yet bans a piece of cloth, hijab to “protect women”

Men with guns & no accountability do not protect women.

Whose feelings
whose lives
matter?
Centering on feelings of the colonizer/slave owner justifies exploitation & harm

Protecting fragile white feelings of fear, disgust, anger
kills POC

This was just 1-2 generations ago. These beliefs have not gone away.
Feelings from these beliefs are not ones to validate
#BLM
White women would both advance in careers & drive #innovation
AND stop harming POC

*if*
they would stop believing all of their own feelings
on fear vs “safety”
per driven cultural norms from past age of slavery & smelling salts

#womeninleadership #WomenInSTEM
#womeninmedicine
Article from @techreview on pushing boundaries as #womenintech #womeninleadership #womeninSTEM #WomenInScience

Acting on this, as a WOC, gets labeled as “harassment” or not #professionalism

We MUST use words
racism
#implicitbias
racist
even if others “uncomfortable”
#BLM
Am a HUGE critic of #professionalism
= system mechanism
structural & medical racism

I have offended those who have built careers in #Medbikini part of #healthcare = controlling behaviors of BIPOC, #LGBTQ, etc

criticism triggers negative feelings

centering these feeling = harm
These #accountability tweets
what standards?

make others feel badly
uncomfortable, embarrassed

But “#professionalism”:
racist
anti-#LGBTQ
anti-woman
anti-#mentalhealth

must go

#Doctor fired in #COVID19 #pandemic for smiling & dancing?
=anti-#publichealth #vaccine outreach
In fact, for #VaccineEquity #VaccinesWork
@The_BMC nurses, doctors, staff videos: critical

This is what effective #COVID19 #pandemic pro-#publichealth #SciComm looks like that both feels good & #VaccinesSaveLives for marginalized

@BostonTweet #BostonStrong #MedTwitter
From “do not smile”
“your hair wrong”
=harmful #professionalism beliefs

to wanting doctors & nurses
of color
working in #FQHC & safety net

fired

in a #pandemic

to no #VaccineEquity
-> ⬆️ disparities in #COVID19 mortality in Black & BIPOC

=harm

Center black
To ⬇️harm
#BLM
I made this error yesterday

Appreciated: publicly corrected

I still get allyship wrong
others can learn from errors I make so they don’t repeat them

I was NOT centering black - wrong
was stuck on my training in “standards”

Structural racism often has wrong standards
#BLM
Doctors like me
who are not black
will get it wrong
must stay humble, listen, learn, amplify black voices

We are a product of this #MedEd system
must decolonize our own minds & deconstruct racist thoughts & beliefs

System teaches:
Undertreat pain
Even harms babies
#BLM

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More from @usnehal

May 29, 2023
This. When I had experiencing #bullying towards myself, I had just walked away or been silent, keep moving forward.

Once I had some degree of “rank”, felt others should not “just deal”

I did speak up on behalf of those less powerful… which only set me up for this mislabeling.
That is not to say that as faculty you should not speak up for or defend students are trainees

but you should be aware of this.

If the #bully is a woman, then she can always claim that she is being “attacked”… “as a woman”

That narrative aligns with a common reality.
False narratives spread quickly

if they align with something that people recognize as a truth (& may even have experienced themselves)

This is particularly why Machiavellian types are strategic/smart to utilize/promote a female bully while they stay more quiet/behind scenes
Read 13 tweets
Jun 24, 2022
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte All of this was already tested out vs American Muslims - the country was just fine with it. Regardless of what you think of the dad, killing/executing American citizen children by drone, along with father, should have been a big red flag on due process.

theatlantic.com/politics/archi…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte ~Half of Americans approve of/support torture. The idea is you can use profiling/bias to assume someone is a terrorist or sympathizes with terrorists, assume has information, torture them first, then retroactively justify violation of human rights.

pewresearch.org/fact-tank/2017…
@ErinMarieMHCMEd @danpreston @JoshuaMZeitz @AmandaMarcotte Loss of Civil Liberties happened after 9/11: even if go white water rafting, spied on

pandemic killed >1 million dead but CDC has removed mask mandate & FL just refused to order vaccines=no interest in saving lives/prevention 9/11 killed 3K➡️police state

gothamist.com/news/nypd-spie…
Read 5 tweets
Jun 23, 2022
I think I need to go to law school. It might be a bit late to be #RBG & make it to SCOTUS… but seriously, it is all about the courts, the law, legal precedents.

Or maybe I just need to make myself small/silent enough to be able to fit into a government job again?
As hard as it is for me to stay in government long term given all the regulations that box you in/tie you up

plus needing to be a public servant to serve every taxpayer, even the ones you don’t agree with/like

Despite that, you *can* have an impact…small things at scale matter
There are times like this I want to be a cat & have 9 lives because there SO too many things I want to do…

…even though other times I am like, okay, how long exactly am I supposed to serve in this life because I am exhausted. (Albeit I did just recover from anemia.)
Read 5 tweets
Jun 23, 2022
For the first time in my life I felt unsafe doing #GOTV & got personally targeted & my photo posted on a QAnon type site.

More appalling was how many on #healthcare & #academia, if you are connected on social media like FB, are pro-violence & anti-rule of law & support J6.
If you are a Black, immigrant, LGBTQ, chronic illness, Muslim, etc person, patient, #HCW, teacher, heck yeah, is scary

Thing is those who have been safely tucked in cocoon of suburbia, worried about junior making the cut for the bball team
now feels suddenly scary

Us: not new
We *need* the ppl who typically enjoy more safety to step up. It feels “ick” to report, like you are an informant in Nazi Germany or something, but it is opposite: being “nice” & “not controversial” & “let’s all get along”
➡️empowers bullies

Be a true ally
Not bully ally

Cuz:
Read 5 tweets
Jun 22, 2022
Anyone who did not see this coming does not understand #tech…(which includes people who design #AI).

“Important nuances were lost in translation when a rule commonly used to measure disparate impacts on protected groups in hiring was codified for easy-to-use tools…AI fairness”
Every time I see “our #AI will solve bias! Give us your #DEI budget!” win an #innovation award, accelerator, #hackathon I feel exhausted…

institutions would rather purchase ineffective & worsening-the-problem #tech than hard work of holding ppl accountable or change culture
And this is how #DEI - how currently approached - is ineffective & wastes money because a small amount of money is thrown at it with zero/minimal real hard work & unwillingness to be uncomfortable. Hence these bills: amp.cnn.com/cnn/2022/01/19…
Read 5 tweets
Jun 21, 2022
When will we admit that “clash of civilizations” of Islamophobia narrative is not only false but dangerous. “War on Terror”=waging war vs Muslims but #J6 & #BuffaloMassacre reveal terror is not one religion. When Muslims are “legit” targets…that supremacist hate spreads further. ImageImageImageImage
Who was it “okay” to torture? (assumed is a terrorist?) Whose civil liberties disappeared 20 years ago? Muslims.

“But you all ‘deserve’ it” we’ve heard &: Why didn’t you stop terrorism? Why haven’t you apologized about x & y?

Now: consequences of that

vox.com/2016/3/31/1133…
The “Great Replacement” is an extension of “Clash of Civilizations” that conflict/war is “inevitable” between “different” humans defined by race or religion. It dehumanizes some humans as “less than” or “threat.” Once you label as such, violence follows. vox.com/science-and-he…
Read 22 tweets

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