Mother Nature is such a misogynist.
SO glad I did not decide to rent a car and try to go Finger Lakes this weekend to see peak foliage.
The antifragile & resilient mindsets/skills developed when cannot rely on own body
Prepared for anything
not fazed by sudden crisis
“Dealing with health concerns can prepare you for the ups and downs of business ownership” https://www.business.com/articles/managing-business-with-chronic-illness/
The pain is much more tolerable.
Actually got some sleep.
Am hoping to go back to sleep. But since my tweets resulted in at least one concerned call, documenting that I am ok.
Appreciate the care/concern/check ins!
That said, we have had an opioid crisis destroying so many lives
Yes, I do deep breathing and positive imagery along with the strongest non-opioid NSAIDs available to cope https://www.practicalpainmanagement.com/treatments/psychological/chronic-pain-psychological-stages-grief
My professional training taught me to take a day off was to betray colleagues and patients
= a source of shame.
In fact: https://www.ehstoday.com/safety-leadership/article/21918281/presenteeism-costs-business-10-times-more-than-absenteeism
Employees take an average of four days off per year for sick time, but admitted to being unproductive an average of 57.5 days a year.https://www.ehstoday.com/safety-leadership/article/21918281/presenteeism-costs-business-10-times-more-than-absenteeism
#MedTwitter @_HarryPaul_ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947637/
Recently submitted these:
We are taught to be embarrassed @vivek_soi https://twitter.com/vivek_soi/status/1316057003471577088
Lower self to the floor (before hitting floor)
And when a med school buddy calls “Are ok? Can I call anyone?”
Hang tough, “I’ll be fine”
I rarely/never accept help https://twitter.com/vivek_soi/status/1316065949204779011
it does attract the brutes and victims to brutalize you when you are down, often in name of “professionalism”
1-the system resources are overwhelmed
2-impossible load is put on an individual doc
3-when monitoring self/health or asking for help is shamed
The way professionalism taught, often anti- #mentalhealth & pushes to this https://www.nytimes.com/2020/07/11/nyregion/lorna-breen-suicide-coronavirus.html
Those who teach professionalism who make “cases” & public examples of doctors & nurses for showing humanity
like in this thread when @DGlaucomflecken was targeted
I do respond in public with evidence
I have contacted universities teaching thru shaming https://twitter.com/usnehal/status/1256717930395570176
Nurses & doctors are human. We are safer & offer higher quality care when allowed to admit to being human. Smiling, dancing, taking a sick day: all ok & healthy
If making an allegation vs someone, use standards https://twitter.com/usnehal/status/1256711372966109187
if non-clinicians make “cases” of practicing clinicians, w/out consent
= “case” of “professionalism” & “ethics” as harm
If we want this to be true, we need reform of #medicine #healthcare #meded #AcademicTwitter #AcademicChatter #MedTwitter
We need to hold accountable, re-educate, and/or remove the faculty who are teaching thru shaming, anti- #MentalHealth etc https://twitter.com/usnehal/status/1001789736414007296
In fact, having been in more than one room where medical affairs budgets decided, I can verify this is true @danielleofri #MedTwitter https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html
When people can’t do their jobs (boards, CEOs), I get above them
I may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe score
who signs budgets?
How effective are we being on #SoMe or with @NEJM perspectives?
Are decision makers listening?
