Latest / The Steve Harvey Morning Show / Uplift: She's creating solutions to address health inequities amongst Black Families living in the South.

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Uplift: She's creating solutions to address health inequities amongst Black Families living in the South. · The Steve Harvey Morning Show

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  Speaker 1: Hi, I am Rashaan McDonald, a host of weekly Money
• 0:02
  Speaker 1: Making Conversation Masterclass show. The interviews and information that this
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  Speaker 1: other people's success stories and start living your own.
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  Speaker 2: If you want to be a.
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  Speaker 1: Guest on my show, please visit our website, Moneymakingconversations dot
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  Speaker 1: com and click to be a guest.
• 0:21
  Speaker 2: Buddy.
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  Speaker 1: My guest is a proud graduate HBCU, graduate of North
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  Speaker 1: Carolina A and T. And she's also an Associate professor
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  Speaker 1: at Duke University of Nursing and founding director of the
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  Speaker 1: Heat Lab. She is advancing nursing signs by using community
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  Speaker 1: partnerships to address the help inequities among black families living
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  Speaker 1: in the United States South. Please welcome to the Money
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  Speaker 1: Making Conversation Masterclass. Doctor Shanida d Randolph. Hey dog Shanda,
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  Speaker 1: I am doing wonderful. Dot me dode, doctor Shanda, Shanida,
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  Speaker 1: Doctor Raddolph, give me the name, Give me the.
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  Speaker 3: Name Shanida dot Randolph. Either one, I am, I am
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  Speaker 3: both good.
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  Speaker 1: Well, when Doctor Randolph, we start off that and I'm
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  Speaker 1: sure I'm just lie that you need.
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  Speaker 2: As we get to know each other and all those
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  Speaker 2: good things.
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  Speaker 1: Tell me a little background about yourself, I said, HBCU graduate,
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  Speaker 1: and now you're associate profess associate professor at the at
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  Speaker 1: Duke University. Tell me about how it all started at
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  Speaker 1: the HBCU.
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  Speaker 3: Absolutely absolutely, I am definitely a proud graduate of North
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  Speaker 3: Carolina Agricultural and Technical statement. You got to say it
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  Speaker 3: like that, little Aggie pride. Yes, and so I completed
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  Speaker 3: my undergraduate nursing degree at North Carolina A and T.
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  Speaker 3: And actually from from there, I've actually had the opportunity
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  Speaker 3: to also be on faculty years later, full circle at
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  Speaker 3: the School of Nursing at A and T. So I'm
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  Speaker 3: definitely a proud graduate of the university. HBCUs are undeniable
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  Speaker 3: in their influence and the impact that they have across disciplines,
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  Speaker 3: but specifically in nursing. So very proud to call myself
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  Speaker 3: a A and T graduate.
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  Speaker 1: Well, I'm proud for you to say that I'm an
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  Speaker 1: advocate of HBCUs. I'm always stepping up an opportunity to
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  Speaker 1: present and showcase what HBC's are delivering to this country
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  Speaker 1: on a historical basis and with the future holds for HBCUs.
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  Speaker 2: Why did you choose nursing.
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  Speaker 3: That's a great question, A great question my aunt actually had.
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  Speaker 4: I will say that she had an influence on me.
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  Speaker 4: My great aunt was a nurse.
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  Speaker 3: As I was preparing for college and just having the
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  Speaker 3: opportunity to care in different ways for my grandparents. It
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  Speaker 3: was a discipline that I was exposed to. I saw
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  Speaker 3: others doing it and thought that I would take that route.
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  Speaker 3: I will say that it was probably one of the
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  Speaker 3: best decisions.
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  Speaker 4: That I've made being a nurse.
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  Speaker 3: I mean, most people think about nursing as hospital and
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  Speaker 3: as bed guide and taking care of people, but nursing
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  Speaker 3: is so much more than that, so much more. We
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  Speaker 3: are entrepreneurs, we're in the business sector. I myself now,
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  Speaker 3: I am a nurse scientist, so I actually am a
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  Speaker 3: researcher and I engage in advancing health by looking at
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  Speaker 3: programs and interventions that are socially and culturally relevant, doing
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  Speaker 3: that through our research process with the community. And so
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  Speaker 3: nursing is so broad. It's more than just the bedside.
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  Speaker 2: And it is a you know, you have serotypes.
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  Speaker 1: You know what a nurse is to come in, take
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  Speaker 1: your temperature, the doctor comes in, or the nurse comes
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  Speaker 1: in before the doctor. So the nurse in some ways
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  Speaker 1: I believe is disrespected from a standpoint of what you guys,
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  Speaker 1: the full scope of what you guys do, based on
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  Speaker 1: what I understand and what the general person understand. Now,
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  Speaker 1: doing this interview, I heard the word nurse and science
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  Speaker 1: together in the same sentence. I had never seen that before.
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  Speaker 1: Talk to me about that, doctor Randolph.
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  Speaker 3: Absolutely, absolutely so. I have a PhD in public health. Actually,
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  Speaker 3: there is also an opportunity for people to get a
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  Speaker 3: PhD in nursing and as a scientist, as a nurse scientist,
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  Speaker 3: it gives us an opportunity to look at some methodologies,
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  Speaker 3: evidence based literature and programs and interventions and really thinking
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  Speaker 3: about the science behind what it is that we do
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  Speaker 3: as we are. For me, it's implementation science, and so
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  Speaker 3: I spend a lot of time on the development of
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  Speaker 3: interventions that will address health and equities, and in doing that,
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  Speaker 3: we are looking at the methods behind that right that
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  Speaker 3: scientific rigor to show that these things.
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  Speaker 4: Are grounded in evidence.
