Woah..that was freaky but familiar. Was lying down & decided to get up to take pain meds for #endometriosis and #fibroids and it felt as painful to get up as the day after surgery. In kitchen, sweating, lightheaded. Quickly squatted to avoid passing out holding onto fridge door
..which swung open..but I did not fall. Then once head feeling better, stood up long enough to take meds...then walked, wobbly and lightheaded to chair. I can't quite feel my palms but that will come back. This probably gets to be called 10/10 pain..but maybe really an 8/10
Great..and a migraine too..scotoma.. taking a migraine med and lying down. Man, when it rains it pours.

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.
Wow...I've got some great friends. I'll be ok. I know the drill. This happens sometimes. I always have my meds. Drank water. had a few bites to eat. Drank more water. I'm in a doorman building so if anything worsens I'll call down. My phone is more than half charged and charging.
One of my best friends has what should be debilitating illness. She combines self care with powering thru certain times. The key is she runs her own business and controls her own deliverables, delegates what she needs to. I've learned a lot from her on self care + accomplishing
This is 💯% true

The antifragile & resilient mindsets/skills developed when cannot rely on own body

=assets

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/
Running a Business While Managing a Chronic Illness - business.com

Dealing with constant health concerns actually can prepare you for the ups and downs of business ownership.

https://www.business.com/articles/managing-business-with-chronic-illness/
Medications are such wonderful things.

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! đŸ„°
When one feels terrible physically, the relief from pain or return of normal senses is such a relief, blessing, generates incredible gratitude. I admit I went thru a few years with anger at limitations from pain and such. Now grateful for the good days. https://www.practicalpainmanagement.com/treatments/psychological/chronic-pain-psychological-stages-grief
Chronic Pain and the Psychological Stages of Grief

How clinicians can help patients work through the feelings of grief and loss when faced with a lifetime of intractable, chronic pain.

https://www.practicalpainmanagement.com/treatments/psychological/chronic-pain-psychological-stages-grief
Many non-pharma practices are ridiculed by certain folks in mainstream medicine

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
Chronic Pain and the Psychological Stages of Grief

How clinicians can help patients work through the feelings of grief and loss when faced with a lifetime of intractable, chronic pain.

https://www.practicalpainmanagement.com/treatments/psychological/chronic-pain-psychological-stages-grief
Also, mindfulness has helped me feel what is going on and admit to myself and others when I need to step back & take care of self.

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
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
The toxic shaming in #healthcare culture - wrongly telling workers that taking a day off is “lacking professionalism” or “not caring” enough about patients or “dumping on” colleagues, is, in fact, unsafe.

#MedTwitter @_HarryPaul_ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947637/
Presenteeism: A Public Health Hazard

"Presenteeism" occurs when an employee goes to work despite a medical illness that will prevent him or her from fully functioning at work. This problem has been well studied in the business and...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947637/
It is one of myriad ways “professionalism” and those whose job it is to define & enforce it make #healthcare & #hospitals unsafe for patients and staff alike. It is why I have become increasingly outspoken on weaponized professionalism.

Recently submitted these:
It is one of myriad ways “professionalism” and those whose job it is to define & enforce it make #healthcare & #hospitals unsafe for patients and staff alike. It is why I have become increasingly outspoken on weaponized professionalism. Recently submitted these:
It is one of myriad ways “professionalism” and those whose job it is to define & enforce it make #healthcare & #hospitals unsafe for patients and staff alike. It is why I have become increasingly outspoken on weaponized professionalism. Recently submitted these:
It is one of myriad ways “professionalism” and those whose job it is to define & enforce it make #healthcare & #hospitals unsafe for patients and staff alike. It is why I have become increasingly outspoken on weaponized professionalism. Recently submitted these:
It is one of myriad ways “professionalism” and those whose job it is to define & enforce it make #healthcare & #hospitals unsafe for patients and staff alike. It is why I have become increasingly outspoken on weaponized professionalism. Recently submitted these:
In med school, I never was at risk of passing out in the OR, but I often almost passed out on long rounds in not air conditioned public wards in Pakistan (blood pooling in dilated vessels my legs and not making it to my brain).

