LaShyra “Lash” Nolen
@LashNolen
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Ty’s daughter. Keen observer. Future healer. @HarvardMed @HarvardCPL MD/MPP '24 | Founder @wegotusproject | #Forbes30Under30 | #NMQF40Under40 |she/her| my views
Boston, MA
Joined February 2019
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Pinned Tweet
I am so excited to share that I matched at
@BrighamMedRes
DGM for my internal medicine primary care residency!
This milestone is a reflection of the incredible community that’s carried me and I feel so blessed that I get to continue to show up for us as Dr. Nolen✊🏾🏁.
#Match2024
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Y’all I was all excited to get my med school ID and I played myself and wore a white turtleneck for a photo against a white backdrop.
WHERE IS MY NECK?!😭😂
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I’m always amazed by how medical textbooks will drop a:
“Black people are more likely to develop...”
“African-Americans have the highest rates of...”
With no mention whatsoever of the systemic factors that contribute to the disparate outcomes we observe.
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My mom raised me as a single mother in Compton, California. She worked hard every single day, so I followed suit and by the grace of God I can say I’ll be attending Harvard Medical School on scholarship. This is for the culture.
#Medtwitter
#BlackGirlMagic
#Harvard
#WOC
#LMU
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Teachers are now expected to be:
•🦠public health officers
•📚classroom suppliers
•🤗counselors
•👩🏾🏫educators
•👩🏾💼mentors
•🦸🏾♀️superheroes
All while being underpaid, overworked, and exposed to 20+ families on the daily? We MUST advocate for their support and protection.
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Today we learned about Lyme disease and it’s classic symptom: a bullseye rash (erythema migrans) formed around the area of a tick bite.
A classmate of mine asked, “How is this diagnosed for those with darker skin?”
Our professor struggled to give him a clear answer. 1/5
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It’s dangerous, and feeds into the narrative that Black people are inherently “broken” and forgoes an opportunity to put the onus on true culprit of these inequities: racism.
Let’s stop dropping numbers with no explanation in 2020. It’s unjust. Our communities deserve better.
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I’m learning more and more that medicine is taught in a way that is often times exclusionary and the treatment and manifestation of disease in those with melinated skin is treated as an afterthought, a “special case” of illness that students must do extra work to understand. 3/5
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2. How does this later detection contritubute to the disparities we see in healthcare and what can we do in
#medEd
to reduce these disparities and ensure students have the tools necessary to treat and diagnosis patients of all skin types equitably? 5/5
#MedTwitter
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For me, it's the level of casualness with which white colleagues will ask Black folks to meet deadlines, produce papers, smile, and wave, while we've been fighting to hold back tears and anger every single day this week because our communities are actively being brutalized.
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Growing up I never imagined being celebrated for Black History Month...yet here we are in
@TeenVogue
.
My accomplishments are a reflection of my mother, community and all those who have poured love into me over the years.
Thank you for believing in me.
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So proud to share this moment with you all.
To all the little brown girls out there “you can’t be what you can’t see but I hope you see me now and that you see yourself in me.”✊🏾
#MedTwitter
#WhiteCoatCeremony
#BlackGirlWhiteCoat
#BlackExcellence
#HarvardMed
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This left me with the following thoughts:
1. If stage 1 Lyme disease is taught to be recognized as a rash on white skin, how are we supposed to diagnose Lyme disease in our darker skinned patients? Does this mean Lyme disease will progress to later stages in these patients? 4/5
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Just two years ago I wondered if I was “good enough” for medical school.
Today, the Dean of Harvard Medical School mentioned my name in the same sentence as a Nobel Prize laureate recognizing our student council initiatives for equity and justice.....
The answer was yes.
#TMC
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Exciting news to share with my
#medtwitter
family today:
This year I will be serving as the first female African-American student council President in the history of Harvard Medical School!