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  Speaker 3: And so when you think about nurse scientists, that is
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  Speaker 3: sort of a role that many people don't recognize that
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  Speaker 3: that nurses have. I will say that less than one
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  Speaker 3: percent of nurse sciences are actually black, and so I'm
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  Speaker 3: always trying to expose nurses and expose others to the role.
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  Speaker 3: And most think that nurse scientists are limited to academic settings, right,
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  Speaker 3: and so I work at Duke in the School of Nursing.
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  Speaker 3: But there are research entities and organizations and industry that
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  Speaker 3: nurse scientists could also be a part of as they're
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  Speaker 3: looking at that even from a clinical perspective. You know,
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  Speaker 3: I focus on more and so behavioral science, but there's
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  Speaker 3: also the science where you can look at drugs, right,
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  Speaker 3: and how these drugs are impacting the body, and you
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  Speaker 3: know how these drugs are are in clinical trials, and
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  Speaker 3: so you have nurses that are a part of that
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  Speaker 3: piece of research and scientists as well.
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  Speaker 1: Now my intro, I said, heat lab you founded and
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  Speaker 1: you're the director of the heat lab. Okay, No, you're
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  Speaker 1: nurse signs and I'm learning about you. You know you graduate, okay,
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  Speaker 1: associate professor that do you know your nurse scientists you're
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  Speaker 1: more engaged in research. You're not that classic in our
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  Speaker 1: mind what you think of what nurse and what she does?
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  Speaker 2: What is heat lab?
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  Speaker 4: Yep?
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  Speaker 3: So the heat lab heat with two ease means addressing
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  Speaker 3: health disparities through engagement, equity, advocacy, and trust. And so
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  Speaker 3: the Heat Lab consists of myself as a founding director.
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  Speaker 3: We also have our co director, doctor Reagan Johnson, who
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  Speaker 3: is also a nurse. She's a nurse practitioner that gives
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  Speaker 3: another role right of the of nursing and what it offers.
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  Speaker 3: But we also it's an interdisciplinary group of entrepreneurs, community advocates, clinicians,
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  Speaker 3: business owners.
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  Speaker 4: Who have a shared vision.
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  Speaker 3: And our shared vision is to address the health inequities
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  Speaker 3: that exist specifically in black communities. And how we do
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  Speaker 3: that is through different mechanisms. Mainly, the Heat Lab focuses
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  Speaker 3: on addressing HIV prevention.
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  Speaker 4: Among Black women particularly, but.
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  Speaker 3: We also have an arm of what we do that
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  Speaker 3: focuses on black male adolescents and young adults and engaging
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  Speaker 3: their fathers and their parents in sexual health communication to
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  Speaker 3: make sure that we are living sexual healthy lives.
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  Speaker 4: And preventing HIV.
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  Speaker 3: You know, we make up a small population, but HIV
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  Speaker 3: is still a thing, absolutely absolutely, and you know, make
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  Speaker 3: women make up over half of the new HIV cases
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  Speaker 3: and so in the Heat Lab, although those are two
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  Speaker 3: things that we're focusing on now, our larger vision and
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  Speaker 3: shared mission is to partner with the community to address
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  Speaker 3: these inequities. We also are doing some things around firearm
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  Speaker 3: violence with a nonprofit organization in North Carolina.
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  Speaker 1: And so so that's where you get your funding from.
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  Speaker 1: Or because I'm shaying the government now is making all
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  Speaker 1: these cuts, are you afraid? Are you impacted by these cuts?
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  Speaker 1: If they are made, where would you get your funding?
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  Speaker 3: Yeah, that's a really great question. And yes, there's a
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  Speaker 3: lot going on right now. We were recently funded as
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  Speaker 3: of the end of last year by the nih actually
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  Speaker 3: particularly the National Institute for Nursing.
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  Speaker 4: Research, and they are cutting funding for that.
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  Speaker 3: We do have a currently we have like a four
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  Speaker 3: point four million dollar grant that over five years is
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  Speaker 3: focusing around black women and PREP use, which is pre
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  Speaker 3: exposure profilaxis.
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  Speaker 4: You may have heard it now, it's PREP.
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  Speaker 3: Has been a conversation that some influencers have been having
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  Speaker 3: lately right in the.
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  Speaker 4: Use of PREP to protect your one from getting HIV.
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  Speaker 3: Right, and so as that funding, you know, is up
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  Speaker 3: for being cut, I think that you know, we also
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  Speaker 3: have the Heat Lab has funding through industry through foundations
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  Speaker 3: as well, and so I think the good thing about
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  Speaker 3: the heat lab is that we have not focused all
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  Speaker 3: of our efforts on federal dollars.
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  Speaker 1: Right, Well, I think it's important that we talk about
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  Speaker 1: your program. You found it, you director of it.
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  Speaker 2: It's important to you.
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  Speaker 1: And then some people come along and say, well, you
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  Speaker 1: know they're doing that over there in Houston.
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  Speaker 2: Are they doing that in New York? We don't need
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  Speaker 2: you to.
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  Speaker 1: Do the same thing in their mind in North Carolina.
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  Speaker 1: But then you say, you're about health inequities for black
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  Speaker 1: families in the United States South?
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  Speaker 2: Yes, why is that important?
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  Speaker 4: Good question? Good question.
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  Speaker 3: You know, when we think about social determinants of health
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  Speaker 3: and our health as as black individuals, as black, as
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  Speaker 3: a black woman, we have to face the reality that
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  Speaker 3: there are some things that are occurring.
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  Speaker 4: In the South.
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  Speaker 3: The first reason, though, the answer to that is that
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  Speaker 3: a lot of the HIV rates are higher in the
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  Speaker 3: southern region of the United States.
