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Speaker 1: What's up is way up with Angela Yee. I'm Angela

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Speaker 1: Yee on a Wealth Wednesday, and my Wealth Wednesday partner

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Speaker 1: Stacy Tisdale is here.

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Speaker 2: Happy Wealth Wednesdays. Well, you're so excited, you sit down

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Speaker 2: and enjoy the conversation that's about to come to you

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Speaker 2: with doctor Rob Core.

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Speaker 3: Thanks for having me today.

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Speaker 1: Listen, we just had a conversation. We went to the

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Speaker 1: same elementary school and so we were there at the

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Speaker 1: same time, for sure. Shout out to everybody from PS

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Speaker 1: two thirty five in Brooklyn. But I just found this out.

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Speaker 1: But as I've been reading your book Treating Violence, and

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Speaker 1: a lot of the different schools that you talk about

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Speaker 1: in neighborhoods are obviously ones I'm familiar with. So I

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Speaker 1: was like, I wonder you went to Bishop Blachlan, Philippe Schuyler.

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Speaker 3: Skyler and learning is alive at PS two thirty five.

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Speaker 1: I know that's right.

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Speaker 2: It is all up in this house today.

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Speaker 3: We're definitely here.

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Speaker 1: But the reason why this is a Wealth Wednesday is

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Speaker 1: because when it comes to treating violence, you work in

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Speaker 1: the emergency room. A lot of what happens with our

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Speaker 1: youth can be traced back to trauma they've had as

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Speaker 1: a child. Things that I always hate to say things

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Speaker 1: are generational, but things do get passed down. A lot

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Speaker 1: of it have to do with the influences and how

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Speaker 1: we grew up and opportunities that we have our environments.

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Speaker 1: And so this is just something that I want to

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Speaker 1: make sure we talk about because it's such an important topic.

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Speaker 2: You have an entirely different approach to trauma and violence

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Speaker 2: from your personal experience that it should be treated and

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Speaker 2: not incarcerated, and tell us a little bit about how

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Speaker 2: that all happened.

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Speaker 4: So I've been an emergency physician this is year twenty

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Speaker 4: two since I finished medical school. And being somebody who

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Speaker 4: grew up in the community with people of color and

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Speaker 4: practicing medicine, emergency medicine and with populations who are also

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Speaker 4: of color, things start to resonate a little bit differently,

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Speaker 4: and we start seeing people coming into the hospital with

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Speaker 4: repeat injuries and repeat conditions. You have to start asking

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Speaker 4: and so why and when they are somehow connected to

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Speaker 4: you directly, whether it's a family member or a neighbor

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Speaker 4: or somebody that you've seen before, you really have to.

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Speaker 3: Start asking yourself why.

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Speaker 4: Because now this experience of what they've gone through has

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Speaker 4: become personal, and if there's a connection with you as

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Speaker 4: a care provider and that patient on a very different level,

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Speaker 4: they're going to ask you questions that a little bit

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Speaker 4: different than somebody who doesn't necessarily understand their culture and

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Speaker 4: understand their language and how.

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Speaker 3: They move or even their community.

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Speaker 4: And I started looking at a lot of the repeat

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Speaker 4: cases that were coming into the hospital. I did my

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Speaker 4: residency at Cook County Hospital on the West side of Chicago,

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Speaker 4: and my family is also from the West side of Chicago,

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Speaker 4: and so I always wonder when patients were coming in,

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Speaker 4: where they're going to be one of my cousins. If

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Speaker 4: I'm in the wrong place at the wrong time where

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Speaker 4: I lived on the South side of Chicago, Could I

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Speaker 4: be one of these patients who are coming in with

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Speaker 4: some sort of injury, And whether people I work with

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Speaker 4: be really excited because they got to do a procedure

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Speaker 4: on me, or do we start coming up with ways

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Speaker 4: to make sure that people didn't come back. And so

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Speaker 4: I began looking at violence and trauma through this through

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Speaker 4: a lens of public health unders meaning that if we

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Speaker 4: understand the risk factors, if we understand the conditions kind

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Speaker 4: of like our conversation earlier today, if we understand the

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Speaker 4: conditions in which people come from, if we can help

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Speaker 4: tweak those and modify or at least provide levels of

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Speaker 4: support for those conditions, and we can change the scope

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Speaker 4: about violence and particularly recurrent violence.

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Speaker 2: There's an economic connection here. We were talking about that.

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Speaker 2: A lot of people don't connect the dots. I remember

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Speaker 2: did a big profile piece on the economics of riots

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Speaker 2: and trauma and violence, and a lot of that just

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Speaker 2: has to do with our socioeconomic condition one.

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Speaker 3: Hundred percent correct.

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Speaker 4: So there's no surprise that the communities that have the

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Speaker 4: highest amounts of interpersonal violence are also those which are

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Speaker 4: the most impoverished. You might even see where there's a

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Speaker 4: sharp demarcation between those who have and those who don't

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Speaker 4: have a managing major amounts of economic disparities. And when

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Speaker 4: you can visually see that somebody has affluence and access

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Speaker 4: to resources one in one particular area and you can't

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Speaker 4: have access to that, that creates a dichotomy. These same

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Speaker 4: areas are also the areas, at least like in New

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Speaker 4: York City, are the areas where you have the highest

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Speaker 4: number of new HIV cases, the highest number of untreated hypertension,

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Speaker 4: untreated diabetes, any health condition possible, you're gonna wind up

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Speaker 4: seeing in those areas that are impoversed. It doesn't mean

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Speaker 4: that other communities don't experience this kind of stuff, but

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Speaker 4: there's a different kind of checks and balances. There's a

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Speaker 4: difference in distribution of wealth and distribution of resource, and

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Speaker 4: even just the accessibility of those resources ensure that your

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Speaker 4: well being is maintained.

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Speaker 3: When you don't when you don't have.

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Speaker 4: Food, you don't know where you're going to live, when

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Speaker 4: you're when every aspect of your body is disrupted because

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Speaker 4: you are purely in survival mode and your nervous system

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Speaker 4: is disregulated, how can you function?

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Speaker 3: You're not going to interpret things the same way.

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Speaker 4: And because of all these conditions, things are just kind

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Speaker 4: of growing in way.

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Speaker 3: It's not just you, it's your whole family. So if

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Speaker 3: your family is.

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Speaker 4: Disregulated because they don't have enough things for them to

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Speaker 4: be to be able to, how are you gonna function?

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Speaker 3: Your support system is out of whack.

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Speaker 4: And this this cycle and these conditions kind of perpetuate

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Speaker 4: themselves purely because of that environment.

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Speaker 1: And you do look at things from that point of view,

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Speaker 1: and the book you talk about a situation where you

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Speaker 1: got jumped, and that's scary, like when you get jumped,

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Speaker 1: and then now you know I have to go still

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Speaker 1: walk to school, go wherever I have to go. That

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Speaker 1: person knows me it could happen again. And now you're thinking,

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Speaker 1: I got to walk with a weapon just in case

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Speaker 1: something happens. But then you also later on, we're able

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Speaker 1: to give grace because things could have went, you know,

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Speaker 1: a whole another way. So can you just talk about

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Speaker 1: that and the whole thinking behind. Okay, this happened to me,

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Speaker 1: but I can see where that person was coming from.

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Speaker 4: Also, you said something just now, you said when you

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Speaker 4: get jumped, And it's not like if you said when,

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Speaker 4: because we grew up here and you're gonna get You're

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Speaker 4: gonna get jumped, you're gonna get chased. And there are

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Speaker 4: many people from you know, people in some of my

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Speaker 4: colleagues who never had this experience at all. They've been

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Speaker 4: bullied before, but that's a very different kind of thing.

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Speaker 4: But to be in a space and you know, we

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Speaker 4: went to schools that there were a lot of major

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Speaker 4: support systems from our elementary school, both of are respective

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Speaker 4: junior high schools, and high schools had high amounts of support.

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Speaker 4: But what happens when you're not in that environment. The

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Speaker 4: environment's not as forgiving, and your job as a kid

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Speaker 4: growing up in Brooklyn or New York or any place

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Speaker 4: where has a reputation for being tough, you just got

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Speaker 4: to get home, you know, once you get in school.

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Speaker 3: I shouldn't say once you do. Some people, when they

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Speaker 3: get in school.

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Speaker 4: They look at it as a safe space and a

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Speaker 4: place where they're given the ability to be brave and

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Speaker 4: to be able to talk about things that they're experiencing.

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Speaker 4: But not everybody has that opportunity. And if anything threatens

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Speaker 4: your life and well being, you go into protective mode.