I am looking forward to using my platform to advocate for justice and inspire change.✊🏾
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Passed my clinical Spanish language proficiency exam today so that means ya puedo hablar con mis pacientes sin usar intérprete y eso me hace súper feliz💛
Another step towards becoming a bilingual provider and I can’t wait for it!
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Y'all the Dean of
@harvardmed
just named systemic racism as the cause of disparate suffering of Black people (COVID-19 and beyond) and quoted Langston Hughes in his letter. No beating around the bush, straight facts.
We have ALOT more work to do but I'm here for it.
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I’m smiling underneath my mask because today I learned how to suture🤗
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Every day this week I have been asked by professors:
“How’s it going?”
Today, I decided to no longer pretend I’m okay. The truth is Black students are NOT okay.
We are hurting, our community is suffering and we need space to grieve.
All educators need to hear this message.
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Just interviewed my first patient as a medical student and they responded, “You made me feel heard and understood, you’re going to be an amazing doctor.”
That positive feedback is going to get me through the rest of this week y’all 😭❤️
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Today I published my piece in
@HuffPost
!
I was unapologetically honest about my experiences as a Black student in academic spaces, often centering my white professors' comfort over my own mental wellness. Last week I took a stand and here is my story.
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If you’re white and not ACTIVELY thinking about how to identify, leverage, and/or relinquish your privilege, you are part of the problem. Anti-racism is an ACTIVE process.
Running 3.23 miles and social media posts aren’t enough to dismantle racism.
True allies will do the work.
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So this month I celebrated one year of being with this wonderful human and he came through with a mug with my first ever academic publication,
@NEJM
“How Medical Education is Missing The Bull’s-Eye”.
I about cried y’all 😭❤️.
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@Ripped4aReason
Exactly. Like we were just born with a higher risk for every chronic disease that exists, even though humans are 99.9% the same...Naaa fam lol
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FIRST YEAR OF MEDICAL SCHOOL OFFICIALLY DONEZOOOOO!😌🎉💪🏾
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After class I decided to google what we learned to see what images came up. I wasn’t surprised by what I found: a homogenous representation of the bullseye rash on white skin.
It’s no wonder our professor didn’t have a good answer to answer my classmate’s question. 2/5
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MAJOR NEWS🗣: Mass General and the Brigham hospitals will no longer use the “race multiplier” for eGFR function.
This is a MAJOR win but please know this change is the result of YEARS of hard work, advocacy, and research done by Black students and scholars.
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I've been told over and over again that a career in medicine means becoming a life-long learner. The same applies to being anti-racist.
No matter how many panels, workshops, committees, or task forces that come of this moment, it's important to remember this work is LIFE long.
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At 25 years old, I’m feeling extremely honored to have been named a
#40Under40
Leader in Minority Health by
@NMQF
!
While I’m sad we weren’t able to meet in person this year, I’m so blessed to join and learn from this cohort of passionate leaders doing such inspirational work✊🏾
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Today one of my patients told me they experienced homelessness for 4 years and therefore continues to eat uncontrollably at the sight of food because of the fear it might be their last meal.
Obesity is complex.
Stop blaming the patient.
This is bigger than medicine.
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Today is my 26th birthday and I can’t believe it!🎉
This year taught me to move in love & power even when the world shows me it’s most hateful side and to unforgivably take up space. Thank you to everyone who has loved, supported, and uplifted my journey. I appreciate you💛.
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Keep that same energy in one month, America.
And the month after that.
And the year after that.
Anti-racism is lifelong work. So if you’re truly committed to doing this forever, go ahead and post. But if not, just don’t.
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Today I celebrated my 27th birthday caring for patients on my Sub-I, surrounded by friends/classmates I love dearly, and I couldn’t feel more thankful for this journey and all to come. To more growth, love, and life! 🎉💛
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White folks:
Please be careful not to turn your check-ins, healing circles and discussions for Black people into therapy sessions that center helping you cope with your whiteness and complicity in racism.
Don’t make this about you. We are exhausted.