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  Speaker 2: Why why?
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  Speaker 3: There are multiple things that that address that. Some of
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  Speaker 3: those things include access to care.
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  Speaker 2: Right, it's a population mass population. Mass populations I would
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  Speaker 2: think of to be on the.
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  Speaker 1: East coast, where are predominant amount of the African American
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  Speaker 1: population kind of goes swings south to the east.
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  Speaker 3: It does, and so that is one reason as well,
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  Speaker 3: that is where a large population of Black Americans reside
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  Speaker 3: are in those areas as well. You know another factor
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  Speaker 3: that I don't think that we can leave out and
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  Speaker 3: not have conversation and bring awareness to and acknowledge.
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  Speaker 4: And that is systemic racism.
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  Speaker 3: I know it's a thing now that people don't want
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  Speaker 3: to talk about, and you know, you gotta be careful
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  Speaker 3: around having those conversations, but it is one that is
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  Speaker 3: historically it's true, right, and so there are impacts of
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  Speaker 3: implicit bias and systemic racism that is grounded. It was
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  Speaker 3: built in our systems that are impacting people's health.
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  Speaker 2: What exactly is systemic racism.
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  Speaker 3: Systemic racism goes beyond I'm black, you're white.
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  Speaker 4: We don't like each other.
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  Speaker 3: It's beyond prejudice, right, It's beyond an emotional attachment to
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  Speaker 3: the color of your skin. Systemic racism is really looking
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  Speaker 3: at how these systems are created and how they function
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  Speaker 3: that creates barriers in health care delivery, health care access
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  Speaker 3: for patients.
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  Speaker 4: Right.
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  Speaker 3: Systemic racism looks at the fact that you know, when
• 12:28
  Speaker 3: you think about for example, we'll take education for example, Right,
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  Speaker 3: when you think about where a school is located, and
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  Speaker 3: how much funding that school actually receives can really have
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  Speaker 3: an impact on where that school is located right within
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  Speaker 3: that county.
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  Speaker 4: Right.
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  Speaker 3: You think about even redlining, right, and how certain communities
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  Speaker 3: may not have access to healthy foods right within the communities,
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  Speaker 3: desert within their communities. Those things are that system, right,
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  Speaker 3: And so how are systems, even our healthcare system, and
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  Speaker 3: how it functions to to not meet all of the
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  Speaker 3: knees and access of those people. All of those things
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  Speaker 3: are sort of they're they're they're rooted and grounded, and
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  Speaker 3: how the system was created to separate and I think
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  Speaker 3: those are things that that we really have to.
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  Speaker 4: Take into consideration and how they how they impact.
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  Speaker 1: He well, can we say this that I'm an African
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  Speaker 1: American man, as I say to people, I've been black
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  Speaker 1: all my life, But also I'm in the culture that's
• 13:45
  Speaker 1: in denial, in denial about the gay community within our
• 13:51
  Speaker 1: denial by high blood pressure, denial by diabetes, high cholesterol.
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  Speaker 2: So that denial does it.
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  Speaker 1: Feed into the factors of saying that this is why
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  Speaker 1: it's also a problem within our community, the HIV explosion.
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  Speaker 4: It's a tricky question.
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  Speaker 1: Why isn't a tricky question, doctor, because I said, because
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  Speaker 1: I believe it is true. I know my people, I
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  Speaker 1: know we are sitting in that corner and looking at
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  Speaker 1: won't admit, won't admit. And it's sad to say because
• 14:28
  Speaker 1: of the facts that there in front of us. We
• 14:31
  Speaker 1: are a people who tend to are so proud and
• 14:35
  Speaker 1: so stubborn. That's why we were victimized by COVID, because
• 14:41
  Speaker 1: of weight issues, because of health issues, because we have
• 14:45
  Speaker 1: refused to acknowledge that there's a high level of obesity,
• 14:50
  Speaker 1: there's a high level of blood pressure issues, and cholesterol
• 14:54
  Speaker 1: issues and diabetic issues, and they all came out with COVID.
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  Speaker 1: So I'm not trying to push anything on you, not
• 15:03
  Speaker 1: telling you what I see and what I feel. But
• 15:05
  Speaker 1: I wanted to have an open dialogue with you because
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  Speaker 1: you are the subject matter expert.
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  Speaker 3: Yes, yes, absolutely, absolutely so, so let me let me
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  Speaker 3: acknowledge that.
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  Speaker 4: Your feelings are accurate.
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  Speaker 3: And that many may feel that way. And so I
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  Speaker 3: want to acknowledge that and not deny it. Right, I
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  Speaker 3: think that you know the term of denying that there
• 15:28
  Speaker 3: is a problem denying that. I think I pause in
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  Speaker 3: that moment because although that is some truth to that,
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  Speaker 3: we also have to think about why that truth exists.
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  Speaker 3: And if we put that truth there and put a period,
• 15:48
  Speaker 3: then that makes us the the reason for the problem,
• 15:55
  Speaker 3: and that's not the case. So so let me give
• 15:57
  Speaker 3: you a point a point of real scenario. A real
• 16:02
  Speaker 3: scenario is I have a family member who denied that
• 16:09
  Speaker 3: there was a problem with their health. Okay, they denied
• 16:13
  Speaker 3: that they were potentially having a stroke. Right, they denied
• 16:21
  Speaker 3: it and wanted to put it on other things, right
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  Speaker 3: as to not seek care.
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  Speaker 4: Right. But when you dig deeper to that, why was
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  Speaker 4: that denial?
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  Speaker 2: Right?
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  Speaker 4: And so do I put that denial on them?
