Share this page!

Umbereen S. Nehal, MD, MPH Profile picture
Twitter logo
3 Jan, 16 tweets, 20 min read
This 👇👇👇 (h/t @joemd)

Also, at midcareer female success is threatening to men our age AND to younger men who rely on patriarchal patronage systems. Women, overpoliced by the system, then, yes, are tougher bosses AND we *do* tend to adhere more closely to ethics.

I do do all:
On #MedTwitter there is a pattern of “callouts”, yes vs all genders & ages, but also pattern of misogyny and misogynoir. It happens towards nurses & doctors alike. One of the reasons I connected with @ShrimpBrokkoli is because I saw a yt male resident ridiculing her online.
I saw that behavior being taught by NON-clinical faculty & that REALLY crossed a line.
If you are a woman + nurse + frontline + Black/WOC, you already live with so much violence towards you. Added online made up drama from a trainee vs nurse?
No, no, & no.
webmd.com/a-to-z-guides/…
Criminalizing patients is NOT a prevention strategy. All it does is let hospitals still understaff, create pressures/conditions➡️escalate irate patients➡️criminalize patients.

Nurse #PTSD

PLUS we MUST teach respect to RNs in #MedEd

#NurseTwitter

thestar.com/opinion/contri…
I post on #physician #SuicidePrevention, but #nurse #suicide is very real. Nurses acquire *more* #PTSD from their role at the bedside & often disempowered/bullied in hospitals hierarchy. While unions can do collective bargaining, also bully outliers or WOC
afsp.org/story/breaking…
#bullying in #healthcare is driving #thegreatresignation of nurses (& doctors)

➡️shutting down our hospitals, ➡️rationing of care
➡️kills patients

Women who align with power/patriarchy=“queen bee”

Anti-bullying expert on @LinkedIn
#NurseTwitter

linkedin.com/posts/rtconnec…
Look at the anti-woman & victim-blaming language

compare to “#professionalism” #compliance in #healthcare to protect *hospitals*, not #HCW: obsesses over if you smiled or wore a bikini at beach on day off #MedBikini

NOT teaching how to manage #endoflife, #DNR, or rationing care
Was perplexed in 2020,when in #NYC & refrigerated trucks used as makeshift morgues
why a #MedBikini focus on tweets, smiles

not #DNR, #endoflife #PPE to protect #HCW

Since then: guideline changes & #DrSusanMoore

All of it:
protect hospitals,not lives
corporate liability>lives
My response to this tweet?
Hospital administrators who put corporate bottom line before lives?
DID read that book.

“The Giving Tree”
can be called “The Taking Boy”

Compare the “feminine” tree & “is happy”
to 1st tweet/video of “boys will be boys”
+
my mark up of “influencer”
In #business, the C-suite who keeps an eye on the bottom line are “masculine” (either actual gender or role)

The front line, especially those who do direct human care, are “feminine” (gender or role)

The figurative “killing” of the “feminine” is now literal
with #HCW deaths
Global death toll of #HCW.

In U.S. in thousands.

How many frontline/essential workers were NOT counted… like custodial/cleaning staff with high exposure, delivery, receptionists?

Anyone frontline: lives worth less than cost of #PPE?

statnews.com/2021/10/21/who…
On #PPE & medical supplies, shortages worse now, from folks I know in #supplychain.

“Healthcare providers were getting the same amount as toy producers!…rubber is getting diverted to car tires that is more lucrative than our latex gloves and catheters”scm.ncsu.edu/scm-articles/a…
#Supplychain & impact on safety stock is not handled by #HCW/frontline but on the business & operations side of #healthcare. The impact is felt by the frontline

The frontline with highest exposure, and highest #COVID19 mortality, are disproportionately women & WOC & poorly paid
The frontline is dying of #COVID19 while those without exposure while hospitals still have not fixed #PPE safety stock and while government has not addressed #supplychain

yet shift more liability & risk to #HCW:

#NurseTwitter
#MedTwitter

npr.org/2021/04/08/985…
This #TikTok is more than just a rant, rather, it is the same mechanism by which we gaslight then blame #HCW for lack of #safety & then harm they experience. @IAmPoliticsGirl could as well be called “I am #healthcare”

#NurseTwitter #MedTwitter
@threadreaderapp please unroll

• • •

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
3 Jan
Thing is… even prior to #COVID19, it was known that viral shedding can occur in feces up to 3 weeks or longer. Isolation periods have always been subjective. That said, for airborne spread, there is a need to take precautions while infectious in that way #Omicron
Specific to #COVID19 (in #Pediatrics)

“duration of viral shedding in infected pediatric patients. Virus was detectable for a mean (SD) of 17.6 (6.7) days overall and was detectable for a prolonged period of time in all cohorts of children”

jamanetwork.com/journals/jamap…
Then this.

