Share this page!

Umbereen S. Nehal, MD, MPH Profile picture
Twitter logo
23 Dec, 45 tweets, 73 min read
This 👇🏽👇🏿👇🏻 This is why #BLM exists & why “implicit bias” is not only real but it kills

Why, when you see it, say something, do something
The system changes not by sharing tweets & hashtags but actions & consequences & removal of toxicity from the system

Follow #BlackTwitter
Above #MedEd #TikTok improvement: #citeblackwomen who lead this work (not only utilized the savior mindset of Black & brown as victims) #Blackexcellence @citeblackwomen center Black women
Send #SoMe traffic to Black creators & activists. #healthcare twitter.com/i/lists/122380…
Take #sharethemic initiative. It allowed #Blackexcellence to speak thru #influencer accounts to large followings for a day. I looked at before/after numbers, it did NOT drive any additional traffic to the actual accounts of those voices. Resurfacing this:

https://t.co/VZ26WWNxRP
Take #VaccineEquity & impact on YOUR life. Right now responsible people are canceling plans due to #OmicronVariant.

Realistically, I know people center on selves - hence my real talk & telling you why you should care & support those doing #VaccinesWork outreach at margins.
Note how a self identified current resident (anonymous)
cynically believes #implicitbias a “get out jail free” card
incapable of systems thinking

#MedEd “#ethics” teaches via images of an Asian female nurse & Black male trainee, without consent

Violation? “smiles”
to fire #HCW? Image
@ayshakhoury is an example of how the views above get #Blackexcellence fired IRL from #MedEd. Btw, why does she have <10K followers? That stat alone shows #MedTwitter #BLM retweets are for optics, not outcomes.

“Pipeline” issue?
No. Sabotage. Gossip. Coordinated attacks. Image
🧵 & screenshots marked for key points

@DrOmolara exactly described in 2/2020 what @ayshakhoury *did* experience
+ @COCoQC pic

*asked* to speak w/ #authenticity as Black woman in #MedEd?
➡️fired

Later, people express regret
Everyone else feels good, keeps job
System? Same ImageImageImageImage
#DrSusanMoore=same thing

“Threatening” vs Black 👩🏾‍⚕️ docs over & over
As #MedTwitter rides hashtag wave to advance own careers
Not “pipeline” issue

Per @DrOmolara become abolitionist

Per @ayshakhoury, recognize shadow system in #MedEd mislabeling #BLM via “#professionalism” ImageImageImageImage
@IEMcElroy exactly describes “preschool to prison pipeline”
Also in #MedEd #HigherEd
amplified on #MedTwitter by wrongly labeled “#professionalism” ➡️specifically instigates/provokes/targets vs Black & BIPOC w/“voice”
then cries “victim” & “attacked”
=Amy Cooper of #academia ImageImageImageImage
#professionalism *is* racist as identified by @Stanford
➡️anyone working within in it, if not overtly abolitionist, by default, has racist (sexist) #mindset
➡️racist outcomes
➡️drives out #blackexcellence from #MedEd by system design & #implicitbias
#BLM

ssir.org/articles/entry…
Wrong labeling to fire #HCW in #pandemic literally kills patients staffing ratios predict #safety #quality mortality

If tie up @ayshakhoury’s time in lawsuit➡️NOT spent on patient care, career, mentoring, self care

As #MedTwitter works over Xmas
are *you* glad peers were fired?
Who’s firing pro-#safety #HCW in #pandemic? Those volunteering in #ICU exposing self/own families to #OmicronVariant?

No, those comfortably at home behind a screen, denying “#implicitbias”, anti-#BLM

See @Medscape best/worst doctors
If speak on #safety➡️fired
Cuz bad “optics” ImageImageImageImage
My pattern recognition is based on my time as a Chief Medical Officer & VP of Medical Affairs & state-level #compliance

I saw “Amy Cooper” persona harming Black, BIPOC, LGBTQ, disabled, those with #mentalhealth professional, over & over like @jbullockruns describes
Follow him
#BLM #MedTwitter? Embrace *career* consequences of being both abolitionist in action & vocal/visible. Yes, you will disqualify self from certain jobs

Black community cannot bear this alone while rest of us get participation 🏆 for retweet that only boosts own #SoMe metrics ImageImageImageImage
Before you grow your #MedTwitter #SoMe metrics as an “ally”, examine your true motives & mindset

Are directing your followers TO Black &marginalized voices?

Are you abolitionist IRL when you could have prevented @ayshakhoury fired or are you (excusing/protecting) an Amy Cooper?
Also, #MedTwitter #MedEd
re:bell hooks
She did not capitalize her name

respect most basic aspects of self identification & autonomy
Learn & listen

Allyship 🚫=spokesperson of a movement you only just jumped into per #SoMe trend

Specifically, on #TikTok in 1st tweet? See below
If you seek safety as ally
you are in denial/not an ally

Think about MLK we quote? JFK, RFK, Malcolm X, @Malala?