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  Speaker 3: And when you dig deeper, it was also because the
• 16:35
  Speaker 3: last time I went to the hospital, the doctor did
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  Speaker 3: nothing for me. I stayed there for twelve hours and
• 16:43
  Speaker 3: they did nothing for me.
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  Speaker 4: Right.
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  Speaker 3: Or you know every time I go, I have to
• 16:50
  Speaker 3: pay two hundred dollars for each visit. Right, And so
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  Speaker 3: you see the association with the denial of that, right,
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  Speaker 3: And so I think it gets deeper a little bit
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  Speaker 3: deeper than that. There are there are reasons, specifically I'm
• 17:07
  Speaker 3: speaking for the healthcare system, there are reasons that I
• 17:12
  Speaker 3: may not think that something is for me, right, so
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  Speaker 3: with prep, for example, women will say, oh, that's not
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  Speaker 3: for me.
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  Speaker 4: I'm not going to be on prep. Prep is not
• 17:23
  Speaker 4: for me.
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  Speaker 3: That's denying, right, right, that's denying. But on the other
• 17:28
  Speaker 3: side of that is women also have not been given
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  Speaker 3: the opportunity to see themselves in the messaging behind prep.
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  Speaker 3: Women have also gone to their doctors, and their doctors
• 17:39
  Speaker 3: not offer them prep.
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  Speaker 4: You see.
• 17:41
  Speaker 3: So I think it's a it's a it's a joint responsibility.
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  Speaker 4: I definitely don't want.
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  Speaker 3: To put all the ownst on us as a community
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  Speaker 3: to say that.
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  Speaker 4: All of that responsibilit lies on us, because let me.
• 18:02
  Speaker 1: Go in deeper here, miss scientists, what role does the
• 18:06
  Speaker 1: church play in all this? Because they have a captain audience,
• 18:10
  Speaker 1: they can speak the truth, and that's when denial can
• 18:14
  Speaker 1: become even more magnified. Who wants to bring the gay
• 18:18
  Speaker 1: community into the church, conversation into the church, and one
• 18:22
  Speaker 1: talks about HIV, they tend to want to think it's
• 18:24
  Speaker 1: just a gay issue, and it's not. It's a it's
• 18:28
  Speaker 1: a communication issue. It's a sexual transmitted disease issue. And
• 18:33
  Speaker 1: there are a lot of individuals out there who are
• 18:36
  Speaker 1: not gay that are getting HIV through sexual relationships. So
• 18:42
  Speaker 1: what role can the church play? I know, pushing this
• 18:45
  Speaker 1: a little bit far out there for you, but you
• 18:47
  Speaker 1: know you HBCU graduate, you associate professor that do I
• 18:51
  Speaker 1: think I can talk to you like this?
• 18:53
  Speaker 4: You can talk?
• 18:54
  Speaker 2: Now?
• 18:55
  Speaker 3: Is the time where you call me not doctor Randols? Yeah?
• 19:00
  Speaker 3: So many social determinants of health, right, And so when
• 19:04
  Speaker 3: did you talk about this notion of many people thinking
• 19:08
  Speaker 3: this is a gay disease?
• 19:10
  Speaker 4: Right?
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  Speaker 3: Right? Historically black women get HIV through hetero sexual contact.
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  Speaker 3: That is the primary way of getting HIV, right, and
• 19:21
  Speaker 3: so we cannot limit it to it being a certain gender.
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  Speaker 4: Or certain sexual preference.
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  Speaker 3: Right. We really have to start looking at this to
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  Speaker 3: the lens that HIV impacts everyone, and I think that's
• 19:37
  Speaker 3: a place that we.
• 19:38
  Speaker 2: Have to start, right.
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  Speaker 1: And that's why we're having this conversation because I'm trying
• 19:43
  Speaker 1: to When I did my research on you, doctor Randolph,
• 19:46
  Speaker 1: the whole thing was about information, and when you get
• 19:49
  Speaker 1: into that HIV lane, Oh, it's a recognized day and
• 19:53
  Speaker 1: it goes away. And it also just like COVID, people
• 19:57
  Speaker 1: think COVID is going away. People are still dying of
• 19:59
  Speaker 1: COVID right now. And so it's the same thing with
• 20:02
  Speaker 1: HIV is not on the front lines of conversation, So
• 20:05
  Speaker 1: people go it doesn't bother me, it's not part of
• 20:08
  Speaker 1: my lifestyle.
• 20:08
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• 20:34
  Speaker 1: I don't have to worry about that, but here you
• 20:36
  Speaker 1: are of a program called heat Lab and you are.
• 20:41
  Speaker 2: Adamant that we still need to.
• 20:44
  Speaker 4: But the great thing is, uh huh, you don't have to.
• 20:48
  Speaker 4: And I'm going to get back to your church question.
• 20:50
  Speaker 2: I know we're not running from that, but you know,
• 20:52
  Speaker 2: you're one of those people.
• 20:53
  Speaker 1: I gotta like stop you here because you've be throwing
• 20:56
  Speaker 1: out those good vibes and information. I got to make
• 20:58
  Speaker 1: sure I get that broken down.
• 21:00
  Speaker 2: But you know nothing, you run from the church question,
• 21:02
  Speaker 2: and no, I'm not.
• 21:04
  Speaker 4: Running from it.
• 21:04
  Speaker 3: So the thing is, though, that the good thing is
• 21:09
  Speaker 3: we're in twenty twenty five, yes, ma'am, And so there
• 21:13
  Speaker 3: have been so many advancements in HIV, right, there is
• 21:20
  Speaker 3: there is an opportunity now to live healthy lives with HIV.
