1 00:00:10,720 --> 00:00:14,360 Speaker 1: Welcome to the Therapy for Black Girls Podcast, a weekly 2 00:00:14,440 --> 00:00:19,200 Speaker 1: conversation about mental health, personal development, and all the small 3 00:00:19,239 --> 00:00:22,360 Speaker 1: decisions we can make to become the best possible versions 4 00:00:22,400 --> 00:00:26,480 Speaker 1: of ourselves. I'm your host, doctor joy hard and Bradford, 5 00:00:26,880 --> 00:00:31,960 Speaker 1: a licensed psychologist in Atlanta, Georgia. For more information or 6 00:00:32,080 --> 00:00:35,480 Speaker 1: to find a therapist in your area, visit our website 7 00:00:35,600 --> 00:00:39,320 Speaker 1: at Therapy for Blackgirls dot com. While I hope you 8 00:00:39,360 --> 00:00:43,360 Speaker 1: love listening to and learning from the podcast, it is 9 00:00:43,400 --> 00:00:46,280 Speaker 1: not meant to be a substitute for a relationship with 10 00:00:46,360 --> 00:00:48,280 Speaker 1: a licensed mental health professional. 11 00:00:55,800 --> 00:00:57,400 Speaker 2: Hey, y'all, thanks. 12 00:00:57,120 --> 00:00:59,400 Speaker 1: So much for joining me for session three fifty six 13 00:00:59,440 --> 00:01:02,480 Speaker 1: of the Therapy for Black Girls Podcast. We'll get right 14 00:01:02,480 --> 00:01:05,119 Speaker 1: into our conversation after a word from our sponsors. 15 00:01:06,080 --> 00:01:06,240 Speaker 2: Hi. 16 00:01:06,400 --> 00:01:09,080 Speaker 3: I'm doctor uj Blackstock and I'm on the Therapy for 17 00:01:09,160 --> 00:01:13,480 Speaker 3: Black Girls Podcast. I'm in session today unpacking the historical 18 00:01:13,520 --> 00:01:18,559 Speaker 3: relationship between black people and hospitals. 19 00:01:25,680 --> 00:01:28,440 Speaker 1: It's no secret that the relationship between black people and 20 00:01:28,480 --> 00:01:31,880 Speaker 1: the healthcare system is a fraught one, and as medical 21 00:01:31,959 --> 00:01:35,720 Speaker 1: racism continues to go unaddressed, we're seeing more and more 22 00:01:35,760 --> 00:01:40,080 Speaker 1: negative health outcomes for black patients, including the perpetuation of 23 00:01:40,120 --> 00:01:44,479 Speaker 1: harmful conspiracy theories, and hesitance to seek medical help when 24 00:01:44,520 --> 00:01:48,120 Speaker 1: in need. Joining me today to talk about the history 25 00:01:48,200 --> 00:01:52,120 Speaker 1: and statistics behind some of these outcomes is health advocate 26 00:01:52,240 --> 00:01:55,200 Speaker 1: and New York Times bestselling author doctor U. J. 27 00:01:55,360 --> 00:01:56,000 Speaker 2: Blackstock. 28 00:01:56,760 --> 00:02:00,720 Speaker 1: Doctor Blackstock is the founder and CEO of Advancing Health Equity, 29 00:02:01,400 --> 00:02:04,720 Speaker 1: an organization created with the mission of partnering with healthcare 30 00:02:04,800 --> 00:02:09,240 Speaker 1: organizations to dismantle racism and healthcare and to close the 31 00:02:09,240 --> 00:02:14,280 Speaker 1: gap and racial health inequities. During our conversation, we discuss 32 00:02:14,360 --> 00:02:17,799 Speaker 1: some of the most prevalent examples of hospital neglect experienced 33 00:02:17,800 --> 00:02:21,760 Speaker 1: by black patients, how healthcare systems can better engage with 34 00:02:21,800 --> 00:02:25,440 Speaker 1: black communities in order to engender trust, and how black 35 00:02:25,480 --> 00:02:29,000 Speaker 1: medical students can find support while studying to become physicians. 36 00:02:30,000 --> 00:02:33,560 Speaker 1: If something resonates with you while enjoying our conversation, please 37 00:02:33,560 --> 00:02:36,679 Speaker 1: share with us on social media using the hashtag TPG 38 00:02:36,880 --> 00:02:40,440 Speaker 1: in session or join us over in the Sister Circle 39 00:02:40,520 --> 00:02:43,160 Speaker 1: To talk more about the episode. You can join us 40 00:02:43,160 --> 00:02:51,480 Speaker 1: at community dot therapy for Blackgirls dot Com. Here's our conversation. Well, 41 00:02:51,480 --> 00:02:53,960 Speaker 1: thank you so much for joining me today, Doctor blacksc 42 00:02:54,639 --> 00:02:55,079 Speaker 1: Thank you. 43 00:02:55,080 --> 00:02:57,200 Speaker 2: For having me. I'm so excited to talk to you. 44 00:02:57,600 --> 00:02:59,280 Speaker 2: He is a pleasure to see you again. 45 00:03:00,120 --> 00:03:01,760 Speaker 3: You too, it's been a little while. 46 00:03:02,360 --> 00:03:06,639 Speaker 1: Indeed, it's essence best, right, we're rolling up on Essence 47 00:03:06,680 --> 00:03:07,520 Speaker 1: time again this year. 48 00:03:07,639 --> 00:03:08,560 Speaker 2: Right. Yeah. 49 00:03:09,400 --> 00:03:13,440 Speaker 1: So you are a highly accomplished author, New York Times 50 00:03:13,480 --> 00:03:17,360 Speaker 1: bestselling author, a physician, and a health equity advocate. But 51 00:03:17,400 --> 00:03:19,359 Speaker 1: I want you to take us back to your time 52 00:03:19,600 --> 00:03:22,400 Speaker 1: at Harvard as a medical student. Can you talk a 53 00:03:22,400 --> 00:03:24,720 Speaker 1: little bit about what that experience was like in a 54 00:03:24,760 --> 00:03:27,560 Speaker 1: field that is predominantly not made up of us. 55 00:03:27,960 --> 00:03:31,200 Speaker 3: It's interesting because I should also reflect on how I 56 00:03:31,240 --> 00:03:34,200 Speaker 3: grew up. I grew up thinking that most physicians were 57 00:03:34,200 --> 00:03:39,080 Speaker 3: black because my mother was a physician, my pediatrician was 58 00:03:39,240 --> 00:03:42,400 Speaker 3: a black woman. All of the physicians I was surrounded 59 00:03:42,400 --> 00:03:44,960 Speaker 3: by growing up were black, and a lot of them 60 00:03:44,960 --> 00:03:47,720 Speaker 3: were black women. So it really wasn't until I got 61 00:03:47,720 --> 00:03:50,840 Speaker 3: older and to medical school that I realized how few 62 00:03:50,920 --> 00:03:55,080 Speaker 3: of us there were and that environment. I would say 63 00:03:55,640 --> 00:03:57,600 Speaker 3: it was striking in a way for me because our 64 00:03:57,680 --> 00:04:00,840 Speaker 3: numbers were so small. But with in my class there 65 00:04:00,880 --> 00:04:04,240 Speaker 3: were a decent number of black students. But when I 66 00:04:04,280 --> 00:04:07,040 Speaker 3: think back on my experience during medical school, there was 67 00:04:07,080 --> 00:04:10,680 Speaker 3: so much that we didn't learn about, right, like We 68 00:04:10,760 --> 00:04:15,880 Speaker 3: never talked about racial health inequities. There is this Western 69 00:04:15,960 --> 00:04:19,840 Speaker 3: biomedical model of how medicine is taught that it's all 70 00:04:19,880 --> 00:04:24,680 Speaker 3: about the physician and the patient without really recognizing all 71 00:04:24,720 --> 00:04:28,440 Speaker 3: of the systemic factors that impact health. And that was 72 00:04:28,480 --> 00:04:30,840 Speaker 3: something that I did not learn in medical school that 73 00:04:30,920 --> 00:04:35,320 Speaker 3: I had to learn during my residency in emergency medicine 74 00:04:35,560 --> 00:04:37,600 Speaker 3: when I was working at a public hospital in Brooklyn, 75 00:04:37,600 --> 00:04:41,400 Speaker 3: and afterwards as a practicing physician. So there was so 76 00:04:41,480 --> 00:04:43,239 Speaker 3: much that I didn't learn. There were so many things 77 00:04:43,240 --> 00:04:47,760 Speaker 3: that were implicitly taught about differences between black patients and 78 00:04:47,800 --> 00:04:51,440 Speaker 3: other patients, like that there were differences in kidney function 79 00:04:52,080 --> 00:04:55,600 Speaker 3: right between their normal values for black patients and normal 80 00:04:55,720 --> 00:04:57,800 Speaker 3: values for non black patients, but we were never really 81 00:04:57,800 --> 00:04:59,479 Speaker 3: told why got it? 82 00:05:00,040 --> 00:05:02,200 Speaker 2: Imagine that as you continued in your career. 83 00:05:02,320 --> 00:05:05,640 Speaker 1: I know you started out in academic medicine, right, and 84 00:05:05,680 --> 00:05:07,960 Speaker 1: so was a part of you wanting to go into 85 00:05:08,120 --> 00:05:11,840 Speaker 1: practicing medicine in that way spurred by learning. 86 00:05:11,480 --> 00:05:13,200 Speaker 2: All these things that you wanted to then make right 87 00:05:13,240 --> 00:05:13,880 Speaker 2: for students. 