The patient called me ‘colored girl.’ The senior doctor training me said nothing

first_img Molly Ferguson for STAT @JenniferAdaeze First OpinionThe patient called me ‘colored girl.’ The senior doctor training me said nothing Please enter a valid email address. Teaching medical students to challenge ‘unscientific’ racial categories Related: By Jennifer Adaeze Okwerekwu April 11, 2016 Reprints Again and again during my four years of training, I encountered racism and ignorance, directed either at patients or at me and other students of color. Yet it was very hard for me to speak up, even politely, because as a student, I felt I had no authority — and didn’t want to seem confrontational to senior physicians who would be writing my evaluations.advertisement Medicine struggles with a chronic disease: racism.Medical schools try to combat this disease with diversity initiatives and training in unconscious bias and cultural sensitivity. I’m about to graduate from the University of Virginia School of Medicine, so I’ve been through such programs.They’re not enough.advertisement An urgent call for diversity in medicine, ‘the profession I love’ To be truly inclusive, communities must be places where everyone feels they have equal worth and where people can have honest conversations without judgement. There’s not enough of that spirit in medical school, or in the medical profession.One more example among many: During my obstetrics and gynecology rotation, I helped perform a prenatal ultrasound on a woman wearing a Confederate flag shirt. Her husband and son watched. Both were wearing Confederate flag hats and belts.The optics of the encounter were jarring. I wondered if my patients hated me. Again, the attending physician did not address the racially charged awkwardness of the encounter.Although this physician was otherwise kind to me, his silence left me with a lasting impression. And too many toxic questions.As the Brazilian educator Paulo Freire writes, “Sometimes a simple, almost insignificant gesture on the part of a teacher can have a profound formative effect on the life of a student.” All these years later, I still wonder if these physicians — my teachers — respected me. It was difficult to reconcile the compassion they showed their patients with their apathy towards me.I needed to know if my experiences were anomalies, so I checked in with two well-respected black physicians who focus on diversity in academia. Dr. Marcus Martin, a vice president at the University of Virginia, and Dr. Eve Higginbotham, a vice dean at the University of Pennsylvania, both assured me that I wasn’t alone. In fact, they said such experiences were all too common.“It really is over the lifetime of one’s career that you ultimately understand how to actually deal with these very difficult situations,” Higginbotham said. Privacy Policy [email protected] Related: Leave this field empty if you’re human: A few hours later, when it was finally time to see this patient, the attending physician told me I had the pleasure of conducting my very first patient interview on “Amadou Diallo.”That was not his name. The only similarity between Amadou Diallo, the young man who was shot and killed by four New York City police officers in 1999, and this elderly Haitian gentleman was their skin color. My skin color.