In recent years have started to question the traditional approach to #narrativemedicine. Who owns a story? What lens is applied? I get it is seen as important for “joy of practice” to tell these stories as doctors. Except, these are actual lives and bodies of human beings.
In all places, particularly, in #Pakistan, extremely important for mothers, female role models & #HeforShe men to encourage young women and girls to be expressive, out of box, push boundaries, and never go silent.
The only way to advocate for the voiceless and marginalized is to use any source of privilege one may have to create space, amplify others, and be willing to be told one is “too much” in myriad ways. What is the standard to measure too much, tho? If measure is status quo...
Who designed the metrics of “just right” vs “too much” and who defined “good” vs “bad”?
What gender, ethnicity/tribe, religion, etc wrote “the rules” - overt & unspoken?
What cultural triggers are there to invoke, anger, disgust, shame?
It’s an interesting approach at @MITSloanFellows - placed into teams rather than allowed to select own team. The teams are formed so there is likely to be misalignment and conflict. And then we have to work together for grades. We cannot do usual bonding activities via Zoom
Teams are being coached & cautioned that it is easy to create “in” and “out” groups to exclude, marginalize, label some in group. Instead, keep open communication and pause prior to forming any conclusion.
Much debate on #SciComm. Little formal guidance exists. Those on academic committees that oversee ethics & professionalism are unfamiliar with social media. And now we are in a crisis and #pandemic of many levels. #publichealth very different from industry (1st vs rest).
With disrupted public health coordination, like cutting off from WHO, changing guidance from CDC (masks only for clinicians, no everyone wear them) how to be accurate?
In comparison, industry guidance #SoMe guidance. Industry has a lot more experience with this and uses it for marketing, market share, customer outreach, customer brand recognition, brand management. The focus is prestige, optics, reputation - there are monetizable traits.
This - not only the social structure of South Asian culture, whether India or Pakistan, but the experience of Colonialism. We understand this in implicit & explicit ways used for re-establishing positions of dominance in the U.S. as "model minority" - use that for social justice
Colonialism layered over social hierarchy in South Asian culture, not erasing social structures. In chattel slavery stolen African bodies were all the same - former king now a slave. We kept our names, not taking masters' names. We accessed education.
When we think we get places in America only through hard work that is self-serving narrative and myth. Yes, there's hard work, but hard work that gets rewarded. We also get places because we know how to "work it" - work the system like systems that worked for us in the homeland.
If you are a woman who is not making others uncomfortable, if you are not pushing or disregarding boundaries, if you are waiting for permission, you are perpetuating status quo. Instead, be the change that is needed. Speak up. Be messy. @techreview
*This* is what it means to create “safe space” - no shaming or judgement, only encouragement, kindness, affirmation from a #tweetiatrician who shares that she too was a #teenmom.
Meet patients where they are.
Be a role model.