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It was a turtle neck without sleeves for those asking! Lol...the fit had so much potential.🤦🏾♀️
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#MedTwitter
let's talk about how systemic racism and white supremacy are perpetuated in medical education.
Case study
#1
: physical exam signs
Ask yourself, would you know how to recognize the following in Black patients?
A THREAD/
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This week I finished my first semester of medical school and found out I would be published as a first author in a major medical journal.
I’m 4 months into my medical career and I couldn’t be more proud of my journey and thankful for all that have been a part of it.
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That moment you meet one of your greatest inspirations at the Roxbury Unity Parade and she’s rocking hoops!💁🏾♀️
Such a pleasure to meet you Congresswoman
@AyannaPressley
and thank you for your continued support of
@wegotusproject
!✊🏾
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Despite the struggles of 2020, this year I found my voice:
•42 keynotes, panels, and presentations
•19 op-eds published
•1st first author academic publication
•Over 30 interviews
And the grind will continue in 2021 always in the name of the community and the culture.✊🏾
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Today is a great day to stop teaching race as a risk factor.
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To be clear: Unconscious bias training is not the answer. We’ve already tried that.
Non-Black people discovering their biases against Black people without doing the work of anti-racism is still harmful to our bodies and maintains the status quo.
Anti-racism training please!🗣
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Excited to share that I have officially entered the
#2024Match
for
#IM
#PrimaryCare
programs!🎉
I am an MD/MPP candidate at
@harvardmed
&
@Kennedy_School
passionate about using local policy to improve the lives of patients, antiracism in medical education, and community health.
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Academic medicine needs to prove worthy of the talents of Black women. Empty anti-racist statements won't do it. We need institutional change that uplifts our contributions and protects our energy. Period. Anything less is performatory.
#DNRTulane
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Let this week be the week people stop using "African-American" as a euphemism for "Black" in academic spaces.
Black is not a "bad" or "disrespectful" word, and viewing it as such is another manifestation of white supremacy.
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Anti-racism in academic medicine looks like moving away from paper-pushing to actually implementing and FUNDING the recommendations elucidated by disparities research.
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My mom had to sacrifice her dreams so that I could soar. Now her baby is on the front page of a
@Harvard
Gazette story.
This is for all the silent superheroes out there and for the brown girls with a dream. Go get it, sis.
#MedTwitter
#BlackExcellence
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I honestly feel numb to these results because in my eyes America already spoke when I saw how close this election was.
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In 2020 we’re going to continue to expand the image of what a
#Harvard
medical student looks like.
They rock cornrows and slick their baby hairs too...PERIODT.💁🏾♀️
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LIFE UPDATE: This week I officially started on clinical rotations!🎉👩🏾⚕️
I decided to step away from twitter to focus on personal rejuvenation and preparation for the wards. I’ve worked 12 hr shifts almost every day this week. I’m tired, but it’s been nothing short of amazing.
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There is no evidence that suggests medical students’ learning of antiracist curricula or increasing the diverse representation of physicians leads to worse health outcomes. In fact, evidence suggests the opposite.
DEI efforts in medicine help save lives. This bill is dangerous.
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I, lil girl from Compton with the glasses, just gave a presentation to over 100 employees at
@WebMD
about the importance of anti-racism in medical education and provided tools to commit to doing so.
So proud to do this work and even prouder of my village that got us here.🏁
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Two days ago I felt numb, but right now I feel joy, pure joy. Not because I naively believe this nightmare is over, but because I can finally breathe and people I love can too. And all I can say is thank you to the Americans that helped restore my faith in this democracy.
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So humbled to share that today I was named a
@ForbesUnder30
2022 honoree!
Shoutout to my incredible mother that raised me, my dedicated team
@wegotusproject
, and my amazing community that continues to uplift my dreams. Much love and let’s keep workin!✊🏾
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Today is my 25th birthday.
