Podcast Introduction and Host Intros
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The views expressed on this podcast represent only those of the hosts and do not represent the views of the Student National Medical Association.
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Dr. Samari in the building. What's goody? andma for meaningful conversations on top affecting minorities of medicine and groups that often sit at the margins of health care i'm dr acocha your ob bg i n resident we also have two other people on the call here if they want to introduce themselves dr sammari in the building was goody
Fall and Thanksgiving Traditions
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everyone. I'm Chinessa. All right. I thought that we could first hit this podcast off with just a little icebreaker. So considering that it's getting colder outside, you know, it's September.
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what are y'all's fall traditions right now? I don't really got one, to be honest. like Just be outside enjoying nature, the weather, the the leaves falling.
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I'm pretty basic with it. I've been biking since I moved to California, so I'm looking forward to getting that fresh air because Sacramento is too hot, and now I'm ready to experience the weather change.
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But how about y'all?
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I mean, I live in Texas, so don't know how much of a weather change, unquote, that we could be preparing for, you know? actually joking with my friend the other day, and I really wish I could get to wear all my fall outfits and all the booties and boots in my closet, but it's not, I don't think it'll be possible.
00:01:46
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So I don't really have much of full much of a fall tradition per se I would say for me right now, what's going on, because I live um i live in Cincinnati, but i live on like the northern Kentucky side. and And Oktoberfest is a big thing around here. So that's been going on and um and which is, like i think, like some German like german influence um they got there i also Yeah, exactly. They have all the the German goods. And then also, um I love Thanksgiving. I think Thanksgiving is my favorite holiday, I think.
00:02:24
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So I'm excited. I mean, I'm actually working Thanksgiving, don't think I'm celebrating this year. But I love Thanksgiving food, like the pumpkin pie, the con pie. Yeah. Hallelujah, amen.
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Now them flights is too crazy. I can't even celebrate Thanksgiving, I'm looking at the flights like, what? Six dollars? From California to like New York. I'm like, oh, it's club. I'm gonna have to like go to a shelter something for some food or something. shelter? My shelter? Nah, that's crazy.
00:02:56
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Nah, that's unviolated. The land of milk and honey
Pressing Matters Affecting Communities
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in California. The land of opportunities. Yeah. You look at these rent prices, i don't know. But anyway.
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All right. So now we're about to run the list.
GLP-1 Weight Loss Discussion
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Chinasa, take it away. to yeah. Let's run the list.
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Well, for preclinical students running the patient list on the wards, allow the team to address pressing matters of the day. And in this segment of the show, we'll be discussing some recent events in medicine and beyond that are affecting the communities and the populations we serve.
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So grab your cup of tea or whatever beverage you enjoy and let's take it away.
00:03:48
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All right. So I think one topic that has been on the news is Serena Williams' admission of using the GLP-1 drug. Something that I would like for us to discuss a little bit more.
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So the 43-year-old tennis player stated that despite training five hours a day, walking, running, biking, and And all all of that, um she just couldn't overcome her goal of losing her postpartum weight um like she did her opponents, akin to playing on the tennis court.
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So in the end, she says she had no other choice than to do something different.
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Williams is adamant that the medication route, and she says that... um She says that it wasn't easy and while it wasn't easy and certainly not not a short shortcut to losing her 31 pounds, um which is... Sorry, y'all.
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ah Okay. um Okay. So while she wouldn't admit the brand that she's taking, she says it wasn't easy and certainly not a shortcut um of losing 31 pounds over the past eight months.
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So there's a lot of skepticism about the timing of as far as when she started taking the GLP-1. And interestingly enough, her partner is also an investor um with the GLP-1 brand So there's just a lot to unpack here. And um i wanted to i guess I wanted to glean your thoughts more about the GLP-1 as a tool for just weight loss and weight management in general, um especially given that such a big star like Serena Williams has admitted to taking GLP-1s.
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Capitalism grew. Yeah.
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Yeah, she also did an ad for them as well. Like she's like almost like the face of it now. I mean, I don't really care. Like if I'm being quite honest, like, I mean, I never consider her to be obese. Maybe it's just because I'm the medical field and I've seen bigger, honestly. Maybe I'm just kidding. You know I mean? i'm by what like obese is like there's Cincinnati obese, there's regular obese, you know, like there's varying levels of obesity.
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So, I mean, I'm kind of surprised that she would go the GLP one route because i just, I think that kind of shows like what body, like how like you portray yourself and how people portray you because I just always saw her as like a very athletic,
00:06:24
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build to me you know what I so I so I think it's kind of interesting how she viewed herself or like the reality of herself you know what I mean so I just think like beauty's in the eye of the beholder I don't judge anyone for going on GLP-1 shoot someone offered me a shot I'd take it you know what i mean like I'll just take it you know what i mean because you never know when you need it so I'm not opposed to I know there's like the side effects and everything of GLP-1 but like if we're talking about you know maybe the vanity of GLP one. I mean, you want to feel good in your body. you you
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i understand like women who are postpartum, they gain weight, they want to lose the weight back to their old self. I have no issue with, before it was Wellbutrin combined with the pyramid and then it was Orlistat.
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And then it was like, there's so many other, you know, like ah this is the new, this is the fad, you know what I mean? And celebrities have been doing it for years. She just actually admitted to it. So, oh, well.
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On the other hand, for me, I've realized the role of capitalism plays, right? Because last year when I was in family medicine, I had several patients that were obese and there's criteria, you know, BMI over 30 and, you know, comorbid risk factors or cetera, et cetera.
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And when I would try to get them to get support from the from the insurance to get the GOP one, the insurance will deny them. And I'm like, bro, you got to do a prior authorization. So you got to, you know, do all of this extra work to see if they would fit the criteria.
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And these insurance companies would shut it down. But for Serena Williams, who relatively probably, I don't know what health issues are, but doesn't look obese, you know i'm saying? Or seem obese.
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um She probably doesn't have like other health risk factors. But again, I don't know. But the reality is that's, you know, trending toward me saying like, it shows like that her husband is invested in the company.