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Speaker 4: And protective mode meets you have to stay alive, and

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Speaker 4: that's carrying weapons, that's joining a gang, that's you know

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Speaker 4: what we call back then they call them Posse's point

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Speaker 4: because of the Caribbean influence. But you just wanted to

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Speaker 4: surround yourself with people who could help protect you, to

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Speaker 4: ensure that your survivability was maintained. And you know, I

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Speaker 4: got jumped when I was like eleven years old. I

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Speaker 4: wasn't the first and my friends get jumped, but I

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Speaker 4: grew up across the street from from public housing in

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Speaker 4: Fort Green, and a lot of things happening in the

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Speaker 4: eighties and nineties. You know, people are trying to be tough,

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Speaker 4: people are trying to get money. And I got jumped

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Speaker 4: by two guys who were probably a little bit older

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Speaker 4: than me, and they stole my.

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Speaker 3: Bus pass and the dollar that I had in my pocket.

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Speaker 4: And although there wasn't a whole lot of money, it's

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Speaker 4: terrifying to be in a place that you felt safe.

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Speaker 3: And I was just the corner of my block.

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Speaker 4: Just leaving, right, I think I just left the bodega

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Speaker 4: and just turning the corner, and all of a.

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Speaker 3: Sudden, my entire world changed.

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Speaker 4: And I started carrying razor blades and screwdrivers, and I

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Speaker 4: carried hammers.

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Speaker 3: I never carried guns at eleven years old.

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Speaker 4: This is eleven, and I went to the nerdy school,

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Speaker 4: you know, this is we were this weird, you know,

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Speaker 4: Philippa Skyla Middle School for the gifted and talented. And

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Speaker 4: people don't assume that because you because of the vironment

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Speaker 4: that they kind of associate you with.

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Speaker 3: Get home.

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Speaker 4: You still got to get home, and the neighborhoods haven't

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Speaker 4: completely changed. Once you're in your house, I felt safe well,

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Speaker 4: and once we're in our apartment, I felt safe. But

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Speaker 4: even for a lot of some of our peers, not

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Speaker 4: even some of them have felt safe in their own homes.

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Speaker 4: And so what does that do to your entire psyche?

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Speaker 4: You're always in this protective mode and you know, I

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Speaker 4: always always fight or flight, which causes your stress hormones

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Speaker 4: to go up. There are a series of studies to

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Speaker 4: talk about adverse childhood experiences and when you know, they

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Speaker 4: talk about stress hormones, and these things impact your immune system.

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Speaker 4: So if you're constantly stressed and fight or flight, you

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Speaker 4: don't fight off infection.

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Speaker 3: Well.

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Speaker 4: But people who experience a lot of average childhood experiences

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Speaker 4: have increased they have earlier deaths, they are more prone

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Speaker 4: to develop autoimmune problems, they're more prone to develop heart disease,

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Speaker 4: and unfortunately, they're more prone to develop early death purely

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Speaker 4: because of this repeated trauma that they experience without having

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Speaker 4: any period to really process it.

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Speaker 2: So that's why you're really focused on, let's fix the trauma,

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Speaker 2: the trauma response which you don't feel. Incarceration is the

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Speaker 2: answer to no.

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Speaker 4: Incarceration is a containment model which doesn't allow for people

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Speaker 4: to access the proper amount of resources that are required

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Speaker 4: to regulate your nervous system and regulate your physical body.

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Speaker 4: There's no rehabilitation that takes place. We know of the

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Speaker 4: success stories that come out of the justice impacted system

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Speaker 4: of people who have been justice impacted, but we don't

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Speaker 4: hear the majority of the people who enter that system.

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Speaker 4: And if you look, if you consider how many people

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Speaker 4: who have been incarcerated who've also experienced deep seated trauma

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Speaker 4: that have never gotten an opportunity to be able to

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Speaker 4: process that stuff with somebody who's a trained professional that

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Speaker 4: understands their community, their environment, and.

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Speaker 3: How to access those resources.

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Speaker 4: For people who may not completely be open to that,

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Speaker 4: and families, you might have a very different situation, but

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Speaker 4: that's not the norm. And so we've got to start

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Speaker 4: looking at this stuff through a very protective lens, through

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Speaker 4: a very preventative lens, because prevention is a lot cheaper

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Speaker 4: than paying for emergencies.

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Speaker 1: I mean, it is a and I think about like prison,

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Speaker 1: and we talk about this a lot, how it is

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Speaker 1: a business too, and so yeah, so a lot of

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Speaker 1: times when we talk about preventative methods, for some people,

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Speaker 1: they don't necessarily want that that's we hear all the pretty.

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Speaker 2: Much free labor building cells for black boys. Yea, like

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Speaker 2: when they're born.

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Speaker 3: Yeah, they start.

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Speaker 4: I think the I think it's when they turn based

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Speaker 4: on their third grade reading scores is something that don't

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Speaker 4: quote me on that one, but I think it's based

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Speaker 4: on something that happens you under the age of eight,

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Speaker 4: and that's what they determine. So you already know there's

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Speaker 4: big business out there, and so how do we do

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Speaker 4: these things that are preventative and allow communities to really thrive?

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Speaker 4: You know, I speak about this a lot. Whenever I speak,

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Speaker 4: I talk about social determinants of health, which are the

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Speaker 4: things that impact our health and well being. And this

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Speaker 4: is anywhere from economic development like you speak about, you know,

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Speaker 4: regularly throughout your career and empowering other people to make

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Speaker 4: sure that there's a level of economic independence and development.

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Speaker 4: Those are protective factors to ensure that people at least

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Speaker 4: have access to certain resources to help fund things that

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Speaker 4: can help improve their well being. Having adequate, having more

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Speaker 4: than adequate, having really proficient and really supportive social systems

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Speaker 4: is another protective factor. But access to accessibility to education,

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Speaker 4: accessibility to economic development, accessibility to food and nutrition, all

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Speaker 4: things that can impact your well being, and when you

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Speaker 4: don't have those things. This kind of comes back to

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Speaker 4: this what we're speaking about before, the stress levels that

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Speaker 4: continue to go up, and we think about stress is like, oh,

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Speaker 4: I'm stressed, I just need to chill out. No, but

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Speaker 4: chronuct stress screws with you. It impacts every aspect of

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Speaker 4: your life and all the other people who are connected

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Speaker 4: to you. And you spoke a little bit earlier about

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Speaker 4: trauma that gets passed down. So if you're coming from

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Speaker 4: a household where your grandmother was physically abused, sexually used,

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Speaker 4: and mishandled and mistreated in so many ways that we

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Speaker 4: couldn't even fathom, what stuff gets passed on to to

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Speaker 4: their office, to their offspring, who's your who's your mother

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Speaker 4: or your caretaker, And if that person has also experienced

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Speaker 4: deep seated trauma and deep seated emotional and physical dysregulation.

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Speaker 3: And then they have a child, what happens.

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Speaker 4: I was on the phone with with an attorney.

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Speaker 3: Friend and they were speaking about a case.

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Speaker 4: They were trying to find out how they can get

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Speaker 4: some sort of support for a young person that.

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Speaker 3: Had committed a crime.

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Speaker 4: And when they told the background story of this young person. Uh,

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Speaker 4: the young person had experienced great deals of sexual trauma

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Speaker 4: as a as a young young child and not having

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Speaker 4: a great support system with the parent and with the

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Speaker 4: with the other care providers. It's not doesn't mean they

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Speaker 4: weren't present, but they just didn't have the tools because

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Speaker 4: there were other issues that had taken place in that

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Speaker 4: parent's household that would cause them to have a minimal

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Speaker 4: support system.

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Speaker 3: And so now this kid is up for.

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Speaker 4: Charges and is not able to you know, it's like,

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Speaker 4: first of all, why did he even get to this

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Speaker 4: point to begin with, But if you look at the

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Speaker 4: background story and all the different series of events that

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Speaker 4: have taken place, it's not surprising. And so we're dealing

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Speaker 4: with a young person who has been a victim of

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Speaker 4: a failed system, really becoming from a deep seated trauma

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Speaker 4: that has been intergenerational.

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Speaker 2: Untreated, trauma untreated. And we see that in finances. We

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Speaker 2: talk a lot about financial abuse, which is a precursor

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Speaker 2: to ninety nine percent of domestic violence cases. And you

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Speaker 2: see so many people who are abusers were abused. You know,

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Speaker 2: people love how they were love. So it's like breaking

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Speaker 2: those cycles which you're not just having your average conversation here,

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Speaker 2: Doctor Gore was chosen as a Presidential Leadership Scholar and

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Speaker 2: created CAVE, which is supported.

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Speaker 3: By the George W.

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Speaker 2: Bush and Clinton presidential Centers. Brag about KAVE.

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Speaker 3: So actually one one quick correction correction, Uh so, I

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Speaker 3: was in.

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Speaker 4: The Presidential Leadership scholars which is a it's like policy

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Speaker 4: school and business school and leadership development all all fused

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Speaker 4: into like a six month block, and that was supported

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Speaker 4: by the Clinton and Bush Presidential Libraries. KAVE yourself completely

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Speaker 4: independent of them and don't receive financial contributions from them.

