Latest / Get Real with Jim Weiss / Dr. Bayo Curry-Winchell, Physician, Health Advocate, and TEDx Speaker
Transcript
- 0:09Speaker 1: I'm Jim Weiss, chairman and founder of Real Chemistry, and
- 0:12Speaker 1: this is the Get Reel with the Chairman podcast. Today
- 0:20Speaker 1: I'm thrilled to chat with doctor Bio Curry Winchell. She
- 0:23Speaker 1: is the Urgent Care medical director at Saint Mary's Regional
- 0:26Speaker 1: Medical Center in Rina, Nevada, and the founder of Beyond
- 0:30Speaker 1: Clinical Walls, a company that promotes health literacy and addresses
- 0:34Speaker 1: health care disparities. She's a member of the National CDC Board,
- 0:38Speaker 1: a medical examiner of Washoe County Child Protective Services, and
- 0:42Speaker 1: a Nevada Patient Protection Commission appointee. She's recognized as one
- 0:47Speaker 1: of the Sierra Nevada's Top twenty most Powerful Women. She's
- 0:50Speaker 1: also a keynote speaker and two time ted ex presenter,
- 0:54Speaker 1: and I'd be remissed if I didn't add that she
- 0:56Speaker 1: has a huge social media presence on TikTok and Instagram
- 1:00Speaker 1: with over two hundred thousand followers. Doctor Bio is a
- 1:03Speaker 1: recent graduate of the one Million Black Women in Business
- 1:06Speaker 1: program sponsored by Goldman Sachs and the NYU School Business.
- 1:11Speaker 1: I hope you enjoyed today's episode of Get Real with
- 1:14Speaker 1: the Chairman as we dive into doctor Bio's transformative work.
- 1:21Speaker 1: So doctor v CW, I mean, is that okay that
- 1:23Speaker 1: if we call you that?
- 1:25Speaker 2: So may I asked you a question because you're always
- 1:27Speaker 2: honest with me, even from when we first met. I'm
- 1:30Speaker 2: going through a rebrand and we're going to doctor Bio
- 1:33Speaker 2: to how do you feel?
- 1:34Speaker 1: I like doctor Bio. I think it's great. What's the
- 1:37Speaker 1: origin of that name.
- 1:38Speaker 2: It's Nigerian and it means the only child. And my
- 1:42Speaker 2: father I've shared with you, is ninety nine years old
- 1:46Speaker 2: World War two, Korean and Vietnam War veteran, and they
- 1:49Speaker 2: weren't expecting to have kiddos and here I was. And
- 1:52Speaker 2: so that's why he chose that name to reflect that
- 1:56Speaker 2: he became a dad and that's why.
- 1:58Speaker 1: Oh then of course that has to be the prime
- 2:01Speaker 1: name because there's such a great story behind it. I
- 2:04Speaker 1: think names that are chosen with this sort of rich
- 2:08Speaker 1: history that you want to talk about and helps people
- 2:11Speaker 1: understand the why of what you do, which is really
- 2:15Speaker 1: a big thing. I like asking why do you do
- 2:18Speaker 1: what you do?
- 2:19Speaker 2: It is rooted in the experience that I had growing up.
- 2:24Speaker 2: So as I mentioned, my father ninety nine years old,
- 2:27Speaker 2: World War two, Ukraine and Vietnam. And that part is
- 2:29Speaker 2: important to me because I grew up going to different events,
- 2:32Speaker 2: different rallies, advocating and not even knowing what exactly the
- 2:37Speaker 2: situation was, but knowing Jim that I was standing up
- 2:42Speaker 2: for something, and that is why I do what I do,
- 2:45Speaker 2: because it truly has become and it is the blueprint
- 2:49Speaker 2: of what I get to do every single day. And
- 2:52Speaker 2: my father would stand up for things that he felt
- 2:55Speaker 2: that weren't right, or lean into curiosity of thinking how
- 2:58Speaker 2: can we do this better? And the fact that he
- 3:02Speaker 2: was of the age that he went through a segregated war,
- 3:05Speaker 2: all of these terrible things, he leaned into positivity of
- 3:10Speaker 2: what can we do? And when you hear about my
- 3:14Speaker 2: work and why I do what I do and how
- 3:16Speaker 2: I intentionally do it, it's leaning into positivity of what
- 3:21Speaker 2: can we do? What is possible? How can I empower
- 3:25Speaker 2: patients to know more about their health so they can
- 3:28Speaker 2: decide their journey. All credit goes to him, and he
- 3:33Speaker 2: recently passed away, but I am so grateful that I'm
- 3:39Speaker 2: his daughter that I got to experience because that is
- 3:42Speaker 2: really created what I am.
- 3:44Speaker 1: Well. I mean, I think that's probably a story many
- 3:48Speaker 1: can relate to and understand. You know, I talk about
- 3:51Speaker 1: that relative to my mom and dad, who are no
- 3:54Speaker 1: longer with us either. And yet I will say, having
- 3:59Speaker 1: lost your parents, they're with you always and forever. Every day.
- 4:03Speaker 1: I really don't a day does not pass that they don't,
- 4:08Speaker 1: that they're not there for me, both of them in
- 4:11Speaker 1: different ways. They show up in the funniest and oddest ways.
- 4:16Speaker 1: And you're going to see that, whether it be a
- 4:19Speaker 1: bird or an animal or a sign. You know you're
- 4:22Speaker 1: going to keep singing. I'm sure you already have. Where'd
- 4:25Speaker 1: you grow up?
- 4:26Speaker 2: Reno, Nevada?
- 4:27Speaker 1: In Reno, because you're still there, I am.
- 4:31Speaker 2: Reno has such a different feel of connection. We've got
- 4:34Speaker 2: rural areas, we have the bigger city, all of those things,
- 4:38Speaker 2: and so it was really important to me, especially with
- 4:40Speaker 2: my dad being in Reno, to return. So I lived
- 4:43Speaker 2: in Chicago, I lived overseas, I lived in Dominica in
- 4:46Speaker 2: the West Indies, but I knew I was going to
- 4:49Speaker 2: come back to Reno, serve my community, which I love,
- 4:53Speaker 2: and also be close to my father.