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Certain people don't have that luxury or that opportunity. And it's very unfortunate. had a patient who tried topiramate and tried fentramine and tried a lot of anti-obetic medication. had another patient who was insurance. He was about to get bariatric surgery, and then it turned the new turn of the year, turned into January, and it was like, oh, it's dropped. You ain't mean the deductible. you know So you got like these situations where it just be like, and a dude's like 500 pounds, got to use a CPAP, can barely walk into the room patient rooms without being short short of breath in his 30s, got heart failure.
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And it's like, bro, you could change people's lives, but people not really seeing that. You know what I'm saying? this It's an industry that's based off of the pharmaceutical way of thought, which is capitalism. If you don't got the bread, then it don't matter. know what mean? And so it leads a lot of people to the wayside. So I think there got to be more conversations about how effective these medications
Obesity and Health Discussions
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And in particular, in the field of psychiatry, too, can be used for addiction they're looking at. You know mean? And substance abuse in particular. what saying? So... um It's unfortunate. And I hate that insurance companies like gatekeep for people that are dying from chronic medical conditions like diabetes as well.
00:09:36
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Yeah, think that's a really good point that you raise. And even assistant professor such as Keogl Bluna has pointed out that. some people there's, there are a lot of stereotypes that around the GLP one, um, and sometimes patients who are taking them are frowned upon as being lazy and they just, there's stereotypes of being lazy and just not able to follow, follow a workout plan or a nutrition plan. And I was just wondering, and I think that, I think that actually, and think that compliments what you said, Aldwin, in sense that there people that have medical problems and,
00:10:12
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and they can't even qualify for this. I don't think it's necessarily always, always the case that people are lazy and don't want to work out and go to the gym. Yeah. Obesity is a chronic condition um that has been studied on like the molecular level. I can't even delve into, I'm not endocrinologist. not going to like talk about things I don't specialize in, but you know, obesity is like a chronic condition, you know what i mean? And um It's hereditary. it you know can be genetic. And sometimes you can do so much and you cannot shake off you know the weight.
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um So I think just like diabetes is a chronic condition, high blood pressure, depression, all those things. i think people should have more.
00:10:57
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i mean, obviously, for all conditions, you have to do the work. You know what I mean? but That's the fun. i think you know, people take medications to help with other chronic conditions. So I don't know why obesity is one of those things where it's like, you're either big or you're not like,
00:11:12
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run or don't run. Like, it's just sometimes it's I don't think it's that simple for people. um I think you have to have, of course, like you have to do the legwork and all that stuff too. But I think some people, you know, 500 pounds, you're not running anywhere. You know what mean? Like you need more, you need additional help. You know, I'm not talking about the DMI of 30 that could, you know, eat less. Like that's not what I'm talking about.
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So yeah. I think that's where I kind of like think that people have this stigma towards obesity. Like you're just, like you said, like just lazy sitting around, can't do anything. But I think maybe in the beginning, that's what it was possibly, but, or maybe childhood obesity is a thing. Like how'd your parents teach you to eat, stuff like that.
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By the time you're 40 or 500 pounds, you can't do anything. um So you need the extra help. know what i mean? And there's nothing wrong with that. And I really love what you said to me, B, because even beyond just obesity, like I,
00:12:02
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unfortunately ah suffer from a lot of knee pain. i used to play track and I suffered knee injury. mean, it's just something that just like worries me a lot because even though I would love to run multiple marathons like every, you know, every week or whatever, and ah cannot necessarily do that because there's that cycle of just okay, I'm physically active, but then I'm in pain because of my knee. And then i could easily see how that can be a cycle for, for patients who, as you described, you maybe perhaps they want to exercise, but then when you're 500 pounds, well, you can, you can barely move. So maybe you do need some help as far as just getting you going and getting you started.
00:12:42
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And how do you even think about exercise when you, you know, you're obese and then you're increased risk for depression. You know, you lack motivation,
Heart Disease and Health Disparities
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you lack the insight and intuition because of your disease process to want to try to change it. So it's a very complicated thing, but I'm glad, you know, we touched on chronic conditions such as obesity, which plagues a lot of of people in America, but another chronic condition who, ah which is very important in our society to, to talk about and narrate and have conversations about is heart attack. And we had, unfortunately,
00:13:18
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Celeste Wilson, a weekend anchor, um who died at the age of 42 from a heart attack, a black woman who was early on in her journalism career, she received ah master's degree in journalism from Arizona State University.
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And her particular case, makes us think about in particular about heart disease and how it's one of the most prevalent and actually number one cause of death in america um and is also the leading cause of death in specific amongst women in the united states and there is a significant racial and sex disparity when we talk about cardiovascular disease especially as we mentioned young and middle-aged black women ah In comparison to white women, black women have more risk factors and they develop cardiovascular disease earlier and then they have higher mortality rates. And it's very complicated. I'm sure socioeconomic status, education, health literacy plays a significant role.
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um But what are you you guys thoughts on like this is really challenging to navigate such a bright future, a young black woman who had so much potential and so much to live for.
00:14:34
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and so much that she was going to impart an and impact on her community. um What are your thoughts about heart disease, especially as it pertains to black women in the United States?
00:14:49
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Yeah, so um as an OBGYN resident, I obviously really only deal with women for the most part. And I think something that I try to incorporate into my practice, at least as like a resident doing general OBGYN is screening for those things in women, right? Because I think Okay, when's the most time women get healthcare? It's always when they're pregnant, right? That's the fact. Right? Usually won't get any care unless they're pregnant.
00:15:19
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And so during that time of pregnancy, we're taking their blood pressure. We take blood pressure very seriously when you guys on your clerkships. gestational hypertension, preeclampsia with severe features, without severe features, chronic hypertensive. Like we are very strict with our criteria of like diagnosing blood pressure disease and pregnancy as well as, yeah, as well as gestational diabetes as well.
00:15:43
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So women will develop gestational diabetes and then about 80% of women who develop gestational diabetes will have like type two diabetes within the next 10 years of their diagnosis. Oh, wow.
00:15:55
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That's super. Yeah. and All those things, you know, having a history of preeclampsia, having history gestational diabetes, all... impacts your risk of having stroke. You know what I mean?
00:16:08
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So I think, you know, what I try to do on a day basis, even outside of pregnancy is screening people for their ASCVD risk. um I always under an A1C. I'm not a PCP, but like for most young, healthy women, I am their PCP. They're not going to an internist. They're usually going to their A1C.