We are taught to be embarrassed @vivek_soi https://twitter.com/vivek_soi/status/1316057003471577088
So yesterday, when felt like was about to pass out, had these types of practiced ways of dealing with it

Squat
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
There is so much hazing & #bullying within medicine, that “showing weakness” (meaning acknowledging human needs or any illness) is seen as “whining”

it does attract the brutes and victims to brutalize you when you are down, often in name of “professionalism”

#MedTwitter #MedEd
To the extreme, this outcome, when
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
‘I Couldn’t Do Anything’: The Virus and an E.R. Doctor’s Suicide

Dr. Lorna Breen was unflappable — until she faced a new enemy.

https://www.nytimes.com/2020/07/11/nyregion/lorna-breen-suicide-coronavirus.html
I fight fire with fire

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
We have to stop toxicity actively taught within #MedEd #medicine

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
When holding behavior police accountable to their own standards, can be seen or called “bullying”...but if enforce it on others, same can be done to you đŸ€·đŸ»â€â™€ïž

if non-clinicians make “cases” of practicing clinicians, w/out consent
= “case” of “professionalism” & “ethics” as harm
When holding behavior police accountable to their own standards, can be seen or called “bullying”...but if enforce it on others, same can be done to you if non-clinicians make “cases” of practicing clinicians, w/out consent= “case” of “professionalism” & “ethics” as harm
When holding behavior police accountable to their own standards, can be seen or called “bullying”...but if enforce it on others, same can be done to you if non-clinicians make “cases” of practicing clinicians, w/out consent= “case” of “professionalism” & “ethics” as harm
When holding behavior police accountable to their own standards, can be seen or called “bullying”...but if enforce it on others, same can be done to you if non-clinicians make “cases” of practicing clinicians, w/out consent= “case” of “professionalism” & “ethics” as harm
When holding behavior police accountable to their own standards, can be seen or called “bullying”...but if enforce it on others, same can be done to you if non-clinicians make “cases” of practicing clinicians, w/out consent= “case” of “professionalism” & “ethics” as harm
I have held multiple clinical leadership positions with disciplinary authority over fellow clinicians, from Chair of state “Provider Review Committee” to Chief Medical Officer. I have gone out of my way to only take an action if there is credible evidence based on a standard.
This pinned tweet is very popular

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
It is easy to characterize clinicians as “whiners” which then activates the bullying of the Angelou quote above.

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
Opinion | The Business of Health Care Depends on Exploiting Doctors and Nurses (Published 2019)

One resource seems infinite and free: the professionalism of caregivers.

https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html
There are myriad reasons I am in b-school, not least is that this is not acceptable - it is not only unsafe for patients & clinicians, is unsustainable as a business model.

When people can’t do their jobs (boards, CEOs), I get above them

@EricTopol https://www.medscape.com/viewarticle/927811
Topol: US Betrays Healthcare Workers in Coronavirus Disaster

Many US healthcare workers started this year already suffering from burnout, but the worst was yet to come.

https://www.medscape.com/viewarticle/927811
No, NOT a “beautiful” #business model - depleting your most credentialed workers w/ high #PTSD & #suicide among #clinicians yet is what I see in @LinkedIn

I may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe score

who signs budgets?
No, NOT a “beautiful” #business model - depleting your most credentialed workers w/ high #PTSD & #suicide among #clinicians yet is what I see in @LinkedInI may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe scorewho signs budgets?
No, NOT a “beautiful” #business model - depleting your most credentialed workers w/ high #PTSD & #suicide among #clinicians yet is what I see in @LinkedInI may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe scorewho signs budgets?
No, NOT a “beautiful” #business model - depleting your most credentialed workers w/ high #PTSD & #suicide among #clinicians yet is what I see in @LinkedInI may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe scorewho signs budgets?
No, NOT a “beautiful” #business model - depleting your most credentialed workers w/ high #PTSD & #suicide among #clinicians yet is what I see in @LinkedInI may be a “Top Voice” x 4 & in top 1% as an #Influencer in #healthcare per #LinkedIn’s #SoMe scorewho signs budgets?
Yes, some of my @LinkedIn posts get >12K views. But the ones on physician suicide? ~200