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Speaker 4: But KAVE itself is a hospital school and community based

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Speaker 4: violence intervention and prevention program that I founded as a

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Speaker 4: way too or I say we founded because I engaged

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Speaker 4: you know, so many different people within the community to

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Speaker 4: provide this effort and provide these services, but really as

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Speaker 4: a way to help young people understand and process trauma

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Speaker 4: that they've experienced and and create resources so that violent

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Speaker 4: trauma that people have experienced doesn't become recurrent.

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Speaker 1: And that's Kings Against Violent and Violence Initiatives just stands.

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Speaker 3: For and check us out of Cove Brooklyn dot org.

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Speaker 1: You know, it's interesting because in reading this book, and

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Speaker 1: hearing some of the individual people that have been through

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Speaker 1: KAVE that you've helped. One story that you love is

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Speaker 1: your success story. It was an immigrant right that you

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Speaker 1: talk about in this book, that had gotten stabbed and

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Speaker 1: then ended up as in your care and then you

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Speaker 1: did bring in KAVE. And it's kind of like, is

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Speaker 1: it what you call it? Like an intervention?

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Speaker 3: It's an intervention. Actually, even with Covin let me I

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Speaker 3: actually probably clarify a couple of things. So we were hospitals,

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Speaker 3: school and community based.

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Speaker 4: The school and community based work to do more preventative work,

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Speaker 4: and some of the community work also works with people

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Speaker 4: who are very high risks who've been impacted by violence.

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Speaker 4: And so we actually provide some support services at y

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Speaker 4: Cough Houses and I Wanta's houses.

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Speaker 3: I guess over in I don't even know what.

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Speaker 4: Section in Brooklyn that that would be called anymore because

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Speaker 4: everything's changed, but we provide support services for that communities

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Speaker 4: over there, and then we do the intervention work for

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Speaker 4: people who've been shot and stabbed and due to violence

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Speaker 4: who passed through King's County Hospital Center, which is where

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Speaker 4: I work as an emergency physician.

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Speaker 1: Yeah, and I think one of the important things. Is

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Speaker 1: a lot of times that happens and either you're scared

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Speaker 1: that it's going to happen again and people are still

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Speaker 1: looking for you, or you want to retaliate, because I

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Speaker 1: think initially people's first reaction is to want to get

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Speaker 1: these people who did that to you. And that's important

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Speaker 1: because that is definitely a cycle revengevent cycles. So yeah,

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Speaker 1: I want to talk about that for a second, because

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Speaker 1: it's really hard to talk somebody off the ledge when

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Speaker 1: you know, once they get out of here, the first

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Speaker 1: thing they're thinking is I'm going to get these people

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Speaker 1: that did this to me.

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Speaker 4: So the intervention that we provide, you know, the first thing,

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Speaker 4: you know, I got to see the world through the

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Speaker 4: eyes of an emergency physician. I also see it through

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Speaker 4: the lens of a public health person. So the emergency

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Speaker 4: side means we've got to keep you alive, and we'll

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Speaker 4: do whatever means possible to make sure that you are

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Speaker 4: you at least able to breathe on your own independently

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Speaker 4: and walk out the doors of the hospital will get

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Speaker 4: wheeled out depending on the circumstances of the injury that

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Speaker 4: had taken place.

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Speaker 3: The public health lenses.

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Speaker 4: To ensure how do we make sure we create systems

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Speaker 4: and at least help support systems that ensure your overall

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Speaker 4: well being, going to allow you to thrive, your mental

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Speaker 4: health services, you're housing, accessibility to food, economic development, economic

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Speaker 4: it dependence, anything that's going to allow you to be

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Speaker 4: able to take care of yourself is independently or as

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Speaker 4: interdependently as possible, rather than just relying on a system

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Speaker 4: that is already overrun and is already.

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Speaker 3: Busting at the seams.

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Speaker 4: With the issue regarding retaliation, when people come in who've

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Speaker 4: been injureddue to violence, about maybe forty to fifty percent

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Speaker 4: are going to repeat, you have repeat violent injuries within

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Speaker 4: a five year timeframe. Twenty to thirty percent are those

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Speaker 4: who are going to be maybe killed. The rate is

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Speaker 4: twenty to thirty percent for being killed after an incident

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Speaker 4: of violence has occurred.

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Speaker 3: Which is crazy just to think about it.

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Speaker 4: And then because a lot of these folks are our people,

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Speaker 4: know we are our hospital and the community. We work

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Speaker 4: with major populations of color, black, brown, indigenous individuals, and

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Speaker 4: some poor whites, although those numbers are substantially lower, you

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Speaker 4: have to keep asking yourself why do these people keep

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Speaker 4: coming back with these things?

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Speaker 3: And at first, it's almost why do these people?

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Speaker 4: But because some of the folks that you know, I

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Speaker 4: work in a place where people from our neighborhood come

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Speaker 4: to the hospital, people I grew up with come to

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Speaker 4: the hospital. It's not a why do these people?

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Speaker 3: Is why do our people? Because there's a deep seated connection.

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Speaker 4: And once you personalize trauma, and once you personalize these connections,

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Speaker 4: the things that you want to implement are going to

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Speaker 4: be a little bit different. It's not just how can

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Speaker 4: I just provide a band aid approach? How do I

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Speaker 4: provide something that is going to be so transient that

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Speaker 4: it checks off a box but doesn't have that same

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Speaker 4: kind of impact. And so we've been looking at these

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Speaker 4: really comprehensive services to really engage all community partners, from

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Speaker 4: the people who are in the neighborhood and the communities

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Speaker 4: we serve, as well as the hospital institution. King's County

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Speaker 4: Hospital has been in a tremendous partner and has been supportive.

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Speaker 3: Of the efforts that we've been providing.

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Speaker 4: They also recognize it as a hospital entity alone, they

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Speaker 4: can't do everything. We recognize as a community based organization,

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Speaker 4: we can't do everything, and so it's a matter of

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Speaker 4: diversifying the different resources that are around us from those

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Speaker 4: in the government, those who are who are public, those

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Speaker 4: who are private, as a way to really provide resources

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Speaker 4: that have an ability to build capacity within the communities

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Speaker 4: that are affected.

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Speaker 2: What role would financial literacy play in that equation and

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Speaker 2: de escalating violence?

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Speaker 4: Find Well, I feel like I'm cheating because I had

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Speaker 4: a conversation with you before.

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Speaker 3: About just finance.

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Speaker 4: I'm so glad you plugged that that in, and I

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Speaker 4: thank you for the book as well, But but you

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Speaker 4: mentioned that depression.

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Speaker 2: This is what I told them. I have a financial

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Speaker 2: literacy foundation called Winning Plays and it was piloted in

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Speaker 2: high schools in New York, Bridgeport, Connecticut, and Dallas, Texas.

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Speaker 2: And it's while I was being piloted, I snuck in

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Speaker 2: the back of a classroom to watch a teacher teaching it.

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Speaker 2: The lesson about gender, I have the kids start by

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Speaker 2: looking at a case study of how a woman and

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Speaker 2: a man are treated differently when they go to a

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Speaker 2: car dealership. Easy for the kids to see when a

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Speaker 2: women are going to get higher rates, they're going to

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Speaker 2: get higher this because they think they don't know what

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Speaker 2: they're talking about. The male part. We start by studying

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Speaker 2: a Cambridge University study that found that men actually start

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Speaker 2: to undergo a physiological depression after they're unemployed for six

429
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Speaker 2: months chemical change, because they've been conditioned their whole lives

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Speaker 2: that they should provide and protect winners. So this boy

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Speaker 2: raises his hand and he says, maybe that's why my

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Speaker 2: father left. And it was interesting the length the dots,

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Speaker 2: and he said, well, if he can't do the only

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Speaker 2: thing he was supposed to do, maybe he figured we

435
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Speaker 2: were better off without him. And then a girl started mentioning,

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Speaker 2: like in different animal groups, when the male's taking resources away,

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Speaker 2: they leave. And the kids really saw the social connection

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Speaker 2: to that, which blew my mind. And it's stuck with

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Speaker 2: you a little bit.

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Speaker 4: No, it's stuck with me in so many ways. So

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Speaker 4: if you aren't able to not even just focusing on

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Speaker 4: you can't take care of your family, if you can't

443
00:21:13,040 --> 00:21:15,359
Speaker 4: take care of yourself, and if you don't have certain

444
00:21:15,359 --> 00:21:21,040
Speaker 4: skill sets that are translatable and marketable to certain environments,

445
00:21:21,240 --> 00:21:23,679
Speaker 4: then you're going to do whatever possible to ensure that

446
00:21:23,720 --> 00:21:27,720
Speaker 4: you can maintain your life. And what happens with many

447
00:21:27,760 --> 00:21:29,960
Speaker 4: of our young men and some of our young women,

448
00:21:30,040 --> 00:21:32,680
Speaker 4: but more so young men. Is that if you don't

449
00:21:32,720 --> 00:21:35,359
Speaker 4: have if you don't have certain job skills, if you

450
00:21:35,400 --> 00:21:38,719
Speaker 4: can't market yourself a particular way, if you have if

451
00:21:38,720 --> 00:21:41,679
Speaker 4: you've been impacted by the justice system and can't be

452
00:21:41,760 --> 00:21:44,480
Speaker 4: high and aren't even allowed to be hired in a

453
00:21:44,520 --> 00:21:48,880
Speaker 4: particular way housing or get or get housing, then you're

454
00:21:48,920 --> 00:21:50,800
Speaker 4: going to do whatever is to take to survive.