00:16:24
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So just doing those, like, no matter what specialty you're in, um just doing those basic things that we learned in medicine, getting an A1C, getting an LDL with other labs, just to screen for these things um so that we can do early intervention. It cost me nothing to prescribe but a statin until they're able to get to an internist. costs me nothing to control their blood pressure both inside and outside of pregnancy.
00:16:46
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um At least, you know, in the first stage while you're bridging to an internal medicine who will take control of everything after that. Oh, you can it on yourself. Yeah, I can do it myself, but unfortunately, the system only pays me to do pap smears.
00:16:59
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So it's like I can deal with the first line, but once I'm in the second and third line, I'm to have to send you to your internist. I'm sorry. But um I think it's just important that... um you know We're residents. We spend more time with patients than an attending does. right that We just take time. guys have your license. You have your MPI.
00:17:19
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You can tack on labs and screen for check scream for these you know what i mean Why not? like They're already going to Yeah. Like I had a lady that's GAP for who came in with bipolar disorder. People don't know that, um, insulin resistance and and insulin sensitivity is correlated with bipolar exacerbation. So you got to even global a one C if she has diabetes, she's at increased risk for exacerbation. So these chronic conditions, I would tell them my interns today, like bro, like just cause you a psychiatrist don't mean you can't order EKG, at you know, troponin, someone's tachycardic, right.
00:17:53
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You want to check if they have a UTI, do they have a PE, they have a, you know, like you want to check for all these risk factors and treat accordingly. And if it's like you said above you, then, which for me, I'm like, nah, I'm still doing the medicine stuff. Like, bro, you got pneumonia. I could treat that, bro. I got, I'm comfortable enough, you know, but if it's not within your comfort, then, you know, you do what you got to do.
00:18:12
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But the realities are, is that I think that the onus is on us as physicians too, to also utilize the spaces that we're in to, you properly diagnose and properly treat our patients just because you're in a specific field doesn't remove you from doing something impactful for them don't just like segment yourself to psychiatry or ob-gyn or you know ultrionology you know what mean like you're a doctor you know mean you could check butt pressures you could give them amlodipine five milligrams you know mean like you could help them out a little bit do something even one thing is better than nothing
00:18:48
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Yeah, exactly. Oh
Preventive Health Care Importance
00:18:49
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my God. It's so refreshing to hear you both. Like I'm so, so, so, so like ecstatic about our future. It's so great to hear. Yeah. Because that's fundamentally like why went into medicine.
00:19:02
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um And I think to your greater point about just following up with a PCP, um, think it's just something that we need to take very, very seriously, especially into our adult years.
00:19:13
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I recognize that in childhood, taking care of our health isn't something that we necessarily have to be judicious about because our parents you know, we'll probably have a pediatrician that we're signed up for. And I feel like that gap comes when we go off to college. Yep. um When we're no longer on the insurance. but But you know, I mean, turn 26 is real, y'all. I'm 34, so shit I'm seven years out of the game. No longer on the insurance.
00:19:41
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yeah So just like anything else, like your vehicle rules, when we check the oil and sorry, I don't really have good vehicle knowledge, but But going to the doctor doesn't mean there's necessarily a problem. Sometimes it's just good to go prophylactically to screen and to make sure that everything is okay and all is well.
00:19:59
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yeah That way um we can just catch anything prior to them becoming major, major problems like you know heart attack, stroke, and things of that nature. Mm-hmm.
00:20:12
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And speaking of stroke, so, I mean, I feel like this all kind of ties together. um There is an increased rate of stroke among young people. And I have an example. Like, I literally had someone walk into my OB triage, 34-year-old, history of ischemic stroke.
00:20:27
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And I'm like, 34 years, like, you know, what's going on? But, like, there was an article on May 8th. Right. There's an article on May 8th. um entitled Strokes Are Getting Younger, The Alarming Right Stroke Rates Among Young People by Alyssa Hunt um through Lama Linda University Health, discussing the causes of increased rate of stroke among young people. that for myself These causes include high blood pressure, which we talked about, which is the leading factor, but also high cholesterol, substance and alcohol use, which I think
00:21:00
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We don't screen enough for alcohol use, at least in like the PCP gynecology world. In my opinion, I think a lot of young people binge on alcohol and we don't call it what it is.
00:21:13
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um my opinion. Obesity, like me talked about. and regular checkups like um chanasa was talking about afib which is also can be exacerbated by alcohol yeah and caffeine all our you know high energy drinks to get us through residency okay if you don't careful
00:21:34
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be happy if you don't
00:21:40
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So, yeah, I guess we can continue the conversation conversation we were having before, but I just kind of want to mention like ASCVD risk. Like I want you guys to go on MD Calc, calculate your ASCVD risk and act appropriately.
00:21:51
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Okay. yeah And get on your statin. Okay. Hey, 7.5%, 10%, you already know. Moderate risk, high risk. I love that you're doing that because if you think, oh, you got to be in the PCP world, you mentioned the perfect, that's a perfect example. Like OBGYNs, they do it.
00:22:08
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Like we all should be calculating that because Like your medical issues are all related to everything going on. Like even today I'm i'm talking against intern and I'm like, bro, like someone with bilateral osteoarthritis of the knees, they may have trouble walking.
00:22:21
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If they have trouble walking, they can't exercise. They can't get vitamin D. They can't go outside. They may be inside as a result of that and have increased with depression and suicidality. So everything ties in. It's not just focused on one world. You know what mean? so I think I'm so happy that you're doing that in your world. And I think that's going to be crucial for all your patients.
00:22:41
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For sure. And even like when I'm prescribing like hormonal replacement therapy, if they're above a certain ASCVD risk, I don't, I offer them other things like gabapentin or paroxetine, something like that for like hot flashes and things. So everything, you know, ties together, you know what I mean? So don't forget that.
00:23:00
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That's why we all take step three. We all take general medicine boards because we no general medicine and i think people get siloed into their various professions if you get the six and pcp like always dumping things on the pcp or keep referring our patients out and then go to 7 000 appointments when you can just do a little bit of something, at least a preventative care, I think, you know, would do a different part. ah just Just a little bit. Like I was rotating OBGYN a couple of months ago when I was in family medicine. And ah one of the attendants was like the the lady had back pain, chronic back pain. So go see a PCP. I'm like, you can't help her manage her back pain. Like send her for physical therapy. At least it's an initial work for them.