88 00:05:14,480 --> 00:05:16,320 Speaker 3: Yeah, I mean, I think a lot of it was 89 00:05:16,680 --> 00:05:19,000 Speaker 3: having a mother who was a physician, seeing all the 90 00:05:19,040 --> 00:05:21,160 Speaker 3: work she was doing in our community with other black 91 00:05:21,200 --> 00:05:24,760 Speaker 3: physicians and seeing her. I read about this in my 92 00:05:24,800 --> 00:05:27,320 Speaker 3: book about seeing her, how she interacted with her patients, 93 00:05:27,320 --> 00:05:31,320 Speaker 3: really understanding the full context social political in which they 94 00:05:31,360 --> 00:05:35,360 Speaker 3: were living, and understanding that when her patients saw her 95 00:05:35,480 --> 00:05:39,160 Speaker 3: wasn't just about what was happening in that room, in 96 00:05:39,160 --> 00:05:41,040 Speaker 3: that exam room, that it was really more about what 97 00:05:41,080 --> 00:05:43,600 Speaker 3: was happening in their lives and their communities at work, 98 00:05:43,640 --> 00:05:47,400 Speaker 3: that all of that impacts health. So when I went 99 00:05:47,440 --> 00:05:49,880 Speaker 3: to medical school and after medical school, I always knew 100 00:05:49,880 --> 00:05:53,160 Speaker 3: that I wanted to work in service to our community. 101 00:05:53,600 --> 00:05:56,440 Speaker 3: And that's when I became really aware of the racial 102 00:05:56,520 --> 00:05:59,240 Speaker 3: health inequities that we have in our community as relates 103 00:05:59,279 --> 00:06:03,719 Speaker 3: to Black maternal mortality, life expectancy, how we're more often 104 00:06:03,760 --> 00:06:06,359 Speaker 3: to carry the burden of chronic disease. And what I 105 00:06:06,440 --> 00:06:10,320 Speaker 3: recognized also was that this was very little about the 106 00:06:10,360 --> 00:06:13,120 Speaker 3: individual choices that we were making as black people, and 107 00:06:13,160 --> 00:06:16,080 Speaker 3: more so had to do with the fact that there 108 00:06:16,120 --> 00:06:19,719 Speaker 3: are systems and practices and policies in place related to 109 00:06:19,920 --> 00:06:23,880 Speaker 3: racism that impact our health and getting really clear about that. 110 00:06:24,800 --> 00:06:27,599 Speaker 1: Yeah, So talk to us a little bit more about legacy. 111 00:06:27,600 --> 00:06:30,520 Speaker 1: So Legacy is your book. Legacy a black physician reckons 112 00:06:30,520 --> 00:06:33,160 Speaker 1: with racism in medicine. So you shared a little bit 113 00:06:33,200 --> 00:06:35,200 Speaker 1: about the fact that you wrote about your mom and 114 00:06:35,200 --> 00:06:37,640 Speaker 1: her journey as a physician. But what else might we 115 00:06:37,760 --> 00:06:39,880 Speaker 1: be able to expect as a part of legacy. 116 00:06:40,400 --> 00:06:43,240 Speaker 3: Well, legacy it has a double meaning, right, so as 117 00:06:43,240 --> 00:06:46,640 Speaker 3: you allude to about being a second generation black woman physician, 118 00:06:46,720 --> 00:06:49,800 Speaker 3: which is something that unfortunately today in twenty twenty four, 119 00:06:49,880 --> 00:06:53,200 Speaker 3: is still so rare, Like the fact that my twin 120 00:06:53,240 --> 00:06:55,159 Speaker 3: sister Onie and I and our mom were the first 121 00:06:55,200 --> 00:06:58,000 Speaker 3: black mother Daughter legacy graduates from Harvard Medical School, and 122 00:06:58,040 --> 00:06:59,640 Speaker 3: that was two thousand and five when Oni and I 123 00:06:59,680 --> 00:07:03,320 Speaker 3: graduate waited. Since then, there's only been one other Black 124 00:07:03,360 --> 00:07:07,839 Speaker 3: mother Daughter Legacy graduate, So that speaks to the work 125 00:07:07,880 --> 00:07:13,239 Speaker 3: that these institutions have to do, like that is not acceptable, right. Also, 126 00:07:13,720 --> 00:07:16,440 Speaker 3: just celebrating the journey and the work that my mother 127 00:07:16,600 --> 00:07:19,480 Speaker 3: did in her short life. She died at forty seven 128 00:07:19,520 --> 00:07:23,240 Speaker 3: from acute milogenous leukemia, and there was so much more 129 00:07:23,280 --> 00:07:25,320 Speaker 3: that she could have done because she was doing health 130 00:07:25,320 --> 00:07:28,240 Speaker 3: equity work at a time when we weren't even using 131 00:07:28,240 --> 00:07:30,720 Speaker 3: that expression, right, she was doing work on behalf of 132 00:07:30,720 --> 00:07:34,720 Speaker 3: the community, organizing community health fairs and working with her 133 00:07:34,760 --> 00:07:38,840 Speaker 3: colleagues to make things better for residents and neighbors. But 134 00:07:38,880 --> 00:07:42,560 Speaker 3: the other legacy piece is this history of medical racism. 135 00:07:43,120 --> 00:07:45,200 Speaker 3: That the reason why in twenty twenty four that we're 136 00:07:45,200 --> 00:07:48,200 Speaker 3: seeing these health and equities, especially in black communities, and 137 00:07:48,240 --> 00:07:50,880 Speaker 3: the reason why they actually are worstening, is because of 138 00:07:50,920 --> 00:07:55,560 Speaker 3: a deeply rooted history of racism, not only in medicine, 139 00:07:55,560 --> 00:07:59,760 Speaker 3: but in all other aspects of society that negatively impact 140 00:08:00,200 --> 00:08:03,680 Speaker 3: Black health. So I wanted to be able to use 141 00:08:03,760 --> 00:08:06,960 Speaker 3: this book to help connect the dots for a broad audience, 142 00:08:07,000 --> 00:08:09,600 Speaker 3: not just people even in medicine, not it's just people 143 00:08:09,640 --> 00:08:13,800 Speaker 3: in healthcare, but for the general public to understand the history, 144 00:08:13,920 --> 00:08:17,560 Speaker 3: to understand the current day, and to understand why we're 145 00:08:17,600 --> 00:08:20,440 Speaker 3: seeing these appalling statistics, and then ending the book with 146 00:08:20,520 --> 00:08:23,600 Speaker 3: a call to action for different groups about how you 147 00:08:23,640 --> 00:08:25,320 Speaker 3: can make a difference. Yeah. 148 00:08:25,400 --> 00:08:27,000 Speaker 1: So I want to spend some times a day, doctor 149 00:08:27,040 --> 00:08:29,560 Speaker 1: Black sat talking more about hospital neglect. 150 00:08:29,800 --> 00:08:31,239 Speaker 2: And I wondered if you could talk. 151 00:08:31,080 --> 00:08:33,920 Speaker 1: With us about some of the most prevalent examples of 152 00:08:34,040 --> 00:08:36,720 Speaker 1: hospital neglect you have seen for Black patients. 153 00:08:37,080 --> 00:08:40,120 Speaker 3: Yeah, I mean, I think there's so many in so 154 00:08:40,120 --> 00:08:43,079 Speaker 3: many different ways. I think one of the main areas 155 00:08:43,400 --> 00:08:47,520 Speaker 3: is how when black patients go to seek care, often 156 00:08:47,840 --> 00:08:52,640 Speaker 3: our concerns are dismiss minimized, and ignored. Happens more often 157 00:08:52,840 --> 00:08:56,040 Speaker 3: for black women, and we're seeing that contributes to some 158 00:08:56,160 --> 00:09:00,280 Speaker 3: of the poor outcomes, especially for black birthing people, that 159 00:09:00,360 --> 00:09:03,840 Speaker 3: when they are presenting with saying I'm having bleeding or 160 00:09:03,880 --> 00:09:06,199 Speaker 3: I'm not feeling like myself or I'm having swelling in 161 00:09:06,280 --> 00:09:10,920 Speaker 3: my legs, health professionals are not listening to them. Another 162 00:09:11,000 --> 00:09:15,000 Speaker 3: area is around pain and how pain is treated and 163 00:09:15,040 --> 00:09:20,000 Speaker 3: not treated, how it's undertreated specifically. But we know and 164 00:09:20,040 --> 00:09:23,760 Speaker 3: we have studies that show that even in twenty sixteen, 165 00:09:23,760 --> 00:09:26,560 Speaker 3: there was a study of medical students and residents that 166 00:09:26,640 --> 00:09:29,559 Speaker 3: showed that some of them believed in these false myths 167 00:09:29,600 --> 00:09:32,800 Speaker 3: about differences between black patients and other patients that we 168 00:09:32,880 --> 00:09:36,880 Speaker 3: had thicker skin were less sensitive to pain, and because 169 00:09:36,880 --> 00:09:39,280 Speaker 3: of that, this study actually showed that it was a 170 00:09:39,480 --> 00:09:41,760 Speaker 3: mock case between a black patient and a white patient, 171 00:09:41,800 --> 00:09:46,440 Speaker 3: but showed that those students and residents were less likely 172 00:09:46,559 --> 00:09:49,480 Speaker 3: to treat the black patient's pain than the white patient's pain, 173 00:09:49,520 --> 00:09:52,280 Speaker 3: even though everything was similar except the race of the patients. 