And even with all the uncertainty currently overwhelming our society, I feel an immense amount of gratitude for the blessings, people and experiences these 25 years of life have brought me.
Here’s to another year of love, joy and advocacy!✊🏾
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“We can disagree and still love each other unless your disagreement is rooted in my oppression and denial of my humanity and right to exist.”
One of my favorite
#JamesBaldwin
quotes. Happy Birthday and thank you for your brilliance that continues to inspire the movement.
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#Premed
students often ask me, how is it being a black medical student at Harvard?
My answer is in this video right here.
From study sessions to celebrations...
This is my family.
This is my community.
We are
@harvardmed
and the future of medicine.
#medtwitter
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In high school I studied to get into college.
In college I studied to get into medical school.
Now I study to learn how to best serve and treat my patients.
Learning finally feels right.
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If the service workers and custodial staff at your institution are still masking but students and faculty aren't required to, think about what that says about power, protection, and privilege in our spaces.
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By the way, please stop telling Black people you "don't see color". It invalidates our lived experiences and does nothing to absolve you from complicity in racism and white supremacy.
Anti-racism is the only way.
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Every time I sit through an implicit bias lecture I feel like folks are missing the mark.
Yes, we all have biases but certain individuals have the power and privilege to act on those biases which often results in traumatic and/or fatal consequences for black and brown people.
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My mommy got vaccinated today and that’s the joy that’s going to carry me through this week.💛
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Black women always come through.....always. Now this administration needs to come through for us.
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@DrOniBee
It gets me EVERY single time.
“Everyone here is going fine but the black students. Your loved ones, families and communities are doomed.”
*clicks to next slide and continues lecture*
🤷🏾♀️
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Life update y’all: Today I OFFICIALLY finished my clinical year🎉🥳
It has been a grind, but I have learned so much and am so thankful for the patients and teachers who helped me grow this the year. More reflections to come but for now, more sleep and even more boba🧋💁🏾♀️
#year3
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My mommy was the first super hero I ever came to know. She sacrificed everything so that I could put on this white coat and feel like a super hero every day.
Getting my white coat this week and honoring her was the proudest moment of my life.
#MedTwitter
#WhiteCoatCeremony
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I also want to say that ALL Black healthcare workers are hurting right now.
Physicians are often the focus but Black nurses, PhDs, dentists, PAs, lab techs, community workers workers, doulas, etc. are ALL feeling it right now, and they deserve support and visibility too.
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If your antiracism work is still at the "conversation" stage, at this point, you're not moving fast enough.
Reflection. Action. Policy. More Action.
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So I’ve spent the past month working on a piece about Breonna Taylor, student advocacy, the limits of symbolic change, and Black women in leadership.
It’s finally getting published tomorrow and the time to share it with y’all couldn’t be more appropriate.✊🏾💛
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If your institution’s plan for
#antiracism
consists of soliciting the free labor of Black students and faculty then you’re doing it wrong.
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I started writing my first month of medical school—mostly out of necessity to advocate for the communities I love.
To see my piece in print in
@BostonGlobe
today was the dopest feeling ever.
All I can say is, if you have a message in your heart, share it fearlessly.
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People often cite Tuskegee as the reason Black folks don’t trust the medical institution, when in reality it’s the mistreatment our community experiences EVERY DAY that we feel.
Dr. Susan Moore’s case is the latest heartbreaking example. She deserved better. We deserve better.
In an exclusive statement to theGrio, Indiana University Health Hospital addressed claims of mistreatment regarding Dr. Susan Moore in the days before her death.
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If medical institutions are serious about anti-racism and equity, it's time they value social justice praxis as much of the pipette, and proximity to our communities as much as publications.
Read more of my thoughts today in
@BostonGlobe
@GlobeOpinion
.
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“They tried to bury us but they didn’t know we were seeds.”