455
00:21:50,880 --> 00:21:53,320
Speaker 3: And a lot of this happens to be in ways

456
00:21:53,400 --> 00:21:54,840
Speaker 3: that may be.

457
00:21:54,880 --> 00:21:58,359
Speaker 4: Considered illegal in many different parts of the world, and

458
00:21:58,400 --> 00:22:00,159
Speaker 4: which just is kind of a fast way for you

459
00:22:00,160 --> 00:22:02,400
Speaker 4: to get in the justice system. If you're doing something illegal,

460
00:22:02,840 --> 00:22:04,520
Speaker 4: then you're going to have to figure out ways to

461
00:22:04,520 --> 00:22:07,000
Speaker 4: protect yourself because that black market is real. And if

462
00:22:07,000 --> 00:22:10,000
Speaker 4: you're competing with somebody else because of a market and

463
00:22:10,040 --> 00:22:12,960
Speaker 4: there's no kind of regulation for it, the opportunities of

464
00:22:13,000 --> 00:22:15,359
Speaker 4: you getting injured are a lot higher. You know, we

465
00:22:15,359 --> 00:22:18,240
Speaker 4: see so many young people who come in. They came

466
00:22:18,280 --> 00:22:20,440
Speaker 4: in because they were hustling, or the beef that they

467
00:22:20,520 --> 00:22:23,080
Speaker 4: had and altercation that they had that led them to

468
00:22:23,119 --> 00:22:25,040
Speaker 4: the hospital led them to come to us, you know,

469
00:22:25,200 --> 00:22:27,480
Speaker 4: purely was all kind of tied to some sort of

470
00:22:27,560 --> 00:22:31,280
Speaker 4: access to economics that allow them to take care of themselves.

471
00:22:31,480 --> 00:22:34,000
Speaker 4: I'm not sure there were other factors that took place,

472
00:22:34,040 --> 00:22:36,560
Speaker 4: but these are things that are impacting your health and

473
00:22:36,640 --> 00:22:39,919
Speaker 4: well being. But also if you can't be here because

474
00:22:39,920 --> 00:22:42,560
Speaker 4: you can't feed yourself, you can't feed your kids, your

475
00:22:42,600 --> 00:22:44,800
Speaker 4: sense of self worth is actually goes down the tubes,

476
00:22:44,800 --> 00:22:48,760
Speaker 4: which caused your system to become this regulated to increase.

477
00:22:48,880 --> 00:22:53,240
Speaker 4: You mentioned increasing depression, which affects your ability to process

478
00:22:53,960 --> 00:22:55,960
Speaker 4: and take care of your day to day responsibilities. A

479
00:22:56,000 --> 00:22:58,240
Speaker 4: lot of us will have these series of emotions from

480
00:22:58,240 --> 00:23:02,760
Speaker 4: depression to anxiety, feeling bewildered or feeling nervous.

481
00:23:03,280 --> 00:23:05,800
Speaker 3: But once it becomes.

482
00:23:05,480 --> 00:23:09,400
Speaker 4: Pathologic and it can be harmful, once you can't take

483
00:23:09,440 --> 00:23:11,160
Speaker 4: care of your day to day responsibilities.

484
00:23:11,400 --> 00:23:13,120
Speaker 3: And we're seeing so many people.

485
00:23:12,880 --> 00:23:15,200
Speaker 4: Where their day to day responsibilities can't be taken care

486
00:23:15,200 --> 00:23:18,760
Speaker 4: of purely because of the economic situation that they're in,

487
00:23:19,040 --> 00:23:22,000
Speaker 4: which is which forces them to make I don't want

488
00:23:22,000 --> 00:23:25,440
Speaker 4: to say poor decisions, but the only decisions that they're

489
00:23:25,440 --> 00:23:28,159
Speaker 4: able to comprehend at that point that can allow.

490
00:23:27,920 --> 00:23:28,560
Speaker 3: Them to survive.

491
00:23:28,600 --> 00:23:31,040
Speaker 1: People always talk about how it split second can change

492
00:23:31,040 --> 00:23:33,960
Speaker 1: your whole life and the whole trajectory, not that you

493
00:23:34,000 --> 00:23:36,080
Speaker 1: can ever come well some things people can't come back

494
00:23:36,119 --> 00:23:39,760
Speaker 1: from you. But I want to talk about the work

495
00:23:39,800 --> 00:23:42,840
Speaker 1: that you do as an er physician too, because it

496
00:23:42,920 --> 00:23:45,879
Speaker 1: has to be difficult to see the things that you

497
00:23:45,960 --> 00:23:48,280
Speaker 1: see every day and want to be able to do

498
00:23:48,359 --> 00:23:53,160
Speaker 1: whatever you can, even outside of being a physician, right

499
00:23:53,240 --> 00:23:55,439
Speaker 1: when you see so many different things happening and you're like,

500
00:23:55,480 --> 00:23:57,920
Speaker 1: I wish I could do more to help people, which

501
00:23:57,960 --> 00:24:00,119
Speaker 1: is why you started KAVE. But I want to talk

502
00:24:00,119 --> 00:24:03,479
Speaker 1: about how you're able to separate that and just you

503
00:24:03,720 --> 00:24:05,639
Speaker 1: do your job at the base.

504
00:24:06,400 --> 00:24:09,560
Speaker 4: That's a great question because that wasn't always the case.

505
00:24:09,880 --> 00:24:11,120
Speaker 3: I wasn't always able.

506
00:24:10,920 --> 00:24:15,520
Speaker 4: To separate the work from the activism to my own

507
00:24:15,560 --> 00:24:18,000
Speaker 4: personal life. I think before I had a family, before

508
00:24:18,000 --> 00:24:19,919
Speaker 4: I got married, before I had a kid, before my

509
00:24:20,000 --> 00:24:23,399
Speaker 4: parents started aging, it was easy because I just had time.

510
00:24:23,440 --> 00:24:25,919
Speaker 4: You got youth on your side, You got time and energy,

511
00:24:25,960 --> 00:24:28,120
Speaker 4: and I could still stay up for long periods of time,

512
00:24:28,640 --> 00:24:32,240
Speaker 4: which is kind of a gift, and stay focused for

513
00:24:32,560 --> 00:24:34,560
Speaker 4: longer periods of time, which even a greater gift that's

514
00:24:34,600 --> 00:24:38,359
Speaker 4: been worked on very hard. But there was a point

515
00:24:38,400 --> 00:24:41,520
Speaker 4: where everything kind of came tumbling. And in the book,

516
00:24:41,560 --> 00:24:44,720
Speaker 4: I speak about one of my close friends Willis Willis

517
00:24:44,760 --> 00:24:46,960
Speaker 4: Young who call Young, who was one of our intervention

518
00:24:47,040 --> 00:24:47,560
Speaker 4: team members.

519
00:24:47,600 --> 00:24:48,520
Speaker 3: He grew up in bedstyle.

520
00:24:48,560 --> 00:24:50,800
Speaker 4: He lived on the block that I moved to in

521
00:24:50,840 --> 00:24:53,400
Speaker 4: twenty eleven, and he's one of the first people I met.

522
00:24:53,440 --> 00:24:54,920
Speaker 3: Even though he wasn't living there anymore.

523
00:24:54,960 --> 00:24:56,639
Speaker 4: He was always on the block hanging out until we

524
00:24:56,680 --> 00:25:01,879
Speaker 4: developed his friendship almost mentor mentee. We had just launched

525
00:25:01,920 --> 00:25:05,080
Speaker 4: programming for Covey and I said, I said, you know,

526
00:25:05,359 --> 00:25:07,720
Speaker 4: we don't have any money, but I would love to

527
00:25:07,720 --> 00:25:09,480
Speaker 4: have you work with us, because I loved how you.

528
00:25:09,480 --> 00:25:10,399
Speaker 3: Engage with people.

529
00:25:10,520 --> 00:25:14,879
Speaker 4: And you know, people in New York don't always speak to.

530
00:25:16,720 --> 00:25:20,080
Speaker 3: You speak to people, but people.

531
00:25:21,640 --> 00:25:24,360
Speaker 4: Transient, you know, not don't look for long periods of time,

532
00:25:24,440 --> 00:25:26,560
Speaker 4: look to engage and just keep it, keep it moving.

533
00:25:26,960 --> 00:25:30,359
Speaker 3: But he had this magic about how he interacted with people.

