Replying to @usnehal
My experiences:
-as child in hospital
-as #womenshealth patient
-caregiver/advocate for my WOC mom w/ #COVID19 in #ICU
-#MedEd
-#FQHC (#NYC #Boston)
-#globalhealth
Inform how:
I am a doctor
I ask❓on #data & standards
#MedTwitter
#research
#innovation
#WomenInSTEM
#WomenInTech
As doctors we must understand:
asymmetry of power/knowledge in the doctor-patient relationship
vulnerability of patients
the sacred trust they put in us by sharing their stories, bodies, hopes, fears, pain
An x-ray is not just an x-ray. Is someone’s body part
#medtwitter
“Gossip”, though denigrated, has its purpose in human behavior and dynamics. Think about it: when you apply for a job or buy a house, you might ask around on what it is like to work there or live there. “Word on the street” has purposes. I find this stuff all very interesting.
Umbereen S Nehal, MD, MPH, MBA retweeted
The Medical Selfie: Facial appearance offers a non-invasive window into health…
There's a lot in a face photograph about health that AI can detect, as seen in this foundation model of >40 million face images, including outcomes from cancer, biological age, influence of lifestyle factors, and survival @LancetDigitalH
thelancet.com/journals/landi…
Instead of seeking the one perfect data source, use multiple. All have their flaws, gaps, weaknesses. Combining data types gives you a better picture.
#qualitativeresearch #research #academictwitter
Qualitative triangulation strengthens research by combining multiple data sources, methods, researchers, or theoretical perspectives to explore the same phenomenon. The result? Richer insights, greater credibility, and more trustworthy findings. 🔺📚 #QualitativeResearch
There is a first time for everything… including a sushi roll with lump crab covered with crab salad that is served in a ring of fire.
Can you guess the city?
Good advice
Living longer and better doesn't require anything remotely complicated.
I'm 63 and have been an orthopedic surgeon for 30 years. The people who do best aren't doing anything crazy or exotic. They just refuse to let their lives narrow and acting accordingly.
Here’s my Twitter book …
- Don't smoke
- Keep alcohol modest or absent.
- Move
- Move more
- Keep moving
- Push and pull heavy things
- Sleep 7 hours.
- Have friends
- Keep moving.
- Find a reason to get out of bed in the morning!
- A sense of purpose is key.
- See your friends in person.
- Keep moving. For real benefit- consider 500+ min/wk. Sure… 120 min/week works. But my goal is vastly higher.
- Eat real food that you cook.
You can read books that say something else. You can try one of a thousand supplements or research grade injectables. Won’t matter one bit for most of you. Might hurt some of you.
Simple works really well.
Form the habits… they will largely determine your destiny.
There are no shortcuts.
There are no shortcuts.
Umbereen S Nehal, MD, MPH, MBA retweeted
Our hearts are with our friends in Oregon. ❤️
When hard things happen, little ones can have big feelings, and so can the grown ups who love them. These free resources can help you offer comfort, talk together, and help children feel safe and secure: m.sesame.org/CircleofGoodX
Whenever you hear of a hiker meeting a tragic end, it often is because he got between a momma grizzly & bear cubs. The protective instinct of women and of moms is unmatched. That female teacher is a hero and her actions saved lives.
Texas is where it’s at, agree. I might come across as a Boston/NYC type, but I trained in Houston & have family in Dallas & you can see how much growth and innovation is happening there.
Plus, “y’all” and “all y’all” are just so convenient & satisfying to say.
💯% all day, everyday, and twice on Sunday. #MedTwitter
Empowering patients with knowledge of options is critical to “shared decision making.”
In an ideal world we would need less self advocacy when we are patients, of course.
How do you ask for treatment you don’t know exists?
In our new study, only 56% of respondents reporting poststroke spasticity symptoms knew drug treatments were available.
We need to start that conversation.
doi.org/10.3389/fneur.2026.1…
Interesting! Goes to show we should not live in silos or echo chambers.
Politically polarized teams produce better work on Wikipedia
Research from the University of Chicago of more than 200,000 Wikipedia pages finds that collaborations bridging the political spectrum produce higher-quality work than articles edited by moderate or one-sided teams.
Wikipedia pages covering politics, social issues and science written by editors with a broader range of political affiliation rank better on Wikipedia’s own quality scale, because of diverse perspectives, increased debate and appeals to community guidelines
Balanced ideological diversity produce higher quality articles, as long as there are clear normative guidelines.
news.uchicago.edu/story/poli…
Same tool. Same law firm. Different outcomes. Frame #AI as empowering and increase agency, not just “efficiency.”
Two divisions at the same law firm got the same AI tool. One manager pitched it as a way to work faster. The other asked paralegals what they’d rather spend their time on. Stanford HAI Faculty Affiliate Arvind Karunakaran on why that difference shaped how workers used AI:
hai.stanford.edu/news/want-e…
Umbereen S Nehal, MD, MPH, MBA retweeted
De las mejores cosas que podemos hacer para ser feliz.
Imagina que tu bienestar no depende de dar un giro radical a tu vida, sino de ajustar con intención algunos hábitos cotidianos que tu cerebro y tu mente realmente notan.
Una revisión amplia de estudios bien hechos muestra que prácticas sencillas como el ejercicio regular, la atención plena (mindfulness) y la gratitud generan mejoras modestas pero consistentes en la satisfacción con la vida: el ejercicio ayuda a regular el ánimo a través del cuerpo (mejor sueño, energía y químicos cerebrales), el mindfulness reduce la rumiación y te ancla en el presente, y la gratitud entrena tu atención para registrar lo que sí funciona en lugar de quedarse solo en lo que falta.
Less access to care. Higher mortality.
We are a high GDP country with examples of extreme wealth. There is no reason we cannot offer (at least) basic care to all Americans.
We have to commit to caring about and for each other.
In Texas, rural hospital closures were associated with higher county-level mortality from #TimeSensitiveConditions, with effects extending beyond closure counties to nearby communities.
ja.ma/4B35tMo

ALT Four graphs on mortality rates. A & B show unadjusted mean deaths per 100k residents, where 'Treated' groups rise sharply after a vertical dotted line (closure), while 'Controls' remain stable. C & D show adjusted deaths in treated counties, trending slightly upward after closure, with error bars.
Terms “non profit” and “for profit” do not always mean what you think it means in healthcare.
New study in @JAMAHealthForum: Profitability of Nonprofit and For-Profit Ambulatory Surgery Centers
jamanetwork.com/journals/jam…
h/t Elizabeth Plummer & Kahler Doyle
@JHUCarey @JohnsHopkinsSPH @NeeleySchoolTCU







