• 21:26
  Speaker 3: There's medications that if one is HIV positive that they
• 21:31
  Speaker 3: actually can become undetectable where there is no trace. Right,
• 21:36
  Speaker 3: there's there that they can live a healthy life undetectable
• 21:41
  Speaker 3: right with HIV.
• 21:42
  Speaker 4: And then there's PREP.
• 21:43
  Speaker 3: So if I, if I, if somebody is HIV positive
• 21:46
  Speaker 3: and they decide that they have a partner, their partner
• 21:49
  Speaker 3: can be on PREP which will prevent them and decrease
• 21:53
  Speaker 3: their chances of getting HIV from their HIV positive partner.
• 21:58
  Speaker 3: So we are not in the same times that we
• 22:01
  Speaker 3: were previously. And I think that's the message to that
• 22:06
  Speaker 3: no one, no woman, no woman, no man, has to
• 22:11
  Speaker 3: live with with HIV. They're they're they're advancements in that
• 22:16
  Speaker 3: right if we make a decision to you know, they're
• 22:21
  Speaker 3: there are other options for us, right, And I think
• 22:24
  Speaker 3: that getting tested is very important, getting tested frequently, getting
• 22:30
  Speaker 3: tested at least once a year, but also depending on
• 22:34
  Speaker 3: your sexual health and your sexual life, right, and so
• 22:41
  Speaker 3: whatever that looks like for someone, it may mean that
• 22:43
  Speaker 3: they need to get tested more often. And so there
• 22:46
  Speaker 3: are so many advances in HIV that I think that
• 22:51
  Speaker 3: we can sort of look at things a little bit different,
• 22:55
  Speaker 3: Whereas before you get an HIV diagnosis and you're like, Okay,
• 23:00
  Speaker 3: let's start planning because I'm about to die of this disease.
• 23:03
  Speaker 3: And that is not where we are in twenty twenty five. However,
• 23:07
  Speaker 3: where we are still is that we have PREP has
• 23:12
  Speaker 3: been around since twenty twelve, and we still have less
• 23:17
  Speaker 3: than two percent or so of women who are on
• 23:23
  Speaker 3: it right. And a part of that, again, when you
• 23:26
  Speaker 3: talk about that denial piece, part of that is us
• 23:29
  Speaker 3: as healthcare providers. Do your providers even know about it?
• 23:33
  Speaker 3: Do they talk to you about it? How easily is
• 23:36
  Speaker 3: it for you to access it? Do you even see
• 23:39
  Speaker 3: yourself in a messaging? And that has been a big
• 23:41
  Speaker 3: thing for us, is that when we bring PREP up,
• 23:43
  Speaker 3: women are like, oh, I've seen that commercial, but I
• 23:46
  Speaker 3: thought it was for gay man because I didn't see myself.
• 23:50
  Speaker 4: I didn't even know it was for me.
• 23:52
  Speaker 3: And so I think that's a piece as well that
• 23:56
  Speaker 3: I just wanted to bring up to church. Now there
• 23:59
  Speaker 3: you go, church, Okay. So historically, yes, there continues to
• 24:06
  Speaker 3: be I think some some barriers in having conversations within
• 24:12
  Speaker 3: our churches around sex period more or less around HIV.
• 24:20
  Speaker 3: You know, whenever we do our work in the Heat Lab,
• 24:24
  Speaker 3: we partner with the beauty industry. So we have partners
• 24:28
  Speaker 3: as that are part of the Heat Lab that have
• 24:30
  Speaker 3: actually co developed interventions. One of our interventions is called updues,
• 24:36
  Speaker 3: which is using PREP doing It for Ourselves, which is
• 24:41
  Speaker 3: an initiative to really bring awareness to Black women around
• 24:45
  Speaker 3: PREP and help them to.
• 24:47
  Speaker 4: Get on PREP.
• 24:48
  Speaker 3: They can actually access telehealth, speak with the provider, send
• 24:52
  Speaker 3: an HIV test to their house, send PREP.
• 24:54
  Speaker 4: To their house.
• 24:55
  Speaker 3: We have That is what we are actually doing as
• 24:59
  Speaker 3: a part of this study with Updues. But we partner
• 25:03
  Speaker 3: with the beauty industry, right and so we have barbers,
• 25:06
  Speaker 3: we have stylists who partner with us. And so I
• 25:10
  Speaker 3: say all that to say it continues to be in
• 25:16
  Speaker 3: some churches stigmatized, and I think it just means that
• 25:21
  Speaker 3: we have to find other routes and other avenues.
• 25:25
  Speaker 1: Used the word most churches, you know, because let's be
• 25:28
  Speaker 1: real about this, because if I'm you, doctor Randolph, I'm
• 25:32
  Speaker 1: frustrated because you see a problem. It's not being magnified,
• 25:38
  Speaker 1: like you said in a beauty salon, and a barbershop.
• 25:42
  Speaker 2: That should be a poster acknowledging this is happening. That
• 25:46
  Speaker 2: should be.
• 25:48
  Speaker 1: When I go to a doctor, it's gotten so non personal.
• 25:53
  Speaker 1: You know, you do it on an app and they
• 25:55
  Speaker 1: say yes or no. And I'm telling you, I'm not
• 25:58
  Speaker 1: gonna put all my personal stuff on an app or
• 26:01
  Speaker 1: type out the description of your sexual preference on an
• 26:05
  Speaker 1: app or computer form. And so I think the way
• 26:10
  Speaker 1: whethersin is being handled because we're in a rush to
• 26:15
  Speaker 1: get all these forms filled out before you arrived.
• 26:18
  Speaker 2: So in your ride, we coulda rush you back out
• 26:20
  Speaker 2: the door.