534
00:25:30,359 --> 00:25:32,080
Speaker 3: I said, when we get some money, I want to

535
00:25:32,119 --> 00:25:32,840
Speaker 3: I want to bring you on.

536
00:25:32,880 --> 00:25:35,040
Speaker 4: I said, right now, we're just doing volunteer stuff, and

537
00:25:35,440 --> 00:25:38,159
Speaker 4: he said, I got some stuff going on, so I

538
00:25:38,160 --> 00:25:40,320
Speaker 4: can't really do that kind of work just yet because

539
00:25:40,440 --> 00:25:41,480
Speaker 4: I'm not ready for it.

540
00:25:41,720 --> 00:25:42,440
Speaker 3: But we always had.

541
00:25:42,320 --> 00:25:45,439
Speaker 4: These conversations and eventually he started coming in as a

542
00:25:45,520 --> 00:25:48,760
Speaker 4: volunteer and started really participating in the sessions. I thought

543
00:25:48,760 --> 00:25:50,960
Speaker 4: he was there's kind of as a support system for

544
00:25:51,280 --> 00:25:54,240
Speaker 4: the kids in our school based program, but he was

545
00:25:54,280 --> 00:25:58,240
Speaker 4: actually there. He was like, I'm learning stuff in these spaces.

546
00:25:58,240 --> 00:26:01,280
Speaker 4: And then once we got our first grant money about

547
00:26:01,280 --> 00:26:03,080
Speaker 4: two years later in twenty thirteen, he was one of

548
00:26:03,080 --> 00:26:06,040
Speaker 4: our first hirees and so his job he was a

549
00:26:06,119 --> 00:26:09,080
Speaker 4: violence intervention specialist in hospital responder, and his job was

550
00:26:09,080 --> 00:26:11,399
Speaker 4: to make sure that he intervened with people when they

551
00:26:11,600 --> 00:26:14,840
Speaker 4: when they were injured. He provided a lot of support system,

552
00:26:14,880 --> 00:26:17,000
Speaker 4: talking to them about, you know, just doing basic check

553
00:26:17,040 --> 00:26:17,680
Speaker 4: ins like yo.

554
00:26:17,760 --> 00:26:18,520
Speaker 3: Are you okay?

555
00:26:18,880 --> 00:26:20,359
Speaker 4: I know what happened to you? I know this is

556
00:26:20,400 --> 00:26:22,359
Speaker 4: this is this is messed up. I want these language.

557
00:26:22,359 --> 00:26:24,199
Speaker 4: I'm not Shriver on sorts, curse on the air. But

558
00:26:25,880 --> 00:26:27,520
Speaker 4: he said, you know, he would do these check ins

559
00:26:27,760 --> 00:26:29,840
Speaker 4: and sometimes you know, because he lived in the sky

560
00:26:30,000 --> 00:26:32,080
Speaker 4: and he was also blood, he knew some of the

561
00:26:32,080 --> 00:26:33,320
Speaker 4: patients that were coming in.

562
00:26:33,880 --> 00:26:36,000
Speaker 3: And so that was that that thing that what.

563
00:26:36,040 --> 00:26:38,520
Speaker 4: I'm providing is a real benefit to people that are

564
00:26:38,520 --> 00:26:40,320
Speaker 4: in our circle because I know, I can speak the

565
00:26:40,359 --> 00:26:42,800
Speaker 4: language very different than the docks, than the nurses, and

566
00:26:42,840 --> 00:26:44,159
Speaker 4: I have the time to be able to do that,

567
00:26:44,200 --> 00:26:47,400
Speaker 4: and he was brilliant at that job. But a few

568
00:26:47,440 --> 00:26:51,160
Speaker 4: years later, on my birthday in twenty fifteen.

569
00:26:51,640 --> 00:26:52,720
Speaker 3: My morning wake up call.

570
00:26:52,800 --> 00:26:55,120
Speaker 4: I was off that day in the er, but my

571
00:26:55,200 --> 00:26:57,240
Speaker 4: morning wake up call was that he was stabbed multiple

572
00:26:57,240 --> 00:27:00,000
Speaker 4: times and taken to the emergency department, the same place

573
00:27:00,080 --> 00:27:02,400
Speaker 4: where he did the intervention work making sure that people

574
00:27:02,400 --> 00:27:05,479
Speaker 4: didn't retaliate, making sure that they got a support system

575
00:27:05,720 --> 00:27:08,400
Speaker 4: and had an advocate from someone who was a credible messenger.

576
00:27:08,920 --> 00:27:11,199
Speaker 4: But the same place he did these interventions was the

577
00:27:11,200 --> 00:27:13,000
Speaker 4: same place that he was brought in as a patient.

578
00:27:13,600 --> 00:27:15,920
Speaker 4: And he was tough, he was strong, he was muscular,

579
00:27:16,480 --> 00:27:20,800
Speaker 4: but after being stabbed so many different times and repeat

580
00:27:20,800 --> 00:27:24,159
Speaker 4: blood transfusions, you know, his body couldn't handle the stress

581
00:27:24,200 --> 00:27:26,520
Speaker 4: and he wound up dying two weeks later in the ICU,

582
00:27:26,760 --> 00:27:28,800
Speaker 4: the same place that he would also comfort people.

583
00:27:29,200 --> 00:27:30,280
Speaker 3: And I never shut off.

584
00:27:30,320 --> 00:27:33,440
Speaker 4: So I was the intersection and the liaison between people

585
00:27:33,520 --> 00:27:35,359
Speaker 4: on the block who knew and loved him and cared

586
00:27:35,400 --> 00:27:38,200
Speaker 4: for him, the people from the hospital who same thing knew,

587
00:27:38,200 --> 00:27:40,960
Speaker 4: loved and cared for the people from our organization who knew,

588
00:27:41,000 --> 00:27:43,840
Speaker 4: loved and cared for him, and I never took a break.

589
00:27:44,080 --> 00:27:45,840
Speaker 3: I kept I didn't have time.

590
00:27:45,880 --> 00:27:48,320
Speaker 4: I didn't grieve, even like on shifts, you know, we're

591
00:27:48,359 --> 00:27:50,760
Speaker 4: coming from overnight, you know, you know, I go check

592
00:27:50,760 --> 00:27:52,600
Speaker 4: on him coming, and even during ships, I check on

593
00:27:52,640 --> 00:27:55,640
Speaker 4: him in the upstairs in the ICU, you know, even

594
00:27:55,680 --> 00:27:56,760
Speaker 4: if it was like a couple of minutes.

595
00:27:56,800 --> 00:27:57,959
Speaker 3: And I was constantly doing that.

596
00:27:58,000 --> 00:28:01,520
Speaker 4: And when he died, I we had an organization because

597
00:28:01,520 --> 00:28:02,360
Speaker 4: we're still doing.

598
00:28:02,200 --> 00:28:04,639
Speaker 3: This intervention work. And it wasn't until.

599
00:28:05,960 --> 00:28:07,840
Speaker 4: I hit the day of his funeral, which was like

600
00:28:07,880 --> 00:28:10,760
Speaker 4: maybe a month or two months later, that everything just

601
00:28:10,840 --> 00:28:14,600
Speaker 4: kind of came crashing down. And I was working, I

602
00:28:14,640 --> 00:28:16,720
Speaker 4: was coming in for a shift. I was running late,

603
00:28:16,760 --> 00:28:18,680
Speaker 4: and I called the er. I said, look, i'm running late.

604
00:28:18,720 --> 00:28:20,679
Speaker 4: The nurse who picked up the phone with somebody that

605
00:28:20,720 --> 00:28:23,080
Speaker 4: I grew up with, you know, because Brooklyn is just

606
00:28:23,080 --> 00:28:26,200
Speaker 4: connected in that way, and she said, you're not gonna

607
00:28:26,200 --> 00:28:28,760
Speaker 4: believe who's here. It was the pay of the person

608
00:28:28,800 --> 00:28:30,760
Speaker 4: who came and shot multiple times. But he was the

609
00:28:30,800 --> 00:28:33,480
Speaker 4: brother of another person who I pronounced dead. And the

610
00:28:33,560 --> 00:28:35,800
Speaker 4: kid who I pronounced dead was a sixteen year old

611
00:28:35,880 --> 00:28:36,320
Speaker 4: kid who.

612
00:28:36,200 --> 00:28:38,640
Speaker 3: Was killed by the police. And so when I go

613
00:28:38,680 --> 00:28:39,280
Speaker 3: into the room.

614
00:28:39,520 --> 00:28:41,800
Speaker 4: You know, I'm still I didn't sleep that day, you know,

615
00:28:41,840 --> 00:28:45,080
Speaker 4: because you know, adrenaline, you know, all these emotions are swirling.

616
00:28:45,080 --> 00:28:47,200
Speaker 3: So I couldn't even rest before my overnight shift.