“If you are being shot at, you are flying over a high value target”

#valuebasedcare?
Allies “shot at” cuz #BLM changes value proposition nytimes.com/interactive/20…
Reason to “center Black women” is to commit to #economic #justice that recognizes Black labor & #Blackexcellence as foundational to U.S. power/success
#BLM

Mechanism allowed to exist vs most mislabeled & marginalized =Black women
…now used like below too
nytimes.com/2019/06/08/opi…
If only the narrow-minded among trainees, resentful of #DEI, incapable of systems thinking, centered on selves, seeing #BLM as a threat

could understand

Centering Black women will improve YOUR situation too
NOT take from your opportunities

#Pandemic mess? No #ICU beds?Systemic
Early #pandemic #MedTwitter ppl offended/feeling “bullied” by terms #implicitbias & “racism”
➡️#HCW fired & harassed

What was actually needed then: #VaccinesSaveLives outreach to public AND peers
prep for #vaccinemandate legal battles
#PPE & #supplychain
#mentalhealth for #HCW
Common for midcareer women & WOC’s actual credentials & credibility to be not recognized
Voice➡️fired

Perpetuated in #MedEd like at @PASMeeting repeatedly. “Optics matter” applies here

Even #Pediatrics with >70% women creates visuals
Of👩🏾‍⚕️ “not #leadership”
➡️heuristics/biases ImageImage
When are you going to start listening
to Black women
frontline #HCW warning on #safety
those have experience of operations #leadership for entire #FQHC systems

vs

marketers for hospital reputation & your new Wall St bosses who gave us 2008 crash?

Now #healthcare crash too ImageImage
Center Black voices

If you don’t want to keep getting crushed, listen to the margins & marginalized where the harm & deaths start to show first

Follow #BlackMedTwitter
Be an abolitionist
#HappyHolidays gift?
Add >10 followers to this list
#MedTwitter

twitter.com/i/lists/122380…
The peers you did not speak up for
-as did not fit “victim” persona
that “Amy Cooper” utilizes
as voice of administration to silence-

when they were addressing safety particularly for self & patients
now tied up in lawsuits

So #HCW now just quitting

linkedin.com/posts/activity…
“#Labor shortages…adding to hospitals'…precarious #financial situations…pressure on…recruitment and retention strategies..driving up wages… paying $24 billion more per year for …clinical labor than they did pre-#pandemic.”

Killing golden goose

healthcarefinancenews.com/news/healthcar…
“#Healthcareheroes” not enuf to stay in jobs that literally kill
via #burnout #moralinjury ➡️suicide
via lack of #PPE➡️#COVID19 deaths
@drbreenheroes is one example of many of #HCW in #pandemic
“Fish rots from the head”: #healthcare #leadership failure

khn.org/news/article/u…
When I was was visible, yes, in white coat, speaking up TO gov’t for ⬆️ #Medicaid & other funding that (yes, helps patients but also)
helps hospital bottom line. 👍
Getting invited to TV, radio, White House? 👍
Same voice used to identify #safety withIN hospitals? Silencing🤐 ImageImageImageImage
This was the # 1 #podcast for @becker_sbecker, a top ranked #business & #leadership #applepodcasts on racism, within hospital teams, speaking as a Muslim woman physician. People who deny #implicitbias also deny medical error when happens to Black families

go.beckershospitalreview.com/scott-becker-i…
I had to center Black women to hear #implicitbias in “it is how they are hearing things” about a Black family where CLEAR & documented data error on birthweight in a LBW infant.
#pediatrics

This bias ➡️ higher mortality
My own “WOC” does not protect vs:

amp.cnn.com/cnn/2020/08/18…
NOT Black scholars/institutions getting 💰 to study OWN communities
instead: colonial/savior mindset

Same problem in “allyship” in #SoMe #SciComm #MedTwitter #NurseTwitter #ScienceTwitter

rewards the “savior”
…or just savvy #healthcare #marketing

@statnews @DrAlethaMaybank
As a child of immigrants unless I actively seek out Black women & Black communities I will NOT learn from #school/#HigherEd the real history

Add: most immigrants seek belonging, by aligning with power

Here attempt to claim Aryan/white for legal rights

thewire.in/history/when-t…
“POC” is an ambiguous term that includes groups with overt superiority beliefs based on race or “Aryan” heritage.

#SciComm MUST center Black women, specifically, those descendants of those formerly enslaved. All the rest of us have to unlearn/relearn SO much from “old country”
Sudden #SoMe #influencer love for #Afghanwomen (trending hashtag) from same cultures with notorious abuse & dehumanization of Afghan #refugee made me question motives

#DEI allyship optics only, own metrics = newest form imperialist exploitation
@thehill

thehill.com/policy/interna…
Our assumptions/heuristics have us look past #ghislanemaxwell as 👍
or “victim”

➡️Examine/watch ALL “allies” of #BLM on #SoMe #SciComm & hold us all accountable if #DEI words not accompanied by abolitionist actions, not centering Black voices, harm.

newyorker.com/news/our-local…
As Dr. @ayshakhoury tweeted, there *is* a shadow network within #Academia #MedEd AND “#SciComm” for #BlackintheIvory vs her, Dr. Princess Dennar, @nhannahjones
#DrSusanMoore

