This is my mom.
She was an asylum seeker.
She slept in a church b/c she had nowhere else to go.
She is a housekeeper & a waitress.
She is my hero.
These degrees are for her.
Harvard Medical School, M.D. ✅
Harvard Business School, M.B.A. ✅
Harvard Kennedy School of Government,
And this is me.
I am a product of my mom, dad, brothers, friends, and mentors.
To them, I owe everything.
Signing off for the first time ever as,
Dr. David Velasquez, MD, MBA, MPP
On Thursday, I graduated from the Harvard Business School & the Harvard Kennedy School of Government.
On Tuesday, I restart my 7th and final year at Harvard Medical School.
Next year, I will become the 1st person in history to graduate from these three institutions.
1/x
This is my dad.
He was shot twice fighting for democracy in his home country, Nicaragua.
He lost his brother in battle.
His calloused hands remind me of the manual labor he worked to make sure I could focus on school.
He transports elderly patients to their doctors'
These are my brothers.
My oldest (far left) brother raised me when my parents worked multiple jobs.
My older (second to the left) brother pushed me on the track & helped me become a better version of myself.
My little brother (far right) taught me how to be a big brother--the
Last night, I saw an elderly Honduran woman in clinic.
As the nursing student took her blood pressure, her granddaughter turned to me and whispered, “Felicidades. Lo hiciste.” 🥺
When I was a kid, I couldn't order off the Carl's Jr dollar menu because of cost. Yet, I was expected to pay +$1200 for a MCAT test prep course🤔
Privileged to have a voice in the
@nytimes
on the barriers that low-income medical students face.
...who somehow provided nurturing love to me and my brothers even when we were homeless, and who, to this day, may be your
@Uber
driver,
@Marriott
housekeeper, and restaurant server.
Thank you, Mom & Dad.
3/x
Before starting my junior year of college, I made a trip to the local Walmart. I shopped for chicken, eggs, and milk when I noticed a man shyly approaching other customers.
He looked to be in his forties, and I could overhear him nervously speaking in Spanish.
1/x
As excited as this makes me, what truly makes me smile is doing this as the son of two formerly undocumented, non-English speaking immigrant parents who slept in the attic of a church for 2 years when they first arrived in the U.S...
2/x
Why are med schools offering classes on structural racism, you ask?
Because of Henrietta Lacks
Because of the Tuskegee Study
Because of experimental procedures on enslaved Black women
Because of unnecessary procedures on women in ICE detention centers
Because if you are Black or
5/ Why is a class like this even offered, much less mandatory for med students? Which lessons on anatomy, biochemistry, and saving lives were removed to add this woke ‘Indigenae’ nonsense into the curriculum?
What also makes me smile is doing this alongside some of the most incredible people I have ever met.
People dedicating their lives to the relief of illness & injury, people choosing public service because they believe in the potential of our institutions...
4/x
During my second year of medical school, I rotated through the trauma surgery department at one of Boston's most prestigious hospitals.
In my first two weeks, I met some exceptional residents and got to scrub into awesome cases.
But everything changed one week later.
1/🧵
Growing up, my parents never had a doctor
The first time my mom saw one, she was being rushed to the scanner for a code stroke
The first time my dad saw one, he was being rushed to the cath lab for a heart attack
But now, the next time they will see a doctor, it will be me 🥹
...and people striving to create and advance solutions to society's most pressing problems.
Thank you to my friends, mentors, and professors across and beyond Harvard, for continuously inspiring me and pushing me to strive for excellence.
5/x
Today, I pause to reflect on, as the Harvard Business School likes to call it, my "one wild and precious life."
But tomorrow, I begin anew, because as one of my heroes--
@kobebryant
--once said, "Job's not finished."
6/x
Regardless of the reason, it happened when it should not have.
Neglecting and excluding medical students should not be part of anyone's "culture", and if it is, we must work to root it out.
Respect your subordinates and treat them with dignity.
I know I will.
11/
My high school surprised me.
They renamed the student center.
Students will now visit the 'Velasquez Student Center' when they seek academic support and college guidance.
I couldn't contain my emotions b/c when I started high school, I didn't think I could go to college.
1/x
I share this story because there are over 11 million unauthorized immigrants in the US, many of whom struggle to afford groceries for themselves and their children.
