Belonging Breakdowns

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The term microaggressions are vast and amorphous. I think it confuses the conversation we need to be having. So, here’s my attempt to unpack the essence of microaggressions so we can work collectively and individually to prevent them. Belonging is a feeling—the extent to which employees can...

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বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

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Article Summary

The term microaggressions are vast and amorphous. I think it confuses the conversation we need to be having. So, here’s my attempt to unpack the essence of microaggressions so we can work collectively and individually to prevent them. Belonging is a feeling—the extent to which employees can show up to work fully without having to sacrifice meaningful aspects of their identity. I think of microaggressions as the...

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The term microaggressions are vast and amorphous. I think it confuses the conversation we need to be having. So, here’s my attempt to unpack the essence of microaggressions so we can work collectively and individually to prevent them.

Belonging is a feeling—the extent to which employees can show up to work fully without having to sacrifice meaningful aspects of their identity. I think of microaggressions as the everyday moments that cause belonging breakdowns. I have mapped out the typical Belonging Breakdown Journey for anyone who’s relatively “different” in a company. Different means non-prototypical, or not the norm. I see seven stages in the journey,

1. Someone different joins the company

Their social identity (sexual orientation, race, age, gender identity, etc.) is one of many characteristics that can make them different. When someone fills a role that’s new to the company, has a pedigree that is atypical (educational background, industry experience, etc.), or has a work or communication style that isn’t the norm, they are different. Note: if someone’s social identity is new, they likely bring newness to some of these other factors. That’s the power of social diversity, which is what our Office of Diversity, Inclusion & Belonging (DIBs) focuses on. That’s also a liability if we aren’t equipped to effectively maximize differences.

Also keep in mind that if someone is different, this is likely not the first time in their life that they’ve been or received signals that they’re different in a workplace—or even in society at large. They come in the door with an “external difference tax.”

2. Courtship

The company encourages difference. The new hire feels welcome but possibly also uncertain, skeptical, or untrusting because of that external difference tax. Courtship, which usually happens during the interviewing and onboarding process, is a formative employment stage. All new hires spend time in their early days trying to discern if they’ve made the right choice in joining our company. This is especially true for new hires who are different. Our required Q3 2020 hiring manager and interviewer training will help us strike the balance between being excited about diversity and tokenizing people who are different during the hiring process. This includes ensuring no one feels pressured to hire someone simply because they’re different.

3. Reality sets in

The different person is the only one like them in meetings and/or doesn’t see people like them in leadership. Their difference feels either under-optimized or exploited. They try to work within existing norms and structures by either mustering the courage and energy to point out issues and concerns and pushing for accountability

OR by withholding their input, putting their head down, and assimilating. Both are costly. This is the “internal difference tax.” To help prevent, identify, and correct this reality,

4. Response

The company minimizes, ignores, denies, or refuses to see the issues or differences in tax

OR the company expects the different person to explain their taxing reality, and teach the company how to improve and/or fix the issues themself (on top of their day job).

5. Rejection

The company remains unaware of the existence or magnitude of issues or difference tax,

OR decides the issues are the person’s, not the orgs,

OR decides that they can’t afford the time and attention to fix anything. In turn, the different person is invalidated.

6. The different employee leaves the company

They leave voluntarily because the employment costs are far greater than the benefits

OR they leave involuntarily because the company decided they weren’t a “good fit” and/or their performance was subpar (likely impaired by the difference tax).

7. The result

If the company fails to prevent or correct for these breakdowns, a person is harmed and the organization remains unchanged demographically, operationally, and culturally. The company hires a new “different” person and the cycle continues.

So what are microaggressions? All of this. Microaggressions are all of the actions and inactions that didn’t relieve the external difference tax and all of the workplace environments and experiences that contributed to the internal difference tax.

As you can see, microaggressions aren’t as small as their name implies. Words are hard. Sometimes, Dib’s language matters a lot. In the case of microaggressions, I think the terminology is distracting. Instead, let’s focus on understanding the nuance of employee experiences so we can do the proactive work to design interactions that uncover all that our people bring to Upwork.

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Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Back pain care roadmap

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • New leg weakness, numbness around private area, or loss of bladder/bowel control
  • Back pain after major injury, fever, unexplained weight loss, cancer history, or severe night pain
Doctor / service to discuss: Orthopedic/spine specialist, physical medicine doctor, physiotherapist under guidance, or qualified clinician.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Discuss neurological examination first. X-ray or MRI may be needed only when red flags, injury, nerve weakness, or persistent severe symptoms are present.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.
  • Avoid forceful massage or bone-setting when there is weakness, injury, fever, or nerve symptoms.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

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Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

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