00:05
So some additional key concepts.
00:08
You heard me mentioned
diversity earlier.
00:10
What is diversity?
It's all the ways
that we differ from each other.
00:14
And it's the different
characteristics
that make us unique individuals.
00:18
So it's why I said, "Your first
goal is to think about humans."
I see a human being.
00:25
And when that human being is sick,
I see a human being
who's in a vulnerable state.
00:31
And then I need to think
about all the characteristics
that make that person,
whoever they are.
00:36
Let's say, Angela.
What makes Angela, Angela?
When I say yes,
you can mention race.
00:40
Angela is black. Angela is female.
In addition to human first, right.
00:46
Angela is female.
00:47
Right now,
Angela has XYZ symptoms,
and what do I need to do
to help Angela
get to a state of optimal health?
Well, when we think about that too,
in terms of diversity,
yes, our books teaches one thing,
but in real life,
what is optimal health to Angela?
So I don't want to force
my own beliefs
even in terms
of what optimal health is.
01:10
So personally, I'm a fixer.
01:12
And if someone comes in
with a pain of 10,
I want you to get out of here
with the pain of zero,
where the patient might
want to get down to a five
because that's manageable for them.
01:22
Why need to respect that? Right?
So just having
conversations, partnering,
and thinking about
individual human needs.
01:30
The next concept is equity.
01:33
So in general, what is equity?
It's just a continuous process
of assessing people's needs,
correcting those
historical inequities
that brought us to the place
where we are now
that took away our ability
to first see people initially.
01:47
Automatically see people as human.
01:50
So, how do we correct
all those things?
Through this work
that we're talking about right now
and being committed to
and consistently doing the work.
01:59
Putting in the time and effort.
02:01
So that we do create those
conditions for optimal outcomes
for everybody in society
regardless of these identity groups.
02:10
So health equity.
02:11
So that's very important in
terms of what we're talking about
as healthcare professionals.
02:16
But making resources available,
and helping people regardless,
including people
from those populations
we relegate
to a certain space, right?
Thinking about diverse populations.
02:28
And I'm gonna give
another example here.
02:31
Let's just say a person is
from an indigenous population,
and they want to practice
something traditional
from their own culture.
02:39
Who am I to say they can't when
it's not causing harm, right?
So we definitely don't want
to go around and impose again,
our own values and
belief systems on people.
02:51
So if someone says, "I need to do a
chant before any procedure happens."
And this is something
I'm making up, hypothetically,
just to say, though.
02:58
Even though you feel like,
"what the heck is this?"
Let it happen.
03:03
If that is a part of what helps
people achieve optimal health.
03:07
Let it happen.
Is it causing harm to anyone?
That's usually what I focus on.
Is it causing harm in any way?
If it's not, then I do it.
03:15
Is it going to take me
some extra time?
So let's just say it well, right.
03:19
This person I just gave
this hypothetical example of
is hospitalized.
03:24
Well, I know that every time before
I go in there to do a procedure,
this ritual needs to happen.
03:29
So I need
to prepare for that, right.
03:31
And so I will prioritize
my patients based on
what I know,
I need to give extra time to this.
03:38
Let's say you can't do it.
03:40
Again, advocating.
03:41
Meaning I can go to
someone on my team.
03:43
And, first,
I want to ask the patient
"Are you okay if I go and get,
whoever it is, to come in here,
because I'm going to be in
this room for a very long time
and I don't want to interrupt
your care."
And the time for, if it's praying.
Whatever it is.
03:57
My whole point is that you just need
to be able to accommodate people.
04:01
And then ensuring that
there are fair and just
opportunities for health.
04:06
So how do we get there?
Removing those obstacles to health.
04:11
And we'll talk about that a lot
throughout the series.
04:13
But how do we do that?
Number one, again,
acknowledging.
04:17
What are the causative factors?
I talked about it already
in terms of
bias, induced, -isms, and -phobias.
04:24
That's a big one.
And that is like broad.
04:27
So just think about anything
that makes you judge someone.
04:31
And how can I change those things?
How can I be a champion
for all human beings,
and we'll talk about that a lot more
as the series progresses.
04:40
The main takeaway, I think,
from this when we talk about -isms
will be that these
-isms and -phobias
either lead to or perpetuate
poverty, discrimination,
and their consequences,
including, I mentioned earlier
powerlessness,
and lack of access
to good jobs with fair pay,
lack of access to quality education,
housing, safe environments,
health care,
and education is a key.
05:05
Because if I'm not educated
sufficiently,
then it affects every
other part of my life.
05:11
Financially, in terms of my health
and how I think about health.
05:15
So just think about
how all those pieces work together
to define
the determinants of health?
And what can your place
be in terms of improving
those determinants
and meeting the goals?