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
Yes, some of my @LinkedIn posts get >12K views. But the ones on physician suicide? ~200How 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
Yes, some of my @LinkedIn posts get >12K views. But the ones on physician suicide? ~200How 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
Yes, some of my @LinkedIn posts get >12K views. But the ones on physician suicide? ~200How 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
Thing is, my chronic illnesses have been a blessing to protect against the God complex many doctors have. Had to admit am human. I have had to accept there are some things I cannot accomplish myself & times I will “fail” - I have gotten over being shamed https://www.cmaj.ca/content/191/17/E478
Ableism: the undiagnosed malady afflicting medicine

Medicine has traditionally been viewed as a benevolent discipline in which every human life is valued equally, without any form of prejudice or discrimination. Although this may remain the ideal to...

https://www.cmaj.ca/content/191/17/E478
Yes, have moments of extreme pain. I have exited clinical medicine. I have been shamed for my self care choices by fellow physicians. Have fought hard to protect my & others’ ability to work vs wrong definitions of professionalism as @_HarryPaul_ describes https://www.explorethespaceshow.com/podcasting/harry-paul-on-disabilty-ableism/
Harry Paul On Disabilty & Ableism - Explore The Space

“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/
Yes, I identified non-factual, unverified “professionalism” policing by @USC @KeckMedUSC faculty @sarah_mojarad vs a Black male trainee

This non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013?

https://medium.com/@smojarad/online-harassment-death-by-1-000-tweets-731e47812625
Yes, I identified non-factual, unverified “professionalism” policing by @USC @KeckMedUSC faculty @sarah_mojarad vs a Black male traineeThis non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013? https://medium.com/@smojarad/online-harassment-death-by-1-000-tweets-731e47812625
Yes, I identified non-factual, unverified “professionalism” policing by @USC @KeckMedUSC faculty @sarah_mojarad vs a Black male traineeThis non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013? https://medium.com/@smojarad/online-harassment-death-by-1-000-tweets-731e47812625
Yes, I identified non-factual, unverified “professionalism” policing by @USC @KeckMedUSC faculty @sarah_mojarad vs a Black male traineeThis non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013? https://medium.com/@smojarad/online-harassment-death-by-1-000-tweets-731e47812625
Yes, I identified non-factual, unverified “professionalism” policing by @USC @KeckMedUSC faculty @sarah_mojarad vs a Black male traineeThis non-factual hit piece written as retaliation by faculty “obsessed” with her “narrative” - “evidence” from 2013? https://medium.com/@smojarad/online-harassment-death-by-1-000-tweets-731e47812625
I recognize by being factual again, I will again draw this kind of retaliation w/ implications I am unfit to practice medicine thru innuendo

while I plainly state facts, standards

I do things in the open rather than by private messages or gossip or manipulate facts

Be factual
I recognize by being factual again, I will again draw this kind of retaliation w/ implications I am unfit to practice medicine thru innuendowhile I plainly state facts, standardsI do things in the open rather than by private messages or gossip or manipulate factsBe factual
I recognize by being factual again, I will again draw this kind of retaliation w/ implications I am unfit to practice medicine thru innuendowhile I plainly state facts, standardsI do things in the open rather than by private messages or gossip or manipulate factsBe factual
I recognize by being factual again, I will again draw this kind of retaliation w/ implications I am unfit to practice medicine thru innuendowhile I plainly state facts, standardsI do things in the open rather than by private messages or gossip or manipulate factsBe factual
I recognize by being factual again, I will again draw this kind of retaliation w/ implications I am unfit to practice medicine thru innuendowhile I plainly state facts, standardsI do things in the open rather than by private messages or gossip or manipulate factsBe factual
I invite you to look thru my threads & what I publish on to understand the source of my very deep concern