174 00:09:53,080 --> 00:09:56,720 Speaker 3: What we have in our healthcare system, our health professionals 175 00:09:56,760 --> 00:10:00,719 Speaker 3: who they think that they are providing equitable care, They 176 00:10:00,760 --> 00:10:03,400 Speaker 3: think that they're doing their best, but the fact is 177 00:10:03,440 --> 00:10:07,200 Speaker 3: that they are just like every other American. They're absorbing 178 00:10:07,240 --> 00:10:11,160 Speaker 3: all this cultural messaging that's anti black, anti black women, 179 00:10:11,520 --> 00:10:16,360 Speaker 3: that actually impacts how they make decisions about care. 180 00:10:16,920 --> 00:10:18,400 Speaker 1: So I want to doctor black Clack, if you can 181 00:10:18,440 --> 00:10:22,080 Speaker 1: talk a little bit about what is the treatment for this? 182 00:10:22,200 --> 00:10:22,360 Speaker 2: Right? 183 00:10:22,400 --> 00:10:24,800 Speaker 1: Can you talk a little bit about medical school curriculum 184 00:10:24,880 --> 00:10:27,480 Speaker 1: and what kinds of things is the field aware of 185 00:10:27,520 --> 00:10:30,600 Speaker 1: this outside of you and the other physicians who are 186 00:10:30,640 --> 00:10:33,080 Speaker 1: preaching on the hiel about this, Is the field aware 187 00:10:33,120 --> 00:10:34,680 Speaker 1: of this and what kinds of things are being done 188 00:10:34,679 --> 00:10:36,680 Speaker 1: to combat some of these misconceptions? 189 00:10:37,160 --> 00:10:39,959 Speaker 3: I mean, yes, they are very much aware of this. 190 00:10:40,240 --> 00:10:43,559 Speaker 3: Are they doing the work that needs to be done, 191 00:10:43,640 --> 00:10:45,720 Speaker 3: the deep work. That's one of the reasons why I 192 00:10:45,760 --> 00:10:48,760 Speaker 3: wrote Legacy, because I don't think they are doing enough. 193 00:10:49,160 --> 00:10:51,360 Speaker 3: Some of these issues are just so deeply rooted in 194 00:10:51,440 --> 00:10:55,520 Speaker 3: our medical education system, like there's just been a gap 195 00:10:55,760 --> 00:10:57,880 Speaker 3: in what we've been learning. But I also want to 196 00:10:57,920 --> 00:11:00,200 Speaker 3: say that a lot of this has to stick or 197 00:11:00,240 --> 00:11:03,880 Speaker 3: even before medical school, because we can't have pre med 198 00:11:03,920 --> 00:11:08,000 Speaker 3: students coming into medical school already holding these biases in 199 00:11:08,040 --> 00:11:12,520 Speaker 3: their heads. Right. So that's why it's so important, even 200 00:11:12,720 --> 00:11:17,400 Speaker 3: starting as early as possible in our educational system, that 201 00:11:17,480 --> 00:11:21,080 Speaker 3: we are making future health professionals aware of what the 202 00:11:21,160 --> 00:11:24,760 Speaker 3: history is, aware of what the current day situation is 203 00:11:24,760 --> 00:11:28,040 Speaker 3: for black patients that are interfacing with the healthcare system. 204 00:11:28,360 --> 00:11:30,800 Speaker 3: So yes, medical schools need to do their part, and 205 00:11:30,840 --> 00:11:33,400 Speaker 3: what the part is making sure they're teaching about one, 206 00:11:33,440 --> 00:11:36,640 Speaker 3: medical racism, the history of it, but also teaching about 207 00:11:36,679 --> 00:11:40,959 Speaker 3: what are the experiences of black patients today in twenty 208 00:11:41,040 --> 00:11:44,920 Speaker 3: twenty four when they seek health care right, and what 209 00:11:45,080 --> 00:11:49,120 Speaker 3: is the responsibility and the obligation of health professionals when 210 00:11:49,160 --> 00:11:51,920 Speaker 3: they're caring for black patients, And that one it's so 211 00:11:51,960 --> 00:11:55,000 Speaker 3: simple as to say, like, truly listen to them, truly 212 00:11:55,080 --> 00:12:00,439 Speaker 3: listen to us, and understand that we are also human, 213 00:12:00,720 --> 00:12:04,600 Speaker 3: we also feel pain, we also suffer right, but also 214 00:12:04,679 --> 00:12:07,720 Speaker 3: understanding the context in which we live in this country, 215 00:12:07,720 --> 00:12:10,320 Speaker 3: that there's so many things that actually the outside of healthcare, 216 00:12:10,760 --> 00:12:14,840 Speaker 3: in terms of education, housing, employment, that also impact our health. 217 00:12:15,240 --> 00:12:19,160 Speaker 3: So I think that medical schools have an obligation to 218 00:12:19,360 --> 00:12:24,280 Speaker 3: educate future physicians to understand the experiences of their black 219 00:12:24,320 --> 00:12:27,560 Speaker 3: patients and to respond to those experiences and to care 220 00:12:27,640 --> 00:12:32,120 Speaker 3: for us in a holistic way. And so medical schools 221 00:12:32,120 --> 00:12:33,840 Speaker 3: have a lot of work to do because they're not 222 00:12:34,760 --> 00:12:36,560 Speaker 3: doing their work, and a lot of it is because 223 00:12:37,240 --> 00:12:39,880 Speaker 3: of the current political environment that we're in. We know 224 00:12:39,960 --> 00:12:42,320 Speaker 3: that there's that act that was brought forth recently, a 225 00:12:42,320 --> 00:12:47,360 Speaker 3: federal bill called the Educate Act that is to defund 226 00:12:47,760 --> 00:12:52,480 Speaker 3: medical schools that have diversity, equity and inclusion initiatives. And 227 00:12:52,520 --> 00:12:54,679 Speaker 3: how could that be that in twenty twenty four, when 228 00:12:54,679 --> 00:12:57,480 Speaker 3: we're seeing the actually worsening of racial health and equities, 229 00:12:57,520 --> 00:13:00,960 Speaker 3: that these sort of legislative bills are brought forward. 230 00:13:01,679 --> 00:13:04,200 Speaker 1: Yeah, I mean it really all is just like a 231 00:13:04,240 --> 00:13:07,440 Speaker 1: microcosm for everything we are seeing in every other area 232 00:13:07,920 --> 00:13:10,160 Speaker 1: of our lives. Because you've already alluded to, and you 233 00:13:10,200 --> 00:13:12,760 Speaker 1: wrote about in the book that less than two percent 234 00:13:13,160 --> 00:13:16,160 Speaker 1: of physicians are actually black women, right, and so when 235 00:13:16,200 --> 00:13:19,000 Speaker 1: you already talked about these institutions needing to do a 236 00:13:19,000 --> 00:13:22,160 Speaker 1: better job of bringing in people, but also when the 237 00:13:22,160 --> 00:13:25,360 Speaker 1: students are there, We've had conversations on the podcast about 238 00:13:25,400 --> 00:13:28,560 Speaker 1: the treatment that sometimes happens when black women are in 239 00:13:28,600 --> 00:13:31,120 Speaker 1: medical school and even the treatment of faculty, like how 240 00:13:31,120 --> 00:13:33,720 Speaker 1: many faculty are pushed out or leave for their own 241 00:13:33,760 --> 00:13:37,000 Speaker 1: sanity or health. Right, So it feels really difficult to 242 00:13:37,040 --> 00:13:38,920 Speaker 1: figure out, like how you break into and make some 243 00:13:39,000 --> 00:13:41,800 Speaker 1: differences in this kind of system when it does feel 244 00:13:41,840 --> 00:13:44,480 Speaker 1: like the system is largely just miserable and built to 245 00:13:44,559 --> 00:13:45,600 Speaker 1: work against us. 246 00:13:45,920 --> 00:13:48,040 Speaker 3: Now absolutely, and I write in the book about my 247 00:13:48,120 --> 00:13:51,480 Speaker 3: students that I work with and that A mentored, who 248 00:13:51,600 --> 00:13:54,120 Speaker 3: had their own experiences where they were just in medical 249 00:13:54,160 --> 00:13:56,920 Speaker 3: school to learn how to be a doctor, but instead 250 00:13:57,320 --> 00:14:00,440 Speaker 3: they had to focus on these DII efforts because the 251 00:14:00,440 --> 00:14:03,280 Speaker 3: school wasn't doing enough, and so when they should have 252 00:14:03,360 --> 00:14:05,600 Speaker 3: been focusing on their work, they had to do all 253 00:14:05,640 --> 00:14:07,719 Speaker 3: the heavy lifting, right, and then they have to deal 254 00:14:07,720 --> 00:14:10,040 Speaker 3: with microaggressions and they have to deal with as we know, 255 00:14:10,200 --> 00:14:15,199 Speaker 3: the data shows how black students are evaluated differently than 256 00:14:15,280 --> 00:14:19,480 Speaker 3: other students. The words used to describe us in our 257 00:14:19,520 --> 00:14:21,360 Speaker 3: evaluations are different. 