"How does one honor and protect the sanctity of one’s own Blackness while also giving so much of oneself to a health care system that in many ways continues to dismiss, ignore, and mistreat Black people?"
nejm.org/doi/full/10.10…
"It was a random day just like any other when I suddenly stopped being just a Black person in America. I looked around at the sea of white faces that seemed to fill every space I entered, and I realized for the first time that I was now a Black person in medicine."
"Until fairly recently, it was easier than one might think to minimize the effects of racism on my life. But the more I learned about the physiology of the human body, the more I was forced to confront the degradation of the Black body."
"I became frustrated and discouraged. As a Black woman physician in possession of all the knowledge that comes along with that title, I realized that you can do everything humanly possible to set yourself on an upward trajectory, but you can never outrun the truth of the past."
"No matter how many kale smoothies I drink or how many miles I run, I am still twice as likely as a White woman to die of heart disease, diabetes, or cancer and more than three times as likely to die in childbirth."
"How does one honor and protect the sanctity of one’s own Blackness while also giving so much of oneself to a health care system that in many ways continues to dismiss, ignore, and mistreat Black people? How can either of my existences thrive while the other survives?"
"Why does my professional development in medicine make it more difficult to overlook all the ways in which Black patients are discounted? Did my medical degree come with a pair of glasses that allow me to see injustice everywhere?"
"The one thing I know for certain is that being Black in America is what I was born, but being Black in medicine is what I have chosen. I have dedicated years to learning to see the world from a clinician’s point of view because of my Blackness, not despite it."
"Maybe that perspective, my perspective, will reveal something that has yet to be seen."

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More from @AnantBhan

26 May
Lancet Citizens' Commission on Reimagining India's Health System
India's resurgence of COVID-19: urgent actions needed
thelancet.com/journals/lance…
First, the organisation of essential health services must be decentralised. A one-size-fits-all approach is untenable since the numbers of COVID-19 cases and health services differ substantially from district to district
Second, there must be a transparent national pricing policy and caps on the prices of all essential health services—eg, ambulances, oxygen, essential medicines, and hospital care.
Read 9 tweets
24 May
On 9 May, he became one of the youngest doctors to lose their lives to COVID-19. Image
Dr Dipika was pregnant with their second child when she tested positive for COVID-19 on 11 April 2021. A day after losing her fetus, on 26 April, Dipika breathed her last. Image
Read 10 tweets
18 Apr
Many of us who have been health activists have been crying hoarse for years about the need to strengthen our health system, focus on public health
Last summer brought policy and public focus to this dire need. One thought lessons were learnt.
Clearly not.
There is INCREDIBLE stress on the health system right now in many parts of the country. Health professionals over worked, burning out, turning positive with families in droves. And sometimes cannot find beds for themselves or their family in the hospitals they are working in.
I have never seen this kind of a situation before. Lots of people reaching out for help. To provide care, advice, help patients and those in medical need is what health providers are trained for. It is what this is unique about health as a profession.
Read 14 tweets
14 Jan
THE VACCINE DILEMMA
The government has announced an intent to go ahead with vaccination as of 16th Jan 2021 with both Covishield and Covaxin. There is going to be no choice. You will only be able to receive one of the two, whatever is allotted to you by the govt.
While you have an option of opt-out, it will put potential vaccinees in a tough situation. You have to decide for yourselves based on publicly available (or the lack fo it) information-- on safety, immunogenicity, and efficacy on both vaccines.
If you are allotted Covishield, you will follow the current protocol as described and practiced in the dry runs. Image
Read 42 tweets
12 Jan
With regards to #COVISHIELD which will be rolled out on 16th onward, the CDSCO SEC approval requires the recipient to be given a factsheet prior to the vaccination. Has this been prepared--has anyone seen it?
Was it distributed in the dry-runs? Available widely?#COVID19 #vaccine Image
So both these documents are indeed available (factsheet for recipient and the leaflet for the medical provider). Thanks to @Dr_Aqsa_Shaikh for pointing that these are available on the SIIL Website. Hope the factsheet will be available at all vaccine sites. Sharing here for info ImageImage
Read 5 tweets
8 Jan
The #COVID19 pandemic shows the need for building capacity within the country for critically evaluating ethical issues in health research
We @SangathIndia #Bhopal hub are delighted to have been funded by @thakurfdn to to create an online/digital course on health research ethics
The project is called DRISHTi (Developing capacity in health Research ethics Training) and the digital course will be targeted at health professionals as well as general public. The course is proposed to be 8-10 weeks long, completely digital in format and in the English language
The course has the potential to be a key contributor in developing capacity within India to conduct and evaluate health research from an ethics perspective.
Read 6 tweets

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