Umbereen S Nehal MD, MPH, MBA

Umbereen S Nehal MD, MPH, MBA

@usnehal.bsky.social

Founder, MIT Sloan, coach, fmr Chief Med Officer & Medicaid med dir, Top Voice 4x, data nerd, digital health, MedEd, humanist, Tweets personal, RT🚫endorsement

3K followers8K following467 posts

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

The main issue is lack of research. How can you have “evidenced based” diagnosis and treatment when the evidence base is lacking as the research was never done? Also missing is inquiry & curiosity when locked into 15 min visits & insurance dictated constraints.

The Conversation U.S.@us.theconversation.com

1 in 10 women suffer from chronic gynecological pain, like endometriosis and vulvodynia, yet many are told their pain is 'all in their head.' Medical #gaslighting is real, and lack of research is making it worse. theconversation.com/when-doctors...

Umbereen S Nehal MD, MPH, MBA reposted

Timothy McBride
@mcbridetd.bsky.social

The GOP Megabill: Largest Retraction of health insurance coverage in U.S. history U.S. has been EXPANDING health coverage for decades, but HR1 is largest RETRACTION ever The rise in uninsured will erase nearly all (84%) of decline in uninsured under ACA timothymcbride.substack.com/p/big-bill-l...

timothymcbride.substack.comBig Bill: Largest retraction of health insurance coverage in U.S. historyTo date, since WWII, the U.S. has been moving to Expand health insurance coverage, but this legislation is the largest Retraction in health insurance coverage passed to date.
Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Most likely, yes, we will habituate. Unfortunately, very few people are willing to make the personal sacrifices and take risks needed to protect and defend democracy. Most people want stability and safety. MLK wrote about this, the “moderate” who is the barrier to justice.

TRAstonDrs@castltrastondrs.medsky.network

Sunday morning 📰 @science.org The recent attack on #science in 🇺🇸 is not only undermining knowledge; it is also undermining #democracy… www.science.org/doi/10.1126/... www.science.org/doi/epdf/10....

science.orgWill we habituate to the decline of democracy?The recent attack on science in the US is not only undermining knowledge; it is also undermining democracy. In a healthy democracy, public policy is guided by evidence, and truth is the shared foundat...

Umbereen S Nehal MD, MPH, MBA reposted

TRAstonDrs
@castltrastondrs.medsky.network

May the stars carry your sadness away, May the flowers fill your heart with beauty, May hope forever wipe away your tears, And, above all, may silence make you strong. Chief Dan George Transition of the morning…

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Both/and. Menopause is only taught to 1 in 5 ob/gyn and not at all to most doctors. Perimenopause is something you end up learning about from social media, not your doctor (who education lacked that topic). If "advanced maternal age" is 35 due to ovarian aging: perimenopause can start in 30s.

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Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

...could be many thing or combinations of things. We won't know until we have more data and studies. Unfortunately the funding to study such things is just not there. So, maybe it is the wearable companies getting into menopause as a business that will do these studies?

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

I'd say that -isms and -phobias are real overall. Medicine exists within society that is rife with things like sexism or misogyny. To be honest, in my experiences as a patient, as a doctor, as a caregiver, medicine and nursing are both affected by this issue.

Bylines Network@bylinesnetwork.co.uk

Medical misogyny is real – FemTech is the response women deserve Fed up with not being taken seriously at the doctor’s? You’re not alone. But at long last, change is underway By Charlotte Colley @yorkshirebylines.co.uk

yorkshirebylines.co.ukMedical misogyny is real – FemTech is the response women deserveFed up with not being taken seriously at the doctor’s? You’re not alone. But at long last, change is underway
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Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Yet we talk of "toxic" masculinity, a narrow form that is devoid of care, emotion, softness. Here was a full masculinity man, who was able to express his feelings rather than be "stoic" -- why can't we have a safe space within a newborn nursery unit for a man who shows emotions about his child?

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

I'd say that -isms and -phobias are real overall. Medicine exists within society that is rife with things like sexism or misogyny. To be honest, in my experiences as a patient, as a doctor, as a caregiver, medicine and nursing are both affected by this issue.