258 00:14:22,000 --> 00:14:22,200 Speaker 2: Right. 259 00:14:22,440 --> 00:14:25,040 Speaker 3: So it's like you said, even once we get into 260 00:14:25,040 --> 00:14:28,640 Speaker 3: these environments, right, getting into medical schools was just part 261 00:14:28,640 --> 00:14:31,800 Speaker 3: of it. Then once you're in medical school, were often 262 00:14:31,960 --> 00:14:38,400 Speaker 3: environments that are not supportive and hospitable to us. So 263 00:14:38,440 --> 00:14:41,760 Speaker 3: it's again, at every step of the way, there are 264 00:14:42,000 --> 00:14:45,760 Speaker 3: these barriers and challenges, right and even as a faculty, 265 00:14:45,760 --> 00:14:48,720 Speaker 3: I write about how I was in academic medicine for 266 00:14:48,760 --> 00:14:51,000 Speaker 3: ten years. I thought that was going to be my future. 267 00:14:51,760 --> 00:14:54,200 Speaker 3: Got appointed to a DEI role in our Office of 268 00:14:54,240 --> 00:14:58,200 Speaker 3: Diversity Affairs and really got to see what the institution 269 00:14:58,440 --> 00:15:01,240 Speaker 3: was about, and they were not about supporting me. So 270 00:15:01,240 --> 00:15:03,880 Speaker 3: I had to make very difficult decision. I call it 271 00:15:03,920 --> 00:15:06,640 Speaker 3: a life saving decision actually because when I look back, 272 00:15:07,520 --> 00:15:12,040 Speaker 3: I was very unhappy. But also I say I had 273 00:15:12,040 --> 00:15:14,920 Speaker 3: forgotten I was someone that had gifts to share, because 274 00:15:14,960 --> 00:15:19,520 Speaker 3: often when we black women are in these predominantly white environments, 275 00:15:20,400 --> 00:15:24,520 Speaker 3: they undervalue us and underappreciate us so much that we 276 00:15:24,600 --> 00:15:29,960 Speaker 3: lose sight of what we have to offer. So leaving 277 00:15:30,080 --> 00:15:32,200 Speaker 3: that environment for me, even though I say, I was 278 00:15:32,320 --> 00:15:36,760 Speaker 3: very very scared, because people don't leave academic medicine. It's 279 00:15:36,880 --> 00:15:40,360 Speaker 3: very secure. I mean, I had multiple roles, multiple titles. 280 00:15:40,400 --> 00:15:42,320 Speaker 3: People would have looked at me and thought I was happy, 281 00:15:42,640 --> 00:15:45,680 Speaker 3: but I was actually miserable. And so like I say, 282 00:15:45,680 --> 00:15:49,400 Speaker 3: I made that life saving decision because I was not 283 00:15:49,480 --> 00:15:51,880 Speaker 3: thriving in that environment. When I look back at pictures 284 00:15:51,920 --> 00:15:54,040 Speaker 3: that I took during that time, I'd lost a lot 285 00:15:54,080 --> 00:15:56,560 Speaker 3: of weight. I wasn't sleeping at circles under my eyes. 286 00:15:57,400 --> 00:15:59,200 Speaker 3: You know how you can look back at old pictures 287 00:15:59,240 --> 00:16:00,920 Speaker 3: and be like, oh, that was not a good time. 288 00:16:01,720 --> 00:16:02,160 Speaker 2: Yeah. 289 00:16:02,200 --> 00:16:05,760 Speaker 3: So a lot of times as black women were forced 290 00:16:05,920 --> 00:16:08,960 Speaker 3: into these situations where we have to make these tough 291 00:16:09,000 --> 00:16:12,360 Speaker 3: decisions where like do we stay do we leave? I 292 00:16:12,440 --> 00:16:16,840 Speaker 3: left financial security, but I also left an environment that 293 00:16:17,080 --> 00:16:19,640 Speaker 3: was psychologically violent to me. 294 00:16:20,520 --> 00:16:20,920 Speaker 2: Yeah. 295 00:16:21,440 --> 00:16:24,560 Speaker 1: More from our conversation after the break, but first, a 296 00:16:24,640 --> 00:16:27,400 Speaker 1: quick snippet of what's coming up next week on TVG. 297 00:16:28,600 --> 00:16:32,600 Speaker 4: When you should on yourself, you literally put the shoulds 298 00:16:33,560 --> 00:16:37,720 Speaker 4: on you and you are judging. So a should signals 299 00:16:37,800 --> 00:16:41,760 Speaker 4: judgment the minute you use it in your vocabulary. I 300 00:16:41,920 --> 00:16:46,600 Speaker 4: should mother this way. I should get married at twenty 301 00:16:46,640 --> 00:16:50,200 Speaker 4: six because that's what women do. I should have a baby. 302 00:16:50,920 --> 00:16:54,520 Speaker 4: I should pursue this career path because this is what 303 00:16:54,560 --> 00:16:56,440 Speaker 4: I went to school for. And it doesn't matter if 304 00:16:56,440 --> 00:16:59,720 Speaker 4: I really like art. I should be a lawyer because 305 00:16:59,840 --> 00:17:01,160 Speaker 4: that's what I got my degree in. 306 00:17:11,840 --> 00:17:13,320 Speaker 1: And I wonder if you can talk a little bit 307 00:17:13,320 --> 00:17:15,400 Speaker 1: more about what kinds of things helped you to make 308 00:17:15,400 --> 00:17:17,919 Speaker 1: that kind of decision. Because I would imagine many of 309 00:17:17,960 --> 00:17:20,720 Speaker 1: the people who are listening to our conversation now may 310 00:17:20,760 --> 00:17:23,439 Speaker 1: find themselves in a similar situation right and not sure, 311 00:17:23,440 --> 00:17:25,359 Speaker 1: like how do I take this leap? Or I know 312 00:17:25,440 --> 00:17:27,199 Speaker 1: this isn't healthy for me, but I'm not sure what 313 00:17:27,320 --> 00:17:29,520 Speaker 1: to do. Can you share a little bit about your process? 314 00:17:29,840 --> 00:17:32,880 Speaker 3: I mean, I always say I consulted with my village. 315 00:17:33,200 --> 00:17:36,720 Speaker 3: I have a wonderful therapist that I've been working with 316 00:17:36,800 --> 00:17:39,800 Speaker 3: for the last five years, and she has seen me 317 00:17:39,920 --> 00:17:44,520 Speaker 3: through some very very difficult times. But just working with her, 318 00:17:44,640 --> 00:17:48,959 Speaker 3: I feel like gave me permission to deviate off of 319 00:17:49,000 --> 00:17:52,919 Speaker 3: that path that I thought I had to take. Especially 320 00:17:53,000 --> 00:17:55,720 Speaker 3: in medicine, many of us are like, Okay, we're like 321 00:17:55,800 --> 00:17:58,440 Speaker 3: checking off boxes. I talk about right pre med check, 322 00:17:59,160 --> 00:18:03,240 Speaker 3: medical school, residency check, faculty position or job check right. 323 00:18:03,920 --> 00:18:05,840 Speaker 3: And I realized I was just like going through the 324 00:18:05,920 --> 00:18:08,399 Speaker 3: motions and not really thinking at each step. It's just 325 00:18:08,440 --> 00:18:11,080 Speaker 3: really what you want to do, Chay. So working with 326 00:18:11,440 --> 00:18:14,680 Speaker 3: my therapist, Shinikua. She doesn't mind me saying her name, 327 00:18:14,760 --> 00:18:20,399 Speaker 3: but working with her really helped me through those very tough, 328 00:18:20,560 --> 00:18:23,640 Speaker 3: tough moments. When I look back, I'm like, I don't 329 00:18:23,640 --> 00:18:25,840 Speaker 3: even know how I got through it, but I know 330 00:18:26,000 --> 00:18:30,159 Speaker 3: it was because of our bi weekly sessions where I 331 00:18:30,320 --> 00:18:36,840 Speaker 3: was given permission to think bigger. I was reminded that 332 00:18:36,880 --> 00:18:40,600 Speaker 3: I was someone that had gifts to share. And it's 333 00:18:40,600 --> 00:18:43,640 Speaker 3: interesting when my book came out a few months ago, 334 00:18:43,720 --> 00:18:47,040 Speaker 3: she sent me flowers and with a note and she said, 335 00:18:47,480 --> 00:18:50,320 Speaker 3: I've always seen the magic in you, and so you 336 00:18:50,400 --> 00:18:52,760 Speaker 3: just need those kind of people in your life. Of course, 337 00:18:52,800 --> 00:18:56,520 Speaker 3: I have my twin sister, Onni, who was there every 338 00:18:56,600 --> 00:19:00,320 Speaker 3: day supporting me. I would call her crying. And then 339 00:19:00,359 --> 00:19:04,840 Speaker 3: my girlfriends. I talked to them. Many of them maybe 340 00:19:04,880 --> 00:19:07,560 Speaker 3: they were not in the same position as I was, 341 00:19:07,640 --> 00:19:11,520 Speaker 3: but they saw how upsetting it was for me and 342 00:19:11,720 --> 00:19:15,040 Speaker 3: encouraged me and said, you don't need to have an 343 00:19:15,080 --> 00:19:18,399 Speaker 3: institutional affiliation. You don't need all the things that you 344 00:19:18,440 --> 00:19:23,479 Speaker 3: think you're supposed to have to feel important, like you 345 00:19:23,640 --> 00:19:27,919 Speaker 3: are enough on your own. And that was definitely a 346 00:19:27,960 --> 00:19:32,080 Speaker 3: process that I had to internalize that knowing that I 347 00:19:32,160 --> 00:19:35,080 Speaker 3: did not need to be affiliated with NYU, I didn't 348 00:19:35,119 --> 00:19:38,360 Speaker 3: need to be associate professor to know that I still 349 00:19:38,400 --> 00:19:42,040 Speaker 3: can make an impact. And actually, what I recognized was listen. 