Here we stand on the shoulders of giants and we came to finish what they started...the future of medicine.✊🏾
#BlackExcellence
#MedTwitter
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The lack of diversity I’ve seen in my anatomy textbooks is overwhelmingly disappointing. If we continue to depict “healthy” bodies as slim, young and white, how can we expect to improve health disparities when these unconscious biases are perpetuated?
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The "micro" in "microaggression", refers to their routine frequency, "not the scale of their impact".... and this story shows the major impact they have on the everyday lives of Black women in medicine. Please read until the very end.
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Today on the wards I took a patient’s full medical history and did their entire physical exam in Spanish! It’s so awesome to use a skill so meaningful to me and so valuable for some of our most vulnerable patients.
Discovering my “why” more and more every day!
#medtwitter
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“Being American is not the pride we inherit, it’s the past we step into and how we repair it.”
Whole piece, just brilliant.🔥
@TheAmandaGorman
you ate sis.
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Call it what it is: a hate crime.
The way American media passively euphemizes violence toward minoritized communities in this country is extremely harmful and damaging.
#StopAAPIHate
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Also, can we stop defending peer-reviewed racism in 2020?
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Yooo! Today marks the official end to my pre-clinical year of medical school! ✌🏾🎉
This journey has been so rewarding and I can’t wait to continue learning and growing on the wards. So grateful for my amazing teachers and classmates who’ve been there every step of the way!🙏🏾
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Stop calling Black folx "resilient" and "strong" without advocating to remove the systemic barriers that force us to be such.
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In the fall I’ll likely be sitting in a lecture. The topic will be COVID-19.
It will be a learning exercise for us to learn about the pathophysiology of the illness.
At the end of the discussion, there will be one slide about health disparities. 1/3
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The fact no officers have been charged for the murder of
#BreonnaTaylor
is a reminder that while we can do great work to make our spaces anti-racist, these changes are insular and do little to address the systemic injustice that persists beyond the walls of our institutions.
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Today I got to assist on a hysterectomy procedure and it reminded me of how blessed I am to be on this journey every day.
Tired and frustrated with the nonsense and racism of the world (and this pandemic) but still we rise✊🏾
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Don’t ask Black people to do the work for you either. There are numerous resources you can engage with.
Inviting folks to share some on this thread. I’ll start:
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The lack of justice for
#BreonnaTaylor
and this country’s continued disregard for the lives of Black women hit me hard this week.
As always, I used music as an outlet for my expression, and recording this was the most healing thing I did all week.
Rest peacefully, Breonna💛🙏🏾
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I’m just loving this season of Black women showing us the power of prioritizing our health & wellness and going where we are loved.
A forever mood.
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This week I reached 10k followers🎉.
I joined Twitter to share my journey in med school and inspire women of color. It’s been amazing to do that and so much more with this community. Appreciate you all so much!
To celebrate here’s a rap flow I created last week. Enjoy!😊
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To those that argue that socioeconomic and historical context doesn't belong in medical textbooks:
Human beings are genetically 99.9% the same.
Black people only make up 13% of our population yet share the highest burden of disease for nearly EVERY chronic disease in the U.S.
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I’m feeling so thankful for the pass/fail curriculum in medical school:
1. I feel like I’m learning for my patients not just the grade.
2. My classmates have been amazingly helpful and collaborative.
3. I’m feel like I’m able to practice more wellness and balance in my life.
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We say we hate 2020. I know I do. But my biggest fear is that this year isn’t just a reflection of this moment but all those to come. And that thought troubles me deeply.
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Happy Friday y’all!👋🏾👋🏾👋🏾
I’m so excited my cornrows are BACK😍. One of my favorite hairstyles and the highest standard of professionalism in my book.
Remember: “Black hair is a mosaic of beauty and to protect it is our duty.”-
@thenocturnists
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I still don’t have the words today. I just want us to be able to live prosperously and joyfully in peace.
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If they’re asking you to miss class for a diversity and inclusion committee meeting or anti-racism task force....without compensation....it’s a no.
The degree comes first, periodt.
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