00:23:47
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Give her a little tisanity. Check back. Make sure she's alright. Patients don't necessarily have the luxury of time either to be going to multiple patients. That's a fact.
00:24:01
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you So i think we really need to put them in our shoes. I don't even have that time myself. on You know what I mean? While that's someone who has, I don't know, kids and and work and multiple jobs that matter. So it's have to be really like, really considerate. And, you know, I think that the but topic on boards is a bit of a ah touchy one, but it's actually true. And it really amazes me how many risk factor questions they always have in there. And I think it's it just really ties in together this point of,
00:24:33
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At the core of it, you're you're taking care of a human holistically.
AI in Healthcare and Misinformation
00:24:38
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um And it really does start with preventing things before we start treating things. But one one thing one a thing that's not taking care of humans the right way is AI. And there's a lot of fear and apprehension and a challenge that people are facing using AI for therapy, for diagnosing their hypertension, their treatment protocol. And they pull up to the doctor's office like, man, it's not hemlodipine, man. That's going to get me leg swelling, bro. Like, I need that thiazide, you feel me? Like, help me out, buddy.
00:25:09
Speaker
You know what mean? But... In this particular case, we have a a case which is very interesting. A 60-year-old man dev developed bromism, which people don't know. 100 years, 150 years ago, sodium bromide was used to treat a variety of conditions.
00:25:28
Speaker
um And now in this particular case, this individual has suffered from hypertension. And so he's looking at alternatives for table salt and AI recommended that he go and get sodium bromide, which It's not cool.
00:25:45
Speaker
He ended up several weeks starting to have hallucinations, delusions, ah came into ah the medicine ward and they were like perplexed. Like, why is this man who was relatively healthy, like suddenly have acute psychosis?
00:26:01
Speaker
And somehow they managed, because who checks a bromide level? You know i mean? Like, I've never checked bromide level. Like, I don't know many people that check bromide levels. But they checked the bromide level, and his was like over $1,500. And it was like, yo, what they did investigation, and he had been using the AI, you know I'm saying, to like get a lot of his treatment plans going on for a lot of his medical issues.
00:26:25
Speaker
So it's how, oh, go ahead. Yeah, say what you got to say. see It begs the question why right? Because i feel like we really spend much time thinking about ai being an issue in healthcare.
00:26:38
Speaker
yeah But I think it also colors the way in which healthcare care is just not affordable and it's not accessible to people. and And you're now seeking alternative means to get the care that they deserve.
00:26:51
Speaker
I'm sorry for interrupting you, but go ahead. all No, no, no. You you made like ah a great point, you know, and and we're in a scary position as the AI revolution continues on. ah People are coming into a sense of high level of confidence coming to their doctors, thinking they know more than the doctor because they use AI and AI allegedly went to medical school. So we're in a very challenging situation. People are using it for therapy.
00:27:17
Speaker
And so there have been numerous cases of people unfortunately engaging completing suicide. So like, what are your thoughts on how AI has impacted our society so far and what does it look like for us in the next five to 10 years?
00:27:36
Speaker
AI is here to stay. i agree with you.
00:27:41
Speaker
No, I think what you said about AI therapy is actually very real. I actually do have a number of classmates who use AI for therapy. um no Because... I mean, because... enough psychiatrists and psychiatrists to go around and psychotherapists.
00:28:08
Speaker
So there there is a huge need um you know for all premed listen and pre-med and medical listeners out there. Yeah, y'all should go into these fields because we we need y'all.
00:28:19
Speaker
um And we we need actually people to talk to instead of AI, but it's very accessible. I could just open my computer right now and say, you know, chat, I'm having a bad day.
00:28:31
Speaker
and you get a response, you know what mean? Yeah, I mean, i think it just kind of shows how lonely people are. Like, if anything, you have to resort to a robot to talk about your feelings. And that's really sad.
00:28:45
Speaker
You know what I mean? Like, I use AI. Like, I've been using AI to, like, budget, you know, for like like you like, I have like this new salary every year, right? So like trying to like, budget for my car and my things like I use it for more like, with cool things, I don't feel like calculating, but I've never thought you know, go there and tell them how sad I'm feeling, you know what i mean? And not saying that that's like anything bad.
00:29:07
Speaker
But I just because like, I guess I have a good support system where I've never thought to like tell ChatGPT I'm sad. So it kind of just shows like maybe more like the loneliness of society. You know what I mean? The isolation of society.
00:29:20
Speaker
um Yeah, we need more psychiatrists and therapists and all the things. But I think if anything, because you can also get therapy online. Like, you know, I don't want to start endorsing different websites or whatever here, but.
00:29:32
Speaker
There's therapy online, but people still go to chat GPT, you know? So it's kind of like, I think people are just lonely and isolated and there's a loss of human touch and connection, you know, in the world.
00:29:45
Speaker
We had a lecture a couple weeks ago at my residency program about AI and utilization in psychiatry. And one of the things they emphasize is that a lot of these AIs cater to you intentionally. Think about It's a dopaminergic algorithm, right?
00:29:59
Speaker
Cause it's going to tell you, like I've used chat GPT earlier today. to use it for content creation. And it's telling you, oh great idea. And then you think about it's like, that is not a great idea. Like me saying this in a certain format, like that's actually sounds crazy. You know I mean?
00:30:14
Speaker
And so yeah a lot of the ideas that come across on AI, we think that are beneficial can be terribly terrifying to our bodies and our psyche. And so we got to be very mindful about the decisions we make when we're engaging with it because it's not perfect.
00:30:30
Speaker
You know, there is an ominous side to it. And given, given people that fact is important because a lot of these companies, they don't do that. I mean, they want you to keep using the AI and hence why they're like, Oh yeah. You I mean? Like when you put on, you ask them a question and then it's like in reinforcing you and tell me great job. That's a great question.
00:30:48
Speaker
You know, think that you should do it this way and you're to have this outcome, you know, and, ah and then you think, Oh, yo, this is like catering to my egos catering my spirit. So I'm to keep going back. So it's it's definitely a dangerous world and place to play.
00:31:07
Speaker
But speaking about even outside of AI, we, ah you know, I don't want to go too much into politics, but our government, you know, they do what they do. Government is governmenting.