- 4:55Speaker 1: Why were you in all those places?
- 4:57Speaker 2: I traveled because I really wanted to experience health and
- 5:01Speaker 2: all different aspects of the world beyond Reno, and that
- 5:06Speaker 2: I think has played into how I practiced medicine, how
- 5:09Speaker 2: I lived my life to this day, and living in
- 5:13Speaker 2: Dominica in the West Indies, it really reshaped also thinking
- 5:18Speaker 2: from a global standpoint, some of the pain points that
- 5:21Speaker 2: we hear about that are in the healthcare industry. I
- 5:24Speaker 2: was able to really immerse myself in new things, new
- 5:27Speaker 2: ways of life, whether it's traditional or alternative aspects of
- 5:31Speaker 2: medicine and just in life. And so that's what ended
- 5:35Speaker 2: up taking me and just traveling. And I love to
- 5:38Speaker 2: travel because I love meeting people. As you know, I
- 5:41Speaker 2: love connecting and hearing people's stories. So that's how I
- 5:46Speaker 2: just ended up doing rotations in Chicago, and I did
- 5:49Speaker 2: rotations in Miami, but then I came back to Nevada
- 5:54Speaker 2: my mom, who was also a veterans, so two veterans.
- 5:57Speaker 2: I was able to travel a little bit with her.
- 5:59Speaker 2: So I think that planted the seed of wanting to
- 6:02Speaker 2: get out beyond my world. So, and I hope my
- 6:05Speaker 2: kiddos do the same thing. I think it's important.
- 6:07Speaker 1: Oh yes, yeah, the worldview. So tell me what inspired
- 6:11Speaker 1: you to pursue a career, specifically as a doctor. I
- 6:15Speaker 1: always love to ask the influencers who influenced the influencer.
- 6:21Speaker 2: So for me, I knew I wanted to help people,
- 6:25Speaker 2: and I was able to see all of these different
- 6:28Speaker 2: types of professions and so for that were making their
- 6:32Speaker 2: own impact. But I thought, why not to find a
- 6:36Speaker 2: way to really look at people in their overall health
- 6:38Speaker 2: and a lot of people and I don't even know
- 6:40Speaker 2: if I shared this with you. Before I became a doctor,
- 6:42Speaker 2: I was a physician assistant. I worked for three years,
- 6:45Speaker 2: but then there was still this calling I want to
- 6:48Speaker 2: learn more and do more, and that was really a
- 6:51Speaker 2: gamble to decide to leave my job as a physician
- 6:54Speaker 2: assistant and go to medical school. Well, there was one
- 6:56Speaker 2: person who influenced me, and that was doctor or Pheromon.
- 7:01Speaker 2: He was somebody who saw my quirkiness, saw all my
- 7:05Speaker 2: energy and said, yes, you can do this. Because I
- 7:09Speaker 2: saw what impact he was making, and he really set
- 7:13Speaker 2: the tone of what I wanted to do in healthcare,
- 7:16Speaker 2: and that was not just be a doctor that sees
- 7:20Speaker 2: patients in the clinic. I want to help in all areas.
- 7:23Speaker 2: So he was the person that really had the influence
- 7:27Speaker 2: to go the extra step A lot of times You'll
- 7:29Speaker 2: hear medical students or people who are trying to go
- 7:31Speaker 2: into medicine say, I told this person I wanted to
- 7:34Speaker 2: go into medicine. They said, are you sure you shouldn't
- 7:37Speaker 2: do that? It's really hard. He actually said you should
- 7:40Speaker 2: do this, Yes you can. And I think if we
- 7:44Speaker 2: could have that beyond just in medicine, in all areas
- 7:48Speaker 2: where one person says yes you can do this and
- 7:54Speaker 2: not say oh, are you sure, imagine what all that
- 7:59Speaker 2: could happen in different professions and how you can be
- 8:03Speaker 2: that influencer to help someone in that career and that
- 8:07Speaker 2: future of whatever they're seeking. So all credit goes to
- 8:11Speaker 2: doctor Fairmont.
- 8:12Speaker 1: Well, that's great. I'm glad to know there was a
- 8:15Speaker 1: person so obviously that was a big mentor. Mentorship is
- 8:19Speaker 1: really critical to growing up in business life all of that.
- 8:23Speaker 1: It's great to seat them out.
- 8:25Speaker 2: It's vital and the mentors who stay with you as
- 8:29Speaker 2: you go because people can say yes, I really want
- 8:32Speaker 2: to help you, yes you're wonderful, or yes you can
- 8:35Speaker 2: do this, but it's those who are ingrained in how
- 8:39Speaker 2: are you doing on Monday, and then two weeks later
- 8:42Speaker 2: checking in with you, and then also being able to
- 8:45Speaker 2: help you navigate those challenges, those bumps in the road.
- 8:50Speaker 2: And I've had so many people throughout my life invest
- 8:54Speaker 2: in Okay, you can do this. I've had not only
- 8:59Speaker 2: really ruential people in the world, but also people that
- 9:03Speaker 2: I've met just by chance that have decided to stay
- 9:07Speaker 2: with me. I even think of you, like you are
- 9:09Speaker 2: so kind when you met me and you took interest
- 9:13Speaker 2: in me, Jim and you said, I remember when we
- 9:15Speaker 2: were at the table, like you've got something. And when
- 9:19Speaker 2: someone does that, it really makes a difference. So'm I
- 9:23Speaker 2: just want to say thank you.
- 9:25Speaker 1: Well people, look done it for me. I'm sure you
- 9:28Speaker 1: pay it forward. Yes, it happened for me, and I
- 9:31Speaker 1: think it makes it easier if I've been lucky enough,
- 9:34Speaker 1: in open enough for that to happen. Look, it wasn't
- 9:37Speaker 1: always easy. And as you see and hear often it's
- 9:41Speaker 1: not what people tell you only positively right, that constructive
- 9:45Speaker 1: criticism is really important and you've got to seek it out.