“Duration of symptoms ranged from 1 to 36 days. Positive tests were recorded up to a median of day 21 (range 6-38).”

pubmed.ncbi.nlm.nih.gov/33911876/
Read 8 tweets
Umbereen S. Nehal, MD, MPH Profile picture
2 Jan
Directness & saying what you mean is important. The receiver also needs to be ready to tolerate this. Society & business places tend to prefer the passive aggressive so being direct does invoke blowback.
There is particular social cost to being direct & going against social norms

if your optics/demographics invoke mental models …say of expected discretion, “civility”, or “be kind” or “softness”

OR

if mental model invoked is “angry Black woman/man”

fastcompany.com/90413951/women…
“Be kind” is red flag: it identifies the passive aggressive shushing/shaming people who are threatened by @candor & perceive directness as aggression. It’s a fixed mindset trait or a negative consequence when empathy/emotions overindexed in ways to block growth & learning.
Read 9 tweets
Umbereen S. Nehal, MD, MPH Profile picture
2 Jan
As a #vaccine & #publichealth advocate I *always* respond to any question with sincerity. Since I got put on lists of pro-#DEI/#equity/#BLM docs to target is anonymous accounts will “@“ me then when I respond in good faith it is tallied as my “harassing” = manufacture fake #data.
This is a deliberate anti-#publichealth #SciComm strategy to bully, harass (but then claim opposite), intimidate, & drive out

Sadly, it is successful

Hundreds of public health officials have left jobs, mislabeled by #disinformation smears

#MedTwitter

cnn.com/2021/05/23/hea…
If do not leave on own
manufactured/fake outrage or drama or
internal lobbying relationships/political pressure
⬇️
to get dedicated #publichealth officials fired

@KHNews #MedTwitter #NurseTwitter #ScienceTwitter #pandemic #COVID19 #QAnon #disinformation

khn.org/news/public-he…
Read 5 tweets
Umbereen S. Nehal, MD, MPH Profile picture
2 Jan
Good question. Not everyone in #SciComm is actually equipped either, is the issue, as there is no credentialing, training, or gatekeeping of quality on #science #communication, much of which is #marketing or reputation management for hospitals & for profit #healthcare companies.
In particular, there is a real dearth of credible, reliable #publichealth #communication & #scicomm. Much of what I have seen called as “SciComm” is “personal brand” & #marketing a private practice for revenue goals. Critical thinking or unbiased communication is still lacking.
Keep in mind just how prevalent gossip & smears & vicious rivalries are in #academia. Do we trust *these* people to responsibly #communicate to the public on delicate issues?

Let’s instead train #journalist on #science than other way round. #SciComm

thesocietypages.org/discoveries/20…
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
2 Jan
This is happening in U.S. & U.K. Once I got to the management & C-suite, especially in #NYC, I was unwilling to send #HCW into unsafe spaces to be injured or die.

@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.
The frontline is disproportionately POC, women. Those making guidelines or in C-suite are able to protect themselves. Leadership manipulates data/definitions, then shames, gaslights. Non-clinicians hired to override #HCW with “opinion.” Those at frontline who speak up: fired.
Who is among these flags (& whose loved ones)? It is not those pushing out pre-prints or on TV nor those safely behind a screen from a second home. It is those at the frontline, working without support, protection, or even without pay (some hospitals asking docs to volunteer).
Read 4 tweets
Umbereen S. Nehal, MD, MPH Profile picture
1 Jan
This is what targeted racial harassment looks like: nitpicking things like “smiled” or “wore clothes like a celebrity, as a celebrity” or “bought cookware.” It is part of the “gold digger” narrative.
This is common in #healthcare “#professionalism” where there is hazing & bullying by racist &/or classist made up non-rules lacking standards…yet people are called “breaking the rules.”

It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
In the U.K., “BAME” includes the formerly colonized, thus making race constructs or power different from U.S. as latter had race-based chattel slavery.

Thing is, those formerly colonized have many who have internalized self hate & racism.

psycnet.apa.org/record/2021-69…
Read 76 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

:(