617
00:28:47,200 --> 00:28:49,480
Speaker 4: That the funeral was that earlier, that that late morning,

618
00:28:49,520 --> 00:28:52,360
Speaker 4: early afternoon, and so I'm already tired, I'm already stressed,

619
00:28:52,360 --> 00:28:53,680
Speaker 4: I'm already somewhat disregulated.

620
00:28:53,680 --> 00:28:56,120
Speaker 3: And I see this guy who shot multiple times.

621
00:28:55,920 --> 00:29:00,000
Speaker 4: Who's stable, and you know, eventually we kind of really

622
00:29:00,360 --> 00:29:02,920
Speaker 4: how we were connected because he met me when his

623
00:29:03,000 --> 00:29:05,760
Speaker 4: brother had passed. I think, yeah, he did meet me

624
00:29:05,800 --> 00:29:07,920
Speaker 4: when his brother passed. And then his mother came in,

625
00:29:08,080 --> 00:29:10,320
Speaker 4: who recognized me immediately. She said, I know who you are.

626
00:29:10,360 --> 00:29:13,840
Speaker 3: You cut your locks, and that point I was like shit,

627
00:29:14,080 --> 00:29:16,680
Speaker 3: I was like, this is a you know, I didn't

628
00:29:16,680 --> 00:29:17,160
Speaker 3: want to happen.

629
00:29:17,200 --> 00:29:20,440
Speaker 4: Already know that it was all these feelings of guilt

630
00:29:20,520 --> 00:29:23,920
Speaker 4: and shame because we couldn't keep this kid alive. And

631
00:29:23,960 --> 00:29:25,880
Speaker 4: you know, but I told this mother that her sixteen

632
00:29:25,960 --> 00:29:28,080
Speaker 4: year old kid was killed, and I didn't even know

633
00:29:28,080 --> 00:29:30,200
Speaker 4: at the time that he was killed by law enforcement.

634
00:29:31,120 --> 00:29:34,720
Speaker 4: And eventually she looks at me, you know, she stopped

635
00:29:34,720 --> 00:29:37,400
Speaker 4: making eye contact with me and I understood completely why

636
00:29:37,400 --> 00:29:38,040
Speaker 4: I would.

637
00:29:37,880 --> 00:29:39,320
Speaker 3: Come in the room give her updates on what was

638
00:29:39,360 --> 00:29:40,160
Speaker 3: going on with her son.

639
00:29:40,080 --> 00:29:41,640
Speaker 4: Who was a patient who still needed to have a

640
00:29:41,640 --> 00:29:44,800
Speaker 4: bunch of diagnostic studies done because of his injuries.

641
00:29:44,840 --> 00:29:47,320
Speaker 3: But she would ask questions, but she just look at

642
00:29:47,360 --> 00:29:48,320
Speaker 3: me like this, like how.

643
00:29:48,200 --> 00:29:50,160
Speaker 4: We're sitting right now, and she would just look off

644
00:29:50,160 --> 00:29:52,040
Speaker 4: into the wall and she was she had like her

645
00:29:52,040 --> 00:29:54,760
Speaker 4: grandchild just kind of rocking back and forth and refused

646
00:29:54,760 --> 00:29:55,640
Speaker 4: to make eye contact.

647
00:29:55,720 --> 00:29:58,080
Speaker 3: And then after I told her her son would stayble, we.

648
00:29:57,960 --> 00:29:59,760
Speaker 4: Were going to admit him, she looks at me and

649
00:29:59,800 --> 00:30:02,120
Speaker 4: she's said, did my son say anything to you before

650
00:30:02,160 --> 00:30:05,160
Speaker 4: he died? And like, my body just froze, because this

651
00:30:05,200 --> 00:30:06,880
Speaker 4: is a kid who was like, you know, who came

652
00:30:06,880 --> 00:30:09,360
Speaker 4: in alive and he was like mumbling, don't let me

653
00:30:09,440 --> 00:30:12,840
Speaker 4: die and stuff like that. And then you know, my

654
00:30:12,920 --> 00:30:15,560
Speaker 4: body is shaking. And then she says, why does this

655
00:30:15,640 --> 00:30:17,080
Speaker 4: keep happening to my family?

656
00:30:17,760 --> 00:30:21,360
Speaker 3: Because she'd also lost another person, another family member.

657
00:30:21,160 --> 00:30:24,240
Speaker 4: To gun violence not long before, but I think maybe

658
00:30:24,240 --> 00:30:26,959
Speaker 4: a month or two months before. And then here her

659
00:30:27,000 --> 00:30:29,360
Speaker 4: other son is lying on a stretcher who's been shot

660
00:30:29,440 --> 00:30:33,280
Speaker 4: multiple times, and I couldn't answer my body just snapped

661
00:30:33,360 --> 00:30:40,400
Speaker 4: cold sweat, you know, diaphoretic, you know, armpitch soaked, hyperventilating,

662
00:30:40,400 --> 00:30:41,720
Speaker 4: and I just had to run out of the room.

663
00:30:42,160 --> 00:30:44,600
Speaker 4: And I'm used to keeping I'm pretty calm, but I

664
00:30:45,280 --> 00:30:48,360
Speaker 4: couldn't regulate and i had to run to the bathroom

665
00:30:48,400 --> 00:30:51,680
Speaker 4: and I'm like, I'm having these dry heaves and I'm

666
00:30:51,680 --> 00:30:52,960
Speaker 4: having a panic attack.

667
00:30:52,640 --> 00:30:54,200
Speaker 3: And I'm like, what the hell is this? I was like,

668
00:30:54,760 --> 00:30:57,200
Speaker 3: I don't get panic attacks. This is not me, you know. Yeah,

669
00:30:57,240 --> 00:31:00,400
Speaker 3: I've been nervous before, but I'm the one who's in control. Oh,

670
00:31:00,680 --> 00:31:03,560
Speaker 3: I'm the er doc. That's what we're taught. We keep

671
00:31:03,640 --> 00:31:04,880
Speaker 3: you know, we keep things in control.

672
00:31:04,880 --> 00:31:08,560
Speaker 4: We're like green berets and like Navy seals of medicine,

673
00:31:08,560 --> 00:31:09,160
Speaker 4: and that's.

674
00:31:08,960 --> 00:31:12,440
Speaker 3: What we do. But now I can't keep myself calm.

675
00:31:12,480 --> 00:31:14,080
Speaker 4: And I had a bunch of I had a like

676
00:31:14,120 --> 00:31:16,120
Speaker 4: six or seven hours left on my shift, and so

677
00:31:16,160 --> 00:31:17,040
Speaker 4: I'm like, how do I.

678
00:31:17,000 --> 00:31:18,480
Speaker 3: Take care of all these other people come in?

679
00:31:18,600 --> 00:31:20,200
Speaker 4: And we got the people coming with chest pain and

680
00:31:20,240 --> 00:31:23,520
Speaker 4: people coming with strokes, and.

681
00:31:22,920 --> 00:31:24,080
Speaker 3: My body's shaking.

682
00:31:24,480 --> 00:31:27,280
Speaker 4: But because of how we're taught to regulate and how

683
00:31:27,280 --> 00:31:31,520
Speaker 4: to articulate that we're good or not good. We don't

684
00:31:32,000 --> 00:31:33,760
Speaker 4: and so I just had to tense up my body.

685
00:31:33,840 --> 00:31:35,520
Speaker 4: So if you tense up your body and you stay

686
00:31:35,520 --> 00:31:37,680
Speaker 4: in motion, people can't see that you're shaking, and then

687
00:31:37,720 --> 00:31:40,560
Speaker 4: your confidence is maintained and they don't think anything is wrong.

688
00:31:41,000 --> 00:31:43,920
Speaker 4: And so when somebody thinks something is wrong, then everybody

689
00:31:44,000 --> 00:31:46,200
Speaker 4: starts to panic. And if you're in that leadership position,

690
00:31:46,240 --> 00:31:48,760
Speaker 4: you're not allowed. And so I was having panic attacks

691
00:31:48,800 --> 00:31:53,160
Speaker 4: and this was happening repeatedly, coming to the hospital, going home.

692
00:31:53,520 --> 00:31:55,760
Speaker 4: Every time I walk to the hospital was happening. I'm like,

693
00:31:55,840 --> 00:31:58,480
Speaker 4: how the hell can this happen? And I'm supposed to

694
00:31:58,520 --> 00:32:00,720
Speaker 4: be the person in control. Docs aren't supposed to get sick,

695
00:32:00,760 --> 00:32:02,400
Speaker 4: health care providers are not supposed to get sick, and

696
00:32:02,440 --> 00:32:04,720
Speaker 4: now here it is I'm the patient. And so I

697
00:32:04,720 --> 00:32:08,080
Speaker 4: started going back to therapy and learning. You know, one

698
00:32:08,200 --> 00:32:10,520
Speaker 4: I realized I need to do something because I'm not

699
00:32:10,560 --> 00:32:13,760
Speaker 4: going on any medication because just this is my ego

700
00:32:14,160 --> 00:32:16,160
Speaker 4: and check at least not as you know, hopefully not

701
00:32:16,200 --> 00:32:16,560
Speaker 4: having to.

