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Prof Nisreen Alwan 🌻 Profile picture
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Feb 9 • 5 tweets • 2 min read
Wow, this website on anonymous stories of #sexism & sexual assault in healthcare has just been shared with me and it's so powerful @ScrubSurvivors
survivinginscrubsorg.wordpress.com/your-stories/
It reminded me of a more senior male doctor who used to repeatedly stand behind me when I was sitting at the desk writing in patients' notes & stroke my hair. It was so distressing but you wouldn't dream of doing anything about it at the time- no one would take you seriously.
That was over 20 years ago & this is the first time I talked about it...
It's striking how sharing this made me so uncomfortable even though it happened such a long time ago. Thoughts of people judging ME surfaced straightaway. Thinking to myself: I should've said I did do something. I moved away. I told him not to...
This stuff is so messy and so powerful & those who simplify it don't know what they're talking about...

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More from @Dr2NisreenAlwan

Prof Nisreen Alwan 🌻 Profile picture
Feb 1
As a junior doctor I worked with a consultant who sat me down once & said it’s not your fault that u often doubt your skills & judgement. It’s the schooling system. You see these super confident young docs & they’r not necessarily better they were just trained for years to be so.
That was over 20 yrs ago but still resonates. I was not only blaming & shaming myself for not being good enough but also blaming myself for thinking &sometimes showing that. With one affirmative sentence he changed the second bit. He halved the psychological load. Amazing really!
That is the power of #mentoring. Sometimes it’s once sentence coming from someone you look up to, respect and trust.
Read 4 tweets
Prof Nisreen Alwan 🌻 Profile picture
Jan 18
1/ Quick thoughts on this recently published healthcare records #LongCovid study which concluded that mild disease does not lead to serious or chronic long term morbidity in the vast majority of patients.
TL;DR I don't believe this conclusion! Here's why:
bmj.com/content/380/bm…
2/ Study results themselves say otherwise:
Shortness of breath, weakness, smell & taste disorders, concentration & memory impairment all remained higher in those with +PCR compared to controls at 1y. It seems the authors considered these not serious to reach the above conclusion ImageImage
3/ Re comparison: some of those labelled uninfected im control group might have been infected at some point but not tested + or conducted tests other than PCR given the high community prevalence of covid. This may result in diluted effect differences between cases & controls.
Read 12 tweets
Prof Nisreen Alwan 🌻 Profile picture
Dec 9, 2022
1/ Kick-off question from @DJDevakumar in the launch of @TheLancet racism and health series @raceandhealth

What does #racism mean to you?

This made me reflect on my personal definition of racism so here goes 🧵
2/ To me personally I think of #racism as discrimination whether *by thought and/or action* based on skin colour or geographical place or culture or religion or language or social attitudes that never operates in isolation, which brings us to the concept of #intersectionality
3/ Racism is always compounded or diluted by other systems of oppression or privilege like #patriarchy #classism #homophobia.
Read 6 tweets
Prof Nisreen Alwan 🌻 Profile picture
Nov 21, 2022
1/ I watched the men’s WC opening ceremony last night because as someone with an Arab background I wanted to see how an Arab country would do it. I wasn’t impressed and personally didn’t feel any sense of pride or representation. However I understand that other Arabs might.
2/ I get why some of those negatively stereotyped and routinely discriminated against in Western settings might feel it hypocritical that once a country that speaks their language & carries elements of their culture hosts a global event like this many call for boycotting it.
3/ Also it may appear to those fleeing oppression & human right abuses in middle eastern countries that the west only recognises their ordeal when it comes to this ‘fun’ event not before or after when they’re trying to seek safety & dignity for them and their families. I get it.
Read 4 tweets
Prof Nisreen Alwan 🌻 Profile picture
Nov 19, 2022
Lots of sadness about Twitter potentially going or significantly changing among the #LongCovid & #ChronicIllness communities. Also remember how It amplified voices that could’ve not been heard otherwise on issues like #pandemic #science #racism #GenderEquity. But don’t despair 1/
We know how to do it now so we’ll do it again. Preferably on platforms not totally controlled by billionaires and not using our connection to gain massive profit and increase inequalities. I’m an optimist on this. Because life is change. Nothing stays the same. However 2/
It’s important that those who found solace & empathy on here don’t lose that. I’m now using Mastodon (non-profit SM platform with far less hostility and toxicity so far) and I see a place for less heard communities getting established there. Find me on @nisreen@mastodon.online 3/
Read 4 tweets
Prof Nisreen Alwan 🌻 Profile picture
Nov 8, 2022
1/ Systematic review of the prevalence of #LongCovid

Now out as a preprint (not peer reviewed yet). It was a LOT of work. So grateful to my co-authors for their monumental effort: @MirembeWoodrow @NidaZiauddeen Darren Greenwood @vlutje1 Rebecca Thomas, @AthenaAkrami Chales Carey
2/As expected we found a huge variation between studies (0-93%). Prevalence generally higher in studies with mostly hospitalised patients. Because of our search period, studies estimating prevalence post vaccination were not included but we know these generally show lower numbers
3/ The main message is that the way #LongCovid is defined & measured affect prevalence estimation. However, even with the most conservative estimates, given past and continuing #SARSCoV2 infection, the burden of chronic disease post infection on population health is substantial.
Read 7 tweets

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