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
In the hit piece on me by @USCViterbi @USC faculty @Sarah_mojarad, I was misquoted on boundaries just like someone else’s actions in 2013 was part “evidence” used vs me

This is what I have to say on boundaries: break those gendered behavior police impose #WomenInSTEM https://twitter.com/usnehal/status/1265425020551077888
I seem be a popular target - just called a “terrorist” by equally non-factual right wing “patriot”

this is how I responded
I don’t delete
I document factually, w/out innuendo

clear evidence
offer references & proofs from external authorities & standards https://www.linkedin.com/posts/usnehal_friday-reflections-with-dr-umbereen-sultana-activity-6722454401052635136-nyj0
Am curious why schools like @usc @USCViterbi - my father’s alma mater - engage in the same repeated online #SciComm behavior against minority physicians as above

Do schools intend to use non-licensed clinicians to start witch hunts vs licensed clinicians

Am I really the enemy?
Am curious why schools like @usc @USCViterbi - my father’s alma mater - engage in the same repeated online #SciComm behavior against minority physicians as aboveDo schools intend to use non-licensed clinicians to start witch hunts vs licensed cliniciansAm I really the enemy?
Am curious why schools like @usc @USCViterbi - my father’s alma mater - engage in the same repeated online #SciComm behavior against minority physicians as aboveDo schools intend to use non-licensed clinicians to start witch hunts vs licensed cliniciansAm I really the enemy?
Am curious why schools like @usc @USCViterbi - my father’s alma mater - engage in the same repeated online #SciComm behavior against minority physicians as aboveDo schools intend to use non-licensed clinicians to start witch hunts vs licensed cliniciansAm I really the enemy?
Am curious why schools like @usc @USCViterbi - my father’s alma mater - engage in the same repeated online #SciComm behavior against minority physicians as aboveDo schools intend to use non-licensed clinicians to start witch hunts vs licensed cliniciansAm I really the enemy?
I can’t tell you how many such messages I get in private from doctors & nurses
afraid

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 can’t tell you how many such messages I get in private from doctors & nursesafraid non-clinical & non-licensed “professionalism” police harm/abuse clinicians dailythru disciplinary actions via a licenseGossip & innuendo harm individuals & the system when clinicians leave
I can’t tell you how many such messages I get in private from doctors & nursesafraid non-clinical & non-licensed “professionalism” police harm/abuse clinicians dailythru disciplinary actions via a licenseGossip & innuendo harm individuals & the system when clinicians leave
I can’t tell you how many such messages I get in private from doctors & nursesafraid non-clinical & non-licensed “professionalism” police harm/abuse clinicians dailythru disciplinary actions via a licenseGossip & innuendo harm individuals & the system when clinicians leave
I can’t tell you how many such messages I get in private from doctors & nursesafraid non-clinical & non-licensed “professionalism” police harm/abuse clinicians dailythru disciplinary actions via a licenseGossip & innuendo harm individuals & the system when clinicians leave
For years, I hid illnesses

I proudly touted stats: I trained pre-work hour restrictions, admitted 22 patients + crossover with no team or night float. All međŸ’ȘđŸœ
Or: LP on no sleep x 1 week, hand shaking but got it đŸ’ȘđŸœ

Really? đŸ’ȘđŸœ?
Things to brag about?
Yes, if ableist culture
Given how outspoken I am in identifying fellow faculty (ones building career on image & “professionalism”)are not factual & use no standards

even taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doing

yes, lots of attempted retaliation
Given how outspoken I am in identifying fellow faculty (ones building career on image & “professionalism”)are not factual & use no standardseven taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doingyes, lots of attempted retaliation
Given how outspoken I am in identifying fellow faculty (ones building career on image & “professionalism”)are not factual & use no standardseven taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doingyes, lots of attempted retaliation
Given how outspoken I am in identifying fellow faculty (ones building career on image & “professionalism”)are not factual & use no standardseven taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doingyes, lots of attempted retaliation
Given how outspoken I am in identifying fellow faculty (ones building career on image & “professionalism”)are not factual & use no standardseven taking on these part of healthcare that gets doctors & nurses fired for exactly what I am doingyes, lots of attempted retaliation
The infamous #Medbikini study used med students & residents reviewers, including ones who were minority

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
Commentary: Doctors and the MedBikini movement: Nebulous standards of professionalism reveal biases

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
This remains true. The system needs to either be dismantled or thoroughly reformed.