During
#covid19
, the number of people struggling to afford food has skyrocketed.
7/x
Being a first-gen college/med student is very grounding.
When I told my family about match day, they said:
“I thought you were done!” - brother
“Como se dice ‘Brigham’”?- mom
“Did they give you your diploma?” - dad
Gotta love it 😄
What an absolute privilege.
I matched to my
#1
choice program
@BrighamWomens
@BrighamMedRes
!
So much gratitude for all my mentors, friends, & family who made this possible.
Thank you from the bottom of my heart ❤️
Very few low-income students pursue a career in medicine. Why?
Because it's expensive and they have few mentors in medicine.
But there's another reason: their desire to financially provide for their families before it's too late. My story in
@GlobeIdeas
:
What an absolute privilege.
I matched to my
#1
choice program
@BrighamWomens
@BrighamMedRes
!
So much gratitude for all my mentors, friends, & family who made this possible.
Thank you from the bottom of my heart ❤️
My 59-year-old uncle died last night from
#covid19
. He was one of my biggest supporters, a devoted father to his children, and a loving brother to my mother and her siblings.
His name is Jorge Garcia and this is my part of his story.
1/x
America cannot rely on good faith to sustain the basic needs of unauthorized immigrants. Federal, state, and local governments--alongside nonprofit organizations--must do more to combat the rising prevalence of food insecurity disproportionately affecting this population.
8/x
Here (),
@JordanKondo
,
@broademily
, Sarah Downer of
@HarvardCHLPI
, & I detail how that can be done.
People like Miguel are essential workers, resilient students, friendly cashiers, and loving parents--but most importantly, they are human.
9/x
After paying for his items, we walked to the front of Walmart. He could only store so much food in the small room he shared with his son, so I offered him the $20 bill for future meals.
Miguel broke down in tears. A man nearly the age of my father cried on my shoulder.
6/x
Want to understand privilege?
1. I am tested for
#covid19
3x/week while my mother who cleans offices & serves food has never seen a test
2. I don't pay rent at Harvard while my parents empty their garage so a family can have a place to sleep
Please, let's fix America and
#Vote
Thank you
@TeenVogue
for not only interviewing me, but especially for interviewing the real heroes--my parents.
They went from escaping a war zone & sleeping on the floor of an abandoned house to holding 3 degrees from
@Harvard
that I dedicate to them.
"We did whatever it took
This one is so so special.
It is for the children growing up without housing, the mothers fighting to bring home warm meals, and the families holding on tight with love and strength.
It is my journey, my family, and life's inequity all in one.
"I just came from Mexico, and I don't have any money for me and my son. We have no food."
He told me more, and I listened. His story reminded me of my father's--a new immigrant in the US fighting for a better life for his children without the help of many.
4/x
When I visited
@harvardmed
in 2016 for my medical school interview, I was awed by the marble buildings and legacy of doctors who had once stepped foot on the campus.
But I wondered whether a kid like me, a kid who grew up poor and homeless, belonged at a place like Harvard.
1/x
One can only speculate the reasons for her actions.
Of course, as the only person of color on that team, I considered racism. Of course, as a medical student in training, I considered burnout. Of course, as a human being, I considered misplaced anger and pain.
10/
UNBELIEVABLY EXCITED for this news—I’ll be spending an extra 3 years in Cambridge to study both business & policy at
@HarvardHBS
&
@Kennedy_School
!
This one is for the people without a home, access to good health, and equal rights.
We are fighting for you, now and forever ✊🏽
I almost decided not to become a doctor
"It's too expensive"
"My high school didn't prepare me to be pre-med"
"I don't know a doctor, how can I become one?"
For these reasons + more, low-income students are unable or decide not to pursue medicine..
1/x
Wow! What a moment. After 6+ years of graduate school, I just officially applied to my first job as an internal medicine doctor 🩺
So excited for the upcoming interview season. Good luck to everyone else applying!
I could not think of a better time to start my education at
@Kennedy_School
. First course for tomorrow: Race and Racism in the Making of the United States as a Global Power. Let’s get it ✊🏽
Exhausted, I headed home and opened my laptop.
In it, I typed, "Haven't felt like a true minority up until this point; if this is how [these] residents are, I don't want to work here."
9/
I told him to get whatever food he wanted. To my surprise, he only grabbed a loaf of bread and a container of macaroni salad. He said, "Okay, this is it. Thank you so much."