“That’s not his name,” I said, instinctively but respectfully.I was pointed in the direction of the patient and clinic, and proceeded as usual.center_img A few weeks later when I received my clinical evaluations, I perceived some of the feedback as unkind. I couldn’t tell if the comments actually reflected my performance or if I, too, was being punished for speaking out, or maybe even for being black. It was terrifying not knowing the difference.As my clinical training progressed, I had several opportunities to point out intolerance and injustice. I always chose amicability over advocacy. I didn’t want to jeopardize my grades and evaluations by calling attention to intolerance, so I stayed silent instead of voicing the values I believed in.During my internal medicine rotation a few months later, a patient called me a “colored girl” three times in front of the attending physician. The doctor did not correct the patient, nor did she address the incident with me privately.Despite all the other positive interactions I had with this teacher, her silence in this circumstance diminished my presence. I wondered if she thought of me as a “colored girl” too.Looking back, I don’t regret my timidity. It’s what I felt I needed to do to survive. But I feel angry and frustrated that my mentors in the medical profession didn’t raise these issues themselves. Diversity and inclusion initiatives challenge bias in the abstract. Checking bias in real-time, with real people, is much more challenging.Maybe they didn’t notice the bias. Maybe they didn’t feel it was important enough to talk about. Maybe they didn’t know how to talk about it.They should have. Jennifer Adaeze Okwerekwu Harvard Medical School students decry lack of diversity Related: These situations made me worry for our future: How can medical professionals address the needs of a rapidly diversifying population, when we cannot address prejudice within our own community?I did try, once, to speak up, but it didn’t end well. My first clinical rotation was in the ear, nose, and throat clinic. On my first day, I overheard the attending physician grumbling about accommodating an elderly Haitian man with limited English who had misunderstood his appointment time. “We’ll stick the med student on him,” he said. I was excited to test my skills, but I couldn’t help but feel that my seeing this patient was intended as a punishment for him — and that made me uncomfortable. Related: A patient threatened to shoot me. Could I then give him good care? About the Author Reprints Columnist, Off the Charts Jennifer Adaeze Okwerekwu is a psychiatrist and a columnist for STAT. Medical school often erodes aspiring doctors’ empathy, compassion, and idealism. As Harvard Medical School professor Dr. Richard Schwartzstein writes: “Typically, students enter medical school idealistic, eager to improve the human condition, and excited about becoming doctors. And then we do various things to change them.”This is most often the byproduct of the intense pressures of academic and clinical work. As a medical student, however, I fear my heart was hardened by an extra burden, of my educators being blind to my worth as a woman of color. As I advance in the training hierarchy and acquire students of my own, I will certainly do my best to foster inclusion. While my experience as a black medical student has made me hyperaware of racism in medicine, I know because I am human, that I have blind spots of my own.I will work to stay aware of tense moments. And I will always stand up for my students. I also hope I can cultivate a community where my students feel comfortable calling me out.Until we all commit to taking action every day to foster a true spirit of inclusion, we’ll risk perpetuating racial harms and undermining the true spirit of medical professionalism. I know race relations in medicine will not change overnight, but learning to see what is hidden in plain sight will be a crucial first step. Every one of us needs to own the principles that protect us and our patients from racism and bias. That means learning to see prejudice and speaking up against it. But that is far, far easier said than done. Newsletters Sign up for Morning Rounds Your daily dose of news in health and medicine. Tags Health Disparitiesmedical schoolphysicianracelast_img read more