00:31:20
Speaker
Yeah. int RFK Jr. has suggested that SSRIs can cause violence, which a lot that that has been debunked. We've been using SSRIs for more than 30 years and they've had tremendous impacts on people with depression and can be used people in so you know severe anxiety disorders.
00:31:46
Speaker
And um it's just an unfortunate thing you know that we have a dissemination of information that is going to impact you know a lot of constituents, a lot of patients, a lot of doctors and how they you know promote and advocate because this affects funding, this affects transparency and all that.
00:32:07
Speaker
but I just wanna reassure the audience and people that's listening, like SSRIs do not, along with Tylenol, SSRIs do not cause violence. Tylenol does not cause autism.
00:32:18
Speaker
So please, if you got questions about these issues, do not go to social media for them. Like reach out to your doctor, reach out to somebody that went to medical school that has, or has done verified research in these specific areas so that you could get adequate access to the information.
Mental Health Stigma in the Black Community
00:32:36
Speaker
But what are your thoughts on what's going on with what's being said about medicine by non-medical personnel? you Yeah, they need to be I'm really tired of everyone. I'm really exhausted. like They're making my life really hard. It makes my job... Yeah, no, it's making my job too hard. yeah As an OBGYN resident, the top 10 drugs that I prescribe is Tylenol and Zoloft. okay like Those are the two drugs in the top 10 in the postpartum depression yeah side and the postpartum pain side.
00:33:05
Speaker
So you guys are really making my job really hard, okay? Because now everyone's asking, like, all these questions of something I've been prescribing. i prescribe it, like, so many times a day. Right. And now there's a question about it, and it's all based on nonsense.
00:33:19
Speaker
Absolute nonsense. So, I mean... They can keep talking, whatever. I'm glad ACOG is standing their ground about this Tylenol nonsense. Shout out to ACOG. SSRIs because you're making my job really hard in triage when I can't give someone back pain Tylenol, but they're asking for Dilaudid.
00:33:37
Speaker
Oh, man. That's so fast. yeah Please so reverse your reverse your statement so that I can go back to like um'm doing my job properly. Thank you and good night.
00:33:48
Speaker
It just makes it hard. remember like I remember a patient encounter and the patient came in a research paper. I was like, whoa, have we resorted to this? I don't know if the person understands like how much goes into medical education y'all we've been in school for minimum of at least 12 years plus because continuous learning yeah so yeah really echo everything y'all said i think you should just really consult your healthcare care professional um because we strongly believe they will act in your best in interest okay yeah I also think that
00:34:29
Speaker
You know, people will want to be professionals ah without doing professional education. um evening god That's true too. there's no live phones cool thing yeah There's no like, oh, I'm just so transcendental in my thinking that, you know, everyone with education doesn't know anything and I know everything. That's not how life works.
00:34:48
Speaker
You know what I mean? Like you're not that special. ah Let the professionals do what professionals do. um Let the researchers do what researchers do and stop making up stuff. Thank you. Thank you.
00:35:01
Speaker
Point blank period. I mean, think the part that just irks me a lot is that, especially with mental health, it's it it just so stigmatized in the Black community as well. So I feel like things like this just makes it even harder for people to get the care that these they dess deserve. As you already mentioned, maybe like post people with postpartum depression most most likely need SSRIs or things like that so to cope and get through it.
00:35:29
Speaker
And then if you're speaking to someone who's already apprehensive, yeah about psychiatric medications already and then you have all of this confounding conflict conflicting information um everywhere it just makes it hard to to build that trust with the patients that we serve
00:35:51
Speaker
And speaking of mental health, um in terms of pop culture, Lil Nas X was in the news the other day for a viral video that was like really sad. um And it came out that he was in a psych episode.
00:36:05
Speaker
So for those that don't know, he's a 26 year old rapper known for many different hits. I love his music. And TMZ ah the video. showing him around 4 a.m. on Ventura Boulevard wearing white underwear and boots.
00:36:19
Speaker
And in the video, he reportedly told a fan he was going to a party and put put on an orange traffic cone on his head. Multiple people called the police to report the incident, and the LAPD arrived at the scene.
00:36:33
Speaker
And this was all reported, like, on page six. Um... When I saw the video, I was really disturbed, honestly. I, you know, didn't... I mean, I didn't know at the time like if it was like a psych episode or, you know, anything like that. But it was pretty disturbing to see because he is such a, you know, ah big guy in the music industry and he just looks vulnerable, you know on the you know, on the side of the road like that. So what are you guys' thoughts on this?
00:37:01
Speaker
I think, you know, it being 4am, he also... During this episode, assaulted a police, several police officers as well. It's not a typical behavior for somebody to be walking in middle of the street at 4 a.m. with their underwear on, unless they are severely intoxicated. It's just not, you know, a standard way of behaving.
00:37:25
Speaker
And so the pressures of being successful are real when you're in that position, when you acquire fame and acclaim in such a short amount of time and you sustain that for a little bit of time and then you're trying to regenerate that same level of success, but you can't access it, that causes emotional emotional turmoil and damages to psyche.
00:37:51
Speaker
And I think for him and for many artists in general, they find coping with that, coping with the lack of thereof is through self-medicating with drugs, whether be ketamine, we saw with Matthew Perry from Friends or psychedelics or whatever, know mean? Lean pills, et cetera, et cetera.
00:38:17
Speaker
Have you seen with Lil Meech in the media? So I think this is just a case that was publicized because he was caught doing it. But behind the closed scenes, I'm seeing a lot of like celebrities. Adrian Bronner is a boxer that recently went on a podcast with Cameron and and was talking crazy.
00:38:36
Speaker
And he's he's always like drunk on alcohol. and his career got destroyed because of that. But you see these cases so often times, but it's not something that's talked about because behind a lot of these artists is a lot of yes men, right? There's also narcissism that's involved because if I'm at the highest level and I'm getting a bag and my whole team is getting a bag off of me, you think I'm going to tell you, oh, you got to stop doing that. That's fucking, you know, messing up the bag.
00:38:59
Speaker
Like, I'm not going to tell you that because you helping me out. know what mean? So there is no level of accountability and no level of help, no level of realization that that this is destroying them slowly but surely. And so that I think this is the case with Lil Nas X, and he may face legal consequences on on this.