- 9:48Speaker 1: And so I guess people with success like yours and
- 9:52Speaker 1: others that are sneaking at and reach success have a
- 9:54Speaker 1: chip on their shoulder. The chip is a positive, usually
- 9:58Speaker 1: forward moving propeller. We all have chips on our shoulder.
- 10:02Speaker 2: What's your chip representation seeing more people that look like me?
- 10:07Speaker 2: As a black female physician, I represent less than three
- 10:10Speaker 2: percent of physicians in the US. And when you had
- 10:13Speaker 2: asked me the question, you know, what was that influencer?
- 10:15Speaker 2: What was that piece? I didn't see people that look
- 10:18Speaker 2: like me. And so to have the opportunity to have
- 10:23Speaker 2: more physicians of color be able to help more people,
- 10:27Speaker 2: that is my drive. That is the force that keeps
- 10:31Speaker 2: me going as well. And also knowing that a kiddo
- 10:34Speaker 2: of color, whether they see me in the clinic, which
- 10:37Speaker 2: happened to me this morning, and I saw this bright
- 10:40Speaker 2: smile when I said, yes, I am doctor Bio, and
- 10:43Speaker 2: they couldn't believe that I was actually their doctor. Like
- 10:47Speaker 2: that gem feeds my soul. And whether it's in the clinic,
- 10:51Speaker 2: whether it's on television or I'm writing a piece, and
- 10:54Speaker 2: they look me up and they see that I look
- 10:57Speaker 2: like them, that's the pipeline that I hope to build
- 11:01Speaker 2: forward and that is what propels me into continuing this work.
- 11:07Speaker 1: So what advice would you give to those looking to
- 11:09Speaker 1: work even beyond the clinical setting to drive change in healthcare.
- 11:13Speaker 2: Like that, do not let anyone box you in. You
- 11:18Speaker 2: have the opportunity to make an impact in so many
- 11:21Speaker 2: different ways. And for me, I still practice and I'll
- 11:25Speaker 2: never stop seeing patients. LAP part is part of my core.
- 11:28Speaker 2: But I also thought about why not do television, why
- 11:31Speaker 2: not write? Why not be in all of these different mediums?
- 11:35Speaker 2: And I think it's important to think about Often we hear, well,
- 11:38Speaker 2: you shouldn't be able to do that, You shouldn't be
- 11:41Speaker 2: able to do that, And so my advice is why not?
- 11:45Speaker 2: Why can't it be you? Think of that always in
- 11:48Speaker 2: the back of your mind, because you're always going to
- 11:50Speaker 2: have these people who are sharing with you. Oh, why
- 11:54Speaker 2: do you think you can do that? So flipping that
- 11:56Speaker 2: script and thinking about, of course I can be at
- 11:59Speaker 2: that table. Of course I can be a part of
- 12:01Speaker 2: this platform that you may not see that representation. And
- 12:05Speaker 2: so that would be my advice is think why not me?
- 12:09Speaker 2: Instead of why it couldn't be you?
- 12:11Speaker 1: That's the impetus behind beyond clinical Walls and this concept
- 12:16Speaker 1: of can we really truly begin to dismantle healthcare disparities
- 12:21Speaker 1: by providing accessible medical information right and advocating for DEI
- 12:25Speaker 1: in healthcare? Tell us a little bit about that initiative,
- 12:28Speaker 1: then where you want to take it, where it's going
- 12:31Speaker 1: to go. Why it's so.
- 12:32Speaker 2: Important beyond clinical walls, beyond it just like representing my
- 12:36Speaker 2: initials really shares the work that I get to do,
- 12:39Speaker 2: and I see that very intentionally that I have the
- 12:42Speaker 2: opportunity to do to help people. So delivering care should
- 12:46Speaker 2: be beyond the traditional walls of the clinic. And when
- 12:48Speaker 2: you look at the work that I've been able to
- 12:50Speaker 2: do in communities, what I do online, my social media
- 12:54Speaker 2: videos share information through a bite size, engaging, informative format,
- 13:00Speaker 2: and it's not talking at people, it's sharing information because
- 13:04Speaker 2: in the end, it's your journey. So beyond clinical walls,
- 13:07Speaker 2: what did I decide to do? I decided to go online,
- 13:10Speaker 2: write all of my own content, create a studio in
- 13:13Speaker 2: my home, and provide information that people could have on
- 13:17Speaker 2: demand in any space anywhere they are and feel informs.
- 13:22Speaker 2: And one thing that I always like to say, there'll
- 13:25Speaker 2: always be racism, sexism, all kinds of things like that
- 13:28Speaker 2: in healthcare. But for me, what can I do to
- 13:31Speaker 2: advocate or help my patients be able to at the bedside.
- 13:35Speaker 2: They've been diagnosed with a health condition, they are seeking
- 13:39Speaker 2: ways to speak to their doctor. That's what Beyond Clinical
- 13:42Speaker 2: Walls does. It shares that information so wherever you are
- 13:46Speaker 2: with a family member and so forth, you can have
- 13:49Speaker 2: those pieces to be able to get the care that
- 13:52Speaker 2: you are seeking. And for healthcare systems, we really delve
- 13:57Speaker 2: into the fact that health literacy is a part of
- 14:00Speaker 2: that gap that we see in inequities and disparities for
- 14:04Speaker 2: all communities, including marginalized and so utilizing a health literacy
- 14:10Speaker 2: format that's very easy for people to consume that they're
- 14:14Speaker 2: already consuming on social media, it helps reduce your cost
- 14:18Speaker 2: of care because when your patients are informed, there's less complications,
- 14:23Speaker 2: there's less risk, and that patient is now part of
- 14:26Speaker 2: that shared journey. And currently, what do we have People
- 14:29Speaker 2: are supposed to read these lengthy diagnoses through different electronical
- 14:34Speaker 2: medical records. Well they're not. They're going to social media
- 14:37Speaker 2: and they're typing in trying to get this information or
- 14:40Speaker 2: they're going online. So Beyond Clinical Walls provides it in
- 14:43Speaker 2: a bite sized way that's credible, it's accurate, and has
- 14:47Speaker 2: a lens of representation.
