i was born into the southern baptist church. my grandfather was my pastor for the first decade of my life. i was "born again" when i was 6 after a particularly terrifying sermon about hell. i spent 32 years in white evangelical churches, and it fucked me up in a lot of ways 🧵
i attended bob jones academy, a conservative fundamentalist christian school where interracial dating was banned until the year of their lord 2000. i was taught that the bible is 100% literally true/historically accurate and that the earth is 4-6k years old don't ask questions
the #purityculture movement of the 90s and 00s shaped the way i viewed sexuality, gender, marriage, and divorce--basically that sex is a sin anywhere outside the context of a cis/het monogamous marriage. and it motivated me to get married at 21, which is my single greatest regret
#evangelicalism instilled racist, homophobic, transphobic, misogynistic firmware in my brain that required a lot of work to overcome. i was taught to see poverty as a moral failing, democrats as baby killers, scientists as agents of the literal devil leading people away from god
some of those views mellowed over the years but it wasn't until 2016 that i went through the process of #deconstruction and re-examined my beliefs. because my theology was based on the inerrancy of the bible, the whole thing crumbled pretty quickly when i started reading it again
i'm an atheist now, but other people land in different places, and that's ok too. i don't have an issue with religion or religious people. but i have a big problem with the way particular expressions of religion harm both the people in them and the people outside of them
christianity isn't *a* religion. it's thousands of religions, depending on how the bible is interpreted. the same bible that was used to justify slavery was used in the fight for abolition. the bible used by queer-affirming churches is the same one trump held upside down for a 📸
the only expression of christianity i know is the one that i experienced. and looking back i see the many ways in which it negatively impacted my life, and the ways that it has intentionally been used by cis/nominally strait white christian men to maintain power and privilege
it's not necessarily that the people in the pews are bad people. some of them are. but most of them are victims of a system that manipulates them to enact political or societal changes to maintain power. intentionally. sometimes admittedly.
white evangelicalism causes significant harm, both on an individual level and on larger scales. it stands in the way of social reforms. the christian nationalism that generally accompanies it is a legitimate danger to our nation, and was a key factor in the 1/6 insurrection.
it fosters/covers up sexual abuse, and perpetuates many other forms of abuse as well. it causes very real lifelong trauma. no matter what your religious background and current beliefs are, it's a really important subject that affects us all, especially those with less privilege
so i'm writing about my lived experience in the church and the way my perspective has changed as an #exvangelical. and i'll be tweeting about it. i'm sure it will resonate with some of you, enlighten some of you, make some of you think, and piss some of you off.
during my MS-3 surgery rotation, i got pulled into a cardiothoracic surgery case. the division, and this attending in particular had...a reputation, and most of us would do anything to get out of working with them. but this time, i couldn't get away.
it was a laparoscopic case involving one lung. my job was to hold the camera--not a particularly difficult job, but one that's really important, and one that's not easy if you've not done it before.
as things were getting set up, the attending was talking to me about how we were going to insert the endotracheal tube further than normal, to intentionally intubate one lung, allowing us to work on the other. brilliant. i'd never thought of that.
when i was in residency, i had an idea for a different practice model. one that would allow me to spend more time with patients, and would let me operate outside the bounds of the typical healthcare system, giving my patients the attention they deserved.
i spent two years working on a business model that i thought would work. i examined similar practices from across the country, took the best parts of them, and implemented them into a practice model that i thought would be great.
but things didn’t go as i had planned. the grand opening was less than grand. i think i saw 2 or 3 patients the first month, which was great for studying for boards, but not so great for paying bills or keeping a practice afloat.
“colic” isn’t a thing. “gripe water” is also not a thing.
except they kind of are. they're multiple things, really.
come with me on this journey. (THREAD)
in 1954, dr. morris wessel published a paper called “paroxysmal fussing in infancy, sometimes called 'colic’” it’s about (as you probably surmised) babies who cry a lot.
the researchers examined the records of 98 babies and separated them into 2 groups: “fussy” and “contented.” how? by using a definition that dr. wessel just made up: babies who cried more at least 3 hours a day, at least 3 days a week, for at least 3 weeks were defined as "fussy"
The story of teething begins, as all good medical stories begin, with Hippocrates, who wrote in the 4th Century BCE that “teething children suffer from itching of the gums, fever, convulsions, diarrhoea, especially when they cut their eye teeth.”
(a thread)
It wasn’t until the late-19th century that a precise mechanism was elucidated. J. W. White explained, “The nervous perturbation occasioned by the eruption of teeth increases the susceptibility and lessens the resistive power of the child.” (There, that sounds science-y enough.)
Just a few hundred years after Hippocrates wrote of the perils of teething, Soranus of Ephesus developed one of the earliest recorded treatments for teething:
1) Kill a bunny (or don’t, but it seems the humane thing to do) 2) Cut out its brain 3) Rub it on your kid’s gums
we shouldn't be here. the management of this pandemic has been a complete disaster from the start. efforts to get this pandemic under control have not been only ignored, but undermined by our president. we shut down for weeks, and we have very little to show for it.
we still lack adequate ppe. we don't have a coherent testing strategy, and the tests we are doing often take a week or more. we still lack hospital beds and icu beds and staffing required to handle what's here or coming. that's what the shutdown was for.
we flattened the curve so that we could address those things, and yet here we still are, months later. people are tired of it, and i get it. i'm really damn tired, too. i want this to be over. but we can't just *decide* it's over, which seems to be what's happening.
In the words of Kenny Rogers, "If you're gonna wear a mask, boy, you gotta learn to wear it right." (Thread intended for HCWs, but important for anyone)
Point #1: If you're wearing a mask, its job is not to protect you. The point of the mask is to protect other people from you.
Because a significant percentage of people infected with SARS-CoV-2 don’t have any symptoms, and those that do are contagious before symptoms develop, we have to assume everyone has it, including ourselves. Your mask is intended to protect others from you in case you're infected.
Masks may provide a slight benefit in protecting the person wearing them, but they are dangerous if not used correctly. It’s helpful to think of things as “clean” and “dirty.” As you breathe--or get breathed on, the mask collects and concentrates viral particles.