I’ve felt as powerless to prevent harm as #NYC physician leader Dr. Breen who died of suicide
“We need to become aware of the spectrum of disabilities that’s all around us so that the people who are disabled themselves don’t have to do as much teaching” Harry Paul is an MD/PhD student who...https://www.explorethespaceshow.com/podcasting/harry-paul-on-disabilty-ableism/
This non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013?
while I plainly state facts, standards
I do things in the open rather than by private messages or gossip or manipulate facts
When I am up all night
am not obsessing over what others say/optics
have debilitating pain
I think hard about how to fix this system of harm
I write curricula like https://twitter.com/usnehal/status/1307851096468131846
This is what I have to say on boundaries: break those gendered behavior police impose #WomenInSTEM https://twitter.com/usnehal/status/1265425020551077888
this is how I responded
I don’t delete
I document factually, w/out innuendo
offer references & proofs from external authorities & standards https://www.linkedin.com/posts/usnehal_friday-reflections-with-dr-umbereen-sultana-activity-6722454401052635136-nyj0
Do schools intend to use non-licensed clinicians to start witch hunts vs licensed clinicians
Am I really the enemy?
non-clinical & non-licensed “professionalism” police harm/abuse clinicians daily
thru disciplinary actions via a license
Gossip & innuendo harm individuals & the system when clinicians leave
I proudly touted stats: I trained pre-work hour restrictions, admitted 22 patients + crossover with no team or night float. All me
Or: LP on no sleep x 1 week, hand shaking but got it
Things to brag about?
Yes, if ableist culture
even taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doing
yes, lots of attempted retaliation
in same way that compliance is full of women, often policing other women based on rules written by men
Hiring a woman is not enuf if system the same https://www.chicagotribune.com/opinion/commentary/ct-opinion-medbikini-movement-doctors-professionalism-20200803-z353smu5mrfc7cno4chrsz5m3m-story.html
Society should not allow the concept of professionalism to be weaponized against medical students and trainees who are women or of color.https://www.chicagotribune.com/opinion/commentary/ct-opinion-medbikini-movement-doctors-professionalism-20200803-z353smu5mrfc7cno4chrsz5m3m-story.html
The results we have are a logical result of resource allocation, systems, incentives, processes.
Let’d not teach “optics” to the next generation of doctors or #STEM
Let’s not craft “narratives” to avoid accountability on harm.
Let’s start to care about real things like life, death, harm, waste
Let’s admit when we fail to improve https://twitter.com/usnehal/status/1278087408412696579
I am deeply, deeply concerned by the state of healthcare in America.
I won’t defend the walls of harm from the inside and perpetuate harm.
Let’s “hack” healthcare
Failure is manifest https://anchor.fm/the-state-of-healthcare/episodes/Hacking-Healthcare-with-Umbereen-S--Nehal--MD--MPH-ehn3hi
How does a Sloan Fellow at MIT think about Healthcare? How about a Sloan Fellow at MIT who is a former Medicaid Medical Director? Former Chief Medical Officer of a multi-specialty, multi-site...https://anchor.fm/the-state-of-healthcare/episodes/Hacking-Healthcare-with-Umbereen-S--Nehal--MD--MPH-ehn3hi
Yet, I broke the glass ceiling, am a 4x Top Voice, 230K followers, top 1% in #healthcare
able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail
Others must experience this cuz this post got >12K views.
We need more real talk, less narrative, reputation management, or optics https://www.linkedin.com/posts/usnehal_i-think-that-what-our-society-teaches-young-activity-6721779946743730176-9yCg
"I think that what our society teaches young girls, and I think it's also something that's quite difficult for even older women... is that idea that likeability...https://www.linkedin.com/posts/usnehal_i-think-that-what-our-society-teaches-young-activity-6721779946743730176-9yCg
We need doctors and administrators to be real, hear/respect nurses, students, cleaning staff
We know this is coming. We saw what this looked like. https://twitter.com/epflcswccm/status/1317449607094423552
But I am lying flat to avoid a repeat of last night.
I am awake and have been for many hours.
I keep hoping if I keep trying to fit the puzzle pieces together I will figure it out.
I don’t feel as much pain when I focus on problem solving.
Being an #ally to #BlackintheIvory is chat on Zoom, yes
as well as system level
If you are an ally making changes at a system level you are then changing resource allocation, asking quality for spent
you may make enemies, not get trophies https://twitter.com/docpatteachone/status/1317448295896276994