- 14:49Speaker 1: What have you learned about society's receptivity to hearing some
- 14:54Speaker 1: of the historical and systemic reasons behind black and other
- 14:59Speaker 1: color and gender patients mistrust of the healthcare system. Where
- 15:03Speaker 1: do we think we are with that receptivity.
- 15:06Speaker 2: We're at a crossroads. And why I say that it
- 15:09Speaker 2: is not only actually experiencing it from my father, knowing
- 15:13Speaker 2: how he would share these stories, this generational mistrust that
- 15:17Speaker 2: is continuing to happen to this day. But we're at
- 15:20Speaker 2: a crossroad with COVID and so forth. How this misinformation
- 15:23Speaker 2: that was already present is flared up but even more
- 15:27Speaker 2: right now. And so I feel that we are making
- 15:31Speaker 2: some progress, but we're also making some mistakes in respect
- 15:36Speaker 2: to we put all this energy behind COVID of learning
- 15:40Speaker 2: how to reach out to these communities, helping people and
- 15:42Speaker 2: so forth, and then when COVID went away, we kind
- 15:45Speaker 2: of just stepped back and assume that people would still
- 15:48Speaker 2: be informed about health. And so there's more work to
- 15:52Speaker 2: be done. And as a black female, we are still
- 15:56Speaker 2: not hearing how certain diseases are impacting people of color
- 16:02Speaker 2: marginalized communities. And another piece we're forgetting is the intersectionalities.
- 16:07Speaker 2: Right now, you hear about menopause everywhere, but let's talk
- 16:10Speaker 2: about a black woman with menopause or let's talk about
- 16:13Speaker 2: a black woman with diabetes. There's different layers of dismissal
- 16:17Speaker 2: that happens with your gender, with your sexual orientation, your
- 16:22Speaker 2: social economics. There are so many areas that we still
- 16:26Speaker 2: have work to be done, and that's what we're helping with.
- 16:29Speaker 1: What's it like operating from a more conservative place? Do
- 16:32Speaker 1: you see it more in Reno? Would you say or not?
- 16:36Speaker 1: Is it the same everywhere?
- 16:38Speaker 2: I did my first TED talk where I talked about
- 16:40Speaker 2: how and this happens to me every day where I
- 16:42Speaker 2: go in and I say my name and people don't
- 16:45Speaker 2: have that imagery that I'm your doctor, that I could
- 16:47Speaker 2: actually be a physician. I had a patient this morning
- 16:50Speaker 2: who could not really think about that.
- 16:52Speaker 1: What is the reaction you get?
- 16:54Speaker 2: I often get that I must be of a different
- 16:57Speaker 2: profession other than a physician. I've been told and I
- 17:01Speaker 2: love nurses, no offense that I've been nurse, respiratory therapists.
- 17:04Speaker 2: I've served a patient for a week, sometimes more, Jim,
- 17:08Speaker 2: And at the end they'll say, when am I going
- 17:10Speaker 2: to see my doctor? And my scrubs actually I wear them.
- 17:14Speaker 2: It just says my name on it, so it says doctor.
- 17:16Speaker 2: It's very clear and this goes back to my father.
- 17:19Speaker 2: I lean into positivity, I lean into curiosity, and I
- 17:24Speaker 2: share what were your thoughts on what could I have
- 17:27Speaker 2: done better to maybe present myself as a physician, What
- 17:30Speaker 2: are your thoughts on what part did I miss? And
- 17:33Speaker 2: I think when you take it from there, instead of
- 17:35Speaker 2: anger or getting upset, there's a shared learning. There's a
- 17:41Speaker 2: way to be able to build that representation, that imagery
- 17:45Speaker 2: because sometimes it's not something of malice, and I always
- 17:48Speaker 2: highlight that sometimes it just might not be that top
- 17:52Speaker 2: of mine because to your point, in Nevada, you don't
- 17:54Speaker 2: see it. There's another clinician that I work with, a
- 17:57Speaker 2: black female physician in Washoe County. Life say, there's about
- 18:00Speaker 2: eight of us, eight black doctors, so we all know
- 18:03Speaker 2: each other. This example of this other clinician, she's six
- 18:07Speaker 2: weet tall, has very short hair. We look nothing alike
- 18:11Speaker 2: including skin tone, except we're both African American. And often
- 18:16Speaker 2: when we're on shift across town, someone will say to
- 18:19Speaker 2: her high doctor bio and they'll think that they're seeing me,
- 18:23Speaker 2: and sometimes she'll say no, and often they'll double down, no,
- 18:26Speaker 2: I saw you. But again we lean into curiosity. But
- 18:29Speaker 2: that happens even though we don't look anything alike or
- 18:33Speaker 2: we're just not considered your doctor.
- 18:35Speaker 1: I guess that's a common thing that happens.
- 18:38Speaker 2: It's a common thing.
- 18:39Speaker 1: Some stuff is quite like you said, unconscious. I don't
- 18:44Speaker 1: know that people know it till you bring it to
- 18:46Speaker 1: their conscious level. And you're there and you're doing that,
- 18:49Speaker 1: you're ted talking. Is that one of the ways you
- 18:54Speaker 1: can dispel this information? I mean you obviously hit patients
- 18:58Speaker 1: one at a time. Is that why you're so prolific
- 19:01Speaker 1: on social to get a bigger impact, a bigger audience,
- 19:04Speaker 1: and to fix this faster.
- 19:07Speaker 2: Yes, Well, for me, it's all of the different elements.
- 19:10Speaker 2: So traveling across the country and speaking, there's that imagery
- 19:14Speaker 2: there to be able to share this information from bias.
- 19:17Speaker 2: And I did in a very impactful talk to an FQHC.
- 19:22Speaker 2: Here you have these clinicians rooted in helping those who
- 19:25Speaker 2: are technically economically challenged, and I talked about the bias
- 19:29Speaker 2: that lives within their group, and you could almost see
- 19:33Speaker 2: this defense like, no, we're here to help. And when
- 19:36Speaker 2: I brought in different specifics as far as bias and
- 19:39Speaker 2: how they approach their health delivery, you could see the
- 19:43Speaker 2: light bulb kind of go, oh, I do have bias.