I insisted he at least grab some milk, but he had nowhere to store it.
5/x
We hear it often: "Kaiser spends $50M on housing," "United HC donates $3M to food security..." so we asked, how much are private insurers REALLY spending on
#SDOH
?
Our work in
@JournalGIM
attempts to answer this Q -- you may or may not be surprised.
1/x
It is because of the ACA — and its extended subsidies — that after 30 years of living in the U.S, my immigrant parents finally got to see a Spanish-speaking, Latino primary care physician.
They were so happy that they sent me selfies 🥹
Thank you,
@BarackObama
@JoeBiden
@VP
🙏🏽
Fourteen years ago today, I signed the Affordable Care Act into law.
Afterwards, one Republican member of the House called the ACA the “most dangerous piece of legislation ever passed in Congress.” Another predicted the country would “never recover from it.”
But then something
I stood up. Two interns & nurses remained silent, as did I. I wanted to say something, but fear of retaliation stopped me. This is the field I thought I would pursue. I didn't want to be ousted.
I walked to the back of the room and held back tears of anger and embarrassment.
8/
1/ In 1993, my family crossed the US-Mexico border to seek refuge from a life of war and extreme poverty in Central America.
Crammed in a truck heading north from Tijuana, one of the refugee passengers stuck his head out the window and shouted, "¡Estoy en los Estados Unidos!"
📢 Students from underprivileged backgrounds who are starting school soon:
Growing up poor for me meant not being able to ask for much, thereby conditioning myself to not ask for anything at all.
What have I learned since? We must ask for more.
My✍️🏽:
The first customer he approached waved him away. Then the second, and the third. I continued shopping until I felt a hand lightly tap my shoulder.
It was the man, we'll call him Miguel. He asked for spare change, but I remorsefully told him that I barely had enough $ for..
2/x
..my own groceries. He understood, but Miguel's ask prompted me to look into my wallet. Voila, a $20 bill that I did not know existed. I called him back.
"Why are you asking for money?" I asked in Spanish.
3/x
On this
#NationalLatinoPhysicianDay
, I'm thinking about my parents who for the first time in their lives, saw a Spanish-speaking Latino doctor last year
We need more Latinx doctors - I can't wait to be one of them
Thank you
@MichaelGalvezMD
@TheMillennialMD
for this movement 🙏🏽
Confused, I looked directly at her and froze. She would not make eye contact with me.
"It's part of our culture. You have to sit in the back."
The table, large enough to seat 20, had 14 empty seats. For over 2 weeks, I had religiously signed out patients with the intern.
7/
Wow, this is huge.
The Biden Administration just announced that starting November, DACA recipients will be eligible for health insurance through the ACA marketplace.
A big step towards ensuring that health care access is a human right.
🚨 NEW: My thoughts in
@BostonGlobe
🙏🏽
Millions of immigrants do not become citizens of the United States because they cannot learn English while working multiple jobs, raising children, and surviving poverty.
We must include them in our democracy:
Later that day, we again rounded on our patients when the senior resident received a page for an acute trauma. "Here we go!" I thought. Instead of asking me to join, she told me to stay on the floor.
With little exposure, I could hardly envision myself as a surgeon anymore.
5/
A look at my last decade--both ups and downs:
2009: homeless-spent the summer in a tiny motel with my family
2013: became the first person in my family to attend college (Fight On
@USC
!)
2014: won the
@lamarathon
19 & under age group 🏃♂️
It started at the end of an OR case, when the resident had her "downtime."
"What are your plans after residency?" I asked. No answer. I then asked a more casual question. Still no answer.
Sensing the awkwardness in the room, the scrub tech asked me about my interests.
3/
At 5 AM the next day, I rounded with the team. We visited about 20 patients that morning, but none knew my role or name.
The resident only introduced herself and the intern before quickly examining the patient. We were short on time, I told myself, it made sense.
4/
After a nearly 14 hour shift, I headed to the conference room to sign-out our patients to the night team.
The resident came in a bit late and sat down next to me.
"You can't sit here," she said without looking over at me.
6/
A new intern and resident joined the team.
I always looked forward to meeting the medical trainees, since I often thought about becoming a trauma surgeon. They were role models in my eyes.
Slowly, though, they proved me wrong.