Musk says he’s cracking under the pressure of running Tesla

first_img The Times cited people familiar with the situation as saying Tesla has been trying to find another top level executive to help relieve some of the pressure on Musk. RELATED TAGSTeslaNews We encourage all readers to share their views on our articles using Facebook commenting Visit our FAQ page for more information. Report: SEC moving in on Tesla and Elon Musk with subpoenasIn the interview, Musk stood by his Aug. 7 tweet saying he had secured funding to take Tesla private in a deal that could be worth more than $20 billion. But he told the newspaper that he wrote the tweet inside a Tesla Model S while it was driving to the airport, and that no one else reviewed it.Asked if he regretted it, he said, “Why would I?”Musk, 47, has a reputation for being an eccentric visionary. But his out-of-the-blue go-private announcement raised a huge ruckus and pushed Tesla’s shares up 11 per cent in a day, raising the company’s value by $6 billion. They’ve fallen back, including a 4 per cent decline in premarket trading Friday to $323.50.There are multiple reports that the U.S. Securities and Exchange Commission is investigating the disclosure. Experts say regulators likely are investigating if Musk was truthful in the tweet about having the financing set for the deal.The company said the board formed a special committee to evaluate proposals to take the company private. It later disclosed that Musk had talked with the Saudi Arabia government investment fund about the deal.Tesla didn’t respond to requests for comment from The Associated Press early Friday.Some of Musk’s stress comes from critical stock short-sellers who are betting against the company’s success. But much of it comes from Musk’s own statements issuing lofty goals for production of cars or turning a sustained profit starting this quarter. Tesla has never made money for a full year and has had only two profitable quarters since it went public in 2010.Musk told the newspaper that sometimes he did not leave the Tesla factory for three or four days straight, and that he had not taken off more than a week at a time since he was sick with malaria in 2001. See More Videos The Rolls-Royce Boat Tail may be the most expensive new car ever COMMENTSSHARE YOUR THOUGHTS Yet he told the newspaper he has no plans to give up his dual role as Tesla’s chairman and CEO, but added what appeared to be a plea for help.“If you have anyone who can do a better job, please let me know. They can have the job. Is there someone who can do the job better? They can have the reins right now,” he told the paper.The interview puts board members in a difficult position because Musk, who entered Tesla as a major investor and built the company into a force that has changed the perception of electric cars, is the company’s public identity.But Erik Gordon, a University of Michigan business and law professor, said Tesla’s board has a fiduciary duty to shareholders to take action.“If the board does not get him out of this slot at a minimum on a leave of absence basis, I think the board is going to be seen by a lot of people who love the company as being derelict in their duties,” Gordon said Friday. “You can love the company, you can love Musk and hate having him be the CEO at this point.”The board has stood behind Musk despite some bizarre behaviour including a tweet labeling a diver who aided in the cave rescue of Thai soccer players as a pedophile. But Gordon said it has to act now or be open to shareholder lawsuits. He suggested replacing Musk as CEO and keeping him on as a visionary chief technical officer.The interview and other actions, Gordon said, are signs Musk no longer can handle the CEO job. Musk spent nights at Tesla’s Fremont, California factory working out production problems on its new Model 3 car that is supposed to take Tesla from niche luxury carmaker to a mass producer that competes with Detroit.But Gordon said a CEO wouldn’t live at the factory. Instead, he or she would form a team to work overnight and solve problems.RELATED Trending Videoscenter_img What do you do when your CEO confesses he’s cracking under the stress of his job? That’s the question the nine board members of electric car and solar panel maker Tesla must answer after Elon Musk, the company’s impulsive leader, admitted to The New York Times that work is rattling his nerves in what he described as the most “difficult and painful year of my career.”The newspaper reported that during an hour-long telephone interview on Thursday, Musk alternated between laughter and tears, acknowledging that he was working up to 120 hours a week and sometimes takes Ambien to get to sleep.His comments confirmed what many in and out of the company had suspected as Musk conceded that exhaustion was affecting his personal health and that friends have come by “who are really concerned.” advertisement Trending in Canada Created with Raphaël 2.1.2Created with Raphaël 2.1.2 In a Sept. 29, 2015, file photo, Elon Musk, CEO of Tesla Motors Inc., talks about the Model X car at the company’s headquarters, in Fremont, Calif.  Marcio Jose Sanchez / Associated Press PlayThe Rolls-Royce Boat Tail may be the most expensive new car everPlay3 common new car problems (and how to prevent them) | Maintenance Advice | Driving.caPlayFinal 5 Minivan Contenders | Driving.caPlay2021 Volvo XC90 Recharge | Ministry of Interior Affairs | Driving.caPlayThe 2022 Ford F-150 Lightning is a new take on Canada’s fave truck | Driving.caPlayBuying a used Toyota Tundra? Check these 5 things first | Used Truck Advice | Driving.caPlayCanada’s most efficient trucks in 2021 | Driving.caPlay3 ways to make night driving safer and more comfortable | Advice | Driving.caPlayDriving into the Future: Sustainability and Innovation in tomorrow’s cars | virtual panelPlayThese spy shots get us an early glimpse of some future models | Buy It! Princess Diana’s humble little 1981 Ford Escort is up for auction An engagement gift from Prince Charles, the car is being sold by a Princess Di “superfan” ‹ Previous Next ›last_img read more

News / KLM relaunches combis for medical relief flights as US adds pressure to capacity