@nytimes @kashhill @Aaron_Krolik @NickKristof @DrAlethaMaybank
#AcademicTwitter #AcademicChatter Image
#HigherEd donors pressure vs #DEI #BLM
#blackintheivory ⬆️ing
NOT a boomer thing (tiki torch march: young)

If your “allyship” NOT directing traffic to #Blackexcellence on #SoMe
then institution can quietly fire/🤐 your Black or abolitionist peer
& amplify you/your “#SciComm” ImageImageImageImage
In #Academia those lacking credentials for a job, who cries “I am attacked” vs calm, credentialed Black or activists…what is reason that person is there, what value do they deliver? Donor placed?
Consider: Are you looking at the shadow network & an Amy Cooper?
Compare scenarios ImageImageImageImage
Only #implicitbias?
To drive out so many #BlackintheIvory faculty like in 2020-2021? *despite* SO much #DEI in #MedTwitter & #HigherEd

➡️Every institution has donor 💰behind what described in #docsagainstdoxxing
often an ambiguous “POC”
For anti-#BLM, anti-patient, anti-student Image
Academic gossip has always been vicious=#misinformation #disinformation within #academia vs rising superstar trainees seen as “rivals” or “threats.”

Now is part of anti-#DEI, anti-#BLM, anti-#CRT
smears now by donor 💰 vs @nhannahjones
vs @ayshakhoury too?

“#data”? Manufactured ImageImageImageImage
In a #datadriven & monetized #SciComm world, this war on #Blackexcellence #DEI #BLM is via #SoMe #data & #influencer status for eyeballs & metrics

+ creepy #surveillance that entraps or mislabels using policing tactics: think “stop & frisk” in #HigherEd

civilrights.org/edfund/resourc…
Tracking to mislabel now: same as was done vs Civil Rights activists in ‘60s, now done as donor-funded #BlackintheIvory vs Black & marginalized identity faculty, students, patients

Protecting Black voices & centering Black women critical to #BLM in #healthcare & #HigherEd.
Even @HarvardBiz knows the importance of Black doctors to #quality. Even more so, #NurseTwitter & Black nurses are critical to patient #safety. Yet #MedTwitter doubles down on/justifies attacks vs all these #HCW are core to good outcomes for patients.

hbr.org/amp/2018/08/re…
#MedTwitter #Influencer focus on Black patient pain disparities👍

ALSO
see, name, act
when Black peer/doc/academic targeted, mislabeled
called “intimidating” “unprofessional”
BEFORE
driven out/fired
or dies

#DrSusanMoore one year ago

+

eradicate #BlackintheIvory & Amy Cooper ImageImage
Black women have always been backbone of America
“mammy” role @mdawriter tweets on @KathleenNB points out @staceyabrams is part of a long legacy, not rare “hero.”
Black women’s #GOTV & election wins affect judiciary, thus #womenshealth access for ALL women
So center Black women ImageImageImageImage
Follow & cite #Blackexcellence, Black women, #BlackMedTwitter Black RNs & RN-scientists like @mclemoremr @DrJRMarcelin @TamorahLewisMD @gradydoctor @oni_blackstock @RheaBoydMD @divadocsbos @Boghuma @MatiH_ID @DermDocJenna @DrJessIsomMDMPH @PedsOtoDoc
twitter.com/i/lists/122380…

• • •

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

Umbereen S. Nehal, MD, MPH Profile picture
25 Dec
#antivaxx efforts now even use #deepfake

to target #refugee, Black, religious minority communities

like measles outbreak in Minnesota in 2019: Wakefield was flown in TO spread #misinformation & #disinformation

Now: online fake accounts/fake identities vs #VaccinesWork
What has #healthcare been doing meanwhile?

#Medbikini: Teach (male Asian) med students to make fake accounts to cyberstalk trainees’ personal Facebook for: bikini
or “being political” or “religious” (#BLM)

➡️“model minority” pipeline for “shadow faculty” vs Blck @ayshakhoury ImageImageImageImage
#Medbikini #research got flak for men vs women

BUT was ALSO fake acct #surveillance vs #BLM like drove out @ayshakhoury @uche_blackstock @nhannahjones

While academia has ignored #vaccineequity
➡️ongoing #pandemic & deaths in marginalized targeted by #antivaxx

@womanistpsych
Read 23 tweets
Umbereen S. Nehal, MD, MPH Profile picture
24 Dec
He spent his life as a first responder when others needed him. When he had a heart attack on the job, system overwhelm meant no resources available for him.

This is betrayal.

We’ve been asking, pleading, negotiating, screaming for this not to happen.
Those #HCW who spoke up early on #safety? Fired.

bloomberg.com/news/articles/…
Maybe listen to the ones who care enough to speak up on REAL #safety issues rather then fire them.

The current #HCW correct dismissals over refusal of #VaccineMandate claim administrators are “bullies” because that HAS been true in past.

npr.org/2021/10/24/104…
Read 16 tweets
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
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.
Read 11 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!

Like this author's thread?

Get emails when @usnehal has new unrolls!

Check out other threads from @usnehal!

Read all threads by @usnehal

:(