350 00:19:42,320 --> 00:19:46,080 Speaker 3: Once I left that environment that was so incredibly stifling 351 00:19:46,200 --> 00:19:50,639 Speaker 3: to me. It was just abundance flowed opportunities that I 352 00:19:50,680 --> 00:19:54,280 Speaker 3: never thought would open up for me, opened up, doors opened. 353 00:19:55,040 --> 00:19:56,840 Speaker 3: So if you had told me five years ago I 354 00:19:56,840 --> 00:20:00,919 Speaker 3: would be where I am today, I would have been like, really, no, 355 00:20:01,040 --> 00:20:03,160 Speaker 3: I don't think so, but truly. 356 00:20:03,600 --> 00:20:04,919 Speaker 2: Yeah, thank you for sharing that. 357 00:20:04,960 --> 00:20:07,879 Speaker 1: I appreciate hearing about that because I think, again, many people, 358 00:20:07,920 --> 00:20:10,520 Speaker 1: when we're checking off these boxes, we're just following what 359 00:20:10,560 --> 00:20:12,320 Speaker 1: we think we're supposed to do and don't ever really 360 00:20:12,400 --> 00:20:14,680 Speaker 1: check in with ourselves about whether this is. 361 00:20:14,640 --> 00:20:15,919 Speaker 2: Something that feels right for me. 362 00:20:16,320 --> 00:20:18,560 Speaker 1: You've already shared so much about like all of the 363 00:20:18,760 --> 00:20:21,800 Speaker 1: racism and all the other isms that impact the care 364 00:20:22,000 --> 00:20:25,000 Speaker 1: that black people get as a part of the medical institution, 365 00:20:25,520 --> 00:20:28,760 Speaker 1: And I think an unfortunate byproduct of that is that 366 00:20:28,840 --> 00:20:32,080 Speaker 1: there is often a lot of conspiracy theory, a lot 367 00:20:32,080 --> 00:20:36,320 Speaker 1: of misinformation and disinformation that continues to be perpetuated in 368 00:20:36,359 --> 00:20:39,040 Speaker 1: the black community related to medicine. I mean we saw 369 00:20:39,040 --> 00:20:41,919 Speaker 1: that of course most recently related to the vaccine, and 370 00:20:42,160 --> 00:20:45,719 Speaker 1: just warranted concern about like whether this is something that 371 00:20:45,840 --> 00:20:47,720 Speaker 1: is going to be good for us. So can you 372 00:20:47,760 --> 00:20:50,000 Speaker 1: talk a little bit about like how that kind of 373 00:20:50,080 --> 00:20:54,320 Speaker 1: system continues to perpetuate given what we know about medical institutions. 374 00:20:54,680 --> 00:21:00,440 Speaker 3: Yeah, it's interesting because that misinformation or disinformation. I get 375 00:21:00,440 --> 00:21:05,480 Speaker 3: it in a way because I talk about how healthcare institutions, 376 00:21:05,520 --> 00:21:10,119 Speaker 3: all different societal institutions, have proven themselves untrustworthy to black 377 00:21:10,160 --> 00:21:14,080 Speaker 3: people for a very long time. Right, So, like I 378 00:21:14,080 --> 00:21:16,680 Speaker 3: think about, how can you expect us, when there is 379 00:21:17,119 --> 00:21:19,840 Speaker 3: a pandemic out of the blue, to then be like, Okay, 380 00:21:19,880 --> 00:21:23,720 Speaker 3: I'm gonna get vaccinated when we have this not only 381 00:21:23,760 --> 00:21:26,440 Speaker 3: the history but the current da mious treatment of black 382 00:21:26,480 --> 00:21:30,560 Speaker 3: people in healthcare settings. And so that's why I think 383 00:21:30,720 --> 00:21:34,360 Speaker 3: is so important one that we have black health professionals 384 00:21:34,400 --> 00:21:37,440 Speaker 3: who are out there speaking up using our platforms. And 385 00:21:37,440 --> 00:21:40,480 Speaker 3: that's why for me it was so important. I never 386 00:21:40,520 --> 00:21:43,160 Speaker 3: thought I would do like health communications or media work, 387 00:21:43,240 --> 00:21:46,920 Speaker 3: but I saw that when the pandemic started, given all 388 00:21:46,960 --> 00:21:50,399 Speaker 3: the misinformation that was out there, even from the presidential administration, 389 00:21:50,880 --> 00:21:52,840 Speaker 3: I was like, Okay, we got to get out there. 390 00:21:52,920 --> 00:21:55,719 Speaker 3: Black folks who are in health, we got to get 391 00:21:55,800 --> 00:21:57,840 Speaker 3: out there to make sure that our communities have the 392 00:21:57,920 --> 00:22:00,560 Speaker 3: information they need to make an informed decision. Like no 393 00:22:00,560 --> 00:22:03,520 Speaker 3: one's trying to force anything on anyone I just want 394 00:22:03,560 --> 00:22:06,480 Speaker 3: to make sure that we have the information to make 395 00:22:06,520 --> 00:22:10,159 Speaker 3: an informed decision, and I think that is critical. The 396 00:22:10,200 --> 00:22:13,560 Speaker 3: other thing I think is it's a reminder of when 397 00:22:13,560 --> 00:22:17,040 Speaker 3: healthcare institutions don't center or have not centered Black communities, 398 00:22:17,800 --> 00:22:22,439 Speaker 3: that you don't engender trust. Right. I talk about in 399 00:22:22,520 --> 00:22:25,280 Speaker 3: the book how even my barber, I store my hair 400 00:22:25,280 --> 00:22:27,560 Speaker 3: really short in my twenties. My barber and I still 401 00:22:27,600 --> 00:22:29,600 Speaker 3: see him all the time in my neighborhood. We stop 402 00:22:29,640 --> 00:22:32,159 Speaker 3: and talk. But he reached out to me about a 403 00:22:32,240 --> 00:22:35,080 Speaker 3: year after the vaccine came out and said, I really 404 00:22:35,119 --> 00:22:37,840 Speaker 3: want to talk to you because I don't have insurance, 405 00:22:38,080 --> 00:22:40,600 Speaker 3: I don't have a primary care doctor. You're the only 406 00:22:40,600 --> 00:22:42,159 Speaker 3: doctor I know, and you're the only. 407 00:22:42,040 --> 00:22:43,280 Speaker 2: Doctor I trust. 408 00:22:43,680 --> 00:22:46,080 Speaker 3: A year after and we talked like for an hour 409 00:22:46,200 --> 00:22:48,680 Speaker 3: on the phone with his adult daughter, who also had 410 00:22:48,720 --> 00:22:51,920 Speaker 3: not been vaccinated yet. He asked me the most thoughtful questions, 411 00:22:51,960 --> 00:22:53,359 Speaker 3: and one thing he said to me is like, I 412 00:22:53,440 --> 00:22:56,520 Speaker 3: know that there are other folks like doctor Anthony Fauci 413 00:22:56,640 --> 00:22:58,879 Speaker 3: on television saying I should take this vaccine, but I 414 00:22:58,920 --> 00:23:00,879 Speaker 3: don't trust him. I don't know who he is. He is, 415 00:23:01,000 --> 00:23:04,040 Speaker 3: and I trust you. So that's why I think It 416 00:23:04,119 --> 00:23:07,080 Speaker 3: is so, so so important that the investments in our 417 00:23:07,119 --> 00:23:11,359 Speaker 3: community happen in terms of creating a strong relationship between 418 00:23:11,359 --> 00:23:14,679 Speaker 3: the healthcare system and our community. It should be ongoing 419 00:23:15,480 --> 00:23:18,600 Speaker 3: because we saw what happens when it's not ongoing, and 420 00:23:18,640 --> 00:23:23,640 Speaker 3: that kind of environment allows that misinformation and disinformation to spread, 421 00:23:23,800 --> 00:23:27,320 Speaker 3: where people tell me, oh, my hairdresser or my barber 422 00:23:27,520 --> 00:23:31,919 Speaker 3: told me that the vaccine doesn't work, or just like 423 00:23:32,640 --> 00:23:35,840 Speaker 3: inaccurate information, people were listening to people who were not 424 00:23:36,040 --> 00:23:37,360 Speaker 3: even in healthcare. 425 00:23:38,000 --> 00:23:40,240 Speaker 1: Yeah, getting information from all kinds. 426 00:23:40,040 --> 00:23:43,879 Speaker 3: Of places I know, or like you know, social media 427 00:23:44,000 --> 00:23:47,199 Speaker 3: or somewhat's app thread, and that is dangerous. 