first_imgAnd, in a statement this morning, KLM said: “In view of the 90% decline in flights and anticipated future capacity, KLM previously decided in early March that it would phase out its remaining Boeing 747s in April 2020, instead of in the summer of 2021. For the benefit of this air bridge, however, KLM will now redeploy two Boeing 747 combi aircraft to be used specifically on these two routes during the designated period.”Mr Wraight, a former KLM Cargo executive, said after the announcement that, with the additional pressure on capacity owing to the US government decision, the combis were more important than ever.“We need to get as many aircraft as possible flying,” he said. “This is fantastic news for European efforts to control this ugly and vicious disease.“Freighters are being diverted by the US government from the market for its use only, so this will help tremendously.“Go KLM Blue! I love that company still.”Noting the “major shortage in capacity” and the high demand for speedy shipments of medical equipment, KLM said it had “joined hands with Royal Philips and the Dutch government to create a special cargo air bridge between the Netherlands and China. In addition to these parties, many others are seeking additional capacity. The air bridge to Asia will be launched on 13 April​”.The aircraft will operate two weekly flights to Beijing and three a week to Shanghai, adding some 250 tonnes of capacity each way per week. The flights will supplement the “skeleton schedule” that took effect on 29 March.The carrier added that its full freighters would continue to operate on north Atlantic routes, which Philips will also use between Amsterdam and the US, as well as to the south Atlantic and Africa.“I believe it is incredibly important that KLM can be of service to broader Dutch society in this time of crisis,” said KLM president and chief executive Pieter Elbers.“This is perfectly exemplified by the initiative from Philips to join hands with KLM in seeking a solution for freeing-up cargo capacity between Europe and China for essential medical supplies. I am very proud that the professional and dedicated staff of both companies have managed to realise this initiative at such short notice.”Philips chief executive Frans van Houten added: “In combination with the existing air bridge to the United States, we can now more rapidly transport essential medical equipment and supplies between the US, Europe and China, thereby ensuring that healthcare professionals can be more rapidly assisted in their battle against the coronavirus.” KLM has backtracked on its decision to ground its combi aircraft by using them to set up an air bridge between Amsterdam and China on behalf of Philips.The news comes as reports suggest that the US government, under its CRAF scheme, has reserved several US-registered freighters from several CRAF airlines for its exclusive use, putting additional pressure on air freight capacity – and putting European and other freighters in greater demand.KLM, following a public letter published in The Loadstar last month, urging the group to continue flying the aircraft in the current environment, insisted that the combi aircraft would stay grounded.Stan Wraight, president of SASI, noted in the letter to AF-KLM chiefs: “Now more than ever these aircraft are needed to support humanitarian requirements for goods and services… It is not an obligation, but it is certainly what morally you should be thinking of  doing. The world will thank you in the end for this initiative, and I know the logistics community will back you.” By Alex Lennane 09/04/2020last_img read more