• 26:21
  Speaker 1: Because our job is to turn around and flip as
• 26:23
  Speaker 1: many patients so.
• 26:24
  Speaker 2: We can make as much money. So when we.
• 26:27
  Speaker 1: Get flipped in flipped out, don't know the proper care,
• 26:30
  Speaker 1: the proper reason we are in there. And guess what
• 26:33
  Speaker 1: next thing? You know, we sitting in a drug store.
• 26:35
  Speaker 1: They're giving us some pills. We don't know if that
• 26:37
  Speaker 1: pill gonna take care of you. The reason I say
• 26:39
  Speaker 1: that because I wake up and take six pills every morning.
• 26:43
  Speaker 1: I don't know who if those six pills can help
• 26:45
  Speaker 1: me live ten years, twenty years, or thirty years. But
• 26:48
  Speaker 1: I know I'm taking those pills and That's where the
• 26:51
  Speaker 1: nurse and the science is frustrating me because the system
• 26:56
  Speaker 1: I don't believe is allowing you an opportunity to be
• 26:58
  Speaker 1: as successful.
• 27:00
  Speaker 2: Is that truth?
• 27:01
  Speaker 3: I would echo that with exclamation points.
• 27:05
  Speaker 2: Sir, thank you.
• 27:07
  Speaker 1: And I'm not here to say anything bad. I'm just
• 27:11
  Speaker 1: saying that I'm trying to figure out how I can
• 27:13
  Speaker 1: help you. But I know in some ways my energy
• 27:17
  Speaker 1: to help you is only going to be a small
• 27:20
  Speaker 1: amount of information that's being distributed because again, people, especially
• 27:24
  Speaker 1: people of color, we just in denial, denial, denio.
• 27:29
  Speaker 2: It's ridiculous.
• 27:30
  Speaker 1: And then we have programs like DEI that's claiming like
• 27:34
  Speaker 1: DEI is only helping black people are people of color,
• 27:38
  Speaker 1: and we all know it's white women who are benefiting
• 27:40
  Speaker 1: from this, the most welfare, white people benefiting from this,
• 27:44
  Speaker 1: the most unemployment, white people benefiting.
• 27:48
  Speaker 2: The most. Only thing we leading in is prison.
• 27:51
  Speaker 1: Now we went in in prison with everything else where
• 27:54
  Speaker 1: you can benefit from, we in behind. But they stereotype
• 27:59
  Speaker 1: us and make us believe that we are the bigger
• 28:02
  Speaker 1: benefactors of this. Come to HIV when I have an
• 28:06
  Speaker 1: opportunity to speak and be your bullhorn, what can I
• 28:09
  Speaker 1: do to help you?
• 28:09
  Speaker 2: Out, doctor Randolph, because I'm fired up.
• 28:11
  Speaker 1: You know you're fired up first or night you get
• 28:14
  Speaker 1: a brother fired up?
• 28:15
  Speaker 2: Now, I love it.
• 28:16
  Speaker 4: I love it.
• 28:17
  Speaker 3: I think really just you know, two things I think
• 28:22
  Speaker 3: think come to mind. Definitely, follow some of the work
• 28:26
  Speaker 3: that we're doing in in the Heat Lab. When it
• 28:29
  Speaker 3: comes to research, there is some distrust historically and current
• 28:35
  Speaker 3: with our participation as Black Americans in research, and that's
• 28:40
  Speaker 3: completely understood, right. But following the heat Lab at the
• 28:46
  Speaker 3: heat lab dot org for you know, different programs and
• 28:50
  Speaker 3: ways that the community can be engaged in that work,
• 28:53
  Speaker 3: and to bring awareness to that work would be very,
• 28:56
  Speaker 3: very helpful to be an advocate and help us to
• 28:59
  Speaker 3: add cap for that and our shared vision.
• 29:04
  Speaker 4: You know, we do our work with.
• 29:05
  Speaker 3: The community, and the community voice is always prioritized.
• 29:10
  Speaker 4: We have a community Advisory Council.
• 29:13
  Speaker 3: Again, we have partners and consultants to our community members
• 29:17
  Speaker 3: and not sciences that are working alongside of us.
• 29:20
  Speaker 4: And so I think that's one thing.
• 29:23
  Speaker 3: I think the other thing is just continuing to recognize
• 29:28
  Speaker 3: that we are operating within a system that I honestly
• 29:34
  Speaker 3: and this is this is Shanita speaking here, I think
• 29:38
  Speaker 3: that we're going to really have to think of ways
• 29:41
  Speaker 3: as a community to advance our own health and be
• 29:48
  Speaker 3: opinion leaders and share information, community organizing, partnering with one another,
• 29:55
  Speaker 3: and collaborating with one another to advance our health because,
• 29:58
  Speaker 3: as you stated, our system, even our healthcare system. I've
• 30:02
  Speaker 3: experienced it the past month or so on a personal basis,
• 30:07
  Speaker 3: and it's heartbreaking, right, It's very heartbreaking just to see
• 30:15
  Speaker 3: and to experience some of the things that I have personally.
• 30:19
  Speaker 2: But you know, just share a personal story.
• 30:21
  Speaker 1: I was in high school and I did a class
• 30:24
  Speaker 1: assignment was drug addicted babies. These are babies who are born,
• 30:29
  Speaker 1: they're born, they got to have they're born addicted to
• 30:31
  Speaker 1: drugs and that's about forty years ago, and.
• 30:36
  Speaker 2: That's still a problem today. The people. It's a problem.
• 30:41
  Speaker 1: And so when I because I saw you become emotional,
• 30:44
  Speaker 1: which means that emotion is usually tied to frustration, and
• 30:48
  Speaker 1: then it also tied to you see the numbers. You
• 30:51
  Speaker 1: see the reality, and you don't see that reality turning
• 30:55
  Speaker 1: fast enough for you.