2/
Whether here or across the world, we are all in this together, and we can do more for every human being during and after this pandemic.
My heart goes out to everyone who has lost someone to
#covid19
. Here's to a better future.
Rest in peace, uncle.
12/x
In May 2019, my father had a heart attack.
He was uninsured--he did not qualify for Medicaid and could not afford private insurance--so we received 4 medical bills after his hospital stay.
The grand total? $126,000. 4x his annual income that year.
1/7
13-year-old me, who was homeless with my family, could have used more role models.
I hope I can be that person for anyone in need of one today.
Thank you
@NewsNation
for the opportunity to share a message of hope and inspiration to disadvantaged students everywhere 🙌🏽
When I went home last month, I saw how not having a computer, the skills to use one, and an internet connection will damage my parents' access to health care during
#COVID19
Today in
@Health_Affairs
, we discuss how to mitigate these barriers:
1/2
In time, they will achieve their dreams.
They will become doctors, engineers, architects, inventors, and more.
And I will cheer them on as they go, feeling lucky that maybe, just maybe, I played a tiny role in helping them find the strength to do so.
10/x
On
#NationalFirstGenDay
, I'm thinking about the happiest day of my life -- the day I got into
@USC
Becoming the 1st in my family to attend college meant that I could become a doctor & support my family who sacrificed it all to give me a shot.
Thank you
@USC
for believing in me!
We should stop using “complaint” when describing patient interactions.
Instead of “chief complaint” —> “reason for visit”
Instead of “patient complains” —> “patient reports” 📝
Words go a long way.
Blessed to be a US Latino Fellow with the Center for Public Leadership
@Kennedy_School
alongside amazing peers like
@sofsandovl
The work continues! ✊🏽
#SiSePuede
Check out this year's fellows here:
My dad’s friend worrying about paying his rent without a
#stimuluscheck
bc of his immigration status while I hotspot WiFi to my laptop bc my parents couldn’t afford paying for the internet this month is what
#COVID19
is doing to poor families at home
Every time I talk to an undocumented immigrant, they tell me that most Americans ignore or scold them when they ask for help.
This is wrong, but I understand that many Americans are unfamiliar with this population.
So let me tell you the story of my father.
1/x
Because I walk away knowing that a kid like me can not only attend these institutions, but can also exceed the expectations placed on today's young, poor, and Hispanic kids like me -- next month, I will become the first person ever to hold 3 graduate degrees from Harvard Medical
Wow.
When the photo on the left was taken, me & my older brothers were sleeping on a mattress in the living room of a one-bedroom apartment.
Today we are making history in the
@BostonGlobe
✊🏽❤️
This one is so so special.
It is for the children growing up without housing, the mothers fighting to bring home warm meals, and the families holding on tight with love and strength.
It is my journey, my family, and life's inequity all in one.
On
#InternationalMigrantsDay
, I am reflecting on the gift of life that mom & dad gave me & my brothers by seeking asylum in the U.S.
We started in a shelter (pic 1) but will/have become a Marine, doctor, running coach, & Deputy Sheriff (pic 2).
Migrants deserve a chance 🙌🏽🙌🏼
.
@harvardmed
just announced the renaming of Holmes Society (originally named after Oliver Wendell Holmes whom expelled the first 3 Black students at HMS) to the William Augustus Hinton Society.
Hinton was the first Black full professor at Harvard Med 👏
So excited to announce that the Holmes Society will now be known as the HINTON Society! Named for Dr. William Augustus Hinton, the first Black full professor at Harvard and
@harvardmed
.
First let me say, student advocacy makes a difference y’all.✊🏾
1/
Every Christmas Eve, my mother, a low-wage worker, sends whatever extra cash she earns to her sisters in Central America.
Her sisters use this cash for a Christmas meal, under one condition: they must also travel to the poorest part of Guatemala City.
1/x
Back home, my Spanish-speaking community does not receive adequate health information on nutrition, exercise, health insurance, and much more.
This same trend is visibly noticeable when I care for patients in Chelsea, MA, a predominantly Latinx community.
1/4
#COVID19
is hurting us all, but it's hurting non-English speakers in unimaginable ways--including my dearest family and friends.
We must continue to fight for our vulnerable patients. Thank you to
@emmabgo
for highlighting this topic in the
@nytimes
.