Review: Global Ride Hawaii Cycling Training DVDs

first_imgThe Hawaii Rides set includes StrenDurance, Oceanside Ride and Maui Rollers.  The 3-pack retails for $75.00, or you can buy each one individually for $30.  They also offer two videos shot in Italy: Speed & Power and Climbing Sufferage.Prior to the coaching, there’s a warm-up period that scrolls through photos of the islands. The cycling workouts vary in length, and you’ll get either Pilates, Yoga or Strength Training sessions following the ride.  Each of us reviewed one DVD in the set, click on the picture of the individual DVD’s below to enlarge and you can read the back panel in full.RIDER REVIEWS:Maui Rollers, reviewed by Tyler (road and mountain biker):The Maui Rollers DVD follows some of the coast of Hawaii and is, as the title suggests, a series of rollers, but they seem to go mostly up.  You have to shift gears to adjust the cadence and effort to match what you’re watching and what the coach is telling you to do, so how much you get out of it is directly tied to how much you put into it.As mentioned, I tend to let my mind wander and in the past I’ve caught myself staring into space with a pedal cadence of about 20 RPM.  With these, I was engaged enough with the scenery and trying to do what the coach was suggesting that I kept the workout intensity up pretty well.  In fact, the 45 minute session felt like only 20…and anything that can make an indoor trainer workout go fast gets some kudos.  As far as watching this versus DVD’s of Le Tour or something, it’s different, and it has multiple coaching options on each DVD to keep it fresh, so it’s a good alternative when you’re *gasp* bored with watching Lance dance his way up the Sestriere.  Even though it was only 45 minutes (plus warmup and cool down), it was a pretty solid workout…the quads were burnin’.The Yoga section on this DVD is good as a post-workout stretching routine, and it has cycling specific stretches to help open up the hips and stretch the hamstrings and lower back.  It’s a fairly long Yoga routine, not just a little something tacked on to say it’s there, and it’s well coached.  The only downside is it tends to move a little quickly, especially for those not used to the poses.  Here’s a sample video from the Maui Rollers DVD:Oceanside Rides – Reviewed by Rob (road and mountain biker)The two best things I can say about the DVD is that the scenery of Hawaii is beautiful and the Pilates bonus feature at the end really works your body.  The cycling video part, though, could use some improvement.  The entire program feels like someone took a spin class and recorded the audio then combined it with some techno music (which I liked, but not everyone will appreciate).  Then they took some jerky home video from a route that someone had ridden in a car, motorcycle, ect. and combined all three together.  The result is a video with some cool music, scenery, and a spin class coach in the background that sort of misses the mark as a workout video, but it does provide some cool shots of Hawaii if you have nothing else to watch on the trainer.  The video lacks any on screen metrics to tell you where you are like in spinervals or a CTS workout video.  Basically you are just listening to a spin class with some cool scenery and music in the background. Finally, the music was louder than the coaches so even if you were trying to follow their advice you couldn’t hear them clearly.However,  I did like the fact you can turn the coaching on and off as well as the music.  Also, the option to hear the coaching done in different languages was pretty cool.  The Australian chick sounded really hot!!Editor’s Note (Tyler): I agree about the on-screen metrics.  An incline graphic or time-to-finish would help you adjust your effort level…visually it’s hard to tell how steep the incline is just from the video.StenDurance – Reviewed by Mick (triathlete)Typically trainer rides are endured in the cold/dark winter days and training DVDs are an attempt to fight the boredom of the indoor ride.This DVD knocks off the cold of winter with its beautiful scenes of Hawaii and pumps out a workout that makes the most of your time on the trainer. The music gets your legs moving, and the training sets are well coordinated with the beautiful Hawaii scenery.Riding indoors is more intense and challenging than riding outdoors and requires more motivation. This DVD sucks you into the scenery and takes you into the beautiful Hawaiian landscape and makes staying in the saddle much less of a mental challenge than staring at the wall or TV show. The coaches add to the motivation to keep with it. The workout is challenging and leaves you feeling like you’ve had a great ride and vacation from the dreary days of winter when you’re done.BIKERUMOR RATING:The Global Rides aren’t so exciting that you look forward to trainer rides (what is, really?), but once you’ve dragged yourself onto the bike, they certainly make it bearable, and they tend to push you to actually get a good workout in.  For that, they’re commendable, and the various workout/yoga/pilates sessions and pretty good, too.  However, the quality of the video could be slightly better (there are rain drops on the camera for the first section of the Maui Rollers vid), and it really needs some sort of timing and elevation or intensity graphic to help illustrate what the coaches are saying.  Target heartrate goals (as a percentage) or power outputs would also be helpful for those who use such training tools.  As is, they’re a good visual distraction with some OK coaching and decent post-ride workouts, but they’re not a very scientific training tool.  For the price, we think they should offer a little more technical info and graphics, but if you’re bored with everything else you’ve got to watch, they’re worth checking out.  We give them 3.5 Thumbs Up. REVIEW: We actually received Global Ride’s DVD’s in early Summer, but we procrastinated and kept riding outdoors.  Now that it’s dark by the time the work is done, and in some parts there’s snow on the ground, we’ve put these things in the DVD player and put them to the test.Global Ride’s Hawaii Rides DVD set is a collection of three cycling workouts followed by three different cross training routines that tie into the spin session on that disc.  Each cycling workout follows different scenic roads through Hawaii, offering a visual distraction from the sometimes (usually) boring time spent on the trainer and, if you’re like me, they help keep you focused on riding hard enough.  My mind tends to wander, resulting in slower, easier spinning until I snap to.  With the Global Ride training DVDs, you have three different coach “tracks” to choose from on each DVD, so you’re reminded to pedal harder, faster or whatever the specific workout requires.Three of us tried one DVD each.  If you typically spend a lot of time on the trainer in the winter, check out what our three testers have to say about the DVD’s after the break…last_img read more