• 30:56
  Speaker 4: We were talking about it for a long time.
• 30:58
  Speaker 1: I know, like I said, that's trying to bring up
• 31:00
  Speaker 1: my story abou drug edicen babies. You know that affected
• 31:04
  Speaker 1: me way when I was in high school and today
• 31:06
  Speaker 1: is still a problem. And so I want to ask
• 31:08
  Speaker 1: this question, to read it off the card, how do
• 31:11
  Speaker 1: you mentor the next generation of nurse scholars who will
• 31:15
  Speaker 1: be committed to addressing the health of our black communities.
• 31:19
  Speaker 3: Absolutely, If you remember, I became a nurse because I
• 31:24
  Speaker 3: saw a black woman who was a nurse who looked
• 31:26
  Speaker 3: like me, And I think that representation definitely matters. Some
• 31:31
  Speaker 3: of the experience that you shared about your own health
• 31:35
  Speaker 3: experiences in terms of the system, all of that matters.
• 31:40
  Speaker 3: So it matters that I see a black nurse. It
• 31:43
  Speaker 3: matters that I see a black nurse scientist. Representation definitely matters.
• 31:48
  Speaker 3: It matters that as a black woman with a lived
• 31:52
  Speaker 3: experience who goes to the beauty salon, like I understand
• 31:56
  Speaker 3: at a different level whenever.
• 31:58
  Speaker 4: I am operating in my role as a.
• 32:01
  Speaker 3: Nurse scientist to develop interventions right and to talk.
• 32:05
  Speaker 4: About the lived experiences.
• 32:07
  Speaker 3: So all of that matters, and so one thing that
• 32:10
  Speaker 3: we have done, I'm a co founder of Black PhD
• 32:14
  Speaker 3: Nurse Scientists. Three of my other colleagues who are also
• 32:19
  Speaker 3: black PhD prepared nurse scientists who also have graduated from
• 32:25
  Speaker 3: HBCUs Howard Perry View University. We have partnered and we
• 32:32
  Speaker 3: are doing HBCU tours at schools of nursing. So there
• 32:36
  Speaker 3: are thirty three HBCUs that have.
• 32:41
  Speaker 4: Schools of nursing.
• 32:43
  Speaker 3: Only three of those schools have PhD programs where you
• 32:48
  Speaker 3: could be a nurse and get your PhD in nursing.
• 32:52
  Speaker 3: That's problematic, right, and so what we are doing is
• 32:55
  Speaker 3: really just going to HBCUs. We've been to A and T,
• 32:58
  Speaker 3: we went to Howard University and large, and we're just
• 33:02
  Speaker 3: allowing undergraduate nursing students to see.
• 33:06
  Speaker 4: What we do as a nurse scientist.
• 33:09
  Speaker 3: We expose them to this role in hopes that they
• 33:13
  Speaker 3: will see this representation and it will spark something for
• 33:17
  Speaker 3: them to be able to think about this as a
• 33:20
  Speaker 3: career trajectory. Again, there's like less than one to two
• 33:25
  Speaker 3: percent of us are nurses who have PhDs who are
• 33:29
  Speaker 3: nurse scientists are black. And so if we're talking about
• 33:31
  Speaker 3: addressing health disparities and most of those researchers who are
• 33:37
  Speaker 3: doing that are not black, there's opportunities there, right, Because
• 33:44
  Speaker 3: there is something that to be said that whenever I
• 33:49
  Speaker 3: have lived that experience, I can offer a lot to
• 33:53
  Speaker 3: that conversation. And so that's one thing that we're doing
• 33:56
  Speaker 3: is through our Black PhD Nurse Scientists Program is exposing
• 34:03
  Speaker 3: others through our HBCU tours. We're also trying to support
• 34:06
  Speaker 3: other nurse scientists who are currently in that role through
• 34:12
  Speaker 3: wellness retreats and writing retreats to make sure that they
• 34:16
  Speaker 3: have scholarly impact and that they are sharing their work
• 34:21
  Speaker 3: within the academic setting, but more importantly, that they have
• 34:24
  Speaker 3: the strategies to make sure that we share who we
• 34:28
  Speaker 3: are and what we do and why to a broader community.
• 34:32
  Speaker 3: For an example, having the opportunity to sit down with
• 34:35
  Speaker 3: you today, you know that that's that's important. This means
• 34:38
  Speaker 3: more to me than it does my New England Journal
• 34:42
  Speaker 3: Medicine article, right because it picks up the New England
• 34:45
  Speaker 3: Journal Medicine and read it.
• 34:49
  Speaker 4: Right.
• 34:49
  Speaker 1: But I don't know, right, I bet you hurt.
• 34:54
  Speaker 2: In my head. I got enough problem. I don't need
• 34:57
  Speaker 2: to be hurt some more. Understand right, what.
• 35:00
  Speaker 4: People listen to you in your podcast? Right?
• 35:03
  Speaker 3: So that's how I like to support current and future
• 35:08
  Speaker 3: NERSE scientists.
• 35:09
  Speaker 1: And for the beauty of my show, you know, it's
• 35:12
  Speaker 1: syndicated to twenty HPCUS nationwide. It's also syndicated on Serious X,
• 35:19
  Speaker 1: which is HPCU. It airs on the WCLK in Atlanta, Georgia.
• 35:23
  Speaker 1: So a good and also my podcast is a nationwide
• 35:28
  Speaker 1: global podcast.
• 35:30
  Speaker 2: And when I look at.
