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usnehal's profile
Umbereen S. Nehal, MD, MPH
Umbereen S. Nehal, MD, MPH
Umbereen S. Nehal, MD, MPH
@usnehal

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Umbereen S. Nehal, MD, MPH

@usnehal

MIT Sloan fellow, fmr Chief Med Officer & Medicaid med director, Top Voice 4x, data nerd, activist, MedEd, humanist, contrarian,Tweets personal, RT🚫endorsement

Cambridge, MA
nehalgroup.com
Joined May 2009

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    1. Alan Levinovitz‏Verified account @AlanLevinovitz 17 May 2018
      Replying to @AlanLevinovitz @usnehal and

      Like the idea of "natural" with which it often appears, CAM is a single term that stands in for distinct goals & beliefs: 1. Patient empowerment 2. Attention to lifestyle 3. The idea we are "inherently" healthy 4. Respect for indigenous cultures 5. Belief in an Edenic past 2/

      3 replies 0 retweets 0 likes
    2. Edzard Ernst‏ @EdzardErnst 17 May 2018
      Replying to @AlanLevinovitz @usnehal and

      CAM is a single term that stands in for distinct goals & beliefs: 1. Patient empowerment 2. Attention to lifestyle 3. The idea we are "inherently" healthy 4. Respect for indigenous cultures 5. Belief in an Edenic past WITH RESPECT, THIS IS BS!

      6 replies 0 retweets 1 like
    3. Alan Levinovitz‏Verified account @AlanLevinovitz 17 May 2018
      Replying to @EdzardErnst @usnehal and

      What's BS? The ideas? The goals? The fact that CAM stands in for these? I'm well aware of the problems with these (3 and 5, say) but I think it's reasonable to say that CAM tries to bind them all up under a single label.

      0 replies 0 retweets 1 like
    4. This Tweet is unavailable.
    5. Alan Levinovitz‏Verified account @AlanLevinovitz 17 May 2018

      Well, yes. I just meant that in the rhetoric of CAM it stands in for those (withholding judgment about the efficacy or sincerity of that rhetoric).

      1 reply 0 retweets 0 likes
    6. This Tweet is unavailable.
    7. Alan Levinovitz‏Verified account @AlanLevinovitz 17 May 2018

      I agree. (I don't agree with regards to the idea of "natural," which I think has value, but that's a much longer conversation.)

      1 reply 0 retweets 0 likes
    8. Umbereen S. Nehal, MD, MPH‏ @usnehal 17 May 2018
      Replying to @AlanLevinovitz @EdzardErnst and

      So “natural” has to be expanded upon and these false dichotomies have to be exposed. Arsenic is natural. Lead is natural. Those are poisons. Natural does not automatically mean good or safe. It is possible to reason with people on these topics without showing disdain.

      1 reply 1 retweet 2 likes
    9. Umbereen S. Nehal, MD, MPH‏ @usnehal 17 May 2018
      Replying to @usnehal @AlanLevinovitz and

      Just like “natural” arsenic can kill you, so can a medical error or side effect. There is genuine harm in the allopathic system, that if not acknowledged, will drive people away. It can feel good to say “You are wrong and dumb too.” But does not change minds or outcomes.

      2 replies 0 retweets 0 likes
    10. Sartorius Medicus‏ @SartoriusMD 17 May 2018
      Replying to @usnehal @AlanLevinovitz and

      Genuine harm? Medical errors exist, but they are usually worked up and logged. Your arguments (here and in many other tweets) are those of a biased layperson rather than of somebody who went through med school. I’m beyond surprised.

      2 replies 0 retweets 4 likes
      Umbereen S. Nehal, MD, MPH‏ @usnehal 17 May 2018
      Replying to @SartoriusMD @AlanLevinovitz and

      Seriously folks, this is classic behavior of those letting frustration addle their brains, control their behavior. Sweeping statements about a person based on tweets? This is how you push people away from evidence and science. How often have you changed simeone’s mind that way?

      10:51 AM - 17 May 2018
      0 replies 0 retweets 0 likes
        1. This Tweet is unavailable.
        2. Umbereen S. Nehal, MD, MPH‏ @usnehal 17 May 2018

          “First do not harm” is an established principle. One that the system and those within it would do well to remember. Harm reduction is how experts at IHI speak. One can characterize it as trolling if one likes. These are real conversations that happen in the trenches.

          0 replies 0 retweets 0 likes
        3. End of conversation

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