428 00:23:47,280 --> 00:23:50,800 Speaker 1: It's dangerous. We also know that there's also a large 429 00:23:50,840 --> 00:23:53,840 Speaker 1: focus I think again rightfully so on like more natural 430 00:23:53,920 --> 00:23:56,240 Speaker 1: kinds of ways to take care of ourselves. 431 00:23:56,240 --> 00:23:57,840 Speaker 2: Can you speak to how. 432 00:23:57,680 --> 00:24:00,400 Speaker 1: We can kind of vet information about the people orn't 433 00:24:00,440 --> 00:24:03,560 Speaker 1: necessarily wanting to sign up for like more traditional kinds 434 00:24:03,600 --> 00:24:05,879 Speaker 1: of medicine. What kinds of things can we do to 435 00:24:05,960 --> 00:24:09,480 Speaker 1: kind of vet sources into really integrate maybe more natural 436 00:24:09,480 --> 00:24:11,640 Speaker 1: ways of healing into our practices. Oh? 437 00:24:11,680 --> 00:24:14,879 Speaker 3: Absolutely, I think that's such an important question because again, 438 00:24:15,160 --> 00:24:18,280 Speaker 3: my training is from the western biomedical model, traditional right, 439 00:24:18,960 --> 00:24:21,440 Speaker 3: and we know that there are other ways that people 440 00:24:21,440 --> 00:24:25,160 Speaker 3: can care for themselves in a more holistic way. But yes, 441 00:24:25,520 --> 00:24:28,119 Speaker 3: making sure the source of the information is important. So 442 00:24:28,400 --> 00:24:30,440 Speaker 3: I always say, just to make sure that people are 443 00:24:30,560 --> 00:24:33,919 Speaker 3: vetting the source, looking at the background of this person, 444 00:24:34,400 --> 00:24:38,080 Speaker 3: What kind of experience, what kind of training. 445 00:24:37,720 --> 00:24:38,320 Speaker 1: Do they have? 446 00:24:39,000 --> 00:24:43,520 Speaker 3: Do other people who are responsible trusted messengers? Do they 447 00:24:43,560 --> 00:24:47,320 Speaker 3: follow these people? Are they people who others can co 448 00:24:47,520 --> 00:24:52,119 Speaker 3: sign on that what they're saying is accurate information? So 449 00:24:52,160 --> 00:24:55,680 Speaker 3: it doesn't matter how many followers someone has, but maybe 450 00:24:55,680 --> 00:24:58,359 Speaker 3: reading up on them, reading up on their background, I 451 00:24:58,359 --> 00:24:59,440 Speaker 3: think could be helpful. 452 00:25:00,160 --> 00:25:03,159 Speaker 1: Can you share some of your favorite websites or podcasts 453 00:25:03,200 --> 00:25:05,359 Speaker 1: or other kinds of things where you send people for 454 00:25:05,560 --> 00:25:07,040 Speaker 1: like trusted information. 455 00:25:07,560 --> 00:25:08,560 Speaker 2: Oh that's interesting. 456 00:25:08,640 --> 00:25:11,280 Speaker 3: I feel like I sent them to myself and I'm kidding. 457 00:25:11,280 --> 00:25:13,280 Speaker 3: I'm kidding, but no, I feel like there are a 458 00:25:13,320 --> 00:25:19,280 Speaker 3: lot of black health influencers in different specialties that I 459 00:25:19,359 --> 00:25:22,680 Speaker 3: can co sign because I know them personally, like doctor 460 00:25:22,720 --> 00:25:27,560 Speaker 3: Heather or Abunda who is an obstetric gynecologist, or doctor 461 00:25:27,600 --> 00:25:30,840 Speaker 3: Camilla Phillips, who I've known since I was very very 462 00:25:30,880 --> 00:25:34,640 Speaker 3: young person. I also think that we have to remember 463 00:25:34,760 --> 00:25:38,600 Speaker 3: that groups like the National Medical Association, the largest and 464 00:25:38,640 --> 00:25:41,119 Speaker 3: oldest organization of black physicians. They have a lot of 465 00:25:41,119 --> 00:25:45,320 Speaker 3: great resources on their website. Health in her Hue also, 466 00:25:45,520 --> 00:25:49,560 Speaker 3: which is a startup that was founded by doctor Ashley Wisdom, 467 00:25:50,160 --> 00:25:54,240 Speaker 3: has a directory of health professionals that are trained to 468 00:25:54,280 --> 00:25:56,080 Speaker 3: care for black women and women of color. But they 469 00:25:56,119 --> 00:25:59,840 Speaker 3: also have a lot of educational content on their website 470 00:26:00,240 --> 00:26:04,080 Speaker 3: people can use that it has been vetted thoroughly. And 471 00:26:04,119 --> 00:26:08,040 Speaker 3: then for people who are interested in maternal health issues, 472 00:26:08,119 --> 00:26:11,960 Speaker 3: there's an app called the Earth app Irt started by 473 00:26:12,359 --> 00:26:15,000 Speaker 3: a black woman also that has a lot of information, 474 00:26:15,640 --> 00:26:19,000 Speaker 3: really accurate information about the birthing process and also has 475 00:26:19,040 --> 00:26:20,320 Speaker 3: a provider directory too. 476 00:26:21,080 --> 00:26:22,600 Speaker 2: Thank you so much for sharing it. 477 00:26:23,040 --> 00:26:35,000 Speaker 1: More from our conversation after the break, doctor Blacksack, I 478 00:26:35,040 --> 00:26:38,080 Speaker 1: wonder if you could say more about how our mistrust 479 00:26:38,119 --> 00:26:42,399 Speaker 1: and distrust of medical institutions and hospitals really impacts health 480 00:26:42,440 --> 00:26:43,879 Speaker 1: outcomes for black people. 481 00:26:44,600 --> 00:26:48,280 Speaker 3: Yeah, so that's like the other impact, right, So when 482 00:26:48,920 --> 00:26:52,560 Speaker 3: we have a very high burden of unmet needs in 483 00:26:52,600 --> 00:26:59,240 Speaker 3: our communities, because when people don't trust the healthcare system 484 00:26:59,359 --> 00:27:03,840 Speaker 3: and they're not feeling well, they end up not pursuing 485 00:27:03,920 --> 00:27:08,440 Speaker 3: care or not seeking care. So what happens is they're 486 00:27:08,480 --> 00:27:12,800 Speaker 3: having symptoms, whether it's lightheadedness, chest pain, whatever it may be, 487 00:27:13,640 --> 00:27:16,560 Speaker 3: it ends up progressing. So by the time they do 488 00:27:16,600 --> 00:27:19,440 Speaker 3: seek treatment, they are sicker than they would have been. 489 00:27:20,200 --> 00:27:23,639 Speaker 3: They may have more advanced cancer, they may have uncontrolled 490 00:27:23,720 --> 00:27:28,320 Speaker 3: high blood pressure or diabetes that lead to more complications, harm, 491 00:27:28,800 --> 00:27:31,439 Speaker 3: and even death. So that's why I think it's so 492 00:27:31,560 --> 00:27:35,439 Speaker 3: important that the way that we frame this sort of 493 00:27:35,480 --> 00:27:39,120 Speaker 3: mistrust and distrust for health care that is actually ends 494 00:27:39,240 --> 00:27:42,880 Speaker 3: up being very, very harmful for us. But again, it's 495 00:27:42,960 --> 00:27:48,000 Speaker 3: up to the institutions to center our communities, center our voices, 496 00:27:48,080 --> 00:27:51,840 Speaker 3: our priorities and needs, and to do that in gendering 497 00:27:52,000 --> 00:27:54,119 Speaker 3: the trust process that is so so important. 498 00:27:54,480 --> 00:27:56,280 Speaker 1: We've talked about this a little bit, but I love 499 00:27:56,280 --> 00:27:58,240 Speaker 1: to hear more of your thoughts. One of the I 500 00:27:58,240 --> 00:28:01,399 Speaker 1: think most awful outcomes of everything that happened with the 501 00:28:01,400 --> 00:28:05,080 Speaker 1: pandemic was a loss of trust for institutions that I 502 00:28:05,080 --> 00:28:08,600 Speaker 1: think largely had been credible and specifically, I'm thinking about 503 00:28:08,600 --> 00:28:11,480 Speaker 1: the Centers for Disease Control, right, like the CDC. I 504 00:28:11,560 --> 00:28:13,920 Speaker 1: had always thought the CDC like, okay, this is like 505 00:28:13,960 --> 00:28:16,880 Speaker 1: the goal star of information if anything, happens like they're 506 00:28:16,920 --> 00:28:18,760 Speaker 1: going to have the right information, They're going to like 507 00:28:18,760 --> 00:28:21,280 Speaker 1: steer us, right. But I think in the pandemic we 508 00:28:21,400 --> 00:28:24,240 Speaker 1: largely saw and I think political reasons were behind this, 509 00:28:24,359 --> 00:28:27,040 Speaker 1: but that we could not even trust I think some 510 00:28:27,119 --> 00:28:29,919 Speaker 1: of the information coming from the CDC. So what is 511 00:28:29,960 --> 00:28:32,560 Speaker 1: the work that institutions like the CDC need to do 512 00:28:32,640 --> 00:28:35,760 Speaker 1: to regain the public's trust so that we can't have 513 00:28:35,920 --> 00:28:37,440 Speaker 1: a public health field again? 