The problem isn’t false accusations. It’s that men refuse to acknowledge rape. “They [rapists] had absolutely no sense of themselves as rapists and were only too happy to talk about their sexual behaviors.”

Based on a study of rapists, as described in Missoula by Jon Krakauer.🧵 They are too entitled and self-centered to see the harm they cause.

The pandemic has been so badly bungled that people don’t know if they have Covid, don’t care if they have Covid, don’t know when to test for Covid…what are we doing here??

My mom just tested positive for Covid and wouldn’t have known if I hadn’t told her to test again… …She had tested the first day of symptoms and was negative. I told her to test again, and bam, positive.

A family friend got Covid around Thanksgiving. I told her she should keep testing even after she feels better bc of rebound and how long some people stay positive…

We don’t talk enough about coercion in healthcare. I just had a procedure I did not want to have because I was forced to do so in order to move forward with IVF. I stated multiple times I would accept the risk of foregoing the procedure. (The risk, as far as I can tell, is… …perhaps slightly lower success rate for implantation.) I invoked shared-decision making and bodily autonomy to no avail. I was reassured, in the classic paternalistic medicine way, that this was in my best interests.

I am a 43-year-old physician. If my doctor doesn’t think…

Did you know up to 200 women at Yale’s fertility center were forced to undergo egg retrievals without narcotics? These procedures are typically done under heavy sedation, but these women were awake enough to talk; one even told them she was alert enough to drive. These women… …were in pain, and they were brushed off. A nurse in the clinic had swapped out fentanyl for saline in hundreds of syringes. So for FIVE MONTHS women had these horrific experiences. They told their doctors, but nothing was done. One of the women recalls her doctor saying…

We all know women make less money than men. Did you know people are compensated less for performing procedures on female patients than if performing similar procedures on male pts? We’ve know this in the US, where compensation is based on RVUs which are determined by a group of… …almost exclusively men.

A recent study found the same thing in Canada, where compensation is totally different!

Urologists and ob/gyn surgeons created a list of procedures performed for female patients and identified analogous procedures performed on male patients…

Seemingly “natural” homogeneous gatherings like this are a result of the systematic exclusion of marginalized people and further perpetuate the marginalization.

Here are my favorite tweets pointing out this absurdity.

https://twitter.com/saeeddicaprio/status/1678529738858536962

I don’t know if y’all have been following what’s been going on with the men this week, but here are some tips:

1. Whether you’re a famous celebrity or an unknown baby daddy, you have no right to tell a woman what to wear. She is not your property. Your discomfort… …is your problem, not hers.

2. If you are pretending to be a women’s advocate, don’t talk down to women and blame them for making the best of bad situations. And if you do do that, don’t come out with two fauxpologies. Either be truly sorry, or consider the jig may be up.

3…

Since AirBnB is trending, here’s my story from a recent stay in Milan. When I checked in, the host left me standing on the street with my bags for about 20 mins. Not ideal, but what happened next is the real issue. When he showed up, he did not apologize for keeping me… …waiting. I tried to explain that there was an opportunity for better communication to avoid this situation. That made him really angry. So the entire time he showed me around, he alternated berating me/defending his position with banal…

How much do y’all think this costs? At a normal grocery store (Safeway). Most of these guesses are wildly off, sadly. Inflation 😥

As the walls of Twitter come crumbling down around us, I need you all to know that this community has really saved me. You have been through all the ups and downs with me, and I literally would not be where I am without you. Some ways twitter has been instrumental for me: 🧵 1. All the research I’m doing on fertility/family planning/abortion was made possible by collaborations born on twitter. After I wrote the piece in my pinned tweet, I connected with so many others who had similar experiences. Ultimately @AMWADoctors took up the cause, and…

This is why we should have been investing in ventilation two years ago. After 2.5 hours in a theater, the CO2 level is super high (3355).

I wore an N95, as I always do indoors. But many in the audience were not wearing any masks 😟 Btw this image shows one way to interpret these data (via @ModelAyshaMirza)

And here’s one explainer from the Imperial College in London (related to classrooms): imperial.ac.uk/news/233154/cu…

MY FIRST BYLINE IN THE WASHINGTON POST, Y'ALL!!!!!!

