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…
No, #vaccinemandate is not the cause of #healthcare collapse.

Cause: Overwhelm from unvaccinated patients + years of failed #healthcare & political “#leadership.”

seattletimes.com/nation-world/c…
In March 2020 I thought long & hard about a #NYC CMO offer as #pandemic rose. “We need you” appealed to my sense of mission. My prior attempts at heroism had beaten me into pragmatic reality. I assessed risk of #moralinjury like @drbreenheroes. I declined

nytimes.com/2020/07/11/nyr…
Also, for years I have pushed past & persevered thru my getting sick easier, staying sick longer, prone to syncope. There’s never been any compassion for #HCW tho. Be cog in system.

Was unsure what exposure to #COVID19 would do to my ability to function at needed heroic levels.
My late mother supported me, when I turned down the job, in overcoming the shame we heap on ourselves when we “fail” to be superhuman as #HCW/doctors to compensate for the system’s failures. I think my awareness of my risks/health realities saved my life. khn.org/news/article/u…
The #COVID19 #pandemic took my mother, who lived in #Texas and who did not yet have vaccine available in her zip code. I have never used “doctor privilege” to cut in line or gain extra access. Mom raised me to be fair, humble. She had mobility limitations.

Did I fail my mother?
I have done my best to have faith. “Her time was appointed.” “God controls these things.”

Except I know human beings made deliberate #pandemic choices, especially in #Texas, to devalue life, especially of elders.

I do NOT forgive those responsible.

amp.usatoday.com/amp/2905990001
Even if I *had* tried to get my mother the #vaccine earlier, would I have been mislabeled & harassed

like fellow Pakistani-American physician who was called a “thief” for NOT discarding expiring doses, instead…getting them into arms in #Texas?

project-syndicate.org/commentary/gok…
Race is used as the criterion to determine you did something wrong. It is not “#ImposterSyndrome” we are feeling but a real, constant danger if we do not live up to an impossible of perfectionism there will be draconian consequences.

thedailybeast.com/texas-doctor-h…
This has hit communities of color & the #HCW of those communities the hardest. It is literally our own relatives & neighbors dying. Hit on all sides. Black & minoritized doctors more likely to work in the community, at margins, with refugees, or #FQHC.

usnews.com/news/health-ne…
Mike Hart, first responder who died while no resources available to him, mentioned in 1st tweet, was also at higher risk of #COVID19. As it is, EMS already go into unknown situations & danger. This was an added risk.

Stop using “hero” to justify deaths.

contagionlive.com/view/first-res…
Yes, there is higher #vaccine hesitancy among EMS #HCW so that may contribute to higher risk - exposure via peers as well as the general public or face to face life saving procedures. Many lost faith in the system after 9/11 & affects on their health.

pbs.org/newshour/healt…
“We said we were sick from 9/11,” Feal says. “They [members of Congress] said we were making it up, it was in our heads, we were crazy.”

Would you trust that government?
Public officials’ failures created the distrust that blocks #pandemic response now.

scientificamerican.com/article/health…
This is NOT “chickens coming home to roost” though cuz those dying are NOT the ones sabotaging & slashing #publichealth or harassing & mislabeling #HCW or telling 9/11 frontline they were “crazy.”

It is the powerless, frontline, at margins who have died, including on the job.

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More from @usnehal

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
23 Dec
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
Read 45 tweets
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
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
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
11 Dec
"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

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