NEW in
@Health_Affairs
➡️ we wrote about the importance of providing non-English speakers with
#COVID19
health information & provide recs for local leaders to respond.
Honored to advocate for vulnerable communities during this trying time.
Most evenings after a long day at work, my dad would come home and sift through Nicaraguan websites like
@laprensa
, hoping for good news.
Today, that good news is our story 🥲
Muchísimas gracias por detallar nuestra historia
@laprensa
.
Nuestra familia lo agradece 🙌🏽
🎓 David Velasquez, el médico graduado de Harvard que es hijo de migrantes nicaragüenses.
➡️ Velásquez se graduó en Medicina, y dos máster en Políticas Públicas y Negocios que obtuvo en la prestigiosa Universidad de Harvard.
.
@Harvard
asked me one question: looking back at the past 7 years at Harvard Med, Harvard Business School, & Harvard Kennedy School, what are you grateful for?
My answer was clear: the village that got me here.
Link to my answer & snippet of my journey:
When I visited
@harvardmed
in 2016 for my medical school interview, I was awed by the marble buildings and legacy of doctors who had once stepped foot on the campus.
But I wondered whether a kid like me, a kid who grew up poor and homeless, belonged at a place like Harvard.
1/x
Today just became 1000000x sweeter.
My dad, who transports elderly patients to and from their clinic appointments, received his first dose of the
#COVID19
vaccine.
A huge weight has been lifted off my shoulders.
Thank you, Science. Thank you 🙏🏽
Now, nearly 8 years after my Harvard interview, I have not yet figured out how to make sure that every human being has access to healthcare, a stable roof over their head, or nutritious meals in their belly.
But I have figured out that I do belong.
That YOU do belong.
And with
Here's why this work is SO important:
Doc walks in.
I introduce myself to doc while I sit with Latina patient.
Doc talks to her in spanglish & then turns to me.
"Why don't you sit in the waiting room and we let you know when the surgery is over?"
I'm in scrubs w/my ID badge 😐
as data increasingly demonstrates the "racial pandemic within the viral pandemic"
the emerging leaders in medicine are one source of hope
in a new
@MedEdPORTAL
article, MS3
@sofsandovl
&
@harvardmed
team share needed, innovative ways to address microaggressions on the wards 🙌
Hospitals across the U.S. are building programs to address health-related social needs &
#SDOH
What can we learn from hospitals in Massachusetts that are often on the frontier of care delivery innovation?
We explore in
@nejmcatalyst
& find that..
1/x
It pains me because broken systems here and afar failed him.
America did not lend him a helping hand, and it did not acknowledge his hardship to lift him up as it should. Instead, it let deficient policies mar his humanity and seep content for his situation.
9/x
2017: medical school 🩺
2019: fought to find my parents a home & save them from medical bankruptcy
2019 (cont.): built the courage to earnestly speak to my parents about their challenging pasts (highly recommend!)
Happy New Year twitter fam 🎉
4/The story is one of adversity, kindness, and hope -- and learning from the past to humanely face today's migrant crisis.
In the end, I hope we come to see that all people deserve a helping hand, warm compassion, and a reason to dream in America.
DEI in medicine is under attack.
California's medical board faces litigation over implicit bias policies, health systems are pausing DEI training, & far-right legislators seek to prevent med schools from teaching about structural racism & more.
This is bad news for anyone who
In January 2013, I received the best news of my life.
I got into
@USC
with a scholarship.
My mother & I cried and hugged.
I would be the first person in my family to go to college.
5/x
On rounds w/a new team—
Doc: you’re staying until rehab
Patient: *mutters words*
Doc: (louder) you’re staying until rehab
Patient: (turns to me) que está diciendo? (what is he saying?)
Please consider an interpreter for all LEP patients, including those who speak SOME English.
Excited to share our (
@joefigs2
) latest paper in
@nejmcatalyst
on ACO-Social Service Organization (SSO) partnerships and their efforts to address housing and nutrition-related needs in Massachusetts
A thread on what we learned and what this means..
1/x
🚨 Our
@GOTVax_org
blueprint is out now in
@nejmcatalyst
From inception to execution, we describe our effort to vaccinate 6500+ community members during
#covid19
Endless thanks to the
@GOTVax_org
team for its commitment to health equity ✊🏽✊🏿✊🏻