Road To NAHBS 2013 – Engin Cycles

first_imgBIKERUMOR: What materials do you build with? Which is your favorite and why?Engin Cycles: I build in steel and titanium.  The titanium is a new offering but more on that later.  My favorite would be the titanium because I can finish it from beginning to end in the shop.  I think Todd is an incredible painter but it is always a drag when you finish a bike and then send it off to really get finished.BIKERUMOR: What have you been working on since NAHBS last year?Engin Cycles: I skipped last year to renovate a house which proved to be an even bigger project than I expected.  So, since Austin I have spent the last two years developing my titanium bicycles which are essentially getting revealed in Denver.  We also just finished expanding my shop by about 800 sq. ft. which has really opened it up and allowed for an even better work flow.BIKERUMOR:  Any killer custom bike builds?Engin Cycles: I am bringing a rather cool tandem to the show which is made for the owner of Paragon Machine Works.BIKERUMOR: Did you see anything at NAHBS last year that’s inspired you? Engin Cycles: I missed the show unfortunately.BIKERUMOR: What are you bringing to the show this year that’ll have every other builder standing slack jawed in awe?Engin Cycles: I don’t really expect people to drop their jaw since my work is rather simple and clean.  I am more obsessive about the process and how I can continually make my bikes better.  With that said I have a new drop out for my disc brake bikes that I feel is really slick.BIKERUMOR: Scenario: A customer commissions you and one other builder to create the ultimate bicycle using the same parameters, same base material and same budget in an Iron Chef style competition. Who would you want to build against that would push you and elevate your game?Engin Cycles: For a person that builds with a similar take on the process I would pick Brent Steelman.  He is pure class IMO. All studio images c. Charles UniatowskiAfter starting Wissahickon Cyclery in 1995 and creating a bike shop beloved by the community with the help of his staff, owner Drew Guldalian turned his sights to the bike building business 11 years later. Today, Engin Cycles operates hand in hand with Wissahickon turning out beautiful and show winning bikes primarily from steel. However, new for 2013, Drew will be offering an option for titanium as a build material and is currently working out the details. We asked Drew about his Ti bikes and plans for the future after the break.last_img read more

WATCH Campbell at Central right here

first_imgCLICK HERE to watch Campbell County play district games tonight with Central at Fountain City.  The “Voice of the Cougars,” Josh Parker sends you all the action starting at 6 pm over the WLAF – B & M Tires Sports Network.SEE THE SCHEDULE HERE.Coverage of CCHS over the WLAF – B & M Tires Sports Network is brought to you by these outstanding corporate partners:Alco Builders and Realty – Tracy LobertiniB & M TiresByrge Screen PrintingCommunity Trust BankDr. Jill Cox-BrowningCumberland Gap MedicalDoyle’s Tire ShopFazoli’sFirst National BankGray Insurance AgencyLace to PearlsLUBNorris Lake InsurancePCUDPeoples Bank of the SouthRice Oil-MarathonRiggs Drug JacksboroSenator Ken YagerState Representative Dennis PowersTCATTerry’s PharmacyUnited Cumberland BankValley Roofing(NEWS PUBLISHED – 12/04/2018-4PM)Share this:FacebookTwitterlast_img read more

Glo Premier League Awards List: 2009/2010

first_imgClub of the Year – Aduana StarsBest Goalkeeper – Stephen Adams (Aduana Stars)Most Promising Player – Godfred Saka (Aduana Stars)Best Coach – Herbert Addo (Aduana Stars)Best Defender – Lee Addy (Bechem Chelsea)Footballer of the Year – Mahatma Otoo (Hearts of Oak) Goal King – Bismarck Idan (Kessben FC) and Samuel Afum (Hearts of Oak)Best Behaved Club Supporters – Liberty ProfessionalsFair Play – Bechem ChelseaBest Chief Executive Officer – Cudjoe Fianoo (Ashantigold)Best Premier League Functional Office – Ashantigold and Hearts of Oak Best Match Commissioner – Augustine AsanteBest Referee – Thomas NunooBest Assistant Referee – David LaryeaBest PLB Cameraman – Stephen AsamoahSpecial Awards:Glo Mobile Ghana – Platinum AwardOptimum Media Prime – Gold AwardTata Africa Holdings Ghana Limited – SilverVoltic Ghana Limited – Bronze Awardlast_img read more