Bylines Network@bylinesnetwork.co.uk

Medical misogyny is real – FemTech is the response women deserve Fed up with not being taken seriously at the doctor’s? You’re not alone. But at long last, change is underway By Charlotte Colley @yorkshirebylines.co.uk

yorkshirebylines.co.ukMedical misogyny is real – FemTech is the response women deserveFed up with not being taken seriously at the doctor’s? You’re not alone. But at long last, change is underway
Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

And sexism or misogyny can also harm men: Example, recall an infant, years ago, where the med student noticed something on discharge exam, we got an EEG, infant was having massive seizures. Both Dad and Mom were in tears. Overheard nurses ridiculing dad for crying.

Umbereen S Nehal MD, MPH, MBA reposted

The New Yorker
@newyorker.com

Today marks five years since George Floyd was killed by police. Our June 22, 2020 cover “Say Their Names,” by Kadir Nelson, illustrated how Floyd’s murder embodies the history of violence inflicted upon Black people in America. nyer.cm/UmfefJw

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Tons of misinformation flying about. Twitter is worse than useless. I have not found even one reliable source. Does not help that POTUS is tweeting about brokering a ceasefire then the official Indian account says ~ “no you didn’t”

Shayan Sardarizadeh @shayan86.bsky.social

THREAD: As India launches strikes against Pakistan tonight, misinformation is rapidly spreading online. I'll fact-check viral falsehoods in this thread. This video, viewed over 660,000 times, shows Israeli air strikes on Gaza in October 2023. It's unrelated to Indian strikes tonight.

Umbereen S Nehal MD, MPH, MBA reposted

Kevin M. Kruse
@kevinmkruse.bsky.social

Your daily reminder that the U.S. Postal SERVICE is a service that is designed to benefit taxpayers and not a business that should be expected to turn a profit.

Hansi Lo Wang (he/him)@hansilowang.bsky.social

NEW: The U.S. Postal Service posted a net loss of $3.3 billion in this fiscal year’s second quarter mainly due to “significant challenges out of our control,” including workers’ compensation costs, Luke Grossmann, USPS chief financial officer, said at the open session of the governing board meeting

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

So needed! 👏👏👏 #womenshealth

NPR@npr.org

Women can use a wand to collect a vaginal sample, then mail it to a lab that will screen for cervical cancer. The device will be available by prescription through a telehealth service. By @jenniferludden.bsky.social

npr.orgThe FDA approves first U.S. at-home tool as a Pap-smear alternativeWomen can use a wand to collect a vaginal sample, then mail it to a lab that will screen for cervical cancer. The device will be available by prescription through a telehealth service.
Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

So, per the act-like-an-editor AI agents I’ve been using, my first chapter was too long So spent this week restructuring my book to split that chapter, reframe, and make it align again I think it is better for that work, but, wow, dismantling/reassembling your writing is not fun, is fairly arduous

Umbereen S Nehal MD, MPH, MBA@usnehal.bsky.social

Been making great progress on my book. Was planning to aim to publish via @mitpress.bsky.social like these books… …but it will extend my time to being sold. Alternatives are Big 5, indie, or self publish. #writer #book #publishing Any tips? Any good agent suggestions?

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Most of these algorithms are deeply flawed and are being used well beyond what is reasonable

ProPublica@propublica.org

2/ The algorithm, called TIGER, focuses on immutable factors from a prisoner’s past — work history, age at first arrest, prior drug convictions — to assess risk of reoffending. Yet it fails to take into account anything a prisoner has done to rehabilitate themselves.

Umbereen S Nehal MD, MPH, MBA
@usnehal.bsky.social

Fascinating!

Jason Cohen@asmartbear.com

The Mayans' model of the universe was laughably wrong, yet they predicted eclipses with impressive accuracy. A striking example that a model can be completely wrong about 'why' yet still yield accurate predictions. What about the models we use in business?

longform.asmartbear.comAll pretty models are wrong, but some ugly models are usefulIdentifying useful frameworks for companies, strategy, markets, and organizations, instead of those that just look pretty in PowerPoint.