• 35:31
  Speaker 1: You, you know your smile is too brilliant for it
• 35:36
  Speaker 1: to be tied to disappointment. So you said, why are
• 35:40
  Speaker 1: you motivated. I'm motivated by keeping a smile on your
• 35:42
  Speaker 1: face and by letting you know I believe in what
• 35:46
  Speaker 1: you're doing. I'm an honest guy because honesty has allowed
• 35:50
  Speaker 1: me to be able to say there's a lot more
• 35:53
  Speaker 1: to do. It's just saying I'm in.
• 35:57
  Speaker 2: I'm in. There's a lot of people in. But what
• 35:59
  Speaker 2: are you doing? Being right? Right? Get dirty? But I
• 36:04
  Speaker 2: just wanted to bring you on.
• 36:05
  Speaker 1: And this is not a one time relationship. I want
• 36:08
  Speaker 1: you to believe that we're gonna start, this is gonna
• 36:11
  Speaker 1: be ongoing because like I said, I saw drug addicted
• 36:14
  Speaker 1: babies more than fifty years ago and they still a.
• 36:17
  Speaker 2: Drug addicted baby today.
• 36:18
  Speaker 1: And if we don't make change, if another COVID hit,
• 36:21
  Speaker 1: it's gonna be We're gonna be at the top of
• 36:22
  Speaker 1: the list of the ethnic group that is impacted the
• 36:27
  Speaker 1: most in a negative way. Same thing with the HIV
• 36:31
  Speaker 1: and now every time I hear about HIV in the
• 36:33
  Speaker 1: Black community is impacting women. I was born and raised
• 36:36
  Speaker 1: with six sisters, and so there are men out there
• 36:39
  Speaker 1: that are caring this disease. So women have to know
• 36:42
  Speaker 1: they have to be the first in the lead for
• 36:44
  Speaker 1: protecting themselves and not trusting their quote unquote partners because
• 36:50
  Speaker 1: they are being impacted the most. And we all know
• 36:52
  Speaker 1: that women, they are more women than men. So when
• 36:54
  Speaker 1: you say women are leading in the HIV, that means
• 36:57
  Speaker 1: there are a few guys out there that are doing
• 37:00
  Speaker 1: things they should be doing and not being honest with
• 37:02
  Speaker 1: their sexual parts. So with that being said, I allow
• 37:05
  Speaker 1: you to close by show with eighty follow up thoughts.
• 37:09
  Speaker 3: Yeah, first of all, thank you, thank you so much
• 37:12
  Speaker 3: for having me today, and I look forward to the
• 37:15
  Speaker 3: opportunities to be able to share, if nothing else, is
• 37:17
  Speaker 3: to share what we're doing in the heat lab. And
• 37:20
  Speaker 3: you know how the community can be impacted.
• 37:22
  Speaker 4: You know, we talked a lot.
• 37:24
  Speaker 3: I think the one thing I would close with is
• 37:26
  Speaker 3: that I hope that we as a community can be
• 37:30
  Speaker 3: empowered and that we can support one another for our health.
• 37:36
  Speaker 4: If we see something.
• 37:38
  Speaker 3: Or we we we hear you know that we get
• 37:41
  Speaker 3: this knowledge or that we can share it with others,
• 37:43
  Speaker 3: and that we are truly our brother and our sister's keeper.
• 37:47
  Speaker 3: There are challenges and barriers that have persisted for years
• 37:53
  Speaker 3: right and until we take some empowerment and and ownership
• 38:01
  Speaker 3: for each other to advance our own health and to
• 38:08
  Speaker 3: make sure that we are healthy.
• 38:10
  Speaker 4: And that we are you know, not living this life
• 38:13
  Speaker 4: full full of stress and being here for one for
• 38:17
  Speaker 4: one another, and that I would also say, you know,
• 38:20
  Speaker 4: follow us at the heat lab dot org.
• 38:23
  Speaker 3: Our work now has a focus in six counties throughout
• 38:27
  Speaker 3: North Carolina, Mecklenburg, Forsyth County, Wake, Durham County, Guildford County
• 38:34
  Speaker 3: to name to name those in Cumberland County. Reach out
• 38:39
  Speaker 3: to us. If you're a beauty salon who would like
• 38:41
  Speaker 3: to be engaged in this work, we would definitely love
• 38:44
  Speaker 3: to partner with you in in that and through collaboration
• 38:48
  Speaker 3: and partnership. You know, we just got to be there
• 38:51
  Speaker 3: for for one another and for our community.
• 38:54
  Speaker 1: To thank you for coming on Money making Converses Masterclass
• 38:57
  Speaker 1: Doctor Randolph h.
• 39:03
  Speaker 2: I'm up and love.
• 39:04
  Speaker 1: I just did a big bag for you guys hosted again.
• 39:07
  Speaker 1: Thank you and I appreciate you coming on my show
• 39:09
  Speaker 1: and taking the time to share your knowledge and your
• 39:12
  Speaker 1: nurse science knowledge with my audience.
• 39:15
  Speaker 4: Okay, thank you so much. Thank you for having me.
• 39:19
  Speaker 6: This has been another edition of Money Making Conversation Masterclass
• 39:22
  Speaker 6: hosted by me Rashaun McDonald. Thank you to our guests
• 39:25
  Speaker 6: on the show today, and thank you listening to the
• 39:28
  Speaker 6: audience now. If you want to listen to any episode
• 39:30
  Speaker 6: I want to be a guest on the show, visit
• 39:32
  Speaker 6: Moneymakingconversations dot com. Our social media handle is money Making Conversation.
• 39:38
  Speaker 6: Join us next week and remember to always leave with
• 39:40
  Speaker 6: your gifts.
• 39:41
  Speaker 2: Keep winning.