R. Reid, MD
@imaginemh
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Black Child, Adolescent, and Adult Psychiatrist. Pronouns: She/her/hers. I don’t need the world, just care, community, and safety for everyone 😇
Los Angeles, CA
Joined March 2012
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I’m so honored to have had the opportunity to write this!
What A Black Woman Medical Provider Sees Watching The COVID-19 Pandemic Unfold By:
@imaginemh
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Also!
apparently a lot of cis women need to hear this but a world where our faces, bodies, hair, breasts, clothing and voice are constantly scrutinized as "not feminine enough" is infinitely more dangerous than a world where trans women might also be in the bathroom and need to pee
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People forget that workplace safety regulations were bought in blood. People died without them!
Just got asked why I’m wearing a respirator while I’m cutting tile 🙃
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This is a good metaphor, because regularly testing your immune system with bacteria and viruses doesn’t actually make it stronger. It just causes disruption until it can’t protect you anymore. The “leg” breaks
If you hit your leg with a hammer repeatedly it doesn’t matter how healthy & strong your bones are eventually you’re gonna break your leg
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I used to wonder about this too, but then every time I see these people who don’t mask, they talk about constant cycles of the “common cold,” the flu, allergies, a “weird stomach bug,” an ear infection coming “out of nowhere,” dizziness, food intolerance, health complications etc
This is what I don’t get. If ppl who n95 religiously are getting cvd why don’t those who don’t and go to crowded places everyday day not have it constantly?
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It’s funny that people will follow me for my tweets about COVID and then unfollow me for my tweets about racism and capitalism. Did you… not think all these things are related?
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The thing about most doctors is that they are overwhelmingly from higher classes (because getting into and remaining in medical training is expensive) and so they behave like the classed people they are.
That’s why so many are conservative and reactionary.
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People don’t know how exhausting and dehumanizing it is to be both poor and disabled.
What’s up with everyone thinking disabled people are just some privileged bourgeoisie sitting in their comfortable homes exploiting the working class.
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Every time I talk to people about the long-term risks of COVID, they’re like, “what?!! That can’t be true! That means that they’ve left us to die!”
And I’m like, “Correct.”
“YOU CANT LIVE YOUR LIFE IN FEAR!!!”
Part 1 | Part 2
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My thing is, why would you WANT COVID to be endemic? Before COVID, I would get the flu once a year, every other year or so. I always hated it. Y'all wanna have flu-like symptoms 2-3 times per year? Y'all got sick days for that?
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No because I’m coming back to this- the push for the Return to Normal didn’t get us back to normal, it just disabled, k*lled, and impoverished a bunch of us.
We didn’t go back to normal, things just got worse.
78% of people in the US are now living paycheck-to-paycheck, while the 400 richest people added another $500 billion to their $4.5 trillion net worth last year.
Capitalism is working as intended, and this will only get worse if we allow it to continue.
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It’s exhausting, because even my colleagues ask me why I’m masking.
I can’t imagine what it must be like for the remaining ethical healthcare workers, having to work with these people & watching them kill patients
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As a provider, I am once again asking y’all to mask up because I’ve seen so many people coming to me for new autoimmune disease, worsening psychiatric symptoms, and vascular issues due to likely fallout from COVID. Please protect yourself from becoming severely disabled!
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It makes me unbelievably upset that a patient can be hospitalized and come OUT of the hospital with a COVID infection because the staff was unwilling to wear appropriate PPE. It will never be okay.
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So I’m seeing a lot a lot of neuropsychiatric complications of COVID and I really need my people with neurological disorders, psychiatric diagnoses, and my neurospicy people to mask consistently to protect their brains.
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It is supremely inappropriate that medical professionals are not masking in clinic. It makes me unbelievably angry.
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Why are so many people convinced that masks don’t work????
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Maybe… maybe don’t take your seriously ill child to a concert that will most definitely give her a COVID exposure?
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@ItsEstaFiesta
Which isn’t just a random “man hate” idea, rather that they see women as resource/providers even if not partnered with them
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I’m treating kids with mental illnesses that have worsened significantly due to repeated COVID infections and I still cannot get them or their parents to mask or take consistent precautions.
I am still astonished that the one and only thing that parents are not worried about is their kids being repeatedly infected by a virus that can invade brains
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It makes me so mad I can’t even describe how negligent it is
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I spend so much time offline educating vulnerable (disabled) Black elders and every time I talk to them I always get at least one “COVID isn’t gone???”