514 00:28:37,920 --> 00:28:38,160 Speaker 2: Right? 515 00:28:38,200 --> 00:28:43,160 Speaker 3: It's so interesting because the CDC is a predominantly white 516 00:28:43,160 --> 00:28:48,720 Speaker 3: institution and it has the same issues internally right in 517 00:28:48,800 --> 00:28:53,720 Speaker 3: terms of representation of black folks, in terms of prioritizing 518 00:28:53,760 --> 00:28:57,560 Speaker 3: health equity as every other organization, so they are not 519 00:28:57,960 --> 00:29:01,400 Speaker 3: immune to that. I think that the pandemic showed us 520 00:29:01,400 --> 00:29:04,520 Speaker 3: that there is so much self reflection and inner work 521 00:29:04,760 --> 00:29:08,440 Speaker 3: that the CDC needs to do. And what does that 522 00:29:08,480 --> 00:29:11,800 Speaker 3: look like. That looks like engaging with communities, that looks 523 00:29:11,880 --> 00:29:17,920 Speaker 3: like hiring, retaining, promoting black public health professionals, that looks 524 00:29:17,960 --> 00:29:23,880 Speaker 3: like prioritizing what ideal health equity looks like. And there's 525 00:29:23,880 --> 00:29:27,520 Speaker 3: so many opportunities for them to partner with black led 526 00:29:27,600 --> 00:29:31,160 Speaker 3: organizations that are already embedded in the community. Right. I 527 00:29:31,160 --> 00:29:33,760 Speaker 3: think that is how they can engender trust, like investing 528 00:29:34,440 --> 00:29:38,480 Speaker 3: resources funding into organizations. Because there's so many organizations out 529 00:29:38,480 --> 00:29:41,160 Speaker 3: there that are already doing the work, how can we. 530 00:29:41,160 --> 00:29:42,280 Speaker 1: Lift up their work? 531 00:29:42,560 --> 00:29:44,160 Speaker 3: And I think the CDC needs to think about what 532 00:29:44,200 --> 00:29:47,360 Speaker 3: kind of partnerships can they do with community based organizations 533 00:29:47,400 --> 00:29:50,160 Speaker 3: that are already doing the work, that already have relationships 534 00:29:50,160 --> 00:29:52,840 Speaker 3: with community members and not reinvent the wheel. 535 00:29:53,400 --> 00:29:55,800 Speaker 1: So in the meantime, why we are waiting for these 536 00:29:55,840 --> 00:29:58,760 Speaker 1: systems to change? We know that means that there is 537 00:29:58,800 --> 00:30:00,280 Speaker 1: a lot of work that needs to be on the 538 00:30:00,280 --> 00:30:03,520 Speaker 1: individual right in terms of advocating for themselves and doing 539 00:30:03,560 --> 00:30:06,360 Speaker 1: all these things. What suggestions would you have for people 540 00:30:06,400 --> 00:30:09,959 Speaker 1: about how they can advocate for themselves within the medical system. 541 00:30:10,040 --> 00:30:12,959 Speaker 3: I know, And it's interesting because that question I'm always like, Ah, 542 00:30:13,000 --> 00:30:15,120 Speaker 3: it's the system, as you alluded to, it's a system, 543 00:30:15,240 --> 00:30:17,280 Speaker 3: like it shouldn't be on us to feel like we're 544 00:30:17,320 --> 00:30:20,160 Speaker 3: going to war when we are seeking care, when we 545 00:30:20,200 --> 00:30:23,120 Speaker 3: are at our most vulnerable, at our weakest in discomfort 546 00:30:23,120 --> 00:30:25,600 Speaker 3: and pain. Right, But a few things. So, I don't 547 00:30:25,600 --> 00:30:28,560 Speaker 3: know if you saw this recently, there was a viral, 548 00:30:28,840 --> 00:30:31,080 Speaker 3: but I think it on social media of a white 549 00:30:31,560 --> 00:30:34,000 Speaker 3: male physician who said he's like, I want to know 550 00:30:34,040 --> 00:30:38,040 Speaker 3: why when I go into the room to see black patients, 551 00:30:38,040 --> 00:30:39,640 Speaker 3: they usually have someone on FaceTime. 552 00:30:40,360 --> 00:30:40,680 Speaker 2: Hello. 553 00:30:40,760 --> 00:30:43,360 Speaker 3: It's because they don't trust you and they need someone 554 00:30:43,400 --> 00:30:47,400 Speaker 3: else there, like for surveillance. So I say, bring someone 555 00:30:47,480 --> 00:30:52,040 Speaker 3: with you to your appointments, a loved one, a family member, 556 00:30:52,720 --> 00:30:55,760 Speaker 3: your best friend, someone who can help support you, whether 557 00:30:55,800 --> 00:30:58,600 Speaker 3: it be just to ensure that you are getting respectful, 558 00:30:58,640 --> 00:31:01,560 Speaker 3: dignified care, or someone who can make sure that you're 559 00:31:01,600 --> 00:31:04,200 Speaker 3: asking all the questions that you need to ask. I 560 00:31:04,240 --> 00:31:06,800 Speaker 3: also think it's important for people to go into the 561 00:31:06,800 --> 00:31:10,400 Speaker 3: healthcare settings prepared, So take notes on what your symptoms 562 00:31:10,440 --> 00:31:13,840 Speaker 3: have been like, the duration of your symptoms, the quality 563 00:31:13,840 --> 00:31:16,600 Speaker 3: of your symptoms, what has worked, what hasn't worked. Make 564 00:31:16,640 --> 00:31:18,360 Speaker 3: sure to have notes because a lot of times when 565 00:31:18,360 --> 00:31:21,120 Speaker 3: we get in front of a health professional, we get nervous, 566 00:31:21,160 --> 00:31:23,680 Speaker 3: anxious also for not feeling well. We may not be 567 00:31:23,680 --> 00:31:26,600 Speaker 3: able to share all the details. Making sure that you 568 00:31:26,640 --> 00:31:29,480 Speaker 3: ask a health professional, what do you think is going on? 569 00:31:30,240 --> 00:31:33,520 Speaker 3: What is your plan for me? What is my follow up? 570 00:31:34,200 --> 00:31:36,120 Speaker 3: What are red flags I should look out for it 571 00:31:36,200 --> 00:31:38,280 Speaker 3: where I would come back or go to the emergency 572 00:31:38,320 --> 00:31:41,880 Speaker 3: department making sure that you have answers to those questions. 573 00:31:42,480 --> 00:31:44,840 Speaker 3: And then I think that I always say, and this 574 00:31:44,920 --> 00:31:47,600 Speaker 3: is more difficult obviously in emergency medicine settings, but if 575 00:31:47,640 --> 00:31:50,560 Speaker 3: you feel like your health professional is not listening to you, 576 00:31:50,640 --> 00:31:54,480 Speaker 3: minimizing your complaints, get a second opinion, get a third opinion. 577 00:31:55,200 --> 00:31:55,480 Speaker 1: Right. 578 00:31:55,800 --> 00:31:57,760 Speaker 3: The other thing is I think that we have our 579 00:31:57,800 --> 00:32:00,920 Speaker 3: informal circles, our friends. I do it even as a physician. 580 00:32:01,400 --> 00:32:03,720 Speaker 3: I asked my girls my village, who do you see 581 00:32:03,760 --> 00:32:07,280 Speaker 3: for this? Who's your dermatologist, who's your obgyn? 582 00:32:07,640 --> 00:32:07,880 Speaker 2: Right? 583 00:32:08,200 --> 00:32:10,480 Speaker 3: Because these are people that we already know, have been 584 00:32:10,560 --> 00:32:12,720 Speaker 3: vetted and we know will give us good care. But 585 00:32:12,800 --> 00:32:16,360 Speaker 3: like I mentioned, there are provider directories out there. National 586 00:32:16,440 --> 00:32:19,240 Speaker 3: Medical Association has them. Health in her Hue has one 587 00:32:19,280 --> 00:32:22,160 Speaker 3: specifically for black women and women of color. We are 588 00:32:22,160 --> 00:32:25,120 Speaker 3: creating the solutions right to make sure that we are 589 00:32:25,160 --> 00:32:27,240 Speaker 3: receiving respectful and equitable care. 590 00:32:27,920 --> 00:32:30,959 Speaker 1: And are there specific questions that we can ask providers 591 00:32:31,000 --> 00:32:33,880 Speaker 1: that can help us to vit whether they are culturally 592 00:32:33,960 --> 00:32:35,600 Speaker 1: competent or culturally responsive. 593 00:32:36,000 --> 00:32:39,280 Speaker 3: I think that is more challenging. But I think maybe 594 00:32:39,280 --> 00:32:42,120 Speaker 3: when you go see someone, you can ask them what 595 00:32:42,240 --> 00:32:44,920 Speaker 3: is your patient population, like even looking but like where 596 00:32:44,920 --> 00:32:47,560 Speaker 3: did they train, where do they go to medical school? 