- 19:47Speaker 2: And when I break it down and I say, unconscious
- 19:50Speaker 2: bias is something that we all have. It's how people look,
- 19:52Speaker 2: talk and behave, but it doesn't necessarily mean it's of malice.
- 19:56Speaker 2: It opens up the dialogue, the conversation to think deeply
- 20:00Speaker 2: about how you can pivot, acknowledge, and then move forward.
- 20:05Speaker 2: So those policies that delivery isn't rooted in bias continuously.
- 20:11Speaker 2: And so I do the social media, I speak, I'm
- 20:14Speaker 2: on television, I'm everywhere, and hopes that I can make
- 20:18Speaker 2: that impact of dispelling misinformation talking about bias in a
- 20:23Speaker 2: way that people can understand. And another piece that's important
- 20:26Speaker 2: to me is a topic on maternal health. As you
- 20:30Speaker 2: and I know, and so we hear about black women
- 20:32Speaker 2: dying at the highest rate during childbirth or shortly thereafter,
- 20:36Speaker 2: and people often think it's an access Well, I flip
- 20:39Speaker 2: the script on that, because you can have the most
- 20:42Speaker 2: access in the world, but that doesn't change if bias
- 20:45Speaker 2: is part of it, if there's other pieces. And so
- 20:48Speaker 2: sharing my personal story how I almost died giving birth
- 20:55Speaker 2: as a physician, change is that narrative because I had
- 21:00Speaker 2: the most access in the world. Here I am in
- 21:02Speaker 2: a hospital that I've been a medical director, and that
- 21:05Speaker 2: didn't prevent me from almost dying because I said something
- 21:10Speaker 2: is wrong. When I got out of the operating room,
- 21:13Speaker 2: I knew I didn't feel right, and the nurse she said, no, Bio,
- 21:17Speaker 2: everything looks fine. Your vital signs look fine. And then
- 21:20Speaker 2: I remember twenty minutes later, I said, no, something's wrong,
- 21:23Speaker 2: and she shared, you look fine. And those words are
- 21:27Speaker 2: so important because for her, she wasn't trying to hurt me.
- 21:31Speaker 2: It wasn't the image of what pain looked like. I
- 21:34Speaker 2: didn't fit that. And so then I had to have
- 21:37Speaker 2: my husband, James, as you've met, call my doctor on
- 21:41Speaker 2: my cell phone, and there's privilege there that I had
- 21:43Speaker 2: his number, and he said, something's wrong with bio. And
- 21:47Speaker 2: so the physician, doctor Jack, came back and checked and
- 21:51Speaker 2: knew I wasn't myself because he had this personal connection.
- 21:55Speaker 2: He recognized it and took me back to the operating
- 21:59Speaker 2: room and I was bleeding internally and I was transfused
- 22:04Speaker 2: multiple units of blood and hospitalize. So sharing that story
- 22:11Speaker 2: and speaking across the country and share that lived experience,
- 22:18Speaker 2: my hope is to help save a life of any color,
- 22:22Speaker 2: of any intersectionality, And that's why I'm in healthcare. I
- 22:26Speaker 2: decided to become a doctor because I genuinely love helping people,
- 22:32Speaker 2: and so if sharing my story can change one perspective,
- 22:36Speaker 2: one thought, and one life, it's.
- 22:40Speaker 1: Well worth it just to get that point across. The
- 22:44Speaker 1: uninsured rate was about close to ten percent for black Americans.
- 22:49Speaker 1: Studies have shown that black patients are forty percent less
- 22:53Speaker 1: likely to receive medication for acute pain than white patients.
- 22:56Speaker 1: In what ways does this intersection of your clinical work
- 23:00Speaker 1: and your role as influencer? It almost pushed you into
- 23:03Speaker 1: the influencer role in order to get a bigger impact.
- 23:07Speaker 1: And you can do it one patient at a time,
- 23:09Speaker 1: but we really need to make impact on a bigger scale.
- 23:12Speaker 2: And that's what in my drive is how can I
- 23:15Speaker 2: make a bigger impact and scale this and share the
- 23:19Speaker 2: information that I'm sharing in all those different mediums and
- 23:22Speaker 2: help people. There's a recent post that I did Jim
- 23:26Speaker 2: that was so powerfuler I shared here's something that you
- 23:30Speaker 2: can take when you go and see the doctor, ask
- 23:32Speaker 2: them what they rolled in and what they rolled out.
- 23:36Speaker 2: And the amount of comments that I received, Oh my goodness,
- 23:40Speaker 2: I'm going to ask my doctor because when you get
- 23:42Speaker 2: that information, you're able to think about, was my doctor
- 23:46Speaker 2: really listening to me? Did they take in all of
- 23:48Speaker 2: the things I said. Also, it lets you really have
- 23:53Speaker 2: that playbook of what they were thinking and did they
- 23:56Speaker 2: miss something or are they thinking something that you never
- 23:59Speaker 2: thought of? And then it helps you be a part
- 24:02Speaker 2: of that journey. So sharing that another post that I
- 24:05Speaker 2: just did, and I had all of these women who
- 24:07Speaker 2: reached out. I said, you have the right to not
- 24:10Speaker 2: be weighed when you go in and see your doctor. Wow,
- 24:14Speaker 2: people were just surprised. And I said, there's only a
- 24:16Speaker 2: couple of times we need the weight. Yes, for pediatrics,
- 24:19Speaker 2: for little people, we need to know that surgery, we
- 24:22Speaker 2: might need to know that, and if you have heart failure,
- 24:24Speaker 2: we need to know all of these things. But if
- 24:27Speaker 2: you're going in for a general checkup, you do not
- 24:30Speaker 2: have to be weighed. And I had people ask, well,
- 24:33Speaker 2: what language can I give or what language if I
- 24:36Speaker 2: get pushback? And I love those questions because that's what
- 24:38Speaker 2: I like to do. And I said, ask your doctor
- 24:42Speaker 2: what justification? Why do you need my weight? Because once
- 24:46Speaker 2: you ask them, they have to share why they technically
- 24:49Speaker 2: need it, and that opens up a conversation for both
- 24:53Speaker 2: parties to be able to come to okay, this is
- 24:56Speaker 2: why I need it or actually I don't need it.