The results we have are a logical result of resource allocation, systems, incentives, processes.
This remains true. The system needs to either be dismantled or thoroughly reformed. The results we have are a logical result of resource allocation, systems, incentives, processes.
This remains true. The system needs to either be dismantled or thoroughly reformed. The results we have are a logical result of resource allocation, systems, incentives, processes.
This remains true. The system needs to either be dismantled or thoroughly reformed. The results we have are a logical result of resource allocation, systems, incentives, processes.
This remains true. The system needs to either be dismantled or thoroughly reformed. The results we have are a logical result of resource allocation, systems, incentives, processes.
Let’s obsess less over what “people say”
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 have been in many jobs, many roles, many states and countries.

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
Hacking Healthcare with Umbereen S. Nehal, MD, MPH by The State of Healthcare ‱ A podcast on Anchor

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
I break a lot of the rules on how to hide parts of myself to be “popular” or per professionalism, marketing, or reputation management types

Yet, I broke the glass ceiling, am a 4x Top Voice, 230K followers, top 1% in #healthcare

=authenticity respected
In a #pandemic I achieve this reach along with @DrTomFrieden or @sandrogalea to disseminate facts-based engaging posts on #COVID19

able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail

https://www.linkedin.com/posts/sylviaromm_linkedintopvoices-worldhealthday-activity-6653377787581259777-zU2k
In a #pandemic I achieve this reach along with @DrTomFrieden or @sandrogalea to disseminate facts-based engaging posts on #COVID19able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail https://www.linkedin.com/posts/sylviaromm_linkedintopvoices-worldhealthday-activity-6653377787581259777-zU2k
In a #pandemic I achieve this reach along with @DrTomFrieden or @sandrogalea to disseminate facts-based engaging posts on #COVID19able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail https://www.linkedin.com/posts/sylviaromm_linkedintopvoices-worldhealthday-activity-6653377787581259777-zU2k
In a #pandemic I achieve this reach along with @DrTomFrieden or @sandrogalea to disseminate facts-based engaging posts on #COVID19able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail https://www.linkedin.com/posts/sylviaromm_linkedintopvoices-worldhealthday-activity-6653377787581259777-zU2k
In a #pandemic I achieve this reach along with @DrTomFrieden or @sandrogalea to disseminate facts-based engaging posts on #COVID19able to communicate in a way that gets thru to #business #leaders, where risk-averse #STEM & #SciComm often fail https://www.linkedin.com/posts/sylviaromm_linkedintopvoices-worldhealthday-activity-6653377787581259777-zU2k
It is not uncommon for a woman + minority speaking unapologetically about facts to be called impolite or even “a bully.”

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
Umbereen S. Nehal, MD, MPH posted on LinkedIn

"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
Nursing is primarily women and we need to be able and willing to hear women say things we don’t want to hear.

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
Yes, this was a mammoth thread.

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.
A bit afraid to try getting up. I am okay when horizontal. But I have SO much to do!!! The “firehose” does not shut off just cuz one has an #endometriosis flare @MITSloanFellows @MITSloan @mit https://twitter.com/usnehal/status/1316972347761590272
So much for leaf peeping...
Please read this thread

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
You can follow @usnehal.
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There are a lot of misconceptions about the Turkish diaspora in Germany. Since i just finished writing an essay about this topic I thought it's time to give other people
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Las mejores calculadoras online en 2020A thread http://totumat.com/2020/11/26/las-mejores-calculadoras-online-en-2020/ Cuando se estudian asignaturas que requieren de cålculos complicados, nada mejor que contar con una buena calculadora.
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Mitigating #ClimateChange is as much about taking up new techs as about leaving others behindMost studies focus on #coal's global downfall but another #energy tech decline is loomingRead my new
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