597 00:32:48,000 --> 00:32:50,040 Speaker 3: What kind of settings have they been practicing in, a 598 00:32:50,040 --> 00:32:52,440 Speaker 3: lot of that you can actually find out online. I 599 00:32:52,440 --> 00:32:55,000 Speaker 3: would look at even physician reviews, even though sometimes people 600 00:32:55,040 --> 00:32:56,600 Speaker 3: may go in there and it may not be accurate 601 00:32:56,640 --> 00:32:59,360 Speaker 3: in terms of what folks are saying, But definitely looking 602 00:32:59,480 --> 00:33:03,000 Speaker 3: up physical reviews and seeing what people are saying about 603 00:33:03,000 --> 00:33:04,800 Speaker 3: them because that can be very helpful as well. 604 00:33:05,240 --> 00:33:07,480 Speaker 1: Nowc of Black PEC, I wonder what kind of message 605 00:33:07,760 --> 00:33:10,920 Speaker 1: or charge would you give to either current medical students 606 00:33:11,000 --> 00:33:14,360 Speaker 1: or future medical students about how they can continue to 607 00:33:14,440 --> 00:33:16,680 Speaker 1: advance this work even if it is not being taught 608 00:33:16,720 --> 00:33:18,720 Speaker 1: as a part of their formal curriculum. 609 00:33:19,400 --> 00:33:22,520 Speaker 3: Yes, it's interesting because I actually gave a keynote talk 610 00:33:22,560 --> 00:33:25,560 Speaker 3: the week before last the Student National Medical Association, which 611 00:33:25,560 --> 00:33:29,680 Speaker 3: is the largest organization for black pre medical and medical students. 612 00:33:30,320 --> 00:33:33,240 Speaker 3: One I wanted to remind them that it's a hard 613 00:33:33,320 --> 00:33:39,080 Speaker 3: road to becoming a physician, especially in these predominantly white institutions, 614 00:33:39,320 --> 00:33:42,600 Speaker 3: that they really have to be clear on what their purposes, 615 00:33:42,840 --> 00:33:47,200 Speaker 3: what their values are, always stay in alignment, but also 616 00:33:48,160 --> 00:33:51,160 Speaker 3: gather your village around you find the people, other students 617 00:33:51,160 --> 00:33:54,960 Speaker 3: that you can trust, find the faculty that are open 618 00:33:55,000 --> 00:33:58,120 Speaker 3: to mentoring and sponsoring you and to help support you 619 00:33:58,200 --> 00:34:01,960 Speaker 3: if something comes up. I think organizing is something we 620 00:34:02,000 --> 00:34:05,360 Speaker 3: don't talk about in medical school, but organizing, the more 621 00:34:05,400 --> 00:34:08,239 Speaker 3: students that we have that are speaking up about these 622 00:34:08,320 --> 00:34:10,640 Speaker 3: kind of issues, the more protected you are. 623 00:34:11,600 --> 00:34:11,839 Speaker 2: Yeah. 624 00:34:11,840 --> 00:34:14,040 Speaker 3: I mean, I don't try to sugarcoat it, because I 625 00:34:14,080 --> 00:34:16,560 Speaker 3: know there's so much more work that medical schools need 626 00:34:16,600 --> 00:34:20,080 Speaker 3: to do in creating diverse, inclusive environments for our students 627 00:34:20,120 --> 00:34:23,759 Speaker 3: where they can show up authentically. And I also say, 628 00:34:23,880 --> 00:34:26,719 Speaker 3: just keep your village, keep your family close to you, 629 00:34:26,719 --> 00:34:29,719 Speaker 3: your loved ones, your blood and chosen family close to you, 630 00:34:29,800 --> 00:34:31,799 Speaker 3: because they're the ones that are going to keep you 631 00:34:32,120 --> 00:34:34,920 Speaker 3: grounded during your process where you're an environment that is 632 00:34:35,080 --> 00:34:38,920 Speaker 3: very unfamiliar to you and sometimes unwelcoming to you. So 633 00:34:39,239 --> 00:34:43,520 Speaker 3: stay grounded, remembering your purpose, seeking help when you need to, 634 00:34:43,800 --> 00:34:47,040 Speaker 3: finding your village, whether it be other students or faculty. 635 00:34:47,200 --> 00:34:49,840 Speaker 3: When I was faculty, I really felt like it was 636 00:34:49,960 --> 00:34:53,720 Speaker 3: my purpose and obligation to support our students if something 637 00:34:53,760 --> 00:34:56,440 Speaker 3: came up, to speak on behalf of them, to let 638 00:34:56,719 --> 00:34:59,360 Speaker 3: their instructors know that something is going on to really 639 00:34:59,360 --> 00:35:00,960 Speaker 3: have their back, and I know there are a lot 640 00:35:01,000 --> 00:35:03,080 Speaker 3: of black faculty out there that are still doing that. 641 00:35:03,719 --> 00:35:06,279 Speaker 1: Wonderful Well, thank you so much for that, doctor Blacksack. 642 00:35:06,520 --> 00:35:08,640 Speaker 1: I wonder if you could share how we can stay 643 00:35:08,640 --> 00:35:10,560 Speaker 1: connected to all the work that you're doing and where 644 00:35:10,600 --> 00:35:12,680 Speaker 1: can we grab a copy of your book? Sure? 645 00:35:12,760 --> 00:35:15,360 Speaker 3: So my organization is Advancing Health Equity. So that's actually 646 00:35:15,440 --> 00:35:18,120 Speaker 3: what I left Academic medicine to focus on. It's five 647 00:35:18,200 --> 00:35:21,400 Speaker 3: years old this month. It's a health equity consulting firm 648 00:35:21,719 --> 00:35:24,200 Speaker 3: and we work with healthcare organizations around the issues we're 649 00:35:24,239 --> 00:35:27,440 Speaker 3: talking about today to create diverse, inclusive environments where we 650 00:35:27,480 --> 00:35:30,720 Speaker 3: can retain black health professionals and where we can deliver 651 00:35:30,800 --> 00:35:34,239 Speaker 3: the most equitable care to our patients. So the website 652 00:35:34,280 --> 00:35:38,680 Speaker 3: for Advancing Health Equity is ww dot Advancinghealthequity dot com. 653 00:35:39,000 --> 00:35:40,880 Speaker 3: But if you want to follow me on social media 654 00:35:41,040 --> 00:35:43,359 Speaker 3: because I talk about these issues all the time they 655 00:35:43,400 --> 00:35:46,200 Speaker 3: mean so much to me. I'm on Instagram at UJA 656 00:35:46,280 --> 00:35:50,360 Speaker 3: Blackstock MD, I'm on Twitter at uja Underscore Blackstock, and 657 00:35:50,360 --> 00:35:53,319 Speaker 3: I'm on LinkedIn as well, and i also have my 658 00:35:53,360 --> 00:35:57,239 Speaker 3: own website wwwja Blackstock dot com. If people are interested 659 00:35:57,400 --> 00:36:01,440 Speaker 3: in book events and some media that I've appeared and legacy, 660 00:36:01,719 --> 00:36:05,480 Speaker 3: my New York Times bestseller is available wherever books are sold, 661 00:36:05,480 --> 00:36:08,840 Speaker 3: but I always recommend people to buy local, buy black owned, 662 00:36:09,280 --> 00:36:11,200 Speaker 3: so find those stores close to you. 663 00:36:11,880 --> 00:36:13,480 Speaker 1: We'll be sure to include all of that in the 664 00:36:13,520 --> 00:36:15,520 Speaker 1: show notes. Thank you so much, Doctor Blacksock. 665 00:36:16,000 --> 00:36:16,879 Speaker 2: Thank you, Doctor Joy. 666 00:36:19,640 --> 00:36:22,120 Speaker 1: I'm so glad doctor Blackstock was able to join us 667 00:36:22,120 --> 00:36:25,160 Speaker 1: for this episode. To learn more about her and her work, 668 00:36:25,520 --> 00:36:27,480 Speaker 1: be sure to visit the show notes at Therapy for 669 00:36:27,560 --> 00:36:31,399 Speaker 1: Blackgirls dot com slash Session three fifty six, and don't 670 00:36:31,440 --> 00:36:33,640 Speaker 1: forget to text two of your girls right now and 671 00:36:33,680 --> 00:36:36,719 Speaker 1: tell them to check out the episode. If you're looking 672 00:36:36,760 --> 00:36:39,680 Speaker 1: for a therapist in your area, check out our therapist 673 00:36:39,680 --> 00:36:43,799 Speaker 1: directory at Therapy for Blackgirls dot com slash directory. And 674 00:36:43,880 --> 00:36:46,200 Speaker 1: if you want to continue digging into this topic or 675 00:36:46,280 --> 00:36:49,200 Speaker 1: just be in community with other sisters, come on over 676 00:36:49,239 --> 00:36:51,840 Speaker 1: and join us in the Sister Circle. It's our cozy 677 00:36:51,880 --> 00:36:54,880 Speaker 1: corner of the Internet designed just for black women. You 678 00:36:54,920 --> 00:36:58,520 Speaker 1: can join us at community dot Therapy for Blackgirls dot com. 679 00:36:59,160 --> 00:37:02,440 Speaker 1: This episode was produced by Elie Ellis and Zaria Taylor. 680 00:37:03,120 --> 00:37:06,680 Speaker 1: Editing was done by Dennison Bradford. Thank y'all so much 681 00:37:06,719 --> 00:37:09,279 Speaker 1: for joining me again this week. I look forward to 682 00:37:09,320 --> 00:37:13,279 Speaker 1: continuing this conversation with you all real soon. Take good care, 683 00:37:17,760 --> 00:37:17,840 Speaker 1: what