00:39:19
Speaker
But i I do. I did read that he's currently in rehab right now. and And I think that's to lay some of the legal consequences, honestly. yeah i mean What are your thoughts on this?
00:39:31
Speaker
Yeah, I guess for me, I thought that it was, it just really highlighted how um just like mental health in general crosses different different classes and just different so socioeconomic status.
00:39:46
Speaker
I actually felt like this was maybe publicized because of because of the status of ah the musician because of Lil Nas in question. But I was going to say that i when I was driving on the highway, i actually have experienced someone who is sitting in the middle of the highway, which is not which is just not regular behavior in any way, shape or form.
00:40:10
Speaker
But I don't necessarily remember it being being all over the news and things like that. So I guess that's all to say that every day people are experiencing things of this nature and regardless of your status, whether is as a big pop star, a musician, a common man or a common woman, whatever the case is, it's just a bigger issue. And I think we just need to pay more attention to our mental health in general.
00:40:38
Speaker
Yes. um I agree. Even, you know, I keep relating everything back to OBGYN, but like this is literally my life. So, you know, like, A lot of mental health conditions are exacerbated like in the postpartum period. You know what i mean? Cause like the hormone fluctuations and like the big changes happening, like you have a new baby and stuff. And I've seen, you know, a lot of mental health conditions be exacerbated, like schizophrenia, bipolar disorder, depression, like the minute they go to postpartum land, it's like, it's like a huge change from when they were even intrapartum, you know what i mean? And um I think,
00:41:12
Speaker
One thing to pose is like, you know, how do we recognize the signs and symptoms of, you know, people not being themselves or not doing okay or having exacerbation of their illness? And I would say like, as a resident, I kind of have...
00:41:25
Speaker
trouble with that. You know what I mean? Like one determining capacity, like, okay, you know, like they have schizophrenia, it's just an exacerbation. it's this just their personality is this, you know, and then, you know, like always wondering, like, do I get psych involved? Do I not?
00:41:39
Speaker
Because it's not just implications for the mom, but also implications for the baby and the mom and going home together. um So, right yeah. So I always try to like tread carefully in terms of like mental illness. And I always try to leave it to people that specialize. I don't think it's anything to have a psych consult just to clarify like yeah your clinical question being exacerbation of schizophrenia in the setting of postpartum period. and You know what I mean? That's why they have perinatal psych and stuff like that. Because like.
00:42:06
Speaker
Correct. Diagnoses and, you know, like imagine writing that in someone's chart and it's not actually true. And then it's like implication for the baby and the mom going home together. So I always tread very lightly when it comes to mental illness and like making sure that I don't label something as someone. Like i'm I don't know the DSM-5, you know what I mean? And um I don't know. Like one time I thought there was something and Sykes said, oh, she's completely normal. She's just whimsical.
00:42:30
Speaker
And I said, oh, okay, cool. Yeah, yeah. I was i was like, you're saying, at the you're just saying, I told her like, be quiet. Like you're saying a little too much.
00:42:42
Speaker
And it's like, Oh, she's just whimsical thinking. Like it's nothing wrong with her. You know what i mean? So, um, with that, I just want to make sure that with Lil Nas X, like we don't diagnose him. Like we haven't already, but like, yeah um, like his process and his healing correct and his process and, you know, hopefully he gets better.
Impact and Resilience Post-Hurricane Katrina
00:43:02
Speaker
Yeah, hopefully it gets better. I we've really spent some time talking about ah mental crisis and we're just going to shift focus to an environmental crisis, I'd say, which could have also led to a for a lot of people.
00:43:16
Speaker
But on a more serious note, um you know, like happy 20th anniversary of Hurricane Katrina. every For those who don't know about this, it's actually a really, really good documentary on Netflix that I watched that brought me to tears because I was like, whoa.
00:43:32
Speaker
Anyways, so Hurricane Katrina was one of the deadliest and most destructive hurricanes in US history, resulting in over 1,300 deaths, displacing hundreds of thousands of people and causing an estimated $125 billion in damages as of August 2025. Yeah, so this hasn't even ended. we are still dealing with the repercussions of the hurricane to till this day.
00:44:00
Speaker
um So the the storm itself caused flooding in New Orleans due to the failures of the levees. I say that really, that really exacerbated the disaster.
00:44:11
Speaker
ah Just when they thought things were okay, um they saw that the levees had broke.
00:44:18
Speaker
So the impacts, the impacts of Katrina were significant loss of life and immense financial cost and the total economic impact. exceeding 150 billion. I know you all are spread throughout the country, but was just like curious to know if you know anyone in particular who was impacted by this or who's from New Orleans from Louisiana.
00:44:39
Speaker
i kind of got, like I was five years old when Katrina hit and I lived in, yeah, I lived in Jackson, Mississippi. oh youre right so So I remember a lot of people lost, I remember it was raining terribly that day in Jackson, Mississippi.
00:44:56
Speaker
And I remember every I didn't go to school for like a week or so. And people were like coming from New Orleans to Jackson, Mississippi. So one my mom's best friends, the way they met was that they were both in the same Christian group. And there was a New Orleans chapter and a Jackson, Mississippi chapter. And they came from New Orleans to the Jackson, Mississippi chapter.
00:45:18
Speaker
And that's how they met. And they've been friends ever since. but um So I obviously wasn't directly impacted by Katrina, but even at five years old, I remember like the devastation just like from people being impacted by Katrina.
00:45:35
Speaker
um Yeah, but obviously I was five, so i don't know all the details, but yeah. Yeah, there was a, and thank you for sharing that. There was a screening at one of the conferences I went to.
00:45:47
Speaker
ah ah APA conference in New York on the Hurricane Katrina and there's a field, a subfield of psychiatry called disaster psychiatry and the the those film screening focused on a lot of the the teenagers and children that are impacted by Hurricane Katrina. For instance, seeing dead bodies of loved ones while trying to survive itself, lack of access to food, food insecurity. Many of the children ended up moving to places like Jackson, Mississippi, New Orleans, Houston, Mobile, Alabama,
00:46:22
Speaker
And there was a lot of fights, bullying, gang wars going on. And they even talked about how Hurricane Katrina affected the city of New Orleans. So now a lot of the gangs in particular, as opposed to it being spread out city, now a lot of the gangs are more centralized.