That’s what the propaganda has done for us- leaving us at risk and without resources even for knowledge.
My vulnerable grandparents think that because deaths and cases are no longer reported on the ABC, that there's no threat.
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I tell people all the time that I’m fine with being perceived as a villain if I means that I’m continually on the right side of history. I won’t stop talking about COVID, medical racism in all its forms, and the failures of the medical industrial complex!
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I was thinking about all the vitriol I get (from primarily yt ppl) about taking COVID precautions and I remember that under white supremacy, there is a belief that avoiding deviance from social norms provides protection.
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The COVID conscious community in general shares a lot of the liberalism that stunts movements. They still tend to adhere to the concepts of white supremacy, even when trying to advocate for disabled people- it’s not surprising, that many don’t stand with🇵🇸.
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Something I really need white disabled people to know is that being Black and disabled is a very different experience from being non-Black and disabled. The lack of empathy alone is startling, and I see this lack of empathy even in COVID conscious spaces.
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This is going to sound like a conspiracy theory, but:
The government didn’t work to eliminate COVID, they worked to get you back to work/normal, whether or not you have COVID. Because she’s a physician, Dr. Wen has been a “trustworthy” public advocate for this effort.
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Don’t misunderstand me- I have no special love for police, but I’m starting to worry that too many of the people who say, “Care, not cops!” do not know how to do the care part. Because how can you be interested in “care” and pretend COVID is over?
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It continues to absolutely blow my mind that we’ve been propagandized to get COVID over and over and over. People who told me they only had the flu every few years are telling me they’ve had COVID multiple times. It’s so wild.
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No but i would be so embarazzed if I called myself a socialist and ran around talking about how I don’t have to care about disabled people.
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I would really like to invite all mental health professionals of any type to kindly shut up if they’re attempting to pathologize anyone keeping themselves safe from a virus that we know has several negative health outcomes including, but not limited to, death.
Saw a young neuropsychologist in the clinic today who asked me if I had a diagnosed anxiety disorder. I asked him why & he pointed to my mask & the air filter in my room.
I replied that I can send him over some data that might give him an anxiety disorder too.
#LongCovid
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Americans are a heavily propagandized people, so although it’s irritating, I spend a lot of time interrogating people’s ideas and knowledge bases to get to the root of that propaganda and pluck it out.
COVID isn’t over. Please protect yourself and others and wear a mask.
Interesting encounter in a store today. The cashier (middle aged white guy) said “I was just wondering, you’re both wearing masks and I’ve seen a bunch of people wearing masks again. Is there something going around?”
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Your doctor hates poor and disabled people and has no analysis of capitalism? What did you expect from a rich white man?
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The little “ah your mask is covering your face I can’t see your pretty face and smile” doesn’t bother me because yes this is how I prefer it yes this is what I’ve chosen. I am mysterious and unknowable you are correct.
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I forreal feel some type of way when people who claim to be leftists or radicals don’t mask. Y’all are supposed to be the vanguard. What are you doing?
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And to be honest, I don’t see people with N95s getting sick constantly unless they’re immunocompromised. And even then, most are excluded from society due to ableism.
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White people.
I say this with all the gentleness I can muster: if something terrible is happening to you in the United States, it doesn’t mean the country has lost its morality. It means that it was previously done to marginalized groups here and outside our borders.
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Several people have said this already, but please avoid this messaging. This is very dangerous, because it implies that our society will fail due to people with brain damage, which is not objectively true and also somewhat eugenicist.
Cסvid causes brain damage and almost the entire population has gotten it, repeatedly. There is no rebound from this. We’ve peaked intellectually a while ago and are now going down the other side.
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“The government wouldn’t leave us to die!”
I’m sorry I’ve been Black my whole life so… why would you think I’d believe my government wouldn’t abandon me?
Sidebar research the Civil Rights movement or the MOVE bombing or Flint or Hurricane Katrina or the War on Drugs or welfare
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I think as healthcare providers we have to be extremely mindful of the *reasons* people elevate or degrade us. I often find that my own colleagues can be really cruel to me as a patient if I don’t share that I’m a doctor.
Without my credentials I’m just a disabled BW
I see anti nurse rhetoric on my TL weekly lmao we not heros no more???
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Not to fear-monger or whatever, but I’m stressed today because I don’t want us to have recurring COVID infections but it seems like it’s very hard for most people to keep themselves safe from recurring infections. Masking alone isn’t enough, unfortunately.