702
00:32:16,480 --> 00:32:17,120
Speaker 3: Go on anything.

703
00:32:17,680 --> 00:32:21,160
Speaker 4: And then learned about more regulating, and she told me that,

704
00:32:21,320 --> 00:32:23,280
Speaker 4: you know, you've been taking care of people for so

705
00:32:23,480 --> 00:32:28,720
Speaker 4: long and you haven't You've been taught to be empathetic,

706
00:32:29,200 --> 00:32:31,680
Speaker 4: but not really taught to be compassionate. And because of

707
00:32:31,720 --> 00:32:34,840
Speaker 4: the empathy, you're learning to connect with people through their

708
00:32:34,880 --> 00:32:38,520
Speaker 4: trauma and through their problems and creating these trauma bonds

709
00:32:38,960 --> 00:32:42,040
Speaker 4: rather than showing love and showing compassion and really being

710
00:32:42,040 --> 00:32:45,040
Speaker 4: able to navigate these spaces safely. I'm not saying that

711
00:32:45,120 --> 00:32:47,880
Speaker 4: you don't care, but really realizing that you have an

712
00:32:47,880 --> 00:32:51,360
Speaker 4: objective to do. And it's like, if you can express

713
00:32:51,360 --> 00:32:54,360
Speaker 4: emotion but you still have a job, you can't become

714
00:32:54,440 --> 00:32:57,880
Speaker 4: the problem. You can't be sowing ingrained that they've entered

715
00:32:57,920 --> 00:33:00,640
Speaker 4: your complete psyche to the point that it taking over

716
00:33:00,680 --> 00:33:03,080
Speaker 4: who you are. And then on top of that, you're

717
00:33:03,120 --> 00:33:06,120
Speaker 4: not giving yourself periods to recover. You can have trauma,

718
00:33:06,240 --> 00:33:08,760
Speaker 4: you can have injury, but you got to recover. So

719
00:33:08,800 --> 00:33:11,240
Speaker 4: you got to have these periods of reflection and processing it.

720
00:33:11,320 --> 00:33:13,040
Speaker 4: And so, you know, I do a lot of physical activity,

721
00:33:13,400 --> 00:33:16,800
Speaker 4: you know, judo, resilient jiu jitsu, and those are ways

722
00:33:16,800 --> 00:33:18,680
Speaker 4: to kind of help regulate and process a lot of

723
00:33:18,720 --> 00:33:20,040
Speaker 4: the trauma and the stress that I deal.

724
00:33:19,920 --> 00:33:22,280
Speaker 3: With on a day to day basis. But it's intentional.

725
00:33:22,320 --> 00:33:25,080
Speaker 4: I don't eat junk food, you know, And it's not like, oh,

726
00:33:25,080 --> 00:33:26,440
Speaker 4: I don't want to eat junk and I'm trying to

727
00:33:26,520 --> 00:33:28,640
Speaker 4: just you know, just trying to think I'm better than

728
00:33:28,880 --> 00:33:30,520
Speaker 4: than other people. It's like, No, if I eat a

729
00:33:30,520 --> 00:33:32,400
Speaker 4: bunch of crap, that means I can't sleep. If I

730
00:33:32,440 --> 00:33:34,280
Speaker 4: can't sleep, that means I can't be there for my

731
00:33:34,320 --> 00:33:38,200
Speaker 4: wife and my son. If I can't sleep properly, that means.

732
00:33:38,040 --> 00:33:40,000
Speaker 3: I'm making mistakes. When I'm at working, we're dealing with

733
00:33:40,160 --> 00:33:41,080
Speaker 3: You're making life.

734
00:33:40,840 --> 00:33:43,480
Speaker 4: Sect You're making decisions in the matter of a second

735
00:33:43,840 --> 00:33:46,959
Speaker 4: that can impact somebody's family member or somebody else's life,

736
00:33:47,360 --> 00:33:49,800
Speaker 4: and I don't want that one well, I don't want

737
00:33:49,800 --> 00:33:52,920
Speaker 4: that on my conscious. You kind of take these these steps,

738
00:33:53,040 --> 00:33:55,480
Speaker 4: and you make these pacts with yourself and take these

739
00:33:55,560 --> 00:33:58,600
Speaker 4: oaths to be responsible and respectful and to care for people.

740
00:33:58,920 --> 00:34:01,040
Speaker 4: But you can't do that if you're a patient. And

741
00:34:01,120 --> 00:34:05,840
Speaker 4: so the delineation of wellness really being a lifestyle and

742
00:34:05,920 --> 00:34:08,800
Speaker 4: something that's a part of who you are and integrated

743
00:34:08,800 --> 00:34:11,120
Speaker 4: into every aspect of what you do has to be

744
00:34:11,200 --> 00:34:13,000
Speaker 4: paramount so that we can continue doing that stuff.

745
00:34:13,040 --> 00:34:14,800
Speaker 3: That therapist that I got to keep doing the work.

746
00:34:14,960 --> 00:34:16,600
Speaker 1: Yeah, I mean, it's like what they always say, put

747
00:34:16,600 --> 00:34:19,160
Speaker 1: your oxygen mask on first, Yeah, and then you can

748
00:34:19,200 --> 00:34:22,239
Speaker 1: save everybody else. And that's what you have to do.

749
00:34:23,480 --> 00:34:25,160
Speaker 2: Last thing I want to touch on with you, what

750
00:34:25,280 --> 00:34:29,240
Speaker 2: kind of policy changes do you think need to happen

751
00:34:29,400 --> 00:34:33,759
Speaker 2: to support this different approach to rehabilitation and what can

752
00:34:33,800 --> 00:34:34,879
Speaker 2: we do as individuals.

753
00:34:35,560 --> 00:34:37,440
Speaker 3: I think that that's a great question. There are two

754
00:34:37,520 --> 00:34:38,720
Speaker 3: things that come to mind.

755
00:34:38,800 --> 00:34:42,200
Speaker 4: The first is, and this is more on a federal

756
00:34:42,320 --> 00:34:46,640
Speaker 4: and a state level, with regards to background checks for firearms.

757
00:34:47,320 --> 00:34:49,040
Speaker 3: You know, I you know firearms.

758
00:34:49,080 --> 00:34:51,799
Speaker 4: You know I Willis was stabbed, and so I don't

759
00:34:51,800 --> 00:34:53,480
Speaker 4: want people to think that old gun violence is the

760
00:34:53,560 --> 00:34:56,000
Speaker 4: only thing that you know, people should focus on. But

761
00:34:56,200 --> 00:34:59,320
Speaker 4: you know, firearms do kill more people than knives because

762
00:34:59,320 --> 00:35:01,640
Speaker 4: of the true because of the caliber of the weapon

763
00:35:02,200 --> 00:35:04,239
Speaker 4: and the rate in which something can be fired to

764
00:35:04,280 --> 00:35:08,560
Speaker 4: increase the likelihood of somebody dying. But policies to ensure

765
00:35:08,600 --> 00:35:11,480
Speaker 4: that background checks that are occurring around the United States,

766
00:35:11,520 --> 00:35:15,040
Speaker 4: you know, eradicating guns and firearms. That's a whole separate conversation,

767
00:35:15,120 --> 00:35:17,759
Speaker 4: but on a most basic level, making sure that the

768
00:35:17,800 --> 00:35:22,640
Speaker 4: laws regarding background checks or something that are universal, regardless

769
00:35:22,680 --> 00:35:26,120
Speaker 4: of how somebody purchased a gun, or the state, or

770
00:35:26,120 --> 00:35:28,959
Speaker 4: the or the or the country in which these things

771
00:35:28,960 --> 00:35:29,959
Speaker 4: have been purchased, it.

772
00:35:29,880 --> 00:35:33,120
Speaker 3: Has to be uniform and training that has to be loved.

773
00:35:33,280 --> 00:35:35,360
Speaker 4: I love that making sure there's a deal of training,

774
00:35:35,560 --> 00:35:38,000
Speaker 4: because that's something I've never brought up before, but so

775
00:35:38,040 --> 00:35:38,400
Speaker 4: thank you.

776
00:35:39,040 --> 00:35:40,319
Speaker 3: Making sure there's levels.

777
00:35:40,000 --> 00:35:42,240
Speaker 4: Of training if you are going to have access to one,

778
00:35:42,400 --> 00:35:45,600
Speaker 4: making sure that the background checks are universal, regardless of

779
00:35:45,680 --> 00:35:49,280
Speaker 4: who and where they purchased it have to be important.

780
00:35:49,400 --> 00:35:52,080
Speaker 4: And then the other one is ensuring that people recognize

781
00:35:52,160 --> 00:35:54,840
Speaker 4: violence of the public health issue. If the if the

782
00:35:54,880 --> 00:35:57,879
Speaker 4: state department, if local, if city and local governments all

783
00:35:57,920 --> 00:36:00,640
Speaker 4: acknowledge that violence is a public health issue, then that

784
00:36:00,680 --> 00:36:03,959
Speaker 4: means they can be funding allocated to help improve those situations.