A thread

Many of you have seen the study by @WallisCJD and @propelresearch et al which found female patients were 32% more likely to die if cared for by male, rather than female, surgeons.

washingtonpost.com/outlook/2022/0… It's fascinating to me that in all the media coverage of this excellent research, few picked up on another key finding: male patients were also more likely to die if cared for by male, rather than female, surgeons. So, really, all patients did better with female surgeons.

2/

It's easy to forget how little we knew back in April 2020.

We didn't know how the virus spread (on surfaces? in droplets? as an aerosol?) or how to treat it, and we definitely didn't have vaccines.

There was confusion about masks. Should we wear them in public? 🧵 If so, what kind? What we knew for sure was that people were dying in numbers we had not seen before in our lifetimes. I flew to New York City on a near-empty flight, upgraded to first class because I was going to volunteer my time as a physician. People valued doctors then.

2

This manuscript was a heavy lift from inception (trying to understand the negative experiences of women surgeons) to the conduct of the study and then analyzing transcripts and writing the manuscript. There's a lot to unpack. Ready? Here we go! 🧵

journals.sagepub.com/doi/abs/10.117… First, what'd we do? We interviewed 45 surgeons (16 men) about their working relationships with nurses. What we found was significant evidence of the ways women surgeons regulate themselves AND the way they work to satisfy what they perceive to be nurses' expectations.

2/

It wasn't until my fourth year of residency that I scrubbed with another Persian surgeon. As we bantered in Farsi, I was surprised at my own glee, at the way this simple thing, speaking in our native language, made me feel more at home.

That feeling didn't last long. 🧵

1/ We were shut down, told we were being disrespectful and that it was inappropriate to speak in another language. From a patient safety lens, mind you, there was nothing urgent happening in the operation. No one was missing out on "critical" information by not...

2/

My point-by-point response to Dr. Klotz, who did us all a favor by putting his biased thinking out in the open.

Dear Dr. Klotz,

Thank you for demonstrating the challenging attitudes faced by women in medicine. Here are the flaws I see in your arguments.

1/

https://twitter.com/LauraBukavinaMD/status/1430971005724409859

#1. Perhaps instead of “ideological” lens you mean the authors have some kind of agenda? That agenda seems to be helping women have the same access to opportunities as do men.

2/

It's not every day your piece is front and center on the @TheLancet homepage!!

I was delighted to work with @reshmajagsi on this commentary covering what institutions should do to reverse the damage the pandemic has done to women's careers. 🧵

thelancet.com/action/showPdf…

1/ We have four major recommendations. "First, institutions must intentionally implement best practices to recruit, select, retain, and promote women..."

This would include criterion-based evaluations and transparency regarding roles and compensation.

2/

“We care more about the crazy, insane members of Times Up Healthcare???”

This is what Roberta Kaplan apparently thought of us a few months ago when we stood up for survivors and ultimately resigned. A long 🧵explaining the news..

1/ Many of us resigned bc the organization clearly did not, despite its purported mission, prioritize survivors.

This piece, by @jodikantor, @arya_sundaram, @melenar, & @caranyt, is the latest in a series of articles about TU after the Cuomo debacle.

https://twitter.com/jodikantor/status/1429145448271552514?s=21

2/

Lately I've kept quiet on here about covid. There are amazing doctors and scientists tirelessly sharing the latest studies and policies, and my daily work is related more to bias and harassment than it is patient care. So I have been leaving that work to others.

1/ But I have been spending time with some amazing colleagues who are trying to educate the public over on Clubhouse. What I've seen in the last six months there has me concerned.

I'm not trying to be alarmist, but with infections rising across the country, I'm a bit down.

2/

How do we talk things that are hard to talk about? Some musings.

I imagine that if I were a man, I would be upset about the way women and non-binary folks are treated in the workplace. I imagine I would want to speak up—that’s how I’m wired. But I might not know what to say.
1/ Being the type of person I am, I would probably read books such as She Said or Good and Mad to try to understand. And then I might start speaking up.

But what if someone tells me I’m speaking up in the wrong way?

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It’s been almost 2 years since I left my academic surgery job. In this time, I’ve become acutely aware of how much we have to PAY ($$) to build an academic career. I stopped submitting abstracts to meetings because I had no money to pay for going to them. When students…

1/ …asked to submit abstracts based on our work, it was heartbreaking to tell them that I couldn’t pay for them to go but that maybe we could try to find another way. (I made so little myself I couldn’t pay for them out of pocket).

When I got asked to give talks...

2/