- 24:58Speaker 2: So those are the piece is that I put forward
- 25:02Speaker 2: to give people that power to advocate for themselves and
- 25:07Speaker 2: to know the health information. At the same time, I
- 25:10Speaker 2: just love it. I'm like, if I can.
- 25:13Speaker 1: Help you, Okay, So you're on TikTok, what's a doctor
- 25:16Speaker 1: doing on TikTok?
- 25:17Speaker 2: I'm on TikTok, I'm on Instagram giving that information in
- 25:21Speaker 2: a bite sized manner and helping people. So I recently posted,
- 25:25Speaker 2: and this post is doing well on TikTok and Instagram
- 25:28Speaker 2: about Lona the athlete who posted where she was shunned
- 25:33Speaker 2: about her BMI being over thirty. And she did a
- 25:37Speaker 2: great job where she said, yes, my BMI is over
- 25:41Speaker 2: thirty and I'm two hundred pounds but bm I and
- 25:44Speaker 2: this part is important, isn't accurate for athletes? Well that's
- 25:48Speaker 2: what she said. So I took it a step further.
- 25:50Speaker 2: I stitched the video and I said, great video, but
- 25:53Speaker 2: let's go deeper. BMI is a tool that we should
- 25:58Speaker 2: not be using first and foremot not only is it
- 26:01Speaker 2: not good for athletes, it's not good for anyone, specifically women.
- 26:05Speaker 2: So let's go farther. Why that tool, Jim was created
- 26:10Speaker 2: based on men, not women, So you have a tool. See,
- 26:15Speaker 2: I'm fired Ima, and.
- 26:16Speaker 1: You should be. A woman was talking about her she
- 26:19Speaker 1: just lost seventy pounds and she was talking about this
- 26:21Speaker 1: Saturday night.
- 26:22Speaker 2: Yes, well, and I posted and it's doing well. Where
- 26:24Speaker 2: I said the BMI, we shouldn't be using it. It
- 26:27Speaker 2: has no justification because it's based on a small group
- 26:33Speaker 2: of men, not women. So that's something when we talk
- 26:37Speaker 2: about weight, it's a passion of mine and a topic
- 26:41Speaker 2: that I'm very big on advocating for what is right
- 26:45Speaker 2: and what is and and what your rights are when
- 26:47Speaker 2: it comes to being weighed and so forth. And I
- 26:49Speaker 2: just didn't also talk about eating disorders as well. So
- 26:52Speaker 2: I'm all over weights as far as advocating for individuals.
- 26:57Speaker 1: Well, that's where it starts, right Yeah. Nah released the
- 27:01Speaker 1: study explaining it takes seventeen years. I know in my
- 27:04Speaker 1: experience it's at least a decade for evidence to be
- 27:07Speaker 1: translated into clinical practice. In fact, when you go and
- 27:10Speaker 1: you google search a lot of the data, you're looking
- 27:12Speaker 1: at us five years old, a lot of the assumptions
- 27:15Speaker 1: and the algorithm, the data that's coming through there. Can
- 27:19Speaker 1: we improve the translation times? We talk about AI all
- 27:23Speaker 1: the time. Can that help from your perspective? How do
- 27:26Speaker 1: we speed that up?
- 27:27Speaker 2: So, yes, seventeen years for new evidence. And that part
- 27:30Speaker 2: is important because often we'll hear about protocols and algorithms
- 27:34Speaker 2: being debunked or removed. Well, I like to share that
- 27:37Speaker 2: that doesn't mean that that practice isn't impacting people every
- 27:41Speaker 2: single day still until we speed up that information. So
- 27:46Speaker 2: how do we do that through literacy, through getting that
- 27:50Speaker 2: information in the hands of wherever people consume or digest.
- 27:55Speaker 2: Sometimes it's a conference is sometimes it's social media, all
- 27:58Speaker 2: of those different areas. Is how we're going to shorten
- 28:02Speaker 2: that timeframe. There's a recent algorithm that's still live to
- 28:06Speaker 2: this day, and I'll share it and this is I'm
- 28:08Speaker 2: so glad to talk about it here where currently there
- 28:11Speaker 2: is a practice that for black individuals, if you have
- 28:16Speaker 2: high blood pressure, you are recommended two classes of blood
- 28:20Speaker 2: pressure medications. So people often ask, well, yes, black people
- 28:25Speaker 2: are different than other races as far as how they
- 28:28Speaker 2: metabolize and individualize different healthcare, Well, that's not true because
- 28:33Speaker 2: race is a social construct. The color of my skin
- 28:36Speaker 2: has nothing to do with my organs. And currently the
- 28:40Speaker 2: protocol is if you're black, you get either a thighazide
- 28:43Speaker 2: or a calcium channel blocker as the recommended medication. So
- 28:48Speaker 2: when we look at how black individuals are dying at
- 28:52Speaker 2: the highest rate from in stage kidney disease or uncontrolled
- 28:56Speaker 2: high blood pressure which ends up with kidney disease, if
- 28:59Speaker 2: you're limited to two classes of blood pressure medication based
- 29:04Speaker 2: on the color of your skin or based on the
- 29:06Speaker 2: assumption of what that clinician thinks the color of your skin,
- 29:10Speaker 2: think of how you may not be able to have
- 29:12Speaker 2: your blood pressure controlled sooner because you're limited to two
- 29:17Speaker 2: classes versus all of the others. And so this is
- 29:21Speaker 2: still live to this day. Although certain articles like the
- 29:25Speaker 2: UCSF have said we need to stop this practice, back
- 29:29Speaker 2: to the whole seventeen years, it is still live and
- 29:32Speaker 2: there are still clinicians to this day have continued to
- 29:35Speaker 2: practice like this because they don't know of anything different.