785
00:36:04,480 --> 00:36:07,799
Speaker 4: And for you know, you have a nonprofit. I know

786
00:36:07,880 --> 00:36:10,440
Speaker 4: you supported so many different community efforts and.

787
00:36:10,280 --> 00:36:12,040
Speaker 2: This hasn't her place in Detroit.

788
00:36:12,239 --> 00:36:14,160
Speaker 3: Yeah, the housing, the housing.

789
00:36:14,040 --> 00:36:15,480
Speaker 2: Some of the housing is going to help, you.

790
00:36:17,680 --> 00:36:20,520
Speaker 4: Know which which is you know, I'm so happy about that,

791
00:36:20,640 --> 00:36:23,360
Speaker 4: and you know some of my my Detroit people also

792
00:36:23,840 --> 00:36:25,240
Speaker 4: very appreciative of.

793
00:36:25,120 --> 00:36:25,959
Speaker 3: That kind of work.

794
00:36:26,040 --> 00:36:29,279
Speaker 4: But it takes financial backing, right, And so you've got

795
00:36:29,280 --> 00:36:31,120
Speaker 4: to have the resource to be able to do that.

796
00:36:31,920 --> 00:36:35,560
Speaker 4: But you know, looking at things that impact funding can

797
00:36:35,600 --> 00:36:38,600
Speaker 4: really change the trajectory of somebody who's doing something very

798
00:36:38,640 --> 00:36:39,600
Speaker 4: small in grassroots.

799
00:36:39,600 --> 00:36:41,480
Speaker 3: Just because it's small and grassroots doesn't mean that it's

800
00:36:41,520 --> 00:36:42,160
Speaker 3: not effective.

801
00:36:42,520 --> 00:36:44,279
Speaker 4: Matter of fact, I feel like they're more effective because

802
00:36:44,320 --> 00:36:47,279
Speaker 4: they're even more closely connected. But these institutions and these

803
00:36:47,360 --> 00:36:50,160
Speaker 4: organizations can't thrive unless there's a level of there's something

804
00:36:50,160 --> 00:36:52,360
Speaker 4: that's implemented to allow for some sort of sustainability.

805
00:36:52,360 --> 00:36:54,280
Speaker 3: And the cash flow issue is a very.

806
00:36:54,160 --> 00:36:56,600
Speaker 1: Very important thing, and that's definitely something they've been working

807
00:36:56,640 --> 00:36:59,080
Speaker 1: on here because we talk about like police departments and

808
00:36:59,080 --> 00:37:02,759
Speaker 1: allocating some of that money towards intervention groups and people

809
00:37:02,760 --> 00:37:05,000
Speaker 1: who are in the community, people who already do the

810
00:37:05,000 --> 00:37:07,279
Speaker 1: works the work on a grassroots level, but they're not

811
00:37:07,560 --> 00:37:09,920
Speaker 1: getting the funding or money that they should be getting

812
00:37:10,160 --> 00:37:13,239
Speaker 1: because people should get paid to do those things, absolutely,

813
00:37:13,280 --> 00:37:15,280
Speaker 1: you know, And so I do think that is something

814
00:37:15,320 --> 00:37:17,799
Speaker 1: that that's why policy is important. That's why knowing who

815
00:37:17,840 --> 00:37:21,040
Speaker 1: your local officials are is important, and supporting different people

816
00:37:21,080 --> 00:37:23,080
Speaker 1: and making sure you let them know this is what

817
00:37:23,120 --> 00:37:23,560
Speaker 1: we need.

818
00:37:23,960 --> 00:37:25,920
Speaker 4: If you can make a living wage being in a

819
00:37:26,000 --> 00:37:29,400
Speaker 4: helping profession, think of how communities are impacted. You know,

820
00:37:29,440 --> 00:37:31,680
Speaker 4: there's so many people in helping professions who are doing

821
00:37:31,880 --> 00:37:35,440
Speaker 4: nonprofit work, community work, education, social workers that get so

822
00:37:35,560 --> 00:37:37,960
Speaker 4: burned out because they can't make a living or proper

823
00:37:38,000 --> 00:37:40,320
Speaker 4: living wage to take care of themselves and their family.

824
00:37:40,360 --> 00:37:42,560
Speaker 4: Financial stress, you know, that financial stress.

825
00:37:42,600 --> 00:37:44,000
Speaker 3: Back back to what we're talking about.

826
00:37:44,040 --> 00:37:46,160
Speaker 4: So if you're if you're doing you know, working and

827
00:37:46,239 --> 00:37:48,879
Speaker 4: helping profession because that's your calling, but you can't care

828
00:37:48,920 --> 00:37:51,560
Speaker 4: for your loved ones. That means you're doing extra overtime,

829
00:37:51,600 --> 00:37:53,719
Speaker 4: which means you can't spend time with them. And these

830
00:37:53,719 --> 00:37:56,760
Speaker 4: are things that I understood, but now as a parent

831
00:37:56,800 --> 00:37:59,600
Speaker 4: of a toddler, I realize this stuff even more importantly.

832
00:37:59,640 --> 00:38:01,920
Speaker 4: You have to be intentionally, you have to be completely

833
00:38:01,960 --> 00:38:04,920
Speaker 4: present when you're caring for somebody else in this capacity,

834
00:38:04,960 --> 00:38:07,840
Speaker 4: because there's so many outside influences that are there and

835
00:38:07,840 --> 00:38:10,040
Speaker 4: you don't want somebody else raising your child. But if

836
00:38:10,040 --> 00:38:12,719
Speaker 4: you can't, but survivability, that's so important. So we got

837
00:38:12,760 --> 00:38:15,839
Speaker 4: to have that survival mechanism in place. And so if

838
00:38:15,880 --> 00:38:18,040
Speaker 4: all the politicians out there and the people who are

839
00:38:18,360 --> 00:38:21,080
Speaker 4: engaged in policy, please make sure you fund these different

840
00:38:21,120 --> 00:38:23,840
Speaker 4: programs that are out there that are doing the incredible

841
00:38:23,880 --> 00:38:25,920
Speaker 4: work to allow for them to continue this work.

842
00:38:26,280 --> 00:38:30,400
Speaker 2: And elections coming up between you and us, So everybody's

843
00:38:30,440 --> 00:38:32,879
Speaker 2: going to go to Amazon and they're going to get

844
00:38:32,880 --> 00:38:36,719
Speaker 2: your book Treating Violence and Emergency Room Doctors take on.

845
00:38:37,560 --> 00:38:40,960
Speaker 1: A Deadly American Epidemic.

846
00:38:41,000 --> 00:38:42,719
Speaker 2: You can get that on Amazon. Thank you for being

847
00:38:42,719 --> 00:38:43,799
Speaker 2: my glasses around.

848
00:38:43,600 --> 00:38:47,400
Speaker 3: Me all the time.

849
00:38:48,920 --> 00:38:52,120
Speaker 2: And also, everybody, we have so many free resources on

850
00:38:52,160 --> 00:38:55,320
Speaker 2: Wealth Wednesdays to help you get that economic piece in place.

851
00:38:55,360 --> 00:38:58,680
Speaker 2: Go to Teamwealth Wednesdays dot com. Take that pledge, you

852
00:38:58,719 --> 00:39:03,279
Speaker 2: get weekly new letters. Follow Wealth Wednesdays on Instagram. There's

853
00:39:03,280 --> 00:39:06,719
Speaker 2: so much free information entrepreneurs. We have our Entrepreneurs group.

854
00:39:06,920 --> 00:39:10,400
Speaker 2: But between the book Wealth Wednesdays, I thank you for

855
00:39:10,440 --> 00:39:13,319
Speaker 2: giving us such a powerful, powerful segment during the health

856
00:39:13,360 --> 00:39:14,479
Speaker 2: something we haven't done before.

857
00:39:14,600 --> 00:39:15,680
Speaker 3: Say we appreciate that.

858
00:39:15,840 --> 00:39:18,160
Speaker 1: Thanks doctor brab gre And I know how great it

859
00:39:18,200 --> 00:39:20,760
Speaker 1: has to be if something happens to have you as

860
00:39:20,840 --> 00:39:24,520
Speaker 1: the er physician at least, because you know it's not

861
00:39:24,600 --> 00:39:26,760
Speaker 1: too often that you'll see somebody that you can fail

862
00:39:26,800 --> 00:39:29,600
Speaker 1: connected to and that does help a lot as well.

863
00:39:30,120 --> 00:39:31,960
Speaker 3: Thank you. Thank you for having me.

864
00:39:31,880 --> 00:39:32,960
Speaker 2: Happy Wealth Wednesdays.

865
00:39:32,960 --> 00:39:38,400
Speaker 3: Everybody thanks Wednesdays.