00:46:38
Speaker
And these opposing gangs are in these areas where they can be violent toward each other be just because of proximity. So it's very interesting. how you know we think about Hurricane Katrina. And then there was a political, obviously, debacle that happened with the delay of care from FEMA.
00:46:57
Speaker
and support from the United States government in general, but it has long lasting consequences on people. It's 20 years, but people have PTSD from this, right? They have challenges economically, right? Finding a home, like even going back to New Orleans, like that's where I went my first SMA conference was in New Orleans, you know what I mean? and In 2015, I think it was, that ever went to.
00:47:21
Speaker
And going back a couple of years ago, is like it changed. But still, the real people that know what's up, they're still there struggling, trying to make ends meet.
00:47:31
Speaker
And things haven't gotten back to any semblance of comfort or encouragement for a lot of people in the city of New Orleans, despite that being 20 years ago.
00:47:42
Speaker
So it's an unfortunate situation to happen. No, it really is. And i really I really appreciate you bringing up the disaster psychiatry part, something I wasn't aware of. So I learned something new.
00:47:55
Speaker
um I can only imagine economic impact, especially of those people who lost their homes. Just imagine you had a home and then you woke up and then there's no home.
00:48:07
Speaker
And a lot of the insurance policies in place, ah some people didn't even have insurance policies in place to cover for, to protect them against such a flood.
00:48:18
Speaker
So I think the disaster, the disaster definitely really wrecked the lives of a lot of people. But I would say the community itself is resilient. And it makes me really happy to see that some people even went back home and continue and they are still continuing to rebuild till this day.
Celebrity Justice and Alcohol Use Disorder
00:48:40
Speaker
of people rebuilding their life, for those who watch Real Housewives of Potomac, one of my favorite Real Housewives franchises, ah good the grand dom of Potomac, Karen Huger, she unfortunately was sent to jail for a DUI. This is like her second or third DUI that she had. And and She has, I think, been released and she was discussing about the importance of not drinking and driving and safe driving in general. So the details about her case is in March of 2024, Huger crashed her Maserati in Potomac, Maryland, after driving into a median and hitting street signs.
00:49:21
Speaker
um the convention The conviction and sentencing was in December of 2024, and she was found guilty of driving under the influence and other charges. And she was sentenced in February 2025,
00:49:33
Speaker
to one year in prison. And this was her, oh, sorry, her fourth alcohol-related traffic offense. But then she was released early this month because of good behavior.
00:49:44
Speaker
um i think we've seen a lot of, like, you know, obviously DUIs, right? And, like, celebrity-related DUIs and kind of how they just get kind of, even though i Karen Huger, like, she's one of my favorite, you know, or was one of my favorite people on Real Housewives Potomac, but your fourth DUI and you're just now going to jail and then you get released early.
00:50:08
Speaker
I guess my question is like, are celebrities held to a different standard or is it money or, you know, like how is she going to atone for like the senseless thing that she did?
00:50:19
Speaker
Um, I just think she got off a little too easy. I think she, she did too. um I would like to believe that the justice system is fair, but that's just me being in the Lululand as usual.
00:50:39
Speaker
um There there are numerous of cases of people utilizing the justice system to capitalize and in this instance, and in many instances, like I think about situation like Steve Harvey and his, I believe was Lori Harvey who crashed her car and abandoned the car in like the middle Hollywood, in LA.
00:51:04
Speaker
And all she got was like a pat on back. Like she got like probation or something like that. I'm like, yo, you literally crashed your car, left the car there, And all you gotta do is just pretty pay bread and then you just off and about living your best life.
00:51:20
Speaker
you know No repercussions because your dad is Steve Harvey. So there's something to say about having people in these right spaces. And if you're well connected to a judge, ain't not even though it's illegal, ain't nothing for people to somehow send bread to the judge on the back end.
00:51:37
Speaker
Like, yo, look out for my son or look out for my mother. Like, I got you. Or look at... Young Thugs case, perfect example. You literally ordered hits on people. You know what mean? Like you literally ordered a hit on YFN Lucci while he was in jail.
00:51:55
Speaker
Like it's proven case, but somehow you got out. You know what mean? you barely spent like even a year in the system. Any regular man, like off the streets, day is is clip it's clipped, it's a rock. Like you're not gonna be able to do that.
00:52:10
Speaker
So having opportunity access through money and financial means, it is it's is it's a real thing. And it says a lot about society. Justice isn't fair.
00:52:22
Speaker
just If justice was fair, then um our prison system would have 40% black men because we only make up 6% of the population. Justice is fair. Then black men wouldn't be you know at four times the risk of being arrest arrested for marijuana offenses than white men.
00:52:40
Speaker
Yeah, white men use marijuana way more. than black men. But then there's a stigma. There's, you know, it's ah it's very complicated, but these are just the realities that we have to face. And so um you have to be even more mindful being people of color when dealing with the law and legalities of things.
00:52:59
Speaker
You what Yeah, I like what you said about the justice system in general and just the legality of things. I feel like with this subject in general, like something that something that I started thinking about was the families of people with alcohol use disorder.
00:53:17
Speaker
So I feel like a lot a lot of times they are not they're not cognizant of even where to to seek out help, but I just feel like um instances like this and things like this really affect the family members of these people in in ways that we are we just can't even describe, whether it's just your mental health, being constantly concerned about your loved ones' lives, I mean, the economic impact of your spouses, your family members, of having to you know replace things. and And more importantly, just putting millions and millions of drivers on the road and in harm's way is also something that you need to highlight.
00:53:56
Speaker
a um I mean, I don't know that I have solutions for it, but if any of you have any sort of resources for, especially family members and people that are related to those who have alcohol use disorder problems, that could also be useful.
00:54:17
Speaker
think, like, in my scenario, i had family members that You know, my dad had issues with alcohol. He had a brother that got liver cancer and cirrhosis from alcohol use. So it's definitely in my and my family.
00:54:33
Speaker
um And it's unfortunate because it wreaks havocs <unk> itres havoc on personal community. Like my uncle that died from cirrhosis was an orthopedic surgeon and um in Africa. Oh, it's all good. yeah Yeah, I never met him.
00:54:51
Speaker
you know I never had the opportunity to meet him, but his kids, they're both doctors out there and doing thing. But it's, it's, um, bigger than just a disease process. know mean? It's bigger than the addiction.
