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Umbereen S. Nehal, MD, MPH

@usnehal

3 Jan

This 👇👇👇 (h/t @joemd)

Also, at midcareer female success is threatening to men our age AND to younger men who rely on patriarchal patronage systems. Women, overpoliced by the system, then, yes, are tougher bosses AND we *do* tend to adhere more closely to ethics.

I do do all:

https://twitter.com/iampoliticsgirl/status/1476982468875935744

On #MedTwitter there is a pattern of “callouts”, yes vs all genders & ages, but also pattern of misogyny and misogynoir. It happens towards nurses & doctors alike. One of the reasons I connected with @ShrimpBrokkoli is because I saw a yt male resident ridiculing her online.

I saw that behavior being taught by NON-clinical faculty & that REALLY crossed a line.
If you are a woman + nurse + frontline + Black/WOC, you already live with so much violence towards you. Added online made up drama from a trainee vs nurse?
No, no, & no.
webmd.com/a-to-z-guides/…

Read 16 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

3 Jan

Thing is… even prior to #COVID19, it was known that viral shedding can occur in feces up to 3 weeks or longer. Isolation periods have always been subjective. That said, for airborne spread, there is a need to take precautions while infectious in that way #Omicron

https://twitter.com/imgrund/status/1477326269637435398

Specific to #COVID19 (in #Pediatrics)

“duration of viral shedding in infected pediatric patients. Virus was detectable for a mean (SD) of 17.6 (6.7) days overall and was detectable for a prolonged period of time in all cohorts of children”

jamanetwork.com/journals/jamap…

Then this.

“Duration of symptoms ranged from 1 to 36 days. Positive tests were recorded up to a median of day 21 (range 6-38).”

pubmed.ncbi.nlm.nih.gov/33911876/

Read 8 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

2 Jan

Directness & saying what you mean is important. The receiver also needs to be ready to tolerate this. Society & business places tend to prefer the passive aggressive so being direct does invoke blowback.

https://twitter.com/TeachMrReed/status/1477409562105950208

There is particular social cost to being direct & going against social norms

if your optics/demographics invoke mental models …say of expected discretion, “civility”, or “be kind” or “softness”

OR

if mental model invoked is “angry Black woman/man”

fastcompany.com/90413951/women…

“Be kind” is red flag: it identifies the passive aggressive shushing/shaming people who are threatened by @candor & perceive directness as aggression. It’s a fixed mindset trait or a negative consequence when empathy/emotions overindexed in ways to block growth & learning.

Read 9 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

2 Jan

As a #vaccine & #publichealth advocate I *always* respond to any question with sincerity. Since I got put on lists of pro-#DEI/#equity/#BLM docs to target is anonymous accounts will “@“ me then when I respond in good faith it is tallied as my “harassing” = manufacture fake #data.

https://twitter.com/starsdell/status/1477135323716931587

This is a deliberate anti-#publichealth #SciComm strategy to bully, harass (but then claim opposite), intimidate, & drive out

Sadly, it is successful

Hundreds of public health officials have left jobs, mislabeled by #disinformation smears

#MedTwitter

cnn.com/2021/05/23/hea…

If do not leave on own
manufactured/fake outrage or drama or
internal lobbying relationships/political pressure
⬇️
to get dedicated #publichealth officials fired

@KHNews #MedTwitter #NurseTwitter #ScienceTwitter #pandemic #COVID19 #QAnon #disinformation

khn.org/news/public-he…

Read 5 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

2 Jan

This is happening in U.S. & U.K. Once I got to the management & C-suite, especially in #NYC, I was unwilling to send #HCW into unsafe spaces to be injured or die.

@drbreenheroes this is the crux of the issue. “#Mentalhealth” is really #moralinjury from #ethics violated.

https://twitter.com/propcazhpm/status/1477626142001610752

The frontline is disproportionately POC, women. Those making guidelines or in C-suite are able to protect themselves. Leadership manipulates data/definitions, then shames, gaslights. Non-clinicians hired to override #HCW with “opinion.” Those at frontline who speak up: fired.

https://twitter.com/usnehal/status/1254743180290994176

Who is among these flags (& whose loved ones)? It is not those pushing out pre-prints or on TV nor those safely behind a screen from a second home. It is those at the frontline, working without support, protection, or even without pay (some hospitals asking docs to volunteer).

Read 4 tweets

Umbereen S. Nehal, MD, MPH

@usnehal

1 Jan

This is what targeted racial harassment looks like: nitpicking things like “smiled” or “wore clothes like a celebrity, as a celebrity” or “bought cookware.” It is part of the “gold digger” narrative.

https://twitter.com/_NatashaDevon/status/1477243596998946818

This is common in #healthcare “#professionalism” where there is hazing & bullying by racist &/or classist made up non-rules lacking standards…yet people are called “breaking the rules.”

It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.

https://twitter.com/DrBrittaniJ/status/1372168743351164930

In the U.K., “BAME” includes the formerly colonized, thus making race constructs or power different from U.S. as latter had race-based chattel slavery.

Thing is, those formerly colonized have many who have internalized self hate & racism.

psycnet.apa.org/record/2021-69…

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