Lately I've kept quiet on here about covid. There are amazing doctors and scientists tirelessly sharing the latest studies and policies, and my daily work is related more to bias and harassment than it is patient care. So I have been leaving that work to others.

1/
But I have been spending time with some amazing colleagues who are trying to educate the public over on Clubhouse. What I've seen in the last six months there has me concerned.

I'm not trying to be alarmist, but with infections rising across the country, I'm a bit down.

2/
Within the past week, I have heard chatter about the vaccine being "experimental," that it was developed too fast to be trusted, that "they" want to control our bodies.

(Who are "they," anyway?)

I have heard people be scared for their health and that of their children.

3/
I have seen people changing their profile picture to "Unvaccinated Lives Matter," a perverse co-opting of the Black Lives Matter movement. I have seen these people given legitimacy in spaces that pretend to be promoting science.

4/
I have heard people boldly pronouncing lies such as: if you sleep with someone who has been vaccinated, you can get covid. Or, if you sleep with someone who has been vaccinated, you can get seizures. They have attacked Francis Collins (director of the NIH)...

5/
...suggesting he is using some church to control people.

This saying these things are not bad people. They are people who are misinformed because other people out there are preying on their fears and using conspiracy theories and myths to control their actions.

6/
So, while these folks are worried that physicians are trying to control them, they are actually being controlled by propagandists who are anti-science. It's so frustrating to watch.

That said, the colleagues I mentioned before are really out there changing hearts and minds.

7/
It's frustrating, infuriating, blood-pressure-raising, disheartening work. And they are doing it every day. I wrote this thread to share what we are STILL hearing out there and to give credit to the folks who are consistently volunteering their time to share the truth.

8/
So, thank you to @docdanmd @DrCindyMDuke @ShoshUMD @keishaydavis @AllergyHealth @DrFrita @DrGeoffreyMPH @ENirenberg and the many others who are still pressing forward, trying to help people understand the consequences of their actions.

9/
They are going where the people are. (Sure, not everyone is on Clubhouse, but millions are.) The ability to have a conversation, to go back and forth, to use tone of voice to de-escalate potential conflicts is POWERFUL.

10/
That's part of why I don't engage with that content much over here. It's very hard to change anyone's mind in written text. The escalation happens too frequently and is too toxic. So even though it's disheartening to hear the lies people have been made to believe,

11/
I do think there's an opportunity to change opinions on Clubhouse. What do others think? I know some of you have been in those rooms, and probably in others that I haven't been in. Is there power in Clubhouse? Or have you given up?

12/12

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More from @arghavan_salles

15 Apr
How do we talk things that are hard to talk about? Some musings.

I imagine that if I were a man, I would be upset about the way women and non-binary folks are treated in the workplace. I imagine I would want to speak up—that’s how I’m wired. But I might not know what to say.
1/
Being the type of person I am, I would probably read books such as She Said or Good and Mad to try to understand. And then I might start speaking up.

But what if someone tells me I’m speaking up in the wrong way?

2/
No, you shouldn’t MENTOR that woman, you should SPONSOR her! It’s not MATERNITY leave, it’s PARENTAL leave! You’re not babysitting your children, you’re taking care of them! They’re YOUR kids!

I would learn, sure. But I also might start to shy away from the conversation.

3/
Read 12 tweets
27 Mar
It’s been almost 2 years since I left my academic surgery job. In this time, I’ve become acutely aware of how much we have to PAY ($$) to build an academic career. I stopped submitting abstracts to meetings because I had no money to pay for going to them. When students…

1/
…asked to submit abstracts based on our work, it was heartbreaking to tell them that I couldn’t pay for them to go but that maybe we could try to find another way. (I made so little myself I couldn’t pay for them out of pocket).

When I got asked to give talks...

2/
...I could only do it if they were paying me. Of course, most societies don’t pay their own members to give talks, even when they’re invited opportunities. This is what I mean about paying, and many of you know this. You have to pay an annual membership fee...

3/
Read 17 tweets
10 Mar
Earlier this week I spoke at @thoracicrad about how biases affect our evaluations of performance. Here's the gist on how we measure "intelligence" and perceive others.

(I also talked about stereotypes but will save that for another day.)

1/
First of all, let's start with what intelligence is. There is a ton of variability, but this, from Howard Gardner, resonates with me.
2/ Intelligence: A set of skills of problem-solving--enabling t
How do we measure intelligence? There are many many many tests. What I learned about human cognitive abilities in my PhD, though, was there's no one measurable "intelligence." There are instead measures, such as the ones on this slide, of specific skillsets.

3/ Slide showing different IQ tests and how they work
Read 13 tweets
8 Mar
On this #IWD21, let’s talk about the data on quality of care by physician gender. I wrote about it for @Medscape (thanks, @eugeniayun!). Please read the piece if you think they should have a recurring gender equity column!

Let’s dig right in. A 🧵.

medscape.com/viewarticle/94…
The first major study examining this was in @NEJM in 1993. Researchers looked at visits for almost 100,000 women patients with over 1200 physicians and assessed how often pap smears and screening mammograms were done.

2/

nejm.org/doi/full/10.10…
They found that women physicians were more likely than men physicians to order both.

3/

medscape.com/viewarticle/94…
Read 13 tweets
18 Feb
Preparing for this “Master Class,” I reviewed a 2018 Pew study @fumikochino had recently tweeted. They surveyed people on words used to describe men and women and whether they are positive or negative. 🧵 Image
People perceived society to use different words for men than they do for women. For example, “powerful” was mostly seen as a good thing for men and a bad thing for women. Similarly, “strength” was good for men, bad for women. Same for “leadership” and “ambition.” ImageImageImage
I mean, do women even stand a chance in the workplace if we’re not supposed to lead or be ambitious??

Moving on...
Read 7 tweets
18 Jan
Quick thread about vaccine distribution—personal story

Mom is in a high-risk category and is eligible to receive a vaccine. I’ve been busy in the ICU and honestly assumed she was signing up to get vaccinated because she’s a responsible, conscientious person.

1/
After days of meaning to call, I finally remembered at a time of day when we're both awake and asked, just to confirm because of course she’s on it, right?

Nope. She’s not signed up.

2/
I’m in Arizona right now, she’s home in California. I haven’t kept close tabs on what’s going on with vaccines there (I've been busy), so I ask her why not. She says she doesn’t know what she’s supposed to do.

3/
Read 28 tweets

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