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Umbereen S. Nehal, MD, MPH Profile picture
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11 Dec, 11 tweets, 5 min read
Court of public opinion
"defendants…willfully destructed the evidence by deleting the webpages and social media accounts," Hanna wrote. "Plaintiffs cannot continue to be blindsided by the defendants by having to search for what evidence is being destroyed or altered”

LinkedIn is personal, not school’s
This is a really fascinating case as a lot of what I see happening in #MedTwitter (Twitter presence of the legal minefield that is #healthcare #MedEd, etc):

faculty, consultants, #hcw deleting content & accounts

My prior 🧵 on this & potential legal implications.
Personally, I have served in public office/as a public official for highly contentious $1.8b health reform - I am used to everything I say or write being examined, picked apart by attorneys & advocates & who not

No one is 100% perfect… but my words do hold up in court/hearings
Typically when I’ve gone toe-to-toe with someone who is an attorney, like in a public hearing, after they fail to trigger me thru ad hominem, the attorney either backs away or loses the verbal dabate/hearing.

I actually REALLY enjoy watching ill prepared lawyers get flustered.
As compared to my experience being direct & all my communication being on display or discoverable

academia/education relies on gossip as a means of control, social censure, shaming, warning against predators

ineffectively btw

so this education case 👀

insidehighered.com/news/2016/11/0…
@DGlaucomflecken understands how hard pediatricians are to fluster.

We always do at least 3 things at once, sometimes while the clinic visit is a “three-fer” (if you know, you know)
Yes, you can be three places at once.

Three Zoom, while online + answering emails & WhatsApp

Anything less & I fall asleep
Okay, I did burn out.
So not recommended.

Thing is, liability & sensitivity (now politics too) is VERY high in pediatrics, why pediatricians tend to wordsmith well (& carry tail insurance & coverage at level of neurosurgery)

todayshospitalist.com/what-you-need-…
I am very curious how much of #MedTwitter & #ScienceTwitter would be comfortable with all of their email DM & deleted content exposed/made public?

If not, consider what you are creating as a legal record a judge could demand (at your cost, if must pay to recover what deleted?)

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More from @usnehal

Umbereen S. Nehal, MD, MPH Profile picture
12 Dec
At every critical step past the early life & career stage (then rewarded for just delivering)

when protecting loved ones from harm
or #leadership

listening to #BlackExcellence/Black women gave me the framework to understand & the tools to be effective.

time.com/5869662/black-…
“Model minorities” chase impossible standards? Then let’s try to match of achievement level set by Black women

…who accomplish so much while mislabeled, hated, un-/underpaid, killed, losing their children to violence of others’ fear/anti-Blackness

wbur.org/cognoscenti/20…
This is NOT the standard:
-keep your access/proximity to power via a politician
-stay in spotlight
-use your credentials (& frowns/soothing tone) to gaslight a nation that deaths occurring not a concern to you

known for a collection of Hermès scarves…& now >700K American deaths
Read 32 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Those of us with immigrant backgrounds have NO idea what debt we owe these women for risking their lives so some of us can shop at Whole Foods with other suburban moms, then drive a Lexus home to ride on a Peloton, & think only our own hard work created this access to success.
Those of us who are Muslim have a partial experience of what it is like to be made the face of threat and danger and vilified.

…But “the West “still wants to “save” Muslim women… make us a token or mascot of saviorism & evidence of being a shining city on the hill.
In comparison, the black woman doesn’t have that opportunity to be paraded around as the most recent woman “saved” & celebrated - the tropes are universally harmful & exploitative/pejorative vs Black women in society/media + centuries of economic barriers/being exploited.
Read 47 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
When I see this, and think of how a Muslim woman was denied a soda can given other passengers on the flight, out of fear of her look & belief she would harm people…

then look at this & school shootings

the double standards are SO clear.

These ppl likely were violent before
Is a question of who is given a pass?

what kind of violence is “acceptable” to American society?

towards whom violence is “acceptable”?

We already know who is dangerous. It’s just that “domestic” violence (vs women) is “acceptable” in American society

bloomberg.com/graphics/2020-…
The same is true about maternal mortality

Judging by outcomes, compared to peer nations, we’re a nation where women’s lives are not valued

This is indirect societal violence vs women

Still surprised Americans get violent vs flight (female) attendants?

npr.org/2017/05/12/528…
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
Anybody who says “the #data don’t lie” either is ignorant or manipulative or both. The data are merely a tool that must be used responsibly & ethically to try to approximate “the truth” …some of which is unmeasurable (yet?). There are MANY #datascience methods & varying results
Everybody gets super excited about this new #AI #ML #machinelearning technique or that

You cannot build a RELIABLE house with low #quality bricks

First, look at the building blocks… meaning, how the #data fields are even defined & how the data are obtained

Who defined them?
I can’t tell you how glad I am that I have done coursework at both @MITSloan AND @StanfordGSB - Former immerses you in a ton of hands on analysis & options for analytic techniques useful in a #datascience job. Latter steps back to frame questions, assess missing data, biases.
Read 13 tweets
Umbereen S. Nehal, MD, MPH Profile picture
11 Dec
This 🧵 resonated. Trained in Houston, #asthma central, I was in this scenario SO many times.

I had the best #pediatric training at @TexasChildrens & @bcmhouston - you see it all.

Amazing that mere tweets can transmit humane, quality #MedEd teaching across the globe.
After moving to Boston I found myself surrounded by highly anxious doctors. We have an over abundance of resources and a healthier population. I saw people quick to overreact and manage (poorly) their own anxiety & need for control, with harmful aggressive overintervention.
I also do get being “Harvard” makes one a target. Juries are not going to understand “at the brink of death” and not intubating or the equivalent action in another scenario. “Jury of peers” is not present in a malpractice case. Good care can seem negligent, paradoxically.
Read 14 tweets
Umbereen S. Nehal, MD, MPH Profile picture
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
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 15 tweets

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