iiinova — where your digital self keeps evolving

Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 20/08/2025

This is why you need to be careful around icebergs when in a small boat, kayak, paddle board, etc.

Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 20/08/2025

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.

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Timothy McBride @mcbridetd.bsky.social · 05/07/2025

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.com

Big Bill: Largest retraction of health insurance coverage in U.S. history

To 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.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 06/07/2025

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.

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David Kronig @davekronig.bsky.social · 05/07/2025

Public health has been decimated. Cuts to Medicaid will stress hospital systems to breaking & cause them to be even more understaffed than they are already. Long COVID research is dead & long COVID clinics are closing. I promise you, you don’t want to get COVID now. Please start masking again

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TRAstonDrs @castltrastondrs.medsky.network · 06/07/2025

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…

The solfness of the silence that reflects on the lake

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 30/06/2025

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 · 29/06/2025

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.

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That Librarian: Amanda Jones @librarianjones.com · 25/05/2025

If you care about libraries, and the stories they hold dear, you should be following Kelly. She’s been reporting what’s happening from the beginning and we are so blessed she has been.

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The New Yorker @newyorker.com · 25/05/2025

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

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Chemistry World @chemistryworld.com · 24/05/2025

Conditions that only affect women, or affect them very differently, have been systematically ignored or dismissed for most of medical history. Thankfully, that is changing, to the benefit of everyone.

chemistryworld.com

Improving women’s health research will benefit everyone

Fixing the inequality is morally just, and economically sound

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Librarian by Day 🏳️‍🌈 @librarianbyday.bsky.social · 11/05/2025

Mother’s Day is weird.

A soft-toned graphic with floral illustrations and the message: “Sending Love to Those Who” followed by five supportive statements, each paired with a different vase of flowers. The five categories are:
• Are grieving a child
• Are longing to be a mother
• Have a complicated relationship with their mother
• Are feeling alone
• Are grieving a mother

The image conveys compassion and solidarity for those experiencing emotional pain or loss, especially around Mother’s Day.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 10/05/2025

Literally no one can figure out what is going on. 🤦🏻‍♀️

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 10/05/2025

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”

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Kevin M. Kruse @kevinmkruse.bsky.social · 10/05/2025

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.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 11/04/2025

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

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 11/04/2025

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

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 24/03/2025

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?

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 24/03/2025

Had an amazing time out in Cali visiting Stanford for the #Me2We gathering for Stanford LEAD

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 08/03/2025

#DEI included letting in more first gen to colleges like Yale, rural Americans, etc. Like Vance. Are we sure *he* is there on “merit” or because he told an empathy inspiring take of a traumatic childhood?

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 08/03/2025

Sounds right for a government contractor.

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RK @rekesk.bsky.social · 03/03/2025

Tax enforcement should be near the top given the robber baron age we are now living in

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 02/03/2025

Traumatic events do not wake ppl up, true. Trauma triggers the limbic system or lizard brain and fight or flight… …not deep reflection or higher cognitive activity If in a cult, likely will double down even if truth appears: the cult & leader promise safety and give a sense of identity & belonging

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Alt CDC (they/them) @altcdc.altgov.info · 02/03/2025

PubMed has been down for at least 11 hours and we are EXTREMELY concerned. We hope it’s mere incompetence and not an official action. If any of our followers have media events today, please mention it.

medpagetoday.com

Opinion | Will They Come for PubMed Next?

Here's what we lose if the administration takes away this invaluable resource

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 02/03/2025

Sadly, for all the “Fraud!” or “Abuse!” allegations of gov’t, it is actually the vendors and contractors to gov’t who are the ones wasting taxpayer money. And everyone getting fired was who protects the citizens and taxpayers.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 02/03/2025

Could someone help me understand what to think of Jeffrey Sachs? I have deep respect for many of his ways to solve complex national or global problems He wrote this in 2020. www.jeffsachs.org/interviewsan... Now he is in the Trump camp.

jeffsachs.org

Expert: Donald Trump is the worst president in our history, in my lifetime

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Shematologist, MD @shematologist.medsky.social · 28/02/2025

It’s Rare Disease Day! Rare diseases are those that affect <200k in the US. Altogether, they affect 30 million in the US & 300 million globally. All pediatric cancers are rare. And >90% of rare diseases have no FDA approved treatment. #MedSky

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Andrés Corrada @andrescorrada.bsky.social · 28/02/2025

"E Pluribus Unum" - Out of many, one. My work on the logic of unsupervised evaluation is clear. We are safest when we disagree in meaningful ways, as a free people. Inherent in disagreement is failure. Of you or me.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 04/02/2025

Am glad to be represented by Senator Warren. Wish we had had her as a president in this country.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 04/02/2025

Show up at your congressperson or senator’s offices. Be heard. Take action.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 04/02/2025

There is #science behind this. Self silencing and being not believed even causes #inflammation and is associated with #autoimmune diseases.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 21/01/2025

Familiarize yourself with types and purposes of #propaganda. Examples from the article: mobilisation and coordination signaling permission crowding out dissent sowing distrust, confusion, animosity helps make dissent less visible tomstafford.substack.com/p/propaganda...

tomstafford.substack.com

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 21/01/2025

On my bucket list. Have only been to the Argentina side of Patagonia.

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Sen. Adam Schiff @schiff.senate.gov · 21/01/2025

"All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside." Written right there in the Constitution. The President cannot change that with the stroke of a pen.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 13/01/2025

12 individuals are responsible for 70% of the online anti-vaxx content. While I believe that reasoned conversation and a safe space to ask questions are important (not scientific paternalism) these monetized misinformation influencers are not doing that. They are spreading fear and distrust for 💰

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gamera obscura october edition @ohrobin.bsky.social · 12/01/2025

These 1,000 men and women are heroes.

Tweet from photographer Jeremy Lidenfeld:

Today I was granted access to speak with incarcerated firefighters.
They told me:
- they hadn't showered in 5 days
- they were not provided regularly meals
- they were working 24 hours in a row
- they feel under appreciated and underpaid
They also said they all wanted to be there & that they see the work as an important way to give back to the community.

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Tom Gauld @tomgauld.bsky.social · 12/01/2025

My latest cartoon for @newscientist.bsky.social

A venn diagram.

The three circles are labelled:
The Archaeologist
The Pirate
The Dog

The area where all threel overlap is labelled: Loves digging things up

Dog/Archaeologist overlap is labelled: Gets excited by bones
Pirate/Archaeologist overlap is labelled: Good with maps
Dog/Pirate overlap is labelled: Buries things for later

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Reposted by Umbereen S Nehal MD, MPH, MBA

Boston Review @bostonreview.bsky.social · 13/01/2025

“Health is produced not merely by having access to medical prevention and treatment, but also, to a measurably greater extent, by the cumulative experience of social conditions over the course of one’s life.”

bostonreview.net

Social Justice Is Good for Our Health - Boston Review

How greater economic equality would promote public health.

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Umbereen S Nehal MD, MPH, MBA @usnehal.bsky.social · 13/01/2025

Just spent the last two days at MIT Sloan learning about game theory. Agree with below. Some if us were playing checkers while insurance was playing chess. We were happy to be thrown a bone of a few rules changed (like on pre-existing conditions).

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Michelle Cohen @docmcohen.medsky.social · 05/01/2025

What I've often found funny about alt-health propaganda about doctors as "pill-pushers" is how much we LOVE deprescribing. Want to make a doctor happy? Have them see a string of patients in a row who need their meds discontinued. Feels amazing.

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