- 29:40Speaker 2: And when you don't understand the definition behind what you're
- 29:44Speaker 2: doing and why that's wrong, why would you change. So
- 29:48Speaker 2: to answer your question, health literacy, understanding or unpacking why
- 29:53Speaker 2: we've been doing things the way we have just because,
- 29:57Speaker 2: and understanding the implications and how those pieces are actually
- 30:02Speaker 2: rooted in misinformation.
- 30:12Speaker 1: Now I want to shift into a section I'm calling
- 30:14Speaker 1: so What's it all mean? Where we hear about your
- 30:17Speaker 1: work and action and how it's playing out in the
- 30:19Speaker 1: real world. What are the policies and changes that you
- 30:29Speaker 1: advocate for to address these unconscious biases or real biases
- 30:34Speaker 1: right that are based on old data and that are
- 30:37Speaker 1: contributing to higher mortality rates among black mothers and black
- 30:41Speaker 1: and brown populations treated differently in the healthcare system. What
- 30:46Speaker 1: are the things you're advocating for now as we go forward,
- 30:51Speaker 1: First and.
- 30:51Speaker 2: Foremost, yes, so maintaining access to care, but also maintaining
- 30:57Speaker 2: the fact that we have to have clinic or a
- 31:00Speaker 2: healthcare system that understands bias, understands algorithms that are rooted
- 31:05Speaker 2: in racism and systemic racism. Access is huge, but being
- 31:10Speaker 2: invested in why we see these disparities, why they continue
- 31:15Speaker 2: even though we have extra access. Why does this continue
- 31:19Speaker 2: to happen. Why are black women in a very developed
- 31:22Speaker 2: nation dying at the highest rate in the US it's
- 31:26Speaker 2: more than access. It's bias, it's literacy, it's being able
- 31:30Speaker 2: to understand the missteps that we have and for beyond
- 31:34Speaker 2: clinical walls, the partners that we have been able to
- 31:37Speaker 2: connect with, whether it's nonprofit, traditional healthcare systems, are throughout.
- 31:42Speaker 2: It's really amazing to show that our catalog or videos
- 31:46Speaker 2: are reaching people and being able to reduce those inequities,
- 31:51Speaker 2: reduce those costs of care. Because when you share this
- 31:55Speaker 2: information to patients, they have something a playbook that they
- 31:59Speaker 2: can take forward and be able to say, well, what
- 32:02Speaker 2: about pre acclamcy I think I have swallowing in my
- 32:05Speaker 2: this could be happening, Or what about this piece? Did
- 32:09Speaker 2: you look at this doctor? I learned about this through
- 32:11Speaker 2: the video. That is a way that we are making
- 32:15Speaker 2: change and we're moving that needle. Because it's a big problem.
- 32:18Speaker 2: It's not something that will be solved quickly or with
- 32:21Speaker 2: one change, but we can make steps or make progress
- 32:26Speaker 2: if we inform people. Because when we look at behavior,
- 32:30Speaker 2: how do you change behavior when it comes to complications
- 32:33Speaker 2: or other things? You give people the information and you
- 32:36Speaker 2: also take them along with you instead of speaking at them,
- 32:40Speaker 2: you share the information. Because I always tell my patients
- 32:43Speaker 2: when they're facing a crisis or not. My goal is
- 32:47Speaker 2: to share the information in a way that seems to
- 32:50Speaker 2: your soul, your heart, And I'm just a long for
- 32:53Speaker 2: the journey. But it shouldn't be a journey of judgment.
- 32:56Speaker 2: It should be a journey of what do you need
- 32:59Speaker 2: for your health? What would you like? And I should
- 33:02Speaker 2: share all of that information, but in a way that
- 33:05Speaker 2: you can understand.
- 33:06Speaker 1: Well, it's complicated because not he tells us or we
- 33:10Speaker 1: tell them, because imagine you've got people coming in reading
- 33:14Speaker 1: the internet and probably misunderstanding it. Docts are really inundated
- 33:18Speaker 1: as it is, they have no time living online. The
- 33:22Speaker 1: way you do, I think must be helpful to the patient.
- 33:25Speaker 1: How do you reconcile all this when people are coming
- 33:29Speaker 1: in as their own health experts and meeting them there
- 33:33Speaker 1: because you don't want to offend the doctor who's supposed
- 33:36Speaker 1: to know more. Now in your case, they don't even
- 33:38Speaker 1: know the doctor in all cases. But you can't walk
- 33:43Speaker 1: in these days and not be ready and armed. I
- 33:47Speaker 1: think people walking in and just sort of being a
- 33:50Speaker 1: passive participant in your own health care is going to
- 33:53Speaker 1: create a problem in today's busy health environment. Isn't it
- 33:57Speaker 1: on us to be our own health citizens and taking
- 34:01Speaker 1: care of ourselves and others? Right? It's not easy, but
- 34:05Speaker 1: it's better to walk in armed with the information. Talk
- 34:08Speaker 1: a little bit about that dynamic.
- 34:10Speaker 2: You have to be your advocate. I wish that there
- 34:13Speaker 2: was an environment or an ecosystem that was more bi
- 34:16Speaker 2: directional where you didn't have to come in with all
- 34:19Speaker 2: this information. For me, I welcome it. I welcome questions.
- 34:24Speaker 2: I'm the doctor that's like, give me all the questions. Yes,
- 34:27Speaker 2: I want to have those that I want to have
- 34:29Speaker 2: follow ups. I want to have that discussion for my patients.
- 34:33Speaker 2: I want you to come in arms. I want you
- 34:36Speaker 2: to share this and I'm going to share everything that
- 34:38Speaker 2: I'm thinking with you. And that's what I share that
- 34:42Speaker 2: message online or through my talks. I say, you want
- 34:47Speaker 2: to find a clinician who has that shared journey. And
- 34:50Speaker 2: so the other question I often get when I'm speaking
- 34:52Speaker 2: is I don't feel comfortable talking to my doctor. I
- 34:56Speaker 2: don't feel like they are listening to me. And so
- 35:00Speaker 2: so the advice I give is ask your doctor, do
- 35:05Speaker 2: they feel that you could have more, that you could
- 35:08Speaker 2: be giving them more? And often when I say that
- 35:10Speaker 2: they're like, well, I'm sure they think I'm giving everything,
- 35:13Speaker 2: and I'm like, you may not know that that clinician
- 35:16Speaker 2: may want more information. Another thing to share A great
- 35:20Speaker 2: tip is ask that doctor if when I come in,
- 35:25Speaker 2: is there anything else that could be a possibility that
- 35:29Speaker 2: you haven't mentioned to me? Is there anything else that
- 35:32Speaker 2: you're afraid to possibly share with me? And that opens
- 35:35Speaker 2: up a conversation that can allow you and that clinician
- 35:39Speaker 2: to really know all of the areas, because sometimes that
- 35:42Speaker 2: clinician may think, oh, maybe they don't want to know
- 35:45Speaker 2: all of that, or maybe they're not interested in it.