00:55:05
Speaker
And even now, like I had a patient today that it's going through the, his specific issues and in marriage and, meth and alcohol use. And it's like, it's more complicated. People be like, yo, it's you like, yo, why you can't control your urges? Why you, why you can't like hold yourself down. But addiction is a disease of the mind.
00:55:24
Speaker
It's a disease of neurotransmitters. It's a disease of an individual, just like we see obesity and we see diabetes and we see all these chronic conditions, heart disease, heart failure, yeah kidney disease. Like it's, this it's along the same pathway.
00:55:39
Speaker
It's just because it's not been medicalized that people see as something as other, as a thing to judge people off of, but it requires support. It requires medications or it requires therapy. It requires multimodalities.
00:55:54
Speaker
of treatment in order for people to be successful in navigating that. I think that we got to continue to have the conversations about addiction, how it affects your life. You know i'm saying? affects your community, affects your family.
00:56:08
Speaker
you know So that's how i really see it. No, it is. I really echo everything you said. It is, y'all. There's Alcohol Anonymous, a lot of different groups, support groups. It does really affect b it it affects the individuals who have the disorder used.
00:56:27
Speaker
it it affects people with alcohol use disorder and beyond. And most importantly, their families. And I feel like we don't always talk about that. It affects the people that you're closest to. That's funny.
BuzzFeed Controversy and Communication
00:56:43
Speaker
So I think, I guess still on the, still on the, on the topic of, I guess, celebrity issues and things of that nature celebrity news, if you will, but BuzzFeed issued a public apology.
00:56:58
Speaker
um i will say they issued a public explanation um to the Love Island USA season seven star regarding the knuckle sandwich.
00:57:09
Speaker
racist posts that they they had shared. So essentially they had posted ah an image with breakfast ideas for each of the stars in the show and then for this participant in particular, Shelley. So they the image that they had had a knuckle, sand ah well essentially a sandwich with a picture of a knuckle in between.
00:57:32
Speaker
um and some some goldfish. And then immediately after they posted the image and people had... Immediately after they posted the image and people queried the post and pointed how overtly racist it was, they issued the explanation saying it wasn't your intent to be racist, but they just wanted post something They just issued a bit of ah an explanation along the lines saying that it wasn't their intent to make it
00:58:08
Speaker
racist. like and ah and In fact, the image itself was ah bit concerning. I think for me in general, when I think about breakfast, I've just never seen an image of a fist as a breakfast idea. was just sort of like wondering if you all entertained their explanation or if you could even empathize with it.
00:58:29
Speaker
Because I try to see things from different perspectives and I tried really hard here, but i just i just wasn't understanding the the perspective they were coming from um so so please help me if i if if i couldn't see dear perspective in a nutshell do maybe you may know this best i don't follow love island at all nor respectfully do i care about that show so i'm gonna just defer to that i really understand i don't really like i'm gonna be honest like i don't really like
00:59:02
Speaker
read buzzfeed i thought that really cnn like like you know so i don't really understand the content i'm looking it up right now so like buzzfeed post it was like shelly and ace shell and ace like graduated not graduated lol it wasn't accomplishment like left love island together And um they're like boyfriend and girlfriend now or whatever they call themselves.
00:59:30
Speaker
And so in in the article, they said what I'd make Shelly. And then they had like one of the meals be like a knuckle sandwich, which that's weird. Like that's, that's strange. I don't know.
00:59:47
Speaker
i don't really know what to make of it. I don't know if it's racist or not, but it definitely is like out of touch. Like why, I mean, not to trigger anybody, but like a knuckle sandwich. I'm going to make my girlfriend a knuckle sandwich, like domestic violence. like that Yeah, that's what I was going to say.
01:00:03
Speaker
Why are you putting that on teenage website? Like, that's weird. You know, so they tried to have a moment. They didn't eat. It doesn't make any sense. I don't know if it's racist or not, but it definitely didn't make any sense. So it was pointless.
01:00:14
Speaker
Trying to go viral. Trying to go viral with a knuckle sandwich. Are you kidding me? like I don't know. I don't know, it's quite silly. i don't know. I don't really care I'm being honest. Like, like i think they're trying to have a moment and that's why don't listen to Buzzfeed or any of those things.
01:00:33
Speaker
Well, then I was thinking about how like communication goes beyond just things that are said. these kind of Communication could be symbolic. Could just, there's just like different things that could allude to something. So even if even if it it were, even if they had good intentions as they claimed, right?
01:00:51
Speaker
Just seeing a knuckle for breakfast can just imply different things. And I think we just need to be careful. That's stupid. like I don't even understand it anyway. Goofy. That's just odd and atypical. I'm going to be honest. Yeah, it's just weird.
01:01:07
Speaker
It's atypical. ah But why her, though? Why the Black woman on the show, though? like Why is she receiving a knuckle from Brock? No, that's what they always do to Black women. is's not right.
01:01:19
Speaker
um It's obviously not right. But these, I mean... Anyway, they know. Anyway, let's not give us more attention than it that it deserves. Yeah, let's not do that. yeah and um Let them drop. I ain't touching BuzzFeed. I don't remember the last time I even, like, watched any BuzzFeed stuff.
01:01:35
Speaker
Y'all not valid, bro? Like, get out of here.
Closing Remarks and Social Media Encouragement
01:01:40
Speaker
You're not even credentialed. Anyway. That's facts. You funny. Um.
01:01:50
Speaker
Well, I think that at this moment, we've had a great conversation. We've talked about ah tremendous number of things. Serena Williams, GLP ones.
01:02:02
Speaker
We talked about BuzzFeed and their uselessness, SSRIs and violence. So I just want to thank everybody for tapping into this this show, tapping into the beautiful, wonderful student, Dr. Chinasa and Dr. Dumebi on this podcast episode.
01:02:22
Speaker
And you know what the vibes is. So thank you so much for joining us for this episode of The Lounge. Bye.
01:02:32
Speaker
Thanks so much. Bye. Be sure to follow the SNMA on all our social media platforms to stay up to date on upcoming events. And let us know your thoughts about the discussion we had today or ask us a question.
01:02:46
Speaker
Or if you want a chance to be featured on the show, you can email us at podcast at snma.org. Now drop that outro music. Jared, DJ, absolute.