At this moment I am very sorely tempted to retreat to a cave or mountaintop, like Thoreau, and disengage from humanity.

This is a subtweet.
To be honest, when you are in writing mode, that actually is exactly what you should do. The ability to communicate big ideas to humanity sometimes requires disengaging from humanity. Writers are loners & recluses.
Mom also wanted me to “settle down” & I am not opposed to the idea. I’m also aware that:

usatoday.com/story/news/nat…
Women in control of themselves & minds of their own & voices often are perceived as controlling. I am anti-harm & pro-social-responsibility for outcomes your choices create for others, especially the vulnerable, but if anyone fears being controlled… you know where the door is.
I’m not willing to tame or have tamed my connection to nature/creativity (my “wild”). At the same time, I feel super strongly about certain civilized things like not harming others. Except almost every civilization seems to be built on exploitation then people blame those harmed. ImageImageImageImage

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Umbereen S. Nehal, MD, MPH

Umbereen S. Nehal, MD, MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @usnehal

11 Dec
Doing a 🧵 of @EM_RESUS’s thread with screenshots.

We see a lot of screenshots of what is wrong in #SciComm.

What went right here? How can one doc transmit knowledge & confidence to another so well via a series of tweets?
First: what was the outcome of the #SciComm? Intention matters little as communitarian happens on the terms of the listener/reader. How was your #communication received/understood?

A doc:
recognized similar scenario
calmed team
avoided overaggression
achieved a similar result Image
The fact that the #MedEd teaching allowed an EQ & #leadership outcome (staying course despite others’ anxiety), not merely medical knowledge/journal club, is striking. How was this achieved? Let’s look at the thread. How do you transmit courage AND knowledge via tweets in a 🧵?
Read 13 tweets
10 Dec
I only became certified as an executive #coach as I experience SUCH bad coaching...I can't even begin to describe all the levels of wrong. But this is one of those times (a lot of my life) when someone harmed (on my dime no less) then I was motivated to create something better
A part of me was like yeah, yeah, yeah..I know this stuff...hurry up and give me the darn certificate. But.... I have to say, I see myself changing in practice sessions: able to not tell/be a consultant but open up space, listen, reflect THEIR words, then get them to go deeper.
I see SO many bad...like harmful bad..coaches out there...who beat you up to try to motivate you while also talking of compassion. *sigh*

I am learning that I care SO much about #safety (which I knew) - it is the trigger when I fail to be a coach and become ED doc/pediatrician
Read 9 tweets
10 Dec
A woman can die in childbirth before adoption occurs. She could lose her job because of pregnancy. She could be abused. 20% of pregnant women experience domestic violence. Homicide is the #1 cause of death of pregnant women. Women are often killed by partners when trying to leave
If we want pregnancy to be some beautiful thing, great… change the culture & pay for women’s health. Make pregnancy safe. Hold employers accountable. Start holding abusers accountable. Get them out of the police force. There is a ton of work to do.

nature.com/articles/d4158…
Change this. ImageImageImageImage
Read 8 tweets
9 Dec
This is evidence why “optics matter” crowd are often full of implicit bias.

This photo does not match/appeal to people’s assumptions or biases, results in fewer clicks, less ad revenue

..so business/media types do not promote such stories. This is how business reinforces bias
To be clear the “optics matter” business/branding mindset is also in #healthcare & #MedEd as #professionslism. It contributes to #blackintheivory & -isms in medicine.

ssir.org/articles/entry…
#AcademicChatter loves to condescend & snark from a position of intellectual superiority …but those whose monetize “expertise” & sell “certainty” as experts, are actually more biased:

insidehighered.com/blogs/technolo…

As academia is non-diverse, especially higher ranks, “justify” this.
Read 6 tweets
9 Dec
The U.S. only ever led on “elite feminism”

elitist, controlling anti-woman American women will be the death of any small prior progress in gender equity

Women need to stop with the required solidarity or forced support of fellow women who harm

Actions matter, not anatomy
The maternal mortality rate, especially for Black women is appalling. Has American feminism ever concerned itself with deaths of fellow women? No. Count number of women in C-suite (who align with anti-justice incentives) and fight for privileged access of a few. Trickle down.
Even as a nation of elitist feminism, have these women, mostly wives of or daughters of, become President? No. That would require a woman having value or respected as an individual, as opposed to American culture of women valued or gaining access for their relationships to men.
Read 14 tweets
9 Dec
Institutional silencing of scientists & academics needs to stop.

Public universities playing politics to protect 💰 from state budgets comes at expense of academic integrity or protecting the public in a #pandemic that has killed >700K Americans, 1:500

apple.news/Akq3jI0rzQMy2a…
There is a false claim #DEI silences professors, academic freedom, freedom of speech. No, those who previously confidently said racist, sexist, ableist, anti-#mentalhealth things face accountability. Loss of “freedom of speech” =getting jailed/disappearing businessinsider.com/china-coronavi…
Having to hear “that is racist” is not loss of freedom of speech. Is identification of the content.

You can choose to feel “personally attacked” or you could choose to improve. Must identify racism as it drives harm, death, wrong dx

From @Health_Affairs
healthaffairs.org/doi/10.1377/hb…
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(