- 35:48Speaker 2: And I think that's power. And the last one that
- 35:50Speaker 2: I always state is let that doctor, if you feel comfortable,
- 35:54Speaker 2: say I don't think that you're hearing me. I don't
- 35:57Speaker 2: feel like you've hurt all my information because, like you
- 36:00Speaker 2: and I mentioned, sometimes there's a misstep, but that misstep
- 36:04Speaker 2: isn't always out of malice. And we've all had and
- 36:07Speaker 2: this is a good example, we've all had friendships where
- 36:11Speaker 2: you think you're helping that friend and then you find
- 36:13Speaker 2: out that the friend feels like you haven't been helping
- 36:16Speaker 2: and you're like, I thought it was there for you,
- 36:18Speaker 2: So we all have bias, we all have this feeling
- 36:22Speaker 2: of thinking we're in one space and we might be
- 36:24Speaker 2: in a difference. So having that conversation, but I welcome it.
- 36:28Speaker 2: I love questions.
- 36:30Speaker 1: So tell me what's next for you? What are we
- 36:32Speaker 1: watching out for? From doctor Bio.
- 36:34Speaker 2: I've got a lot of things. First, all rooted in
- 36:38Speaker 2: helping people because that makes my heart so happy just
- 36:42Speaker 2: being able to help people in different areas. But I've
- 36:44Speaker 2: got a children's book that's going to be coming out,
- 36:47Speaker 2: Let Your Lights Shine Bright, on how to advocate and
- 36:51Speaker 2: be confident as a kiddo. And my little girls, Jordan
- 36:54Speaker 2: and Jalen, seven and nine, are the stars in the book.
- 36:57Speaker 2: And it's rooted in what we do in our household
- 37:00Speaker 2: and where did that come from from my dad? And
- 37:04Speaker 2: my hope with that is as we talk about advocating
- 37:07Speaker 2: and navigating the health system or any system, if we
- 37:10Speaker 2: can start from the ground up, think of that pipeline
- 37:14Speaker 2: where you have those fundamentals, that playbook a part of
- 37:17Speaker 2: you as you age to be able to navigate the
- 37:21Speaker 2: world and stand up for yourself. What a powerful way
- 37:25Speaker 2: to live. And so that multiple speaking engagements, some television
- 37:29Speaker 2: opportunities as well, in the end, it's all about what
- 37:33Speaker 2: can I do. As my dad said to me, every day, Bio,
- 37:38Speaker 2: think of one thing you can do that is beyond
- 37:41Speaker 2: yourself that you can make an impact on the world.
- 37:43Speaker 2: One thing that you can do, and that's what I
- 37:45Speaker 2: get to do every day, is to help people. And
- 37:48Speaker 2: so every opportunity that's happening is rooted in going beyond
- 37:53Speaker 2: myself and helping others.
- 37:55Speaker 1: So tell me, you know, if you could tell your
- 37:57Speaker 1: younger self one thing, what would it be.
- 38:01Speaker 2: Don't doubt yourself, trust this journey, keep doing what you
- 38:05Speaker 2: believe in because your heart is in the right place.
- 38:10Speaker 2: Keep going because when you help others, you help yourself
- 38:13Speaker 2: in the same way. And it's a gift that you
- 38:17Speaker 2: have the opportunity to help others. And that's your calling.
- 38:20Speaker 2: And that's my younger self. And to keep going, keep going,
- 38:24Speaker 2: and I won't stop. Yeah, oh you know what I'm
- 38:27Speaker 2: going to cap. My dad's words were always you got
- 38:31Speaker 2: to keep moving, and that's what I think of every day.
- 38:34Speaker 2: You got to keep moving. So that's it, you.
- 38:36Speaker 1: Got to keep moving. I can relate to that one. Well,
- 38:39Speaker 1: doctor Bayer, thanks for all this time, and we can't
- 38:42Speaker 1: wait to get it out there because I think this
- 38:44Speaker 1: is a great message at this moment in our world
- 38:48Speaker 1: and in life. I continue to be odd by your positivity.
- 38:54Speaker 1: It's real. I can vouch for that. And on top
- 38:57Speaker 1: of that, let's keep collaborating and help to make the
- 39:01Speaker 1: world a healthier place together.
- 39:02Speaker 2: Yes, indeed, I'm in it for the ride, and I'm
- 39:05Speaker 2: just so grateful. I live in gratitude. So thank you
- 39:09Speaker 2: for having me, Jim. This was fantastic and I appreciate
- 39:13Speaker 2: you very much.
- 39:15Speaker 1: Same here. Hey everyone, thanks for listening in today. The
- 39:23Speaker 1: Get Real with the Chairman podcast is a production of
- 39:26Speaker 1: Real Chemistry. I want to thank my team, led by
- 39:29Speaker 1: executive producer Kate Voss, audio engineer Nick Murphy, and composer
- 39:34Speaker 1: Matt Lipkins, and special thanks to Danielle Clark Brown and
- 39:38Speaker 1: the amazing team of Real Chemistry. If you like where
- 39:41Speaker 1: you're hear, don't forget to review our podcast on Apple, Spotify,
- 39:44Speaker 1: or wherever you listen. Also, please subscribe to the podcast
- 39:48Speaker 1: so you don't miss an episode. Again, thanks for listening
- 39:51Speaker 1: and we'll see you on the road.