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And that's without what's likely gonna happen, where multiple infections put you at the risk of becoming disabled, so that you just get sicker each time and have increased risk of other diseases? That don't sound good to me!
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Anyway since we’re not doing COVID mitigations, at least wear a mask so you don’t get or spread measles, because it is highly contagious and you don’t want it, or to spread it to the vulnerable, which includes small children.
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No but the way so many people did a speedrun of this pipeline during the pandemic?
It went from, “Have you considered meditation, herbals and tinctures for COVID?” to “IDK maybe you have inferior DNA?” so fast.
This is why my hard and fast rule is to not take spiritual advice from ⚪️ ppl.
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This has been my issue with much of COVID conscious Twitter since the beginning- the racial stratification is stark 🫠🫠🫠
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So the only issue I have with this is that plastic products are necessary for many disabled people. While we should reduce use of plastic and reuse as much as possible, many single-use plastics are literally life-saving.
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I spend a lot of time in circles where the thinking is “how can I make this better for everyone” instead of “how do I protect myself” so it’s jarring to see people in the COVID conscious community engage in lateral ableism b/c they haven’t considered other people’s circumstances.
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Plus it's just weird to see other doctors be like, "COVID isn't a big deal!" when I know you all get AMA alerts about COVID like I do. Do y'all just delete them orrrr?
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Imani is right about us “moving on” from COVID, but even though information about COVID is available, the stuff I’ve read since 2020 isn’t available or accessible to the general public. Even doctors have a hard time processing studies, much less the public.
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I criticize the COVID conscious community because too many promote individualist thinking, aren’t in community with disabled people other than those with LC, and prioritize their comfort. They often want quick answers and solutions instead of struggling together with us.
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I’m struck by the number of people who still are concerned about whether COVID was a lab leak, but don’t want to protect themselves against it.
So you think it’s a Chinese bioweapon and want to continue to get it repeatedly?
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I’m critical of the Democrats because they could actually be an opposition party and REFUSE to do so. We deserve and could get better if they actually fought for it.
Let’s be abundantly clear about something: whenever Dems fail people we love pointing to the previous election/midterm election and throw up our hands and ask “well what could they have done?!”
That’s bullshit, the GOP has been BROADCASTING their agenda for the last 50 years.
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Imma say this- you and I are not special for wearing a mask. It’s what we should be doing!
Coming online to congratulate ourselves for this basic level of protection and then yelling at people who don’t have resources (or knowledge) to mask is really telling.
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This is why it’s so important to point out every type of propaganda. COVID never left us, but they’re willing to try to convince us it did. This denialism tactic is what the US uses here and around the world for all of its aims.
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Yeah! Be a man! Die earlier than women from infectious diseases and chronic illnesses! Get disabled young and have few community supports to help you have a meaningful life! Yeahhhhhh!
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“What happened before we did all this?”
People died. They died.
Or survived with lifelong disability that made living their lives in a fulfilling way nearly impossible.
People are downplaying viruses in modern times because they do not recall the not so distant past when a family would bury 5 children in a summer from a virus outbreak.
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I also cannot forget that thinking early on was that if you get COVID once, you have immunity for the next few months, or that people predicted (hoped) it would get milder as it spread, so mitigating it was never really the plan.
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We try to be dialectical here, but people are being purposefully obtuse. The focus on the lives of the wealthy in our current news cycle reflects our priorities. Too many people die and become disabled by routine occurrences in our society and they never get this type of coverage
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It’s the same reason I call out leftists on ableist behavior. Your politics don’t necessarily always prevent you from enacting the behavior of our larger society, which is why checking our own people is super important, calling them in when necessary.
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Any COVID conscious people in LA with disability praxis wanna connect? Especially if you are 30+, Black, and disabled yourself. The ableist discourse this go around is actually getting to me and I would like to build some community with like-minded people.
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COVID is dangerous and always has been. Please protect yourself and others because the government has no interest in doing so.
There is no lack of information on the dangers of COVID and its prevalence worldwide.
There are now 1000s of studies that exist to corroborate these findings.
If you're not seeing them, ask yourself what systems are in place to protect our governments from accountability.
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Idk I’m always thinking about the effects of the money I do/don’t/can’t donate to people in need all over the world, balancing it with my needs. To know that there are people out there that could give thousands of dollars without another thought is so wild to me.
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It’s true that sometimes disability means you’re a burden to others. That doesn’t mean you’re not WORTHY of being a burden and having the support of others and it doesn’t mean that people get to discard you. That is ableism.
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I find it upsetting that even though Cora has been an advocate for responsible purchasing and care of clothing, she is being dogpiled because she describes the circumstances of many in the US. Frankly, this is because she’s a Black woman- her expertise is often minimized.
Today I learned I am single-handedly responsible for climate change, fossil fuel pollution, wildfires, and the overuse of electricity despite not owning a washer, dryer, dishwasher, or car.
Behold my power.
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“You can’t expect us to live like this forever?!!”
Y’all the ones expecting to lead a revolution?
@imaginemh
Biggest layup for communist agitation in decades, and instead we've got an absolute clown show of bare-faced "back to normal" sycophants.
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They’ve fully admitted they don’t actually think Black maGes are feds, they just don’t like listening to Black people and considering our perspectives.
im so confused what yall think the feds gain from spreading covid consciousness and listening to Black women 😭
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@ItsEstaFiesta
Which… if mama has that in her purse, who am I to judge??? Sounds like she has pain management and protection in her bag and that’s okay!
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What’s even wilder is that they called in experts to advise them about living in bunkers and every expert has told them it’s not sustainable long term. That it’s better for them to do good for the planet now.
What I find most fascinating about wealthy people’s approach to climate crisis is… what is the end goal? A select few wealthy people survive in bunkers and then what?
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“Diabetes is not your fault, but treating it is your responsibility!”
Okay, how? Do I get off days to go to clinic? A nutritionist to teach me different ways to eat? Better food choices? Walkable neighborhoods? A better job to stop being underinsured? Let’s think about this!
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This thread is great and why I’m begging people who are new to disability to please continue to develop their politic.
We have to be particular about the messaging we use about COVID to avoid lateral ableism or individualizing a collective issue.
covid conscious folks saying that they were not paying attention to the news/politics/advocacy until recently tells me all i need to know about them.
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@Maythewaybewit1
I’m not sure where you are in the world, but the other thing that confuses me is people talking about lockdown like it was extended. In most places in the US, it was no more than 3 months, if that.
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When Imani is right (e.g.consistently), she’s right 🤷🏾♀️
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No one can convince me to stop taking necessary precautions for my patients, my family, or for myself, because a return to “normal” would have never benefited my patients anyway. Back to lack of access for patients? Back to poor outcomes for treatable illnesses? No thanks.
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As an actual physician, that desire to help people is actively beaten out of you by training and you have to FIGHT not to lose it or get it back.
I’m not kidding.
I love when doctors are like: I want to be a doctor so I can help people :)
And then they are actually like: I am the gatekeeper to your health and pain management and I will actively not give you the things you need
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This is a conversation that Black women have to have too often. Yes, I’m the one in charge.
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Even as a physician, I repeatedly tell my clients that fatness is okay! If you have a problem with this statement, research healthism, social determinants of health, and review studies on obesity.
(Also don’t respond if you don’t mask, because you know less than you think.)
it is okay to be fat. i am visibly fat. i am fat from every angle. i am past the ‘acceptable’ fat mainstream body positivity celebrates. i am fat in ‘unacceptable’ places. i have a big stomach, arms, chest, chin, legs, and back. my body is big. and that is OKAY! fatness is OKAY !
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The trial runs for the current pandemic response were first worked out on marginalized populations first.
The Mississippi Legislature cut public health funding before the pandemic, cutting >500 State DoH employees & closing or limited hours at dozens of regional and local clinics across the state.
“We’ve gutted the public health infrastructure,” said the former state health officer.
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The *good* white person who eats right, exercises, avoids (the stigmatized) substances, is heterosexual and (Christian) God-fearing shouldn’t be at risk of illness and death like the deviants.
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I’m gonna share something personal and it’s this:
A real problem I’ve been having in sessions with people, either for medication management or therapy, is that I’m having a harder time keeping the tears at bay.
The world is so hard for so many of us and my humanity feels it.
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This tweet isn’t intended for conservatives, because they pretend disabled people don’t exist or want to unalive them outright. This is for anyone left of that who wants community care solutions without police (good), but won’t do pandemic protections (bad).
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(White crunchy mamas are often two steps away from being white supremacists, so they wouldn’t be into it.)
Imagine if all the crunchy mamas got behind mask wearing. A way to keep your kids from getting sick without putting anything into their bodies? In theory they should be all over it.
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One of the most frustrating things I experience from YT colleagues when they’re being called out for racist behavior is, “but I’m a good person!”
Even if that’s true, what does that have to do with the behavior I’m telling you to correct so that you do not harm others?
The “Mental illness/medications made me racist” excuse is not only deeply ableist but it relies on the myth of the innate unassailable goodness of white people that is only momentarily disrupted by acts of God, so we must sympathize with and believe them when they “apologize”
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One thing that’s been on my mind recently is how everyone senses a shift coming in the US, and I suppose that the reason I spend so much time screaming online about having a praxis around disabled people is because community will prevent the worst outcomes.
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Some of the maskless are incarcerated people. Migrant workers and undocumented immigrants. People in poverty who can’t afford high quality masks, or prioritize food or bills over masks. Vulnerable people who just don’t know the danger they’re in.
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It’s COVID- its acute phase, its immune-depleting properties, and Long COVID
What's up with undergrads missing class constantly due to sickness? I've heard this is a thing at multiple institutions. My class has been repeatedly decimated.
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Wait whoa I’m not sure where this energy is coming from, especially because I was sharing that as a profession we’re not good at it. I’m a disabled Black woman physician so *I* try my best to mitigate these factors. Indicating that I’m useless is strange?
@chronicautistic
@imaginemh
Who said this:
“We have little experience with chronic issues and lack of time and space to care for the most marginalized”
How would that be useful to me?
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Masking is necessary, but not sufficient enough to keep people from becoming ill, especially as H1N1 races toward us and public health has been all but dismantled. COVID continues to impair and kill us, and we need layers of protection for what’s here and what’s coming.
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My problem with this is that it’s not even therapy talk. A lot of the things I’ve seen and heard said are not what a therapist would say to you, they’re poor interpretations. Any therapist worth their salt and willing to keep their credentials wouldn’t say them.
Weaponized therapy talk has to be one of the worst things to come out of the internet.
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Occurrences that become routine because of policy choices often directly influenced by billionaires. I’ll never forget that the CDC changed COVID quarantine rules because of influence from the Delta CEO.
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Which is fine. I don’t care about the people who resist knowledge to their own detriment. What I care about is accurate and accessible public health information for the many more people who don’t know how to protect themselves.
I've been told that ppl just need to be educated on the matter of COVID and then they would care, and I do believe that is true in many cases.
But there are also many ppl who simply don't want to know and will do anything in their power to resist knowing and doing better.
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It isn’t the diabetic elderly cashier that’s killing you because their mask is under their nose, it’s Kroger not instituting a mask mandate in the stores for workers or customers. Because profit outstrips protection of vulnerable people.
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We are living on stolen land in a country built by enslaved people. There was no morality to be lost, it’s just that the targets of the violence were expanded (or now blow back) to you.
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@RrnRaindeer
But no one with knowledge of physics will explain to me why masks would be ineffective!
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I’m having a frustrating set of feelings. Righteous anger over needlessly lost lives in the pandemic, and prior, from neglect of our most marginalized populations. Disappointment that the pandemic didn’t change us for the better. Fear of what’s next.
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Leftists please PLEASE!
Disability exists period! Mental illness exists period! Just because the world is ableist and worsens morbidity for illness doesn’t mean that it will go away if the world is better!!
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As someone who is anxious at baseline, I feel this so deeply. Instead of people asking if my anxiety or actions are appropriate, they make ableist dismissals of me because “when aren’t you anxious?”
but y’all have ruined that for me. because now i have to be the anxious person who gets dismissed when discussing genuine and realistic situations. my anxieties are truly grounded in reality yet no one wants to listen.
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So anyway wear a N95, KN95, or Flo Mask (or equivalent) to protect yourself and others
@imaginemh
I think everyone is done pretending masks protect against covid transmission. There will be a few holdouts, yourself included apparently, but the rest of the world is moving on.
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Hey y’all, since conservatives think I’m grifting, I’m gonna be fully transparent and say that my grift is making sure people don’t die of preventable illnesses and to reduce morbidity from chronic illness.
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I thought I was losing my mind for several months back in 2021 when I was seeing news articles about COVID in direct opposition to the research, wondering if I had interpreted the studies